PRO^

Policy Assessment for the Reconsideration of
the Ozone National Ambient Air Quality
Standards

External Review Draft Version 2


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EPA-452/P-23-002
March 2023

Policy Assessment for the Reconsideration of the
Ozone National Ambient Air Quality Standards
External Review Draft Version 2

U.S. Environmental Protection Agency
Office of Air Quality Planning and Standards
Health and Environmental Impacts Division
Research Triangle Park, NC


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DISCLAIMER

This document has been prepared by staff in the U.S. Environmental Protection Agency's Office
of Air Quality Planning and Standards. Any findings and conclusions are those of the authors and
do not necessarily reflect the views of the Agency. This document does not represent and should
not be construed to represent any Agency determination or policy. Mention of trade names or
commercial products does not constitute endorsement or recommendation for use. Questions or
comments related to this document should be addressed to Dr. Mary Hutson (email:
hutson.mary@epa.gov) or Ms. Leigh Meyer (email: mever.leigh@epa.gov). U.S. Environmental
Protection Agency, Office of Air Quality Planning and Standards, C504-06, Research Triangle
Park, North Carolina 27711.


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TABLE OF CONTENTS

1	INTRODUCTION	1-1

1.1	Purpose 	1-2

1.2	Legislative Requirements	1-3

1.3	History of the O3 NAAQS, Reviews and Decisions	1-6

1.4	Review Completed in 2020	1-12

1.5	Reconsideration of the 2020 O3 NAAQS Decision	1-13

References 	1-17

2	AIR QUALITY	2-1

2.1	O3 and Photochemical Oxidants in the Atmosphere	2-1

2.2	Sources and Emissions of O3 Precursors	2-4

2.3	Ambient Air Monitoring and Data Handling Conventions	2-10

2.3.1	Ambient Air Monitoring Requirements and Monitoring Networks	2-10

2.3.2	Data Handling Conventions and Computations for Determining Whether the
Standards are Met	2-14

2.4	O3 in Ambient Air	2-16

2.4.1	Concentrations Across the U.S	2-16

2.4.2	Trends in U.S. 03 Concentrations	2-17

2.4.3	Diurnal Patterns	2-21

2.4.4	Seasonal Patterns	2-23

2.4.5	Variation in Recent Daily Maximum 1-hour Concentrations	2-25

2.5	Background O3	2-28

2.5.1	Summary of U.S. Background 03 Sources	2-29

2.5.1.1	Stratosphere	2-31

2.5.1.2	Biogenic VOC	2-32

2.5.1.3	Wildland Fires	2-33

2.5.1.4	Lightning Nitrogen Oxides	2-33

2.5.1.5	Natural and Agricultural Soil NOx	2-34

2.5.1.6	Post-Industrial Methane	2-35

2.5.1.7	International Anthropogenic Emissions	2-36

2.5.2	Approach for Quantifying U.S. Background Ozone	2-37

2.5.2.1 Methodology: USB Attribution	2-38

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2.5.2.2 Methodology: Strengths, Limitations and Uncertainties	2-40

2.5.3	Estimates of USB and Contributions to USB in 2016	2-42

2.5.3.1	Spatial Characterization of O3 Contributions	2-43

2.5.3.2	Seasonal and Geographic Variations in Ozone Contributions	2-45

2.5.3.3	Ozone Source Contributions as a function of Total Ozone
Concentration	2-52

2.5.3.4	Predicted USB Seasonal Mean and USB on Peak O3 Days	2-58

2.5.4	Summary of USB	2-64

References 	2-68

3 RECONSIDERATION OF THE PRIMARY STANDARD	3-1

3.1	Background on the Current Standard	3-2

3.2	General Approach and Key Issues	3-17

3.3	Health Effects Evidence	3-20

3.3.1	Nature of Effects	3-21

3.3.1.1	Respiratory Effects	3-22

3.3.1.2	Other Effects	3-27

3.3.2	Public Health Implications and At-risk Populations	3-29

3.3.3	Exposure Concentrations Associated with Effects	3-37

3.3.4	Uncertainties in the Health Effects Evidence	3-59

3.4	Exposure and Risk Information	3-61

3.4.1	Conceptual Model and Assessment Approach	3-63

3.4.2	Population Exposure and Risk Estimates for Air Quality Just Meeting the
Current Standard	3-74

3.4.3	Population Exposure and Risk Estimates for Additional Air Quality

Scenarios	3-80

3.4.4	Key Uncertainties	3-83

3.4.5	Public Health Implications	3-89

3.5	Key Considerations Regarding the Current Primary Standard	3-93

3.5.1	Evidence-based Considerations	3-94

3.5.2	Exposure/risk-based Considerations	3-97

3.5.3	Preliminary Conclusions on the Primary Standard	3-101

3.6	Key Uncertainties and Areas for Future Research	3-115

References 	3-118

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4 RECONSIDERATION OF THE SECONDARY STANDARD	4-1

4.1	Background on the Current Standard	4-1

4.2	General Approach and Key Issues	4-15

4.3	Welfare Effects Evidence	4-18

4.3.1	Nature of Effects	4-19

4.3.2	Public Welfare Implications	4-26

4.3.3	Exposures Associated with Effects	4-33

4.3.3.1	Growth-related Effects	4-33

4.3.3.2	Visible Foliar Injury	4-43

4.3.3.3	Other Effects 	4-50

4.3.4	Key Uncertainties	4-52

4.3.4.1	Plant Growth Effects	4-52

4.3.4.2	Visible Foliar Injury	4-60

4.3.4.3	Other Effects	4-61

4.4	Exposure and Air Quality Information	4-63

4.4.1	Influence of Form and Averaging Time of Current Standard on W126 Index and
Peak Concentration Metrics	4-67

4.4.2	Environmental Exposures in Terms of W126 Index	4-77

4.4.3	Limitations and Uncertainties	4-82

4.5	Key Considerations Regarding the Current Secondary Standard	4-83

4.5.1	Evidence and Exposure/Risk-based Considerations	4-84

4.5.1.1	Welfare Effects Evidence	4-84

4.5.1.2	General Approach for Considering Public Welfare Protection	4-92

4.5.1.3	Public Welfare Implications of Air Quality under the Current
Standard	4-109

4.5.2	Preliminary Conclusions	4-116

4.6	Key Uncertainties and Areas for Future Research	4-134

References 	4-137

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CHAPTER APPENDICES

APPENDIX 2A. ADDITIONAL DETAILS ON DATA ANALYSIS PRESENTED IN PA
SECTION 2.4

APPENDIX 2B. ADDITIONAL DETAILS ON BACKGROUND OZONE MODELING AND
ANALYSIS

APPENDIX 2C. FIGURES FROM 2020 OZONE ISA REGARDING OZONE PRECURSOR
EMISSIONS

APPENDIX 3 A. DETAILS ON CONTROLLED HUMAN EXPOSURE STUDIES

APPENDIX 3B. AIR QUALITY INFORMATION FOR LOCATIONS OF EPIDEMIOLOGIC
STUDIES OF RESPIRATORY EFFECTS

APPENDIX 3C. AIR QUALITY DATA USED IN POPULATION EXPOSURE AND RISK
ANALYSES

APPENDIX 3D. EXPOSURE AND RISK ANALYSIS FOR THE OZONE NAAQS REVIEW

APPENDIX 4A. EXPOSURE-RESPONSE FUNCTIONS FOR TREE SEEDLINGS AND
CROPS

APPENDIX 4B. U.S. DISTRIBUTION OF 11 TREE SPECIES

APPENDIX 4C. VISIBLE FOLIAR INJURY SCORES AT U.S. FOREST SERVICE
BIOSITES (2006-2010)

APPENDIX 4D. ANALYSIS OF THE W126 03 EXPOSURE INDEX AT U.S. AMBIENT
AIR MONITORING SITES

APPENDIX 4E. OZONE WELFARE EFFECTS AND RELATED ECOSYSTEM SERVICES
AND PUBLIC WELFARE ASPECTS

APPENDIX 4F ADDITIONAL ANALYSIS OF OZONE METRICS RELATED TO
CONSIDERATION OF THE SECONDARY STANDARD

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TABLE OF TABLES

Table 2-1. Simulation names and descriptions for hemispheric-scale and regional-scale

simulations	2-39

Table 2-2. Expressions used to calculate contributions from specific sources	2-40

Table 2-3. Predicted USB for U.S. and U.S. regions based on averages for all U.S. grid

cells	2-62

Table 2-4. Predicted USB for high elevation locations (>1500 m)	2-63

Table 2-5. Predicted USB for locations within 100 km of Mexico or Canada Border	2-63

Table 2-6. Predicted USB for low-elevation (<1500 m) that are 100 km or farther from the

border	2-64

Table 3-1. National prevalence of asthma, 2020	3-36

Table 3-2. Summary of 6.6 to 8-hour controlled human exposure study findings for

adults	3-44

Table 3-3. Epidemiologic studies of reporting statistically significant associations between
short-term O3 concentrations and respiratory effects and ambient air quality
conditions during the study	3-52

Table 3-4. Summary of statistical associations and ambient air quality conditions for studies
of asthma-related hospital admissions and short-term O3 concentrations	3-56

Table 3-5. Summary of statistical associations and ambient air quality conditions for studies
of asthma-related emergency department visits and short-term O3
concentrations	3-52

Table 3-6. Percent and number of simulated children and children with asthma estimated to
experience at least one or more days per year with a daily maximum 7-hour
average exposure at or above indicated concentration while breathing at an
elevated rate in areas just meeting the current standard	3-77

Table 3-7. Percent of simulated children and children with asthma estimated to experience at
least one or more days per year with a lung function decrement at or above 10, 15
or 20% while breathing at an elevated rate in areas just meeting the current
standard	3-80

Table 3-8. Percent and number of simulated children and children with asthma estimated
to experience one or more days per year with a daily maximum 7-hour average
exposure at or above indicated concentration while breathing at an elevated
rate - additional air quality scenarios	3-82

Table 3-9. Percent of risk estimated for air quality just meeting the current standard in three
study areas using the E-R function approach on days where the daily maximum
7-hour average concentration is below specified values	3-88

Table 3-10. Percent of risk estimated for air quality just meeting the current standard in three
study areas using the MSS model approach on days where the daily maximum
7-hour average concentration is below specified values	3-88

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Table 3-11. Comparison of current assessment and 2014 HREA (all study areas) for percent
of children estimated to experience at least one, or two, days with an exposure
at or above benchmarks while at moderate or greater exertion	3-101

Table 4-1. Percent of monitoring sites during the 2018 to 2020 period with 4th max or W126
metrics at or below various thresholds that have N100 or D100 values above
various thresholds	4-75

Table 4-2. Average percent of monitoring sites per year during 2016-2020 with 4th max or
W126 metrics at or below various thresholds that have N100 or D100 values
above various thresholds	4-76

Table 4-3. Distribution of 3-yr average seasonal W126 index for sites in Class I areas and

across U.S. that meet the current standard and for those that do not	4-81

Table 4-4. Median of species-specific RBL estimates for a specified W126 index based on

Lee and Hogsett (1996) and Lee et al (2022)	4-96

TABLE OF FIGURES

Figure 2-1. U.S. O3 precursor emissions by sector: A) NOx; B) CO; C) VOCs; D) CH4	2-6

Figure 2-2. U.S. anthropogenic O3 precursor emission trends for: A) NOx; B) CO;

C) VOCs; and D) CI I ,	2-7

Figure 2-3.	U.S. county-level CO emissions density estimates (tons/year/mi2) for 2017	2-9

Figure 2-4.	U.S. county-level NOx emissions density estimates (tons/year/mi2) for 2017....2-9

Figure 2-5.	U.S. county-level VOC emissions density estimates (tons/year/mi2) for 2017..2-10

Figure 2-6.	Current O3 monitoring seasons in the U.S	2-12

Figure 2-7. Map of U.S. ambient air O3 monitoring sites reporting data to the EPA during

the 2018-2020 period	2-14

Figure 2-8. O3 design values in ppb for the 2018-2020 period	2-16

Figure 2-9. Trends in O3 design values based on data from 2000-2002 through

2018-2020	2-17

Figure 2-10. National trend in annual 4th highest MDA8 values, 1980 to 2020	2-18

Figure 2-11. National trend in annual 4th highest MDA8 concentrations and O3 design values

in ppb, 2000 to 2020..	2-19

Figure 2-12. Regional trends in median annual 4th highest MDA8 concentrations,

2000 to 2020	2-20

Figure 2-13. Diurnal patterns in hourly O3 concentrations at selected monitoring sites: A) an

urban site in Los Angeles; B) a downwind suburban site in Los Angeles; C) a low
elevation rural site in New Hampshire; and D) a high elevation rural site in New
Hampshire	2-22

Figure 2-14. Seasonal patterns in MDA8 O3 concentrations at selected monitoring sites
(2015-2017): A) an urban site in Baltimore, MD; B) an urban site in Baton

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Rouge, LA; C) a rural site in Colorado; and D) a site in Utah experiencing
high wintertime O3	2-24

Figure 2-15. Boxplots showing the distribution of MDA1 concentrations (2018-2020), binned
according to each site's 2018-2020 design value	2-26

Figure 2-16. Number of days in 2018-2020 at each monitoring site with a MDA1

concentration greater than or equal to 120 ppb compared to its 8-hour design
value in ppb	2-26

Figure 2-17. National trend in the annual 2nd highest MDA1 O3 concentration,

2000 to 2020	2-27

Figure 2-18. Conceptual models for 03 sources: (a) in the U.S., and (b) at a single

location	2-30

Figure 2-19. Predicted MDA8 total O3 concentration (top left), Natural (top right),

International (bottom left), and USA (bottom right) contributions in spring
(March, April, May)	2-44

Figure 2-20. Predicted MDA8 total O3 concentration (top left), Natural (top right),

International (bottom left), and USA (bottom right) contributions in summer
(June, July, Aug)	2-45

Figure 2-21. Predicted contribution of International sources as a function of distance from
Mexico/Canada (left) and at "interior" locations (excluding border areas) by
elevation (right)	2-47

Figure 2-22. Grid cell assignments to East, West, High Elevation, Near Border, and Near and
High (i.e., both High Elevation and Near Border)	2-48

Figure 2-23. Annual time series of regional average predicted MDA8 total O3 concentration
and contributions of each source (see legend) for the West (top), and the East
(bottom)	2-49

Figure 2-24. Annual time series of regional urban area-weighted average predicted MDA8
total O3 concentration and contributions of each source (see legend) for the
High-elevation West (top), near-border West (middle), and Low/Interior West
(bottom)	2-51

Figure 2-25. Predicted contribution of Natural as a function of predicted total (Base)

MDA8 O3 concentration in the West and East	2-53

Figure 2-26. Predicted contribution of International as a function of predicted total (Base)

MDA8 O3 concentration in the West and East	2-54

Figure 2-27. Predicted contribution of USA as a function of predicted total (Base) MDA8
O3 concentration in the West and East. Sloped lines show percent contribution
as a quick reference	2-54

Figure 2-28. Annual time series of regional average predicted MDA8 O3 and contributions
of each source to predicted MDA8 total O3 (see legend) in the West (top) and
East (bottom) including only those grid-cell days with MDA8 greater than
70 ppb	2-56

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Figure 2-29. Annual time series of regional average predicted MDA8 O3 and contributions of
each source to predicted MDA8 O3 (see legend) in the high-elevation West (top),
in the near-border West (middle), and in the Low/Interior West weighted toward
urban areas (bottom) including only those grid-cell days with MDA8 O3 greater
than 70 ppb	2-57

Figure 2-30. Map of predicted USB contributions by O3 season for spring average (top left),
summer average (top right), top 10 predicted total O3 days (center left),

4th highest total O3 simulated day (center right), and all days with total O3
greater than 70 ppb (bottom left), along with a map of the number of days with
total O3 above 70 ppb (bottom right)	2-60

Figure 3-1. Overview of general approach for the primary O3 standard	3-19

Figure 3-2. Group mean Cb-induced reduction in FEV1 from controlled human exposure
studies of healthy adults exposed for 6.6 hours with quasi-continuous
exercise	3-42

Figure 3-3.	Conceptual model for exposure-based risk assessment	3-64

Figure 3-4.	Analysis approach for exposure-based risk analyses	3-65

Figure 4-1	Overview of general approach for the secondary O3 standard	4-17

Figure 4-2	Potential effects of O3 on the public welfare	4-32

Figure 4-3	Established RYL functions for 10 crops derived by Lee and Hogsett (1996) ... 4-38

Figure 4-4 RBL functions for seedlings of 11 tree species derived by Lee and

Hogsett (1996)	4-41

Figure 4-5 RBL functions for seedlings of 16 tree species (Lee et al., 2022)	4-42

Figure 4-6. Distribution of nonzero BI scores at USFS biosites (normal soil moisture) grouped
by assigned W126 index estimates	4-50

Figure 4-7. Distribution of N100 values during treatment periods of experiments for each

species (Appendix 4A, Tables 4A-7 and 4A-8)	4-56

Figure 4-8. Composite (solid line) and experiment-specific (dotted line) RBL functions for

eastern white pine (Pinus strobus) from Lee and Hogsett (1996)	4-57

Figure 4-9. W126 index (2018-2020 average) at monitoring sites with valid design

values	4-66

Figure 4-10. N100 values (2018-2020 average) at monitoring sites with valid design

values	4-67

Figure 4-11. D100 values (2018-2020) at monitoring sites with valid design values	4-67

Figure 4-12. Relationship between the W126 index and design values for the current standard
(2018-2020). The W126 index is analyzed in terms of averages across the 3-year
design value period (left) and annual values (right)	4-69

Figure 4-13. Relationship between trends in the W126 index and trends in design values across
a 21-year period (2000-2020) at U.S. monitoring sites. W126 is analyzed in terms
of averages across 3-year design value periods (left) and annual values

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(right)	4-71

Figure 4-14. Distributions of MDA1 concentrations for the three design value periods in 2000-
2004 (red) and 2016-2020 (blue), binned by the design value at each monitoring
site. Boxes represent the 25th, 50th and 75th percentiles; whiskers represent the
1st and 99th percentiles; and circles are outlier values	4-73

Figure 4-15. Distributions of N100 (top panels) and D100 (bottom panels) values at monitoring
sites differing by design values (left panels) and W126 index values (right panels)
based on 2018-2020 monitoring data. The boxes represent the 25th, 50th and 75th
percentiles and the whiskers extend to the 1st and 99th	4-74

Figure 4-16. Analytical approach for characterizing vegetation exposure with W126 index. 4-78

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1 INTRODUCTION

This document, Policy Assessment for the Reconsideration of the Ozone National
Ambient Air Quality Standards, External Review Draft Version 2 (hereafter referred to as the
draft PA), presents a revised draft policy assessment for the U.S. Environmental Protection
Agency's (EPA's) reconsideration of the decision reached in the review of the ozone (O3)
national ambient air quality standards (NAAQS) completed in 2020.12 This draft PA considers
the key policy-relevant issues, drawing on those identified in the Integrated Review Plan for the
Ozone National Ambient Air Quality Standards (IRP; [U.S. EPA, 2019]) in light of the available
evidence assessed in the Integrated Science Assessment for Ozone and Related Photochemical
Oxidants (ISA [U.S. EPA, 2020a]) and quantitative air quality, exposure and risk analyses based
on that evidence, including any analyses updated for this reconsideration. Thus, this document
will reassess the policy implications of the scientific evidence described in the 2020 ISA and
related air quality, exposure and risk analyses. Accordingly, this document draws heavily on
information presented in the 2020 PA (U.S. EPA, 2020b), with some updates, as described in
section 1.5 below.

This document is organized into four chapters. Chapter 1 presents introductory
information on the purpose of the PA in the context of NAAQS reviews, legislative requirements
for NAAQS reviews, an overview of the history of the O3 NAAQS, including background
information on prior reviews, and a summary of the process for this reconsideration. Chapter 2
provides an overview of how photochemical oxidants, including O3, are formed in the
atmosphere. This chapter additionally includesinformation on sources and emissions of
important precursor chemicals, as well as ambient air monitoring data (all of which is updated
since the 2020 PA). Chapter 2 also summarizes key aspects of the ambient air monitoring
requirements, and O3 air quality, including model-based estimates of O3 resulting from natural
sources and anthropogenic sources outside the U.S. Chapter 3 focuses on policy-relevant aspects
of the health effects evidence (as presented in the 2020 ISA) and exposure/risk information,
identifying and summarizing key considerations related to review of the primary (health-based)

1	The scope for this reconsideration, as for the 2020 decision on the O3 NAAQS, focuses on the presence in ambient

air of photochemical oxidants, a group of gaseous compounds of which ozone (the indicator for the current
standards) is the most prevalent in the atmosphere and the one for which there is a very large, well-established
evidence base of its health and welfare effects. The ozone standards that were established in 2015 (80 FR 65292,
October 26, 2015) and retained in 2020 (85 FR 87256, December 31, 2020), are referred to in this document as
the "current" or "existing" standards.

2	On October 29, 2021, the Agency announced its decision to reconsider the 2020 O3 NAAQS final action. This

announcement is available at https://www.epa.gov/ground-level-ozone-pollution/epa-reconsider-previous-
administrations-decision-retain-2015-ozone.

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standard. Similarly, Chapter 4 focuses on policy-relevant aspects of the welfare effects evidence
(as presented in the 2020 ISA) and air quality, exposure and risk information, identifying and
summarizing key considerations related to review of the secondary (welfare-based) standard.

1.1 PURPOSE

Generally in each NAAQS review, the PA, when final, presents an evaluation, for
consideration by the EPA Administrator, of the policy implications of the available scientific
information, assessed in the ISA, any quantitative air quality, exposure or risk analyses based on
the ISA findings, and related limitations and uncertainties. Ultimately, final decisions on the
NAAQS reflect the judgments of the Administrator. The role of the PA is to help "bridge the
gap" between the Agency's scientific assessment and quantitative technical analyses, and the
judgments required of the Administrator in determining whether it is appropriate to retain or
revise the NAAQS.

In evaluating the question of adequacy of the current standards and whether it may be
appropriate to consider alternative standards, the PA focuses on information that is most
pertinent to evaluating the standards and their basic elements: indicator, averaging time, form,
and level.3 These elements, which together serve to define each standard, must be considered
collectively in evaluating the public health and public welfare protection the standards afford.

The development of the PA is also intended to facilitate advice to the Agency and
recommendations to the Administrator from an independent scientific review committee, the
Clean Air Scientific Advisory Committee (CASAC), as provided for in the Clean Air Act
(CAA). The EPA generally makes available to the CASAC and the public one or more drafts of
the PA for CASAC review and public comment. As discussed below in section 1.2, the CASAC
is to advise on subjects including the Agency's assessment of the relevant scientific information
and on the adequacy of the current standards, and to make recommendations as to any revisions
of the standards that may be appropriate. The CASAC typically conveys its advice on the
standards in its review of the draft PA.

In this draft PA for the reconsideration of the December 2020 O3 NAAQS decision, we4
take into account the scientific evidence, as characterized in the 2020 ISA and the additional

3	The indicator defines the chemical species or mixture to be measured in the ambient air for the purpose of

determining whether an area attains the standard. The averaging time defines the period over which air quality
measurements are to be averaged or otherwise analyzed. The form of a standard defines the air quality statistic
that is to be compared to the level of the standard in determining whether an area attains the standard. For
example, the form of the annual NAAQS for fine particulate matter is the average of annual mean concentrations
for three consecutive years, while the form of the 8-hour NAAQS for carbon monoxide is the second-highest 8-
hour average in a year. The level of the standard defines the air quality concentration used for that purpose.

4	The terms "staff," "we" and "our" throughout this document refer to the staff in the EPA's Office of Air Quality

Planning and Standards (OAQPS).

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policy-relevant quantitative air quality, exposure and risk analyses described herein. Advice and
comments from the CASAC and the public on this draft PA will inform the evaluation and
conclusions in the final PA.

The final PA is designed to assist the Administrator in considering the available scientific
and risk information and formulating judgments regarding the standards. Accordingly, the final
PA will inform the Administrator's decision in this reconsideration. Beyond informing the
Administrator and facilitating the advice and recommendations of the CASAC, the final PA is
also intended to be a useful reference to all interested parties. In these roles, it is intended to
serve as a source of policy-relevant information that supports the Agency's reconsideration of
the 2020 O3 NAAQS decision, and it is written to be understandable to a broad audience.

1.2 LEGISLATIVE REQUIREMENTS

Two sections of the CAA govern the establishment and revision of the NAAQS. Section
108 (42 U.S.C. 7408) directs the Administrator to identify and list certain air pollutants and then
to issue air quality criteria for those pollutants. The Administrator is to list those pollutants
"emissions of which, in his judgment, cause or contribute to air pollution which may reasonably
be anticipated to endanger public health or welfare"; "the presence of which in the ambient air
results from numerous or diverse mobile or stationary sources"; and for which he "plans to issue
air quality criteria...." (42 U.S.C. ง 7408(a)(1)). Air quality criteria are intended to "accurately
reflect the latest scientific knowledge useful in indicating the kind and extent of all identifiable
effects on public health or welfare which may be expected from the presence of [a] pollutant in
the ambient air...." (42 U.S.C. ง 7408(a)(2)).

Section 109 [42 U.S.C. 7409] directs the Administrator to propose and promulgate
"primary" and "secondary" NAAQS for pollutants for which air quality criteria are issued [42
U.S.C. ง 7409(a)], Section 109(b)(1) defines primary standards as ones "the attainment and
maintenance of which in the judgment of the Administrator, based on such criteria and allowing
an adequate margin of safety, are requisite to protect the public health."5 Under section
109(b)(2), a secondary standard must "specify a level of air quality the attainment and
maintenance of which, in the judgment of the Administrator, based on such criteria, is requisite
to protect the public welfare from any known or anticipated adverse effects associated with the
presence of [the] pollutant in the ambient air."6

5	The legislative history of section 109 indicates that a primary standard is to be set at "the maximum permissible

ambient air level. . . which will protect the health of any [sensitive] group of the population," and that for this
purpose "reference should be made to a representative sample of persons comprising the sensitive group rather
than to a single person in such a group." S. Rep. No. 91-1196, 91st Cong., 2d Sess. 10 (1970).

6	Under CAA section 302(h) (42 U.S.C. ง 7602(h)), effects on welfare include, but are not limited to, "effects on

soils, water, crops, vegetation, manmade materials, animals, wildlife, weather, visibility, and climate, damage to

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In setting primary and secondary standards that are "requisite" to protect public health
and welfare, respectively, as provided in section 109(b), the EPA's task is to establish standards
that are neither more nor less stringent than necessary. In so doing, the EPA may not consider the
costs of implementing the standards. See generally, Whitman v. American Trucking Ass 'ns, 531
U.S. 457, 465-472, 475-76 (2001). Likewise, "[attainability and technological feasibility are not
relevant considerations in the promulgation of national ambient air quality standards" {American
Petroleum Institute v. Costle, 665 F.2d 1176, 1185 [D.C. Cir. 1981], cert, denied, 455 U.S. 1034
[1982]; accord Murray Energy Corp. v. EPA, 936 F.3d 597, 623-24 [D.C. Cir. 2019]). At the
same time, courts have clarified the EPA may consider "relative proximity to peak background
... concentrations" as a factor in deciding how to revise the NAAQS in the context of
considering standard levels within the range of reasonable values supported by the air quality
criteria and judgments of the Administrator (American Trucking Ass'ns, v. EPA, 283 F.3d 355,
379 [D.C. Cir. 2002], hereafter referred to as "ATA IIF).

The requirement that primary standards provide an adequate margin of safety was
intended to address uncertainties associated with inconclusive scientific and technical
information available at the time of standard setting. It was also intended to provide a reasonable
degree of protection against hazards that research has not yet identified. See Lead Industries
Ass'nv. EPA, 647 F.2d 1130, 1154 (D.C. Cir 1980), cert, denied, 449 U.S. 1042 (1980);
American Petroleum Institute v. Costle, 665 F.2d at 1186; Coalition of Battery Recyclers Ass'n v.
EPA, 604 F.3d 613, 617-18 (D.C. Cir. 2010); Mississippi v. EPA, 744 F.3d 1334, 1353 (D.C. Cir.
2013). Both kinds of uncertainties are components of the risk associated with pollution at levels
below those at which human health effects can be said to occur with reasonable scientific
certainty. Thus, in selecting primary standards that include an adequate margin of safety, the
Administrator is seeking not only to prevent pollution levels that have been demonstrated to be
harmful but also to prevent lower pollutant levels that may pose an unacceptable risk of harm,
even if the risk is not precisely identified as to nature or degree. The CAA does not require the
Administrator to establish a primary NAAQS at a zero-risk level or at background concentration
levels (see Lead Industries v. EPA, 647 F.2d at 1156 n.51, Mississippi v. EPA, 744 F.3d at 1351),
but rather at a level that reduces risk sufficiently so as to protect public health with an adequate
margin of safety.

In addressing the requirement for an adequate margin of safety, the EPA considers such
factors as the nature and severity of the health effects involved, the size of the sensitive
population(s), and the kind and degree of uncertainties. The selection of any particular approach

and deterioration of property, and hazards to transportation, as well as effects on economic values and on personal
comfort and well-being."

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to providing an adequate margin of safety is a policy choice left specifically to the
Administrator's judgment. See Lead Industries Ass 'n v. EPA, 647 F.2d at 1161-62; Mississippi v.
EPA, 744 F.3d at 1353.

Section 109(d)(1) of the Act requires periodic review and, if appropriate, revision of
existing air quality criteria to reflect advances in scientific knowledge on the effects of the
pollutant on public health and welfare. Under the same provision, the EPA is also to periodically
review and, if appropriate, revise the NAAQS, based on the revised air quality criteria.7

Section 109(d)(2) addresses the appointment and advisory functions of an independent
scientific review committee. Section 109(d)(2)(A) requires the Administrator to appoint this
committee, which is to be composed of "seven members including at least one member of the
National Academy of Sciences, one physician, and one person representing State air pollution
control agencies." Section 109(d)(2)(B) provides that the independent scientific review
committee "shall complete a review of the criteria... and the national primary and secondary
ambient air quality standards... and shall recommend to the Administrator any new... standards
and revisions of existing criteria and standards as may be appropriate...." Since the early 1980s,
this independent review function has been performed by the CAS AC of the EPA's Science
Advisory Board. A number of other advisory functions are also identified for the committee by
section 109(d)(2)(C), which reads:

Such committee shall also (i) advise the Administrator of areas in which
additional knowledge is required to appraise the adequacy and basis of existing,
new, or revised national ambient air quality standards, (ii) describe the research
efforts necessary to provide the required information, (iii) advise the
Administrator on the relative contribution to air pollution concentrations of
natural as well as anthropogenic activity, and (iv) advise the Administrator of any
adverse public health, welfare, social, economic, or energy effects which may
result from various strategies for attainment and maintenance of such national
ambient air quality standards.

As previously noted, the Supreme Court has held that section 109(b) "unambiguously bars cost
considerations from the NAAQS-setting process" (Whitman v. American Trucking Ass'ns, 531
U.S. 457, 471 [2001]). Accordingly, while some of the issues listed in section 109(d)(2)(C) as
those on which Congress has directed the CASAC to advise the Administrator are ones that are
relevant to the standard setting process, others are not. Issues that are not relevant to standard
setting may be relevant to implementation of the NAAQS once they are established.8

7	This section of the Act requires the Administrator to complete these reviews and make any revisions that may be

appropriate "at five-year intervals."

8	Because some of these issues are not relevant to standard setting, some aspects of CASAC advice may not be

relevant to EPA's process of setting primary and secondary standards that are requisite to protect public health
and welfare. Indeed, were the EPA to consider costs of implementation when reviewing and revising the

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1.3 HISTORY OF THE Oa NAAQS, REVIEWS AND DECISIONS

Primary and secondary NAAQS were first established for photochemical oxidants in
1971 (36 FR 8186, April 30, 1971) based on the air quality criteria developed in 1970 (U.S.
DHEW, 1970; 35 FR 4768, March 19, 1970). The EPA set both primary and secondary standards
at 0.08 parts per million (ppm), as a 1-hour average of total photochemical oxidants, not to be
exceeded more than one hour per year, based on the scientific information in the 1970 air quality
criteria document (AQCD). Since that time, the EPA has reviewed the air quality criteria and
standards a number of times, with the most recent review being completed in 2020.

The EPA initiated the first periodic review of the NAAQS for photochemical oxidants in
1977. Based on the 1978 AQCD (U.S. EPA, 1978), the EPA published proposed revisions to the
original NAAQS in 1978 (43 FR 26962, June 22, 1978) and final revisions in 1979 (44 FR 8202,
February 8, 1979). At that time, the EPA changed the indicator from photochemical oxidants to
O3, revised the level of the primary and secondary standards from 0.08 to 0.12 ppm and revised
the form of both standards from a deterministic (i.e., not to be exceeded more than one hour per
year) to a statistical form. With these changes, attainment of the standards was defined to occur
when the average number of days per calendar year (across a 3-year period) with maximum
hourly average O3 concentration greater than 0.12 ppm equaled one or less (44 FR 8202,

February 8, 1979; 43 FR 26962, June 22, 1978).

Following the EPA's decision in the 1979 review, several petitioners sought judicial
review. Among those, the city of Houston challenged the Administrator's decision arguing that
the standard was arbitrary and capricious because natural O3 concentrations and other physical
phenomena in the Houston area made the standard unattainable in that area. The U.S. Court of
Appeals for the District of Columbia Circuit (D.C. Circuit) rejected this argument, holding (as
noted in section 1.1 above) that attainability and technological feasibility are not relevant
considerations in the promulgation of the NAAQS {American Petroleum Institute v. Costle, 665
F.2d at 1185). The court also noted that the EPA need not tailor the NAAQS to fit each region or
locale, pointing out that Congress was aware of the difficulty in meeting standards in some
locations and had addressed this difficulty through various compliance related provisions in the
CAA (id. at 1184-86).

standards "it would be grounds for vacating the NAAQS" (Whitman v. American Trucking Ass 'ns, 531 U.S. 457,
471 n.4 [2001]). At the same time, the CAA directs CASAC to provide advice on "any adverse public health,
welfare, social, economic, or energy effects which may result from various strategies for attainment and
maintenance" of the NAAQS to the Administrator under section 109(d)(2)(C)(iv). In Whitman, the Court
clarified that most of that advice would be relevant to implementation but not standard setting, as it "enable[s] the
Administrator to assist the States in carrying out their statutory role as primary implementers of the NAAQS" (id.
at 470 [emphasis in original]). However, the Court also noted that CASAC's "advice concerning certain aspects
of 'adverse public health ... effects' from various attainment strategies is unquestionably pertinent" to the
NAAQS rulemaking record and relevant to the standard setting process (id. at 470 n.2).

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The next periodic reviews of the criteria and standards for O3 and other photochemical
oxidants began in 1982 and 1983, respectively (47 FR 11561, March 17, 1982; 48 FR 38009,
August 22, 1983). The EPA subsequently published the 1986 AQCD (U.S. EPA, 1986) and the
1989 Staff Paper (U.S. EPA, 1989). Following publication of the 1986 AQCD, a number of
scientific abstracts and articles were published that appeared to be of sufficient importance
concerning potential health and welfare effects of O3 to warrant preparation of a supplement to
the 1986 AQCD (U.S. EPA, 1992). In August of 1992, the EPA proposed to retain the existing
primary and secondary standards based on the health and welfare effects information contained
in the 1986 AQCD and its 1992 Supplement (57 FR 35542, August 10, 1992). In March 1993,
the EPA announced its decision to conclude this review by affirming its proposed decision to
retain the standards, without revision (58 FR 13008, March 9, 1993).

In the 1992 notice of its proposed decision in that review, the EPA announced its
intention to proceed as rapidly as possible with the next review of the air quality criteria and
standards for O3 and other photochemical oxidants in light of emerging evidence of health effects
related to 6- to 8-hour O3 exposures (57 FR 35542, August 10, 1992). The EPA subsequently
published the AQCD and Staff Paper for that next review (U.S. EPA, 1996). In December 1996,
the EPA proposed revisions to both the primary and secondary standards (61 FR 65716,
December 13, 1996). With regard to the primary standard, the EPA proposed to replace the then-
existing 1-hour primary standard with an 8-hour standard set at a level of 0.08 ppm (equivalent
to 0.084 ppm based on the proposed data handling convention) as a 3-year average of the annual
third-highest daily maximum 8-hour concentration. The EPA proposed to revise the secondary
standard either by setting it identical to the proposed new primary standard or by setting it as a
new seasonal standard using a cumulative form. The EPA completed this review in 1997 by
setting the primary standard at a level of 0.08 ppm, based on the annual fourth-highest daily
maximum 8-hour average concentration, averaged over three years, and setting the secondary
standard identical to the revised primary standard (62 FR 38856, July 18, 1997).

On May 14, 1999, in response to challenges by industry and others to the EPA's 1997
decision, the D.C. Circuit remanded the O3 NAAQS to the EPA, finding that section 109 of the
CAA, as interpreted by the EPA, effected an unconstitutional delegation of legislative authority
(American Trucking Ass 'ns v. EPA, 175 F.3d 1027, 1034-1040 [D.C. Cir. 1999]). In addition, the
court directed that, in responding to the remand, the EPA should consider the potential beneficial
health effects of O3 pollution in shielding the public from the effects of solar ultraviolet (UV)
radiation, as well as adverse health effects {id. at 1051-53). In 1999, the EPA sought panel
rehearing and rehearing en banc on several issues related to that decision. The court granted the
request for panel rehearing in part and denied it in part but declined to review its ruling with
regard to the potential beneficial effects of O3 pollution {American Trucking Ass'ns v. EPA, 195

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F.3d 4, 10 [D.C Cir., 1999]). On January 27, 2000, the EPA petitioned the U.S. Supreme Court
for certiorari on the constitutional issue (and two other issues) but did not request review of the
ruling regarding the potential beneficial health effects of O3. On February 27, 2001, the U.S.
Supreme Court unanimously reversed the judgment of the D.C. Circuit on the constitutional
issue (Whitman v. American Trucking Ass 'ns, 531 U.S. 457, 472-74 [2001], [holding that section
109 of the CAA does not delegate legislative power to the EPA in contravention of the
Constitution]). The Court remanded the case to the D.C. Circuit to consider challenges to the O3
NAAQS that had not been addressed by that court's earlier decisions. On March 26, 2002, the
D.C. Circuit issued its final decision on the remand, finding the 1997 O3 NAAQS to be "neither
arbitrary nor capricious," and so denying the remaining petitions for review. See ATA III, 283
F.3d at 379.

Specifically, in ATA III, the D.C. Circuit upheld the EPA's decision on the 1997 O3
standard as the product of reasoned decision making. With regard to the primary standard, the
court made clear that the most important support for the EPA's decision to revise the standard
was the health evidence of insufficient protection afforded by the then-existing standard ("the
record [is] replete with references to studies demonstrating the inadequacies of the old one-hour
standard"), as well as extensive information supporting the change to an 8-hour averaging time
{id. at 378). The court further upheld the EPA's decision not to select a more stringent level for
the primary standard noting "the absence of any [emphasis in original] human clinical studies at
ozone concentrations below 0.08 [ppm]" which supported the EPA's conclusion that "the most
serious health effects of ozone are 'less certain' at low concentrations, providing an eminently
rational reason to set the primary standard at a somewhat higher level, at least until additional
studies become available" {id. at 379, internal citations omitted). The court also pointed to the
significant weight that the EPA properly placed on the advice it received from the CASAC {id. at
379). In addition, the court noted that "although relative proximity to peak background ozone
concentrations did not, in itself, necessitate a level of 0.08 [ppm], EPA could consider that factor
when choosing among the three alternative levels" {id. at 379).

Coincident with the continued litigation of the other issues, the EPA responded to the
court's 1999 remand to consider the potential beneficial health effects of O3 pollution in
shielding the public from effects of UV radiation (66 FR 57268, Nov. 14, 2001; 68 FR 614,
January 6, 2003). The EPA provisionally determined that the information linking changes in
patterns of ground-level O3 concentrations to changes in relevant patterns of exposures to UV
radiation of concern (UV-B) to public health was too uncertain, at that time, to warrant any
relaxation in 1997 O3 NAAQS. The EPA also expressed the view that any plausible changes in
UV-B radiation exposures from changes in patterns of ground-level O3 concentrations would
likely be very small from a public health perspective. In view of these findings, the EPA

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proposed to leave the 1997 primary standard unchanged (66 FR 57268, Nov. 14, 2001). After
considering public comment on the proposed decision, the EPA published its final response to
this remand in 2003, re-affirming the 8-hour primary standard set in 1997 (68 FR 614, January 6,
2003).

The EPA initiated the fourth periodic review of the air quality criteria and standards for
O3 and other photochemical oxidants with a call for information in September 2000 (65 FR
57810, September 26, 2000). In 2007, the EPA proposed to revise the level of the primary
standard within a range of 0.075 to 0.070 ppm (72 FR 37818, July 11, 2007). The EPA proposed
to revise the secondary standard either by setting it identical to the proposed new primary
standard or by setting it as a new seasonal standard using a cumulative form. Documents
supporting these proposed decisions included the 2006 AQCD (U.S. EPA, 2006) and 2007 Staff
Paper (U.S. EPA, 2007) and related technical support documents. The EPA completed the
review in March 2008 by revising the levels of both the primary and secondary standards from
0.08 ppm to 0.075 ppm while retaining the other elements of the prior standards (73 FR 16436,
March 27, 2008).

In May 2008, state, public health, environmental, and industry petitioners filed suit
challenging the EPA's final decision on the 2008 O3 standards. On September 16, 2009, the EPA
announced its intention to reconsider the 2008 O3 standards,9 and initiated a rulemaking to do so.
At the EPA's request, the court held the consolidated cases in abeyance pending the EPA's
reconsideration of the 2008 decision.

In January 2010, the EPA issued a notice of proposed rulemaking to reconsider the 2008
final decision (75 FR 2938, January 19, 2010). In that notice, the EPA proposed that further
revisions of the primary and secondary standards were necessary to provide a requisite level of
protection to public health and welfare. The EPA proposed to revise the level of the primary
standard from 0.075 ppm to a level within the range of 0.060 to 0.070 ppm, and to revise the
secondary standard to one with a cumulative, seasonal form. At the EPA's request, the CASAC
reviewed the proposed rule at a public teleconference on January 25, 2010 and provided
additional advice in early 2011 (Samet, 2010, Samet, 2011). Later that year, in view of the need
for further consideration and the fact that the Agency's next periodic review of the O3NAAQS
required under CAA section 109 had already begun (as announced on September 29, 2008),10 the
EPA decided to consolidate the reconsideration with its statutorily required periodic review.11

9	The press release of this announcement is available at:

https://archive.epa.gov/epapages/newsroom_archive/newsreleases/85J90b771 Iacb0c88525763300617d0d.html.

10	The Call for Information initiating the new review was announced in the Federal Register (73 FR 56581,

September 29, 2008).

11	This rulemaking, completed in 2015, concluded the reconsideration process.

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In light of the EPA's decision to consolidate the reconsideration with the ongoing
periodic review, the D.C. Circuit proceeded with the litigation on the 2008 O3 NAAQS decision.
On July 23, 2013, the court upheld the EPA's 2008 primary standard, but remanded the 2008
secondary standard to the EPA (Mississippi v. EPA, 744 F.3d 1334 [D.C. Cir. 2013]). With
respect to the primary standard, the court first rejected arguments that the EPA should not have
lowered the level of the existing primary standard, holding that the EPA reasonably determined
that the existing primary standard was not requisite to protect public health with an adequate
margin of safety, and consequently required revision. The court went on to reject arguments that
the EPA should have adopted a more stringent primary standard. With respect to the secondary
standard, the court held that the EPA's explanation for the setting of the secondary standard
identical to the revised 8-hour primary standard was inadequate under the CAA because the EPA
had not adequately explained how that standard provided the required public welfare protection.

At the time of the court's decision, the EPA had already completed significant portions of
its next statutorily required periodic review of the O3 NAAQS. This review had been formally
initiated in 2008 with a call for information in the Federal Register (73 FR 56581, September 29,
2008). In late 2014, based on the ISA, Risk and Exposure Assessments (REAs) for health and
welfare, and PA12 developed for this review, the EPA proposed to revise the 2008 primary and
secondary standards by reducing the level of both standards to within the range of 0.070 to 0.065
ppm (79 FR 75234, December 17, 2014).

The EPA's final decision in this review was published in October 2015, establishing the
now-current standards (80 FR 65292, October 26, 2015). In this decision, based on consideration
of the health effects evidence on respiratory effects of O3 in at-risk populations, the EPA revised
the primary standard from a level of 0.075 ppm to a level of 0.070 ppm, while retaining all the
other elements of the standard (80 FR 65292, October 26, 2015). The EPA's decision on the
level for the standard was based on the weight of the scientific evidence and quantitative
exposure/risk information. The level of the secondary standard was also revised from 0.075 ppm
to 0.070 ppm based on the scientific evidence of O3 effects on welfare, particularly the evidence
of O3 impacts on vegetation, and quantitative analyses available in the review.13 The other
elements of the standard were retained. This decision on the secondary standard also
incorporated the EPA's response to the D.C. Circuit's remand of the 2008 secondary standard in
Mississippi v. EPA, 744 F.3d 1344 (D.C. Cir. 2013). The 2015 revisions to the NAAQS were

12	The final versions of these documents, released in August 2014, were developed with consideration of the
comments and recommendations from the CASAC, as well as comments from the public on the draft documents
(Frey, 2014a, Frey, 2014b, Frey, 2014c, U.S. EPA, 2014a, U.S. EPA, 2014b, U.S. EPA, 2014c).

13	These standards, set in 2015, are specified at 40 CFR 50.19.

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accompanied by revisions to the data handling procedures, and the ambient air monitoring
requirements14 (80 FR 65292, October 26, 2015).15

After publication of the final rule, a number of industry groups, environmental and health
organizations, and certain states filed petitions for judicial review in the D.C. Circuit. The
industry and state petitioners argued that the revised standards were too stringent, while the
environmental and health petitioners argued that the revised standards were not stringent enough
to protect public health and welfare as the Act requires. On August 23, 2019, the court issued an
opinion that denied all the petitions for review with respect to the 2015 primary standard while
also concluding that the EPA had not provided a sufficient rationale for aspects of its decision on
the 2015 secondary standard and remanding that standard to the EPA (Murray Energy Corp. v.
EPA, 936 F.3d 597 [D.C. Cir. 2019]).

In the August 2019 decision, the court additionally addressed arguments regarding
considerations of background O3 concentrations, and socioeconomic and energy impacts. With
regard to the former, the court rejected the argument that the EPA was required to take
background O3 concentrations into account when setting the NAAQS, holding that the text of
CAA section 109(b) precluded this interpretation because it would mean that if background O3
levels in any part of the country exceeded the level of O3 that is requisite to protect public health,
the EPA would be obliged to set the standard at the higher nonprotective level {id. at 622-23).
Thus, the court concluded that the EPA did not act unlawfully or arbitrarily or capriciously in
setting the 2015 NAAQS without regard for background O3 {id. at 624). Additionally, the court
denied arguments that the EPA was required to consider adverse economic, social, and energy
impacts in determining whether a revision of the NAAQS was "appropriate" under section
109(d)(1) of the CAA {id. at 621-22). The court reasoned that consideration of such impacts was
precluded by Whitman's holding that the CAA "unambiguously bars cost considerations from the
NAAQS-setting process" (531 U.S. at 471, summarized in section 1.2 above). Further, the court
explained that section 109(d)(2)(C)'s requirement that CAS AC advise the EPA "of any adverse
public health, welfare, social, economic, or energy effects which may result from various
strategies for attainment and maintenance" of revised NAAQS had no bearing on whether costs
are to be considered in setting the NAAQS {Murray Energy Corp. v. EPA, 936 F.3d at 622).

14	The current federal regulatory measurement methods for O3 are specified in 40 CFR 50, Appendix D and 40 CFR
part 53. Consideration of ambient air measurements with regard to judging attainment of the standards set in
2015 is specified in 40 CFR 50, Appendix U. The O3 monitoring network requirements are specified in 40 CFR
58.

15	This decision additionally announced revisions to the exceptional events scheduling provisions, as well as changes
to the air quality index and the regulations for the prevention of significant deterioration permitting program.

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Rather, as described in Whitman and discussed further in section 1.2 above, most of that advice
would be relevant to implementation but not standard setting {id).

1.4 REVIEW COMPLETED IN 2020

The EPA announced its initiation of the next periodic review of the air quality criteria for
photochemical oxidants and the O3 NAAQS in June 2018, issuing a call for information in the
Federal Register (83 FR 29785, June 26, 2018). Two types of information were called for:
information regarding significant new O3 research to be considered for the ISA for the review,
and policy-relevant issues for consideration in this NAAQS review. Based in part on the
information received in response to the call for information, the EPA developed a draft IRP
which was made available for consultation with the CASAC and for public comment (83 FR
55163, November 2, 2018; 83 FR 55528, November 6, 2018). Comments from the CASAC
(Cox, 2018) and the public were considered in preparing the final IRP (U.S. EPA, 2019).

Under the plan outlined in the IRP and consistent with revisions to the process identified
by the Administrator in his 2018 memo directing initiation of the review and completion within
the statutorily required timeframe, the O3 NAAQS review completed in 2020 progressed on an
accelerated schedule (Pruitt, 2018).16 The EPA incorporated a number of changes in various
aspects of the review process, as summarized in the IRP, to support completion within the
required period (Pruitt, 2018). For example, rather than produce separate documents for the PA
and associated quantitative analyses, the human exposure and health risk analyses (that inform
the decision on the primary standard) and the air quality and exposure analyses (that inform the
decision on the secondary standard) were included in full as appendices in the PA, along with a
number of other technical appendices.

Drafts of the ISA and PA (including the associated quantitative and exposure analyses)
were reviewed by the CASAC and made available for public comment (84 FR 50836, September
26, 2019; 84 FR 58711, November 1, 2019).17 In a divergence from recent past practice, an O3
panel was not assembled to assist the CASAC in its review. Rather, the CASAC was assisted in
its review by a pool of consultants with expertise in a number of fields (84 FR 38625, August 7,
2019).18 The approach employed by the CASAC in utilizing outside technical expertise

16	The Administrator's May 2018 direction to initiate this review of the O3 NAAQS included further direction to the
EPA staff to expedite the review, implementing an accelerated schedule aimed at completion of the review within
the statutorily required period (Pruitt, 2018).

17	The draft ISA and draft PA were released for public comment and CASAC review on September 26, 2019 and
October 31, 2019, respectively. The charges for the CASAC review summarized the overarching context for the
document review (including reference to Pruitt [2018], and the CASAC's role under section 109(d)(2)(C) of the
Act), as well as specific charge questions for review of each of the documents.

18	Rather than join with some or all of the CASAC members in a pollutant specific review panel as had been
common in previous NAAQS reviews, the consultants comprised a pool of expertise that CASAC members drew

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represented an additional modification of the process from past reviews. The CASAC discussed
its draft letters describing its advice and comments on the documents in a public teleconference
in early February 2020 (85 FR 4656; January 27, 2020). The letters to the Administrator
conveying the CASAC advice and comments on the draft PA and draft ISA were released later
that month (Cox, 2020a, Cox, 2020b). Comments from the CASAC and the public on the draft
ISA were considered by the EPA and led to a number of revisions in developing the final
document (ISA, Appendix 10, section 10.4.5). The ISA was completed and made available to the
public in April 2020 (85 FR 21849, April 20, 2020). The comments from CASAC and the public
were also considered in completing the PA and the advice regarding the standards was described
and considered in the final 2020 PA (85 FR 31182, May 22, 2020), and in the EPA's decision-
making. On August 14, 2020, the EPA proposed to retain both the primary and secondary O3
standards, without revision (85 FR 49830, August 14, 2020). In December 2020, the EPA issued
its final decision to retain the existing standards without revision (85 FR 87256, December 31,
2020).19

Following publication of the 2020 final action, three petitions were filed for review of the
EPA's final decision in the D.C. Circuit and the court consolidated the cases. The EPA also
received two petitions for reconsideration of the 2020 action. On October 29, 2021, the Agency
filed a motion with the court explaining that it had decided to reconsider the 2020 O3 NAAQS
final decision20 and requested that the consolidated cases be held in abeyance until December 15,
2023. On December 21, 2021, the court ordered that the consolidated cases continue to be held in
abeyance pending further order of the court and directed the parties to file motions to govern by
December 15, 2023.

1.5 RECONSIDERATION OF THE 2020 O3 NAAQS DECISION

On October 29, 2021, the EPA announced that it will reconsider the 2020 decision to
retain the 2015 O3 standards. The EPA's plans are to reconsider the decision based on the
existing scientific record and in a manner that adheres to rigorous standards of scientific integrity
and provides ample opportunities for public input and engagement.21 Consistent with the

on through the use of specific questions, posed in writing prior to the public meeting, regarding aspects of the
documents being reviewed, as a means of obtaining subject matter expertise for its document review.

19	The decision on the secondary standard also considered and addressed the 2019 remand of the secondary standard
by the D.C. Circuit such that the 2020 decision incorporated the EPA's response to that remand.

20	The Agency's October 29, 2021 announcement is available at https://www.epa.gov/ground-level-ozone-
pollution/epa-reconsider-previous-administrations-decision-retain-2015-ozone.

21	Information about the decision to reconsider the December 2020 O3 NAAQS decision is available on this
webpage: https://www.epa.gov/ground-level-ozone-pollution/epa-reconsider-previous-administrations-decision-
retain-2015-ozone

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commitment to rigorous standards of scientific integrity, the EPA will receive advice and
comments from a reestablished CASAC22 assisted by an expert O3 Panel.23 This reflects EPA's
renewed commitment to a rigorous NAAQS review process, with a focus on protecting scientific
integrity.

Presentations and considerations to be included in the PA for reconsideration will be
based on the conclusions, studies and related information included in the air quality criteria for
the 2020 review. This includes the studies assessed in the 2020 ISA and PA and the integration
of the scientific evidence presented in them. The EPA has additionally provisionally considered
two sets of scientific studies on the health and welfare effects of O3 that were not included in the
ISA (" 'new' studies") and that did not go through the comprehensive review process utilized in
review of the air quality criteria. With regard to the first set of studies, the EPA provisionally
considered a set of "new" scientific studies on the health and welfare effects of O3 that were
raised and discussed in public comments on the July 2020 proposed decision (Luben et al.,
2020). In considering and responding to the comments, the EPA provisionally considered the
studies in the context of the findings of the ISA, as described in the December 2020 decision (85
FR 87262, December 31, 2020). The EPA concluded that, taken in context, the "new"
information and findings did not materially change any of the broad scientific conclusions
regarding the health and welfare effects of O3 in ambient air made in the air quality criteria, and
accordingly, reopening the air quality criteria review was not warranted (Luben et al., 2020).24
More recently, in the context of this reconsideration of the 2020 decision on the primary
standard, given the primary role of controlled human exposure studies in the most recent
decisions on the primary standard, the EPA has conducted a literature search for any "new"
controlled human exposure studies that may have been published since the literature cutoff date
for the 2020 ISA, and provisionally evaluated this small set of such newly identified studies
(Duffney et al., 2022). Based on this provisional evaluation, the EPA has concluded that, taken in
context, the "new" information and findings do not materially change any of the broad scientific

22	Consistent with his decision to reestablish the membership of the CASAC to "ensure the agency received the best
possible scientific insight to support our work to protect human health and the environment," after consideration
of a candidate list based on public request for nominations (86 FR 17146-17147, April 1, 2021) the Administrator
announced selection of the seven members to serve on the chartered CASAC on June 17, 2021
(https://www.epa.gov/newsreleases/epa-announces-selections-charter-members-clean-air-scientific-advisory-
committee). The current CASAC membership is listed here:

https://casac.epa. go v/ords/sab/f?p=l 05:29:1723269351020: ::RP,29:P29 COMMITTEEON:CASAC.

23	The members of the O3 CASAC panel are identified here:

https://casac.epa.gov/ords/sab/f?p=l 13:14:11923922295141::: 14:P14_COMMITTEEON:2022%20CASAC%20O
zone%20Review%20Panel.

24	As noted in the 2020 decision, "new" studies may sometimes be of such significance that it is appropriate to delay
a decision in a NAAQS review and to supplement the pertinent air quality criteria so the studies can be taken into
account (58 FR at 13013- 13014, March 9, 1993).

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conclusions regarding the health and welfare effects of O3 in ambient air made in the air quality
criteria; thus, reopening the air quality criteria review is not warranted (Duffney et al., 2022).

This PA is being developed for consideration by the EPA Administrator in reaching his decision
on the reconsideration of the December 2020 decision to retain the existing O3 NAAQS. In
assessing the policy implications of the available scientific information, this PA for the
reconsideration, as for the 2020 PA, is intended to help "bridge the gap" between the Agency's
scientific assessment, presented in the 2020 ISA, and quantitative technical analyses, and the
judgments required of the Administrator in determining whether it is appropriate to retain or
revise the O3 NAAQS. Accordingly, the PA for reconsideration will again address policy-
relevant questions based on those identified in the 2018 IRP. With regard to considerations
related to the primary standard, the PA for the reconsideration focuses on the evidence described
in the 2020 ISA, 25 and the exposure/risk analyses presented in the 2020 PA, which will be
included in full in this PA. With regard to considerations related to the secondary standard, the
PA for reconsideration focuses on the evidence documented in the 2020 ISA, along with
quantitative analyses presented in the 2020 PA and in subsequent technical memos, which have
been updated to reflect recent air quality data. As described below, an additional publication
related to quantitative relationships of O3 exposure and tree seedling biomass is also considered.

On April 2022, an initial version of the draft PA (U.S. EPA, 2022; hereafter draft PA, v. 1)
was released for public comment and for review by the CAS AC O3 Review Panel. The Panel met
on April 29, 2022, to receive a briefing from the EPA on the draft PA v. 1 (87 FR 19501, April 4,
2022). On May 13, 2022, the Panel issued a memo indicating that the Panel would pause its
review to deliberate on whether a fuller discussion of the science was needed prior to review of
the draft PA, v. 1 (Sheppard, 2022a). During public meetings held June 8 and June 10, 2022, the
Panel engaged in this deliberation and concluded that it needed to undertake a fuller discussion
of the scientific evidence presented in the 2020 ISA and the provisionally evaluated studies
(Luben et al., 2020; Duffney et al., 2022), prior to review of the draft PA, v. 1 (Sheppard, 2022b).
After receiving an EPA briefing on August, 29, 2022, CASAC's discussion occurred in public
meetings held on September 12, 14 and 16, (87 FR 41309, July 12, 2022). The Panel's draft
letter on this activity was further discussed at public meetings on November 14 and 15 (87 FR
60394, October 5, 2022). Based on this discussion, the CASAC determined "that the existing
scientific evidence summarized in the 2020 ISA provides a scientifically sound foundation for
the Agency's reconsideration of the 2020 Ozone NAAQS decision" and stated "that the CASAC

25 The ISA builds on evidence and conclusions from previous assessments, focusing on synthesizing and integrating
the newly available evidence (ISA, section IS. 1.1). Past assessments are generally cited when providing further,
still relevant, details that informed the current assessment but are not repeated in the latest assessment.

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was not recommending that the 2020 ISA be reopened or revised" (Sheppard, 2022c).26 This
conclusion supports the Agency's reliance on the 2020 ISA as the scientific foundation for the
PA and for the EPA's decisions in this reconsideration.

Consideration of comments that referenced the PA among the comments made by the
CASAC in its review of the 2020 ISA (Sheppard, 2022c) has led to development of this second
version of the draft PA for the reconsideration. In particular, this version has expanded its
discussion of the health effects evidence regarding exposure conditions associated with effects
and incorporated consideration of an additional study of exposure-response relationships for tree
seedlings (Lee et al., 2022). This draft PA for the reconsideration (version 2) is being provided to
the CASAC for review and comment and made available for public comment. The CASAC
advice and public comment on this draft PA will inform completion of the final PA and
development of the Administrator's proposed decision.

The EPA was initially targeting completing decision-making in this reconsideration by
the end of 2023. Based on the steps that have occurred so far, the EPA has determined that it will
need additional time to complete the reconsideration process. The EPA now anticipates issuing a
proposed decision in this reconsideration in Spring 2024, and it intends to work expeditiously to
complete its decision-making in the reconsideration, using notice and comment procedures.
While the timing of a final decision will depend on several factors that cannot be fully
determined at this point, such as the volume and nature of public comments received on the
proposed decision, the EPA anticipates that the reconsideration cannot be completed any more
expeditiously than the end of 2024. This estimate reflects consideration of a number of
circumstances, including the time that was necessary for the CASAC to complete its thorough
and independent evaluation of the scientific issues in the 2020 ISA to inform its future review of
the PA, and the time that the EPA needed to update the draft PA to reflect its consideration of the
comments the CASAC had offered on the PA thus far. This estimate also reflects the time that
the EPA currently anticipates will be needed for it and the CASAC to complete the remaining
steps in this reconsideration, including a rigorous review of the second version of the draft PA by
the CASAC; development of a final PA based on the EPA's consideration of the CASAC advice
and public comments on the draft PA; development of a proposed decision and providing public
notice and an opportunity for public comment on that proposal; and development of a final
decision, after considering the public comments offered on the proposed decision.

26 The CASAC additionally noted that "[Regarding the Agency's judgments, in some instances the CASAC does
have differing opinions," and also offered comments and advice on several issues and areas for improvement in
future O3 ISAs (Sheppard, 2022c).

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REFERENCES

Cox, LA. (2018). Letter from Dr. Louis Anthony Cox, Jr., Chair, Clean Air Scientific Advisory
Committee, to Acting Administrator Andrew R. Wheeler, Re: Consultation on the EPA's
Integrated Review Plan for the Review of the Ozone. December 10, 2018. EPA-CASAC-
19-001. Available at: https://www.regulations.gov/document/EPA-HQ-OAR-2018-0279-
0048.

Cox, LA. (2020a). Letter from Louis Anthony Cox, Jr., Chair, Clean Air Scientific Advisory
Committee, to Administrator Andrew R. Wheeler. Re:CASAC Review of the EPA's
Integrated Science Assessment for Ozone and Related Photochemical Oxidants (External
Review Draft - September 2019). February 19, 2020. EPA-CASAC-20-002. Availbale at:
https://www.regulations.gov/document/EPA-HQ-OAR-2018-0279-0049.

Cox, LA. (2020b). Letter from Louis Anthony Cox, Jr., Chair, Clean Air Scientific Advisory
Committee, to Administrator Andrew R. Wheeler. Re:CASAC Review of the EPA's
Policy Assessment for the Review of the Ozone National Ambient Air Quality Standards
(External Review Draft - October 2019). February 19, 2020. EPA-CASAC-20-003.
Available at: https://www.regulations.gov/document/EPA-HQ-OAR-2018-0279-0050.

Duffney, PF, Brown, JS, and Stone, SL (2022). Memorandum to the Review of the Ozone

National Ambient Air Quality Standards (NAAQS) Docket Indentifier EPA-HQ-ORD-
2018-0279. Re: Provisional Evaluation of Newly Identified Controlled Human Exposure
Studies in the context of the 2020 Integrated Science Assessment for Ozone and Related
Photochemical Oxidants. April 15, 2020, corrected January 2023.

Frey, HC. (2014a). Letter from Dr. H. Christopher Frey, Chair, Clean Air Scientific Advisory

Committee, to Administrator Gina McCarthy. Re: CAS AC Review of the EPA's Welfare
Risk and Exposure Assessment for Ozone (Second External Review Draft). June 18,
2014. EPA-CASAC-14-003. Available at:
http://nepis. epa.gov/Exe/ZyPDF. cgi?Dockey=P 100JMSY.PDF.

Frey, HC. (2014b). Letter from Dr. H. Christopher Frey, Chair, Clean Air Scientific Advisory
Committee to Honorable Gina McCarthy, Administrator, US EPA. Re: CASAC Review
of the EPA's Second Draft Policy Assessment for the Review of the Ozone National
Ambient Air Quality Standards. June 26, 2014. EPA-CASAC-14-004. Available at:
https://nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=P 100JR6F. txt.

Frey, HC. (2014c). Letter from Dr. H. Christopher Frey, Chair, Clean Air Scientific Advisory

Committee, to Administrator Gina McCarthy. Re: Health Risk and Exposure Assessment
for Ozone (Second External Review Draft - February 2014). EPA-CASAC-14-005.
Available at: https://nepis.epa.gov/Exe/ZyPURL.cgi?Dockey=P 100JR8I.txt.

Lee EH, Andersen CP, Beedlow PA, Tingey DT, Koike S, Dubois JJ, Kaylor SD, Novak K, Rice
RB, Neufeld HS, Herrick JD. (2022). Ozone exposure-response relationships
parametrized for sixteen tree species with varying sensitivity in the United States. Atmos
Environ 284: 1-16.

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Luben, T, Lassiter, M and Herrick, J (2020). Memorandum to Ozone NAAQS Review Docket

(EPA-HQ-ORD-2018-0279). RE: List of Studies Identified by Public Commenters That
Have Been Provisionally Considered in the Context of the Conclusions of the 2020
Integrated Science Assessment for Ozone and Related Photochemical Oxidants.
December 2020. Docket Document ID: EPA-HQ-OAR-2018-0279-0560.

Pruitt, E. (2018). Memorandum from E. Scott Pruitt, Administrator, U.S. EPA to Assistant
Administrators. Back-to-Basics Process for Reviewing National Ambient Air Quality
Standards. May 9, 2018. Office of the Administrator U.S. EPA HQ, Washington DC.
Available at: https://www.regulations.gov/document/EPA-HQ-OAR-2018-02 79-0047.

Samet, JM. (2010). Letter from Jonathan Samet, Chair, Clean Air Scientific Advisory

Committee, to Administrator Lisa Jackson. Re: CASAC Review of EPA's Proposed
Ozone National Ambient Air Quality Standard (Federal Register, Vol. 75, Nov. 11,
January 19, 2010). February 19, 2010. EPA-CASAC-10-007. Available at:
https://www.regulations.gov/document/EPA-HQ-OAR-2018-02 79-0071.

Samet, JM. (2011). Letter from Jonathan Samet, Chair, Clean Air Scientific Advisory

Committee, to Administrator Lisa Jackson. Re: CASAC Response to Charge Questions
on the Reconsideration of the 2008 Ozone National Ambient Air Quality Standards.
March 30, 2011. EPA-CASAC-11-004. Available at:
https://www.regulations.gov/document/EPA-HQ-OAR-2018-0279-0072.

Sheppard, EA (2022a). Letter from Elizabeth A. Sheppard Chair, Clean Air Scientific Advisory
Committee, to CASAC Ozone Review Panel Members. Re: CASAC Ozone Review
Panel Meeting. May 13, 2022. Available at:

https://casac.epa.gov/ords/sab/f?p=105:19:17341438189034: ::19:P19_ID:972#materials

Sheppard, EA (2022b). Letter from Elizabeth A. Sheppard Chair, Clean Air Scientific Advisory
Committee, to Administrator Michael S. Regan. Re: CASAC Review Process for the
National Ambient Air Quality Standards for Ozone. June 15, 2022. EPA-CASAC-22-
004. Available at:

https://casac.epa.gov/ords/sab/f?p=105:18:15745403206599: ::RP,18:P18_ID:2624#report

Sheppard, EA (2022c). Letter from Elizabeth A. Sheppard Chair, Clean Air Scientific Advisory
Committee, to Administrator Michael S. Regan. Re: CASAC Review of the EPA's
Integrated Science Assessment (ISA) for Ozone and Related Photochemical Oxidants
(Final Report - April 2020). November 22, 2022. EPA-CASAC-23-001. Available at:
https://casac.epa.gov/ords/sab/f?p=105:18:8476900499267:::RP.18:P18 ID:2614.

U.S. DHEW (1970). Air Quality Criteria for Photochemical Oxidants. National Air Pollution
Control Administration Washington, DC. U.S. DHEW. publication no. AP-63. NTIS,
Springfield, VA; PB-190262/BA.

U.S. EPA (1978). Air Quality Criteria for Ozone and Other Photochemical Oxidants

Environmental Criteria and Assessment Office. Research Triangle Park, NC. EPA-600/8-
78-004. April 1978. Available at:

https://nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=200089CW. txt.

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U.S. EPA (1986). Air Quality Criteria for Ozone and Other Photochemical Oxidants (Volume I -
V). Environmental Criteria and Assessment Office. Research Triangle Park, NC. U.S.
EPA. EPA-600/8-84-020aF, EPA-600/8-84-020bF, EPA-600/8-84-020cF, EPA-600/8-
84-020dF, EPA-600/8-84-020eF. August 1986. Available at:
https://nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=30001D3J. ixl
https://nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=3000IDA V. Ixl
https://nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=30001DNN. Ixl
https://nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=30001E0F. Ixl
https://nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=30001E9R Ixl.

U.S. EPA (1989). Review of the National Ambient Air Quality Standards for Ozone: Policy

Assessment of Scientific and Technical Information. OAQPS Staff Paper. Office of Air
Quality Planning and Standards. Research Triangle Park, NC U.S. EPA.

U.S. EPA (1992). Summary of Selected New Information on Effects of Ozone on Health and

Vegetation: Supplement to 1986 Air Quality Criteria for Ozone and Other Photochemical
Oxidants. Office of Research and Development. Washington, DC. U.S. EPA. EPA/600/8-
88/105F.

U.S. EPA (1996). Air Quality Criteria for Ozone and Related Photochemical Oxidants. Volume I

-	III. Office of Research and Development Research Triangle Park, NC. U.S. EPA. EPA-
600/P-93-004aF, EPA-600/P-93-004bF, EPA-600/P-93-004cF. July 1996. Available at:
https://nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=300026GN. Ixl

https://nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=300026SH. Ixl
https://nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=10004RHL. Ixl.

U.S. EPA (2006). Air Quality Criteria for Ozone and Related Photochemical Oxidants (Volume I

-	III). Office of Research and Development U.S. EPA. EPA-600/R-05-004aF, EPA-
600/R-05-004bF, EPA-600/R-05-004cF February 2006. Available at:
https://cfpub. epa.gov/ncea/risk/recordisplay. cfm ?deid=149923.

U.S. EPA (2013). Integrated Science Assessment of Ozone and Related Photochemical Oxidants
(Final Report). Office of Research and Development, National Center for Environmental
Assessment. Research Triangle Park, NC. U.S. EPA. EPA-600/R-10-076F. February
2013. Available at: https://nepis.epa.gov/Exe/ZyPURL.cgi?Dockey=P100KETF.txt.

U.S. EPA (2014a). Policy Assessment for the Review of National Ambient Air Quality

Standards for Ozone (Final Report). Office of Air Quality Planning and Standards, Health
and Environmental Impacts Divison. Research Triangle Park, NC. U.S. EPA. EPA-
452/R-14-006 August 2014. Available at:
https://nepis. epa.gov/Exe/ZyPDF. cgi?Dockey=P 100KCZ5. Ixl.

U.S. EPA (2014b). Welfare Risk and Exposure Assessment for Ozone (Final). . Office of Air

Quality Planning and Standards. Research Triangle Park, NC. U.S. EPA. EPA-452/P-14-
005a August 2014. Available at:

https://nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=P 100KB9D. Ixl.

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U.S. EPA (2014c). Health Risk and Exposure Assessment for Ozone. (Final Report). Office of

Air Quality Planning and Standards. Research Triangle Park, NC. U.S. EPA. EPA-452/R-
14-004a. August 2014. Available at:

https://nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=P 100KBUF. txt.

U.S. EPA (2019). Integrated Review Plan for the Ozone National Ambient Air Quality

Standards. Office of Air Quality Planning and Standards. Research Triangle Park, NC.
U.S. EPA. EPA-452/R-19-002. Available at:

https://www.epa.gov/sites/production/files/2019-08/documents/o3-irp-aug27-
2019Jinal.pdf.

U.S. EPA (2020a). Integrated Science Assessment for Ozone and Related Photochemical

Oxidants. U.S. Environmental Protection Agency. Washington, DC. Office of Research
and Development. EPA/600/R-20/012. Available at: https://www.epa.gov/isa/integrated-
science-assessment-isa-ozone-and-related-photochemical-oxidants.

U.S. EPA (2020b). Policy Assessment for the Review of the Ozone National Ambient Air
Quality Standards. Office of Air Quality Planning and Standards, Health and
Environmental Impacts Division. Research Triangle Park, NC. U.S. EPA. EPA-452/R-
20-001. 2020 Available at: https://www.epa.gov/ naaqs/ozone-o3-standards-
policy assessments-current-review.

U.S. EPA (2022). Policy Assessment for the Reconsideration of the Ozone National Ambient Air
Quality Standards, External Review Draft. Office of Air Quality Planning and Standards
Health and Environmental Impacts Division Research Triangle Park , NC. U.S. EPA.
EPA-452/D-22-002. 2022 Available at: https://www.epa.gov/naaqs/ozone-o3-standards-
policv-assessments-current-review.

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2 AIR QUALITY

This chapter begins with an overview of O3 and other photochemical oxidants in the
atmosphere (section 2.1). Subsequent sections summarize the sources and emissions of O3
precursors (section 2.2), ambient air monitoring and data handling conventions for determining
whether the standards are met (section 2.3), O3 concentrations measured in the U.S. ambient air
(section 2.4), and available evidence and information related to background O3 in the U.S.
(section 2.5). These focus primarily on tropospheric O3 and surface-level concentrations
occurring in ambient air1.

2.1 O3 AND PHOTOCHEMICAL OXIDANTS IN THE ATMOSPHERE

O3 is one of many photochemical oxidants formed in the troposphere2 by photochemical
reactions of precursor gases in the presence of sunlight (ISA, Appendix 1, section l.l)3 and is
generally not directly emitted from specific sources. Tropospheric O3 and other oxidants, such as
peroxyacetyl nitrate (PAN) and hydrogen peroxide, form in polluted areas through atmospheric
reactions involving two main classes of precursor pollutants: volatile organic compounds
(VOCs) and nitrogen oxides (NOx = NO and NO2). The photolysis of the primary pollutant
nitrogen dioxide (NO2) results in products of NO and a singlet oxygen radical that can
subsequently either form ozone or react with NO to reform the parent NO2 compound. The
reaction of the oxygen radical with NO to form NO2 is disrupted by the presence of VOCs4
which leads to net ozone formation in the troposphere. Thus, NOx, VOCs, CH4 and CO are
considered to be the primary precursors of tropospheric O3 (ISA, Appendix 1, section 1.3.1)

The formation of O3, other oxidants and oxidation products from these precursors is a
complex, nonlinear function of many factors including (1) the intensity and spectral distribution
of sunlight; (2) atmospheric mixing; (3) concentrations of precursors in the ambient air and the
rates of chemical reactions of these precursors; and (4) processing on cloud and aerosol particles
(ISA, Appendix 1, section 1.4; 2013 ISA, section 3.2). As a result, O3 changes in a nonlinear
fashion with the concentrations of its precursors rather than varying proportionally to emissions

1	Ambient air means that portion of the atmosphere, external to buildings, to which the general public has access

(see 40 CFR 50.1(e)).

2	Ozone also occurs in the stratosphere, where it serves the beneficial role of absorbing the sun's harmful ultraviolet

radiation and preventing the majority of this radiation from reaching the Earth's surface.

3	The only other appreciable source of O3 to the troposphere is transport from the stratosphere, as described in

section 2.5.1.1 below.

4	This reaction can also be disrupted by the radical that results from methane (CH4) oxidation or a reaction between

carbon monoxide (CO) and the hydroxyl radical (OH) in the atmosphere.

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of its precursors (2013 ISA, section 3.2.4). In addition to the chemistry described above, NO can
also react with ozone directly such that emissions of NOx lead to both the formation and
destruction of O3, with the net formation or destruction depending on the local quantities of
NOx, VOCs, radicals, and sunlight.03 chemistry is often described in terms of which precursors
most directly impact formation rates. ANOx-limited regime indicates that O3 concentrations will
decrease in response to decreases in ambient NOx concentrations and vice-versa. These
conditions tend to occur when NOx concentrations are generally low compared to VOC
concentrations and during warm, sunny conditions when NOx photochemistry is relatively fast.
NOx-limited conditions are more common during daylight hours, in the summertime, in
suburban and rural areas, and in portions of the country with high biogenic VOC emissions like
the Southeast. In contrast, NOx-saturated conditions (also referred to as VOC-limited or radical-
limited) indicate that O3 will increase as a result of NOx reductions but will decrease as a result
of VOC reductions (2013 ISA, section 3.2; 2006 AQCD, chapter 2). NOx-saturated conditions
occur at times when and at locations with lower levels of available sunlight, resulting in slower
photochemical formation of O3, and when NOx concentrations are in excess compared to VOC
concentrations. NOx-saturated conditions are more common during nighttime hours, in the
wintertime, and in densely populated urban areas or industrial plumes. These varied relationships
between precursor emissions and O3 chemistry result in localized areas in which O3
concentrations are suppressed compared to surrounding areas, but which contain NO2 that
contributes to subsequent O3 formation further downwind (2013 ISA, section 3.2.4).
Consequently, O3 response to reductions in NOx emissions is complex and may include
decreases in O3 concentrations at some times and locations and increases in O3 concentrations at
other times and locations. Over the past decade, there have been substantial decreases in NOx
emissions in the U.S. (see Figure 2-2) and many locations have transitioned from NOx-saturated
to NOx-limited (Jin et al., 2017) during times of year that are conducive to O3 formation
(generally summer). As these NOx emissions reductions have occurred, lower O3 concentrations
have generally increased while the higher O3 concentrations have generally decreased, resulting
in a compressed O3 distribution, relative to historical conditions (ISA, Appendix 1, section 1.7).

Prior to 1979, the indicator for the NAAQS for photochemical oxidants was total
photochemical oxidants (36 FR 8186, April 30, 1971). Early ambient air monitoring indicated
similarities between O3 measurements and the photochemical oxidant measurements, as well as
reduced precision and accuracy of the latter (U.S. EPA, 1978). To address these issues, the EPA
established O3 as the indicator for the NAAQS for photochemical oxidants in 1979 (44 FR 8202,
February 8, 1979), and it is currently the only photochemical oxidant other than nitrogen dioxide
that is routinely monitored in a national ambient air monitoring network.

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O3 is present not only in polluted urban atmospheres, but throughout the troposphere,
even in remote areas of the globe. The same basic processes involving sunlight-driven reactions
of NOx, VOCs, CH4 and CO contribute to O3 formation throughout the troposphere. These
processes also lead to the formation of other photochemical products, such as PAN, HNO3, and
H2SO4, HCHO and other carbonyl compounds, as well as a number of organic particulate
compounds (ISA, Appendix 1, section 1.4; 2013 ISA, section 3.2).

As mentioned above, the formation of O3 from precursor emissions is also affected by
meteorological parameters such as the intensity of sunlight and atmospheric mixing (2013 ISA,
section 3.2). Major episodes of high O3 concentrations in the eastern U.S. are often associated
with slow-moving high-pressure systems which can persist for several days. High pressure
systems during the warmer seasons are associated with the sinking of air, resulting in warm,
generally cloudless skies, with light winds. The sinking of air results in the development of
stable conditions near the surface which inhibit or reduce the vertical mixing of O3 precursors,
concentrating them near the surface. Photochemical activity involving these precursors is
enhanced because of higher temperatures and the availability of sunlight during the warmer
seasons. In the eastern U.S., concentrations of O3 and other photochemical oxidants are
determined by meteorological and chemical processes extending typically over areas of several
hundred thousand square kilometers. Therefore, O3 episodes are often regarded as regional in
nature, although more localized episodes often occur in some areas, largely the result of local
pollution sources during summer, e.g., Houston, TX (2013 ISA, section 2.2.1; Webster et al.,
2007). In addition, in some parts of the U.S. (e.g., Los Angeles, CA), mountain barriers limit O3
dispersion and result in a higher frequency and duration of days with elevated O3 concentrations
(2013 ISA, section 3.2).

More recently, high O3 concentrations of up to 150 parts per billion (ppb)5 have been
measured during the wintertime in two western U.S. mountain basins (ISA, Appendix 1, section
1.4.1). Wintertime mountain basin O3 episodes occur on cold winter days with low wind speeds,
clear skies, substantial snow cover, extremely shallow boundary layers driven by strong
temperature inversions, and substantial precursor emissions activity from the oil and gas sector.
The results of recent modeling studies suggest that photolysis of VOCs provides the source of
reactive chemical species (radicals) needed to initiate the chemistry driving these wintertime O3
episodes. This mechanism is somewhat different from the chemistry driving summertime O3
formation, which is initiated with the photolysis of NO2 followed by the formation of the OH
radicals (ISA, Appendix 1, section 1.4.1).

5 Although the standards are specified in ppm (e.g., as described in Chapter 1), the units, ppb, are commonly used in
describing O3 concentrations throughout this document, with 0.070 ppm being equivalent to 70 ppb.

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O3 concentrations in a region are affected both by local formation and by transport of O3
and its precursors from upwind areas. O3 transport occurs on many spatial scales including local
transport within urban areas, regional transport over large regions of the U.S., and long-range
transport which may also include international transport. In addition, O3 can be transferred into
the troposphere from the stratosphere, which is rich in naturally occurring O3, through
stratosphere-troposphere exchange (STE). These intrusions usually occur behind cold fronts,
bringing stratospheric air with them and typically affect O3 concentrations in higher elevation
areas (e.g., > 1500 m) more than areas at lower elevations, as discussed in section 2.5.3.2 (ISA,
Appendix 1, section 1.3.2.1; 2013 ISA, section 3.4.1.1).

2.2 SOURCES AND EMISSIONS OF O3 PRECURSORS

Sources of emissions of O3 precursor compounds can be divided into anthropogenic and
natural source categories, with natural sources further divided into emissions from biological
processes of living organisms (e.g., plants, microbes, and animals) and emissions from chemical
or physical processes (e.g., biomass burning, lightning, and geogenic sources). Anthropogenic
emissions associated with combustion processes, including mobile sources and power plants,
account for the majority of U.S. NOx and CO emissions (Figure 2-1 and Figure 2-2). Emissions
of these chemicals have declined appreciably in the U.S. since 2002 (Figure 2-2). Anthropogenic
sources are also important for VOC emissions, though in some locations and times of the year
(e.g., southern states during summer) the majority of VOC emissions come from vegetation
(2013 ISA, section 3.2.1).6 In practice, the distinction between natural and anthropogenic sources
is often unclear, as human activities directly or indirectly affect emissions from what would have
been considered natural sources during the preindustrial era. Thus, precursor emissions from
plants, animals, and wildfires could be considered either natural or anthropogenic, depending on
whether emissions result from agricultural practices, forest management practices, lightning
strikes, or other types of events. There are additional challenges in distinguishing between ozone
resulting from natural versus anthropogenic sources because much O3 results from reactions of
anthropogenic precursors with natural precursors (ISA, Appendix 1, section 1.8.1.2).

The National Emissions Inventory (NEI) is a comprehensive and detailed estimate of air
emissions of criteria pollutants, precursors to criteria pollutants, and hazardous air pollutants
from air emissions sources (U.S. EPA, 2021b). The NEI is released every three years based
primarily upon data provided by State, Local, and Tribal air agencies for sources in their

6 It should be noted that the definition of VOCs used in this section does not include CH4 because it is excluded
from the EPA's regulatory definition of VOCs in 40 CFR 51.100(s). More information about this regulatory
definition of VOCs is available at https://www.epa.gov/indoor-air-quality-iaq/technical-overview-volatile-organic-
compounds.

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jurisdictions and supplemented by data developed by the US EPA. The NEI is built using the
EPA's Emissions Inventory System (EIS) which collects data from State, Local, and Tribal air
agencies and blends that data with other data sources.7

Anthropogenic emissions of air pollutants result from a variety of sources such as power
plants, industrial sources, motor vehicles, and agriculture. The emissions from any individual
source typically vary in both time and space. For many of the thousands of sources that make up
the NEI, there is uncertainty in both of these factors. For some sources, such as power plants,
direct emission measurements enable more certain quantification of the magnitude and timing of
emissions than from sources without such direct measurements. However, for many source
categories emission inventories necessarily contain assumptions, interpolation and extrapolation
from a limited set of sample data (U.S. EPA, 2021b).

7 More details are available from: https://www.epa.gov/enviro/nei-overview.

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2	Sources: The 2017 National Emissions Inventory (U.S. EPA, 2021b) for panels A-C, and the Inventory of U.S. Greenhouse Gas

3	Emissions and Sinks: 1990-2019 (U.S. EPA, 2021a) for panel D. Categories contributing less than 2% each have been summed

4	and are represented by the "other" category.

5	Figure 2-1. U.S. O3 precursor emissions by sector: A) NOx; B) CO; C) VOCs; D) CH-t.

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A) NOx

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	 Industrial and Other Processes

Other Anthropogenic Sources

Inventory Year

Legend: CH4

	 Energy/Fossil Fuels

	 Agriculture

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	 Other Anthropogenic Sources

1

2	Sources; EPA's Air Pollutant Emissions Trends Data webpage (https://www.epa.gov/air-emissions-inventories/air-polluiant-

3	emissions-trends-data) for panels A-C, and the Inventory of U.S. Greenhouse Gas Emissions and Sinks: 1990-2019 (U.S. EPA,

4	2021a) for panel D.

5	Figure 2-2. U.S. anthropogenic Os precursor emission trends for: A) NOx; B) CO; C)

6	VOCs; and D) CH4.

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Figure 2-3, Figure 2-4, and Figure 2-5 show county-level estimates of U.S. emissions
densities (in tons/year/mi2) for CO, NOx, and VOCs, respectively. In general, CO and NOx
emissions tend to be highest in urban areas which typically have the most anthropogenic sources,
however, CO emissions may be higher in some rural areas due to fires, and similarly, NOx
emissions may be higher in some rural areas due to sources such as electricity generation, oil and
gas extraction, and traffic along major highways. While there are some significant anthropogenic
sources of VOC emissions in urban areas, in rural areas the vast majority of VOC emissions
come from plants and trees (biogenics), particularly in the southeastern U.S. In other areas of the
U.S., such as the Great Plains region and parts of the inter-mountain west, areas with higher
levels of VOC emissions are largely due to oil and gas extraction (U.S. EPA, 2021b).

It should be noted that O3 levels in a given area are impacted by both local emissions that
form O3 in the area as well as remote emissions that form O3 that is then transported into the
area. Biogenic VOC emissions that lead to O3 formation may vary greatly depending on the type
and amount of vegetation, which is generally much lower in urban areas than in rural areas.
However, biogenic VOC emissions that are upwind of an urban area can have a significant
impact on urban O3 levels. Thus, while the county-level maps shown in Figure 2-3, Figure 2-4,
and Figure 2-5 illustrate the variability in precursor emissions in the U.S., it is not sufficient to
look only at the patterns in local emissions when considering the impact on O3 concentrations.

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Total Carbon Monoxide Emissions Density (tons/year/miA2)

P 0-9(955)	~ 10-19(945) ฆ 20-49(840) ฆ 50-99(279) ฆ 100-3635(201)

Source: 2017 National Emissions Inventory, January 2021 Updated Release (U.S. EPA, 2021b; data downloaded from

https://www.epa.aov/air-emissions-inventories/2017-national-emissions-inventorv-nei-data)

Figure 2-3. U.S. county-level CO emissions density estimates (tons/year/mi2) for 2017.

Total Nitrogen Oxides Emissions Density (tons/year/miA2)

~ 0-1 (1024) ~ 2-4(1264) O 5-9 (499) ฆ 10-19(251) ฆ 20-826(182)

Source: 2017 National Emissions Inventory, January 2021 Updated Release (U.S. EPA, 2021b; data downloaded from

https://www.epa.Qov/air-emissions-inventories/2017-national-emissions-inventorv-nei-data)

Figure 2-4. U.S. county-level NOx emissions density estimates (tons/year/mi2) for 2017.

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Total Volatile Organic Compounds Emissions Density (tons/year/miA2)

~ 0-4 (557) ~ 5-9(718) ~ 10-19 (777) ~ 20-49(1053) ฆ 50-704(115)

2	Source: 2017 National Emissions Inventory, January 2021 Updated Release (U.S. EPA, 2021b; data downloaded from

3	https://www.epa.aov/air-emissions-inventories/2017-national-emissions-inventorv-nei-data)

4	Figure 2-5. U.S. county-level VOC emissions density estimates (tons/year/mi2) for 2017.

5	2.3 AMBIENT AIR MONITORING AND DATA HANDLING

6	CONVENTIONS

7	2.3.1 Ambient Air Monitoring Requirements and Monitoring Networks

8	State and local environmental agencies operate a network of O3 monitors at state or local

9	air monitoring stations (SLAMS). The requirements for the SLAMS network depend on the

10	population and most recent O3 design values8 in an area. The minimum number of O3 monitors

11	required in a metropolitan statistical area (MSA) ranges from zero for areas with a population

12	less than 350,000 and no recent history of an O3 design value greater than 85 percent of the level

13	of the standard, to four for areas with a population greater than 10 million and an O3 design value

14	greater than 85 percent of the standard level.9 At least one monitoring site for each MSA must be

15	situated to record the maximum concentration for that particular metropolitan area. Siting criteria

8	A design value is a statistic that summarizes the air quality data for a given area in terms of the indicator, averaging

time, and form of the standard. Design values can be compared to the level of the standard and are typically used
to designate areas as meeting or not meeting the standard and assess progress towards meeting the NAAQS.

9	The SLAMS minimum monitoring requirements to meet the O3 design criteria are specified in 40 GFR Part 58,

Appendix D. The minimum O3 monitoring network requirements for urban areas are listed in Table D-2 of
Appendix D to 40 CFR Part 58 (accessible at https://www.ecfr.gov).

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for SLAMS includes horizontal and vertical inlet probe placement; spacing from minor sources,
obstructions, trees, and roadways; inlet probe material; and sample residence times.10 Adherence
to these criteria ensures uniform collection and comparability of O3 data. Since the highest O3
concentrations tend to be associated with a particular season for various locations, the EPA
requires O3 monitoring during specific O3 monitoring seasons (shown in Figure 2-6) which vary
by state from five months (May to September in Oregon and Washington) to all twelve months
(in 11 states), with the most common season being March to October (in 27 states).11

Most of the state, local, and tribal air monitoring stations that report data to the EPA use
ultraviolet Federal Equivalent Methods (FEMs). The Federal Reference Method (FRM) was
revised in 2015 to include a new chemiluminescence by nitric oxide (NO-CL) method. The
previous ethylene (ET-CL) method, while still included in the CFR as an acceptable method, is
no longer used due to lack of availability and safety concerns with ethylene.12 The NO-CL
method is beginning to be implemented in the SLAMS network.13

Ambient air quality data and associated quality assurance (QA) data are reported to the
EPA via the Air Quality System (AQS). Data are reported quarterly and must be submitted to
AQS within 90 days after the end of the quarterly reporting period. Each monitoring agency is
required to certify data that is submitted to AQS from the previous year. The data are certified,
taking into consideration any QA findings, and a data certification letter is sent to the EPA
Regional Administrator. Data must be certified by May 1st of the following year. Data collected
by FRM or FEM monitors that meet the QA requirements must be certified.14 To provide
decision makers with an assessment of data quality, the EPA's QA group derives estimates of
both precision and bias for O3 and the other gaseous criteria pollutants from quality control (QC)
checks using calibration gas, performed at each site by the monitoring agency. The data quality
goal for precision and bias is 7 percent.15

10	The probe and monitoring path siting criteria for ambient air quality monitoring are specified in 40 CFR, Part 58,

Appendix E.

11	The required O3 monitoring seasons for each state are listed in 40 CFR Part 58, Appendix D, Table D-3.

12	The current FRM for O3 (established in 2015) is a chemiluminescence method, which is fully described in 40 CFR
Part 50, Appendix D.

13	The EPA is currently participating in an international effort to implement a globally coordinated change in the
parameter (the absorption cross-section value) used in the determination of atmospheric ozone for ozone
monitoring, which will require an update of this parameter in the ozone monitoring regulations (40 CFR Part 50,
Appendix D, section 4). The global implementation target date for this change is the beginning of the 2024 ozone
season.

14	Quality assurance requirements for monitors used in evaluations of the NAAQS are provided in 40 CFR Part 58,
Appendix A.

15	Annual summary reports of precision and bias can be obtained for each monitoring site at
https://www.epa.gov/outdoor-air-quality-data/single-point-precision-and-bias-report.

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to monitor for O3 (e.g., 3-10 means O3 monitoring is required from March through October).

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In 2020, there were over 1,300 federal, state, local, and tribal ambient air monitors
reporting O3 concentrations to the EPA. Figure 2-7 shows the locations of such monitoring sites
that reported data to the EPA at any time during the 2018-2020 period. Nearly 80% of this
network are SLAMS monitors operated by state and local governments to meet regulatory
requirements and provide air quality information to public health agencies; these sites are largely
focused on urban and suburban areas.

Two important subsets of SLAMS sites separately make up the National Core (NCore)
multi-pollutant monitoring network and the Photochemical Assessment Monitoring Stations
(PAMS) network. Each state is required to have at least one NCore station, and O3 monitors at
NCore sites are required to operate year-round. At each NCore site located in a MSA with a
population of 1 million or more (based on the most recent census), a PAMS network site is
required.16 In addition to reporting O3 concentrations, the NCore and PAMS networks provide
data on O3 precursor chemicals. The NCore sites feature co-located measurements of chemical
species such as nitrogen oxide and total reactive nitrogen, along with various meteorological
measurements. At a minimum, monitoring sites in the PAMS network are required to measure
certain O3 precursors, such as NOx and a target set of VOCs, during the months of June, July and
August, although some precursor monitoring may be required for longer periods of time to
improve the usefulness of data collected during an area's O3 season (U.S. EPA, 2018a).The
enhanced monitoring at sites in these two networks informs our understanding of local O3
formation.

While the SLAMS network has a largely urban and population-based focus, there are
monitoring sites in other networks that can be used to track compliance with the NAAQS in rural
areas. For example, the Clean Air Status and Trends Network (CASTNET) monitors are located
in rural areas. There were 84 CASTNET monitors operating in 2020, with most of the sites in the
eastern U.S. being operated by the EPA, and most of the sites in the western U.S. being operated
by the National Park Service (NPS). Finally, there are also a number of Special Purpose
Monitoring Stations (SPMs), which are not required but are often operated by air agencies for
short periods of time (less than 3 years) to collect data for human health and welfare studies, as
well as other types of monitoring sites, including monitors operated by tribes and industrial
sources. The SPMs are typically not used to assess compliance with the NAAQS.17

16	The requirements for PAMS, which were most recently updated in 2015, is fully described in section 5 of
Appendix D to 40 CFR Part 58.

17	However, SPMs that use federal reference or equivalent methods, meet all applicable requirements in 40 CFR Part
58, and operate continuously for more than 24 months may be used to assess compliance with the NAAQS.

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SLAMS (961)	• NCORE/PAMS (126) • CASTNET (84)	SPM/OTHER (191)

Figure 2-7. Map of U.S. ambient air O3 monitoring sites reporting data to the EPA during
the 2018-2020 period.

2.3.2 Data Handling Conventions and Computations for Determining Whether the

Standards are Met

To assess whether a monitoring site or geographic area (usually a county or urban area)
meets or exceeds a NAAQS, the monitoring data are analyzed consistent with the established
regulatory requirements for the handling of monitoring data for the purposes of deriving a design
value. A design value summarizes ambient air concentrations for an area in terms of the
indicator, averaging time and form for a given standard such that its comparison to the level of
the standard indicates whether the area meets or exceeds the standard. The procedures for
calculating design values for the current O3 NAAQS (established in 2015) are detailed in
Appendix U to 40 CFR Part 50 and are summarized below.

Hourly average O3 concentrations are used in the design value calculations for assessing
whether an area meets or exceeds the NAAQS by the steps described below. As part of this
process, monitored hourly O3 concentrations that cause or contribute to an exceedance of a
NAAQS and which air agencies have "flagged" as being influenced by an exceptional event,
which air agencies have included and submitted in an initial notification and exceptional events
demonstration, and with which the EPA has concurred, are excluded from design value

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calculations consistent with 40 CFR 50.14.18 These regulations were established in accordance
with the Clean Air Act section regarding air quality monitoring data influenced by exceptional
events. As required by the Act, the regulations describe the criteria and public process for a State
to petition for exclusion of monitoring data directly due to exceptional events from use in
determinations with respect to exceedances or violations of the NAAQS. The EPA has made
available a variety of resources and guidance documents related to identification and
consideration of exceptional events in design value calculations.19

Hourly average O3 concentrations at the monitoring sites used for assessing whether an
area meets or exceeds the NAAQS are required to be reported in ppm to the third decimal place,
with additional digits truncated, consistent with the typical measurement precision associated
with most O3 monitoring instruments. The hourly concentrations are used to compute moving 8-
hour averages, which are stored in the first hour of each 8-hour period (e.g., the 8-hour average
for the 7:00 AM to 3:00 PM period is stored in the 7:00 AM hour), and digits to the right of the
third decimal place are truncated. Each 8-hour average is considered valid if 6 or more hourly
concentrations are available for the 8-hour period.

Next, the daily maximum 8-hour average (MDA8) concentration for each day is
identified as the highest of the 17 consecutive, valid 8-hour average concentrations beginning at
7:00 AM and ending at 11:00 PM (which includes hourly O3 concentrations from the subsequent
day). MDA8 values are considered valid if at least 13 valid 8-hour averages are available for the
day, or if the MDA8 value is greater than the level of the NAAQS. Finally, the O3 design value is
calculated as the 3-year average of the annual 4th highest MDA8 value20. An O3 design value less
than or equal to the level of the NAAQS is considered to be valid if valid MDA8 values are
available for at least 90% of the days in the O3 monitoring season (as defined for each state and
shown in Figure 2-6) on average over the 3 years, with a minimum of 75% data completeness in
any individual year. Design values greater than the level of the NAAQS are always considered to
be valid.

An O3 monitoring site meets the NAAQS if it has a valid design value less than or equal
to the level of the standard, and it exceeds the NAAQS if it has a design value greater than the
level of the standard. A geographic area meets the NAAQS if all ambient air monitoring sites in

18	There are no concurred exceptional events for the 2018-2020 period, which is the period for which design values
are presented in Figure 2-8.

19	https://www.epa.gov/air-quality-analysis/final-2016-exceptional-events-rule-supporting-guidance-documents-
updated-faqs

20	Design values are reported in ppm to the third decimal place, with additional digits truncated. This truncation step
also applies to the initially calculated 8-hour average concentrations (Appendix 2A, section 2A. 1).

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• 31-60 ppb (287 sites) O 66 -70 ppb (248 sites) • 76 -114 ppb (93 sites)
ฉ61-65 ppb (342 sites) ฉ 71 - 75 ppb (120 sites)

Figure 2-8. O3 design values in ppb for the 2018-2020 period.

the area have valid design values meeting the standard. Conversely, if one or more monitoring
sites has a design value exceeding the standard, then the area exceeds the NAAQS.

2.4 O3 IN AMBIENT AIR

2.4.1 Concentrations Across the U.S.

Figure 2-8 below shows a map of the O3 design values at U.S. ambient air monitoring
sites based on data from the 2018-2020 period. From the figure it is apparent that many
monitoring sites have recent design values exceeding the current NAAQS, and that most of these
sites are located in or near urban areas. The highest design values are located in California,
Texas, along the shoreline of Lake Michigan, and near large urban areas in the northeastern and
western U.S. There are also high design values associated with wintertime O3 in the Uinta Basin
in Utah. The lowest design values are located in the north central region of the U.S., rural parts
of New England and the southeastern U.S., and along the Pacific Ocean, including Alaska and
Ftawaii.

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2.4.2 Trends in U.S. O3 Concentrations

Figure 2-9 shows a map of the site-level trends in the O3 design values at U.S. monitoring
sites having complete data21 from 2000-2002 through 2018-2020. The trends were computed
using the Thiel-Sen estimator (Sen, 1968; Thiel, 1950), and tests for significance were computed
using the Mann-Kendall test (Kendall, 1948; Mann, 1945). From this figure it is apparent that
design values have decreased significantly over most of the eastern U.S. during this period.

These decreases are in part due to EPA regulations aimed at reducing NOx emissions from
EGUs, such as the Clean Air Interstate Rule and the Cross-State Air Pollution Rule, with the goal
of achieving broad, regional reductions in summertime NOx emissions; as well as mobile
emission reductions from federal motor vehicle emissions and fuel standards, and; local controls
resulting from implementation of the existing O3 standards. Other areas of the country have also
experienced decreases in design values, most notably in California and near urban areas in the
intermountain west.

~ Decreasing > 1 ppb/yr (363 sites) 0 No Significant Trend (57 sites)
v Decreasing < 1 ppb/yr (232 sites) A increasing < 1 ppb/yr (6 sites)

Figure 2-9. Trends in O3 design values based on data from 2000-2002 through 2018-2020.

Figure 2-10 shows the national trend in the annual 4th highest MDA8 values based on 188
ambient air monitoring sites with complete data from 1980 to 2020. This figure shows that, on

21 The data completeness criteria for Figure 8-8 through Figure 2-14 are listed in Table 2A-1 of Appendix 2A.

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average, there has been a 33% decrease in U.S. annual 4th highest MDA8 levels since 1980.

Since relatively few sites have been monitoring continuously since 1980, Figure 2-11 shows the
national trend in the annual 4th highest MDA8 values and the design values based on the 822
monitoring sites with complete data from 2000 to 2020. The U.S. median annual 4th highest
MDA8 values decreased by 25% nationally from 2002 (88 ppb) to 2013 (66 ppb), with some
variability among individual years in this period which can partially be attributed to changes in
meteorological conditions. Similarly, the U.S. median design value decreased by 20% from
2000-2002 (84 ppb) to 2013-2015 (67 ppb). The trend in the annual 4th highest MDA8
concentrations was relatively flat from 2013 to 2018, with decreases occurring in 2019 and 2020.
The design values have been relatively constant since 2015, though there are slight decreases in
2019 and 2020. In general, the design value metric is more stable and therefore better reflects
long-term changes in O3 than the annual 4th highest MDA8 metric.

Ozone Air Quality, 1980 - 2020

(Annual 4th Maximum of Daily Max 8-Hour Average)

National Trend based on 188 Sites

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1980 to 2020 : 33% decrease in National Average
Source: EPA's Air Trends website (https://www.epa.gov/air-trends/ozone-trends/).

Figure 2-10. National trend in annual 4th highest MDA8 values, 1980 to 2020. The white

center line is the average while the filled area represents the range between the
10th and 90th percentiles. The dotted line is the level of the standard.

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10th/90th Percentile Annual Value
Median Annual Value
10th/90th Percentile Design Value

	 Median Design Value

	Current Standard

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Figure 2-11. National trend in annual 4th highest MDA8 concentrations and O3 design
values in ppb, 2000 to 2020.

Figure 2-12 shows regional trends in the median annual 4th highest MDA8 values for the
9 National Oceanic and Atmospheric Administration (NOAA) climate regions22 based on
ambient air monitoring sites with complete O3 monitoring data for 2000-2020. The five eastern
U.S. regions (Central, East North Central, Northeast, Southeast, South) have all shown decreases
of at least 10 ppb in median annual 4th highest MDA8 values since the early 2000's, with the
Southeast region in particular showing the largest decrease of over 20 ppb. In contrast, the
median annual 4th highest MDA8 values have changed by less than 10 ppb in each of the four
western U.S. regions (Northwest, Southwest, West, West North Central). The large increase in
the Northwest region in 2017 and 2018 correspond to years with historically high wildfire
activity.

22 These regions are defined per Karl and Koss (1984) as illustrated in Appendix 211 Figure 2B-1.

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NOAA Climate Region

Central (171)
EastNorthCentral (56)
NorthEast (135)

NorthWest (17)		

South (98)

(# sites)

SouthEast (145)
SouthWest (53)

West (135)

WestNorthCentral (12)

Regional Trends in Annual 4th Highest Daily Maximum 8-hour Ozone (ppb)

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concentrations, were more varied with only about half of the sites exhibiting decreases in this
metric and most other sites exhibiting no trend (Lefohn et al., 2017).

2.4.3 Diurnal Patterns

Tropospheric O3 concentrations in most locations exhibit a diurnal pattern due to the
photochemical reactions that drive formation and destruction of O3 molecules. Figure 2-13
shows boxplots of O3 concentrations in ambient air, by hour of the day for four monitoring sites
that represent diurnal patterns commonly observed in the U.S. The boxes represent the 25th
percentile, median, and 75th percentiles and each box has "whiskers" which extend up to 1.5 times
the interquartile range (i.e., the 75th percentile minus the 25thpercentile) from the box, and dots which
represent outlier values. The top panels show diurnal patterns, based on available data from 2015-
2017, at urban (panel A) and downwind suburban (panel B) monitoring sites in the Los Angeles
metropolitan area. Both sites generally measure their highest O3 concentrations during the early
afternoon hours, and their lowest concentrations during the early morning hours, as is typical of
most urban and suburban areas in the U.S. However, higher levels of NOx emissions near the
urban site may suppress O3 formation throughout the day and increase the O3 titration rate at
night, resulting in lower O3 concentrations than those typically observed at the downwind site.

Ozone concentrations are generally lower in rural areas than in urban and suburban areas,
with less pronounced diurnal patterns. However, elevation and transport also play a larger role in
influencing concentrations in rural areas than in urban areas. The bottom panels in Figure 2-13
show diurnal patterns at low elevation (panel C) and high elevation (panel D) rural monitoring
sites in New Hampshire. The low elevation site experiences O3 concentrations that are 10-20 ppb
lower, on average, than at the high elevation site. Ozone concentrations at the low elevation site
exhibit a slight diurnal pattern similar to that seen at the urban and suburban sites (generally
related to photochemical O3 formation that increases concentrations in the late morning and
afternoon), while O3 concentrations at the high elevation site do not exhibit any diurnal pattern.
The lack of a diurnal pattern observed at the high elevation site is typical of high elevation rural
sites throughout the U.S., suggesting that observed O3 concentrations at such sites are primarily
driven by transport from upwind areas rather than being formed from local precursor emissions.
The presence of peak O3 concentrations that are higher at the high elevation site than at the low
elevation site at all hours of the day indicates that the high elevation site may be influenced by
transport from the free troposphere to a greater extent than the low elevation site.

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AQS Site ID: 06-037-1302 Site Name: Compton

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Figure 2-13. Diurnal patterns in hourly O3 concentrations at selected monitoring sites: A) an urban site in Los Angeles; B) a
downwind suburban site in Los Angeles; C) a low elevation rural site in New Hampshire; and D) a high elevation
rural site in New Hampshire.

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2.4.4 Seasonal Patterns

Tropospheric O3 concentrations also tend to experience seasonal patterns due to seasonal
changes in meteorological conditions and the length and intensity of daylight. High O3
concentrations are most commonly observed on hot, sunny, and stagnant days during the spring
and summer. Figure 2-14 shows boxplots of MDA8 O3 concentrations by month of the year for
four monitoring sites that represent different kinds of seasonal patterns commonly observed in
the U.S. This figure is based on data from 2015-2017. The boxes represent the 25th percentile,
median, and 75th percentiles and each box has "whiskers" which extend up to 1.5 times the
interquartile range (i.e., the 75th percentile minus the 25thpercentile) from the box, and dots which
represent outlier values. Panel A shows the seasonal pattern for an urban site in Baltimore, MD,
which reflects the typical seasonal pattern observed at many urban and suburban monitoring sites
across the U.S. The highest O3 concentrations are observed during May to September, when the
days are the longest and solar radiation is strongest.

Panel B shows the seasonal pattern for an urban site in Baton Rouge, LA. In parts of the
southeastern U.S., the highest O3 concentrations are often observed in April and May due to the
onset of warm temperatures combined with abundant emissions of biogenic VOCs at the start of
the growing season. This is often followed by lower concentrations during the summer months,
which is associated with high humidity levels that tend to suppress O3 formation in the region
(Camalier et al., 2007). Some areas, particularly in the states bordering the Gulf of Mexico, may
experience a second peak in O3 concentrations in September and October.

Panel C shows the seasonal pattern for a high elevation rural site in Colorado. The
highest O3 concentrations in rural areas are typically observed in the spring. This can be due to
several factors, including those mentioned previously, and additionally, long-range transport
from Asia is most prevalent at this time of year. Stratospheric Tropospheric Exchange events,
which most often affect high elevation areas in the western U.S., are also most common during
the spring.

Finally, Panel D shows the seasonal pattern for a monitoring site in Utah where high
wintertime O3 concentrations were observed. Over the past decade, high O3 concentrations have
been observed in two mountain basins in the western U.S. during the winter months (December
to March). These wintertime O3 episodes require a unique set of conditions, including a shallow
inversion layer, snow cover, calm or light winds, and pervasive local NOx and VOC emissions
(in these cases, from oil and gas extraction). These conditions are relatively uncommon, and
elevated wintertime O3 levels may not occur in some years.

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AOS Site ID: 24-005-3001 Site Name: Essex

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Figure 2-14. Seasonal patterns in MDA8 O3 concentrations at selected monitoring sites
(2015-2017): A) an urban site in Baltimore, MD; B) an urban site in Baton
Rouge, LA; C) a rural site in Colorado; and D) a site in Utah experiencing
high wintertime O3.

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2.4.5 Variation in Recent Daily Maximum 1-hour Concentrations

To provide a characterization of recent O3 concentrations in the U.S. for periods shorter
than 8 hours, this section presents recent O3 monitoring data in terms of daily maximum 1-hour
average (MDA1) concentrations, and their variation across monitoring sites that vary with regard
to design values for the current O3 standards.

Figure 2-15 shows boxplots of MDA1 values at U.S. monitoring sites based on 2018-
2020 data stratified by each site's 8-hour O3 design value. The boxes representing the 25th
percentile, median, and 75th percentile MDA1 values increase slightly with higher design values.
Although the overall range (minimum and maximum) of observed MDA1 values does not appear
to change much, there is an increasing presence of higher MDA1 values extending up to around
160 ppb for the rightmost bin which includes only sites that exceed the current standards. The
upper percentiles, including the 75th and the 99th percentiles (represented by top of box and upper
whisker, respectively), in particular, are increased for the sites that do not meet the current
standards (up to nearly 80 ppb and 120 ppb in the rightmost bin). In contrast, the boxplots show
that there are only a small fraction of MDA1 values above 120 ppb for sites that meet the current
standards.

Figure 2-16 shows a scatter plot of the number of days at each monitoring site that have a
MDA1 value of 120 ppb or greater based on 2018-2020 data compared to the site's 2018-2020
design value. According to the figure, a small proportion of O3 monitoring sites in the U.S.
observe MDA1 values at or above 120 ppb more than once per year, but these sites all exceed the
current 8-hour standards. There are no sites that were meeting the current standards based on
2018-2020 data that had MDA1 values above 120 ppb more than three times over the same 3-
year period (Appendix 2A, Table 2A-2).

Figure 2-17 shows the national trend in the annual 2nd highest MDA1 O3 concentration,
which was the metric used to track progress towards meeting the 1-hour O3 NAAQS, originally
set in 1979 and later replaced by the current 8-hour metric in 1997 (62 FR 38856, July 18,
1997).23 The monitoring sites represented in Figure 2-17 are the 834 sites with complete data
from 2000 to 2020 (as summarized in Appendix 2A, Section 2A.2). The shapes of the trend lines
in Figure 2-17 are similar to those shown for the annual 4th highest MDA8 values in Figure 2-11.
The national median annual 2nd highest MDA1 value decreased by 27% from 2002 (105 ppb) to
2013 (77 ppb), which is comparable to the decrease observed in the national median annual 4th
highest MDA8 value (25%) during the same period.

23 The 1-hour O3 standards were formally revoked in 2005 (70 FR 44470, August 3, 2005).

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200

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8-hour 03 Design Value (ppb)

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Figure 2-15. Boxplots showing the distribution of MDA1 concentrations (2018-2020),
binned according to each site's 2018-2020 design value.

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Figure 2-16. Number of days in 2018-2020 at each monitoring site with a M DA 1

concentration greater than or equal to 120 ppb compared to its 8-hour design
value in ppb.

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2	Figure 2-17. National trend in the annual 2nd highest MDA1 O3 concentration, 2000 to

3	2020. The solid blue line represents the median value, dotted blue lines

4	represent the 25th and 75th percentile values, and the light blue shaded area

5	represents the range from the 10th to the 90th percentile values.

6

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2.5 BACKGROUND 03

There are a number of definitions of background O3 used in various contexts that differ
by the specific emissions sources and/or natural processes the definition includes (e.g., see ISA,
Appendix 1, section 1.2.2). In this reconsideration, as in past reviews, the EPA generally
characterizes O3 concentrations that would exist in the absence of U.S. anthropogenic emissions
as U.S. background (USB). An alternative phrasing for USB is the O3 concentrations created
collectively from global natural sources and from anthropogenic sources existing outside of the
U.S. Such a definition helps distinguish the O3 that can be controlled by precursor emissions
reductions within the U.S. from O3 originating from global natural and foreign precursor sources
that cannot be controlled by U.S. regulations (ISA, section 1.2.2).

Because monitors cannot distinguish the origins of the O3 they measure,24 photochemical
grid models have been widely used to estimate the contribution of background sources to
observed surface O3 concentrations. This section summarizes results of a state-of-the-science
modeling analysis to estimate the magnitude of present-day USB and its various components.
Conceptually, these USB estimates represent O3 concentrations that occur as a result of global
natural sources (or processes, see section 2.5.1 for more details) and those anthropogenic sources
existing outside the U.S., i.e., the O3 concentrations that would occur in the absence of any U.S.
anthropogenic O3 precursor emissions. Modeling results summarized in this section include
average estimates of MDA8 USB concentrations for several temporal periods including seasons.
Average USB estimates are also presented for days on which the total model-predicted MDA8
O3 concentration was greater than either 60 ppb or 70 ppb, and for the days on which the 4th-
highest MDA8 O3 concentration was predicted to occur. Additionally, this modeling analysis
investigated the contributions to USB of some specific groups of sources, such as international
anthropogenic sources, and how those contributions vary by season and by location.

The section, which presents the information and analysis that were also presented in the
parallel section of the 2020 PA, is organized as follows. Section 2.5.1 provides an overview of
the various sources that contribute to USB, including currently available information on the
magnitude, seasonal variability, and spatial variability of their contributions to USB. Section
2.5.2 summarizes the methodology for the modeling analyses used to quantify USB and
component contributions. More detailed information about the modeling methodology is
presented in Appendix 2B. Section 2.5.3 summarizes USB estimates using methodology

24 Ozone concentrations that do not include contributions from U.S. anthropogenic emissions cannot be determined
exclusively from O3 measurements because even relatively remote monitoring sites in U.S. receive transport of
U.S. anthropogenic O3 from other locations.

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described in section 2.5.2, including estimates specific to certain subgroups of sources. Section
2.5.4 summarizes key findings of the analyses.

2.5.1 Summary of U.S. Background O3 Sources

Jaffe et al. (2018) reviewed the literature on sources that contribute to USB. While the
term "background" may imply a low concentration well-mixed25 environment, background
sources can create well-defined plumes and/or contribute to the well-mixed environment. The
USB definition, which is based on sources, includes both the well-mixed environment and more
well-defined plumes. Figure 2-18a (adapted from Jaffe et al. (2018)) illustrates sources of USB
O3 (blue) and U.S. anthropogenic sources of O3 (yellow). Figure 2-18b shows two theoretical
examples where background sources contribute to the total ground-level O3. The first example
(Ex 1) highlights a typical monitoring site with lower USB, and the second example (Ex 2)
presents a scenario in which USB is a large contributor. Both examples oversimplify methane,
which has both natural and anthropogenic and both domestic and foreign contributions. Source
contributions to USB vary in space and time, and the stacked bar plot in this figure
oversimplifies the complex relationship between USB and total O3. Even so, USB sources can
broadly be discussed as global natural sources (see sections 2.5.1.1 to 2.5.1.6) and international
anthropogenic sources (see section 2.5.1.7). In the simplest interpretation, the natural sources are
background regardless of where they occur, or which definition of background is being used
(e.g., USB or natural background26). By contrast, ozone formed from anthropogenic emissions is
only considered as background when the emissions sources are not from sources within the focus
area. However, this paradigm is complicated by the fact that many sources of O3 precursors are
the result of interactions between human and natural systems (for instance forest management
practices can impact both biogenic VOC emissions from trees and wildfires). In the context of
USB, anthropogenic background is synonymous with O3 originating from international
anthropogenic emission sources. The relative contribution of international and natural
background sources can vary dramatically from place to place and are most notably larger at
locations near borders (international) or high elevation (natural). At non-border locations and
many border locations, the natural background is usually the dominant background source.

25	We use the term "well-mixed" here to refer to conditions when the contributions from various types of sources are
mixed due to chemistry or physical processes to the point where it is not possible to discern the contribution to O3
from each individual source.

26	Natural background is the O3 that would exist in the absence of anthropogenic emission sources.

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Stratospheric Intrusion

. l-'V'Vy

Lightning *

Foreign Pollution

| Agricultural Emissions |

Wildfire Impacts

Recirculated
Domestic Pollution

Interstate Transport

Export of
eslic Pollution

Local Photochemical
Pollution

Prescribed Burning

Biogenic Emissions

(a) U.S. Oa sources shown with yellow boxes or arrows represent domestic sources.
Sources shown with blue boxes or arrows represent USB sources. Note that locations for
each process are not specific to any one region. The base map shows satellite-observed
tropospheric NO2 columns for 2014 from the Ozone Monitoring Instrument (OMI) onboard
the NASA Aura satellite (Credit: NASA Goddard's Scientific Visualization Studio/T.
Schindler). NO2 column amounts are relative with red colors showing highest values,
followed by yellow then blue. We use the OMI NO2 columns as a proxy to show local O3
precursor emission sources, (b) The bar chart shows two theoretical examples of USB O3
contributions combine with domestic sources to produce elevated O3 at a specific location
on any given day. Each source varies daily and there are also nonlinear interactions
between USB O3 sources and anthropogenic sources that can further add to O3
formation, e.g., wildfires and urban anthropogenic emissions (e.g., Singh etal., 2012).
Minor adaptation from DOI: https://doi.org/10.1525/elementa.309.f1

Figure 2-18. Conceptual models for 03 sources: (a) in the U.S., and (b) at a single location.

The natural and anthropogenic sources of background O3 vary by location and by season.
Emissions from anthropogenic sources largely occur in the same areas year after year. Natural
sources of O3 and precursors, on the other hand, vary both in magnitude and in location from day
to day and year to year. As a result, certain types of natural sources may have large O3
contributions measured at a monitor at one point in time but not at other times. The combination
of varying proximity and magnitude means that natural sources can contribute to background in
the form of localized plumes of elevated O3 that contribute to O3 at monitoring sites on an
episodic basis. In the absence of locally well-defined plumes, global natural and international
anthropogenic sources are constantly contributing to the well-mixed background.

80
70
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JD

a. 40
a.

30
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I

US Anthro

Intl Anthro
•Wildfires

Lightning

I Methane
Biogenics

Stratospheric

i-l (N

X X
LL1 LU

(b)

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USB varies by location and by season due to both the nature of sources and the loss
processes. The nature of emission sources leads to seasonal and spatial patterns that will be
described further below. The contribution of these sources is modulated by transport patterns that
interact with deposition and chemical losses. For illustration, two emission sources of identical
magnitudes may have different contributions if one emits near the surface in summer and the
other emits in the free troposphere in spring. Warmer moister air in the summer at the surface
enhances O3 chemistry losses and deposition of O3 to the surface increases losses further. In
contrast, cooler, drier temperatures in the spring and free troposphere lengthen O3 lifetimes and
faster winds in the free troposphere enable longer transport. The seasonality of temperature and
transport patterns gives O3 USB a distinct seasonal cycle that results from both sinks and
sources.

The sections below summarize the state of the science estimates of USB contributions.
Each source type is described with respect to its seasonality as well as its local vs well-mixed
contribution potential. Jaffe et al. (2018) reviewed contributions of various sources to USB O3
from modeling studies and the references therein are used to illustrate the range of O3
contributions from each source. The literature-based estimate ranges provide context to the
estimates of USB that are reported in section 2.5.3.

2.5.1.1 Stratosphere

The only direct source of O3 to the troposphere with appreciable contributions to O3
concentrations is STE (other sources are indirect via precursors). STE occurs when stratospheric
air, which is relatively rich in O3, is transported across the tropopause where it enhances
tropospheric concentrations. Most STE events create enhancements that do not immediately
reach the surface. Instead, STE-enhanced O3 mixes into the free troposphere where it is
dispersed. In cases when the transported air reaches the surface before enough dispersion occurs,
it creates a localized plume of O3 referred to as a Stratospheric Ozone Intrusion (SOI). The total
stratospheric contribution includes both the well-mixed contribution from the distant stratosphere
exchanges as well as any localized SOI plume.

The total global O3 flux from the stratosphere to the troposphere is estimated at 510ฑ90
teragrams per year (Tg/y) compared to 4620ฑ600 Tg/y (post-2000 literature in Table 2 in Wu et
al., 2007) produced within the troposphere. The majority of the earth's surface is outside the U.S.
and only STE that take place over the U.S. are likely to create a large magnitude local
enhancement at a U.S. monitor.27 A SOI that occurs outside the U.S. would likely be dispersed

27 Recently methods have been developed for identifying and estimating SOIs that have clear localized contributions
to O3 concentrations with the potential to contribute to standards' exceedances. These are described in documents
available at: https://www.epa.gov/air-quality-analysis/guidance-preparation-exceptional-events-demonstrations-
stratospheric-ozone.

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into the well-mixed background and reduced through chemical loss and deposition before it
reaches many monitors.

Modeling and observational studies show that SOI can episodically contribute large
amounts of O3 at a subset of U.S. monitors, but stratospheric mixing more frequently contributes
smaller quantities of O3. Modeling studies focused on seasons with frequent SOI find median
total stratospheric contributions to MDA8 are 10-22 ppb in the West and 3-13 ppb in the East
with episodic contributions up to 40 ppb mostly in the West (Table S2, Jaffe et al., 2018).
Because these studies focus on the most active season, these medians are expected to be upper
bounds for the annual average. Further, SOI are most common in the spring when MDA8 O3
concentrations above 70 ppb are less common (ISA, section 1.3.2).

2.5.1.2 Biogenic VOC

Biogenic VOCs are the quintessential "natural" source of O3 precursors. At global scales,
biogenic sources are the largest contributor to VOCs - even though local anthropogenic sources
of highly reactive VOCs can be very important in some areas. VOCs are also an important
source of carbon monoxide. Biogenic VOCs are emitted by various types of vegetation and
emissions peak in summer which is also when O3 production is fast and O3 lifetimes are short.

The large abundance of biogenic VOCs leads to NOx-limited O3 production in most of
the world. That is, concentrations of biogenic VOCs are in excess with respect to concentrations
of NOx; therefore, O3 production is controlled by the availability of NOx. The methodologies28
typically used by the air quality community estimate contribution based on sensitivity of O3
production. As a result, the sensitivity-based contribution estimate of biogenic VOC sources to
O3 shows relatively small contributions considering the large amount of emissions.

Estimates of biogenic VOC contributions in the literature are generally small compared to
NOx. For example, Lapina et al. (2014) found that North American Background (NAB)29 for
W12630 O3 was relatively insensitive to VOC (10.8% of NAB sensitivity) compared to NOx
(79.8% of NAB sensitivity). This well-known global-scale sensitivity to NOx would not exist if
concentrations of biogenic VOCs were a broadly limiting factor. Even though background O3 is
not particularly sensitive to small changes in the biogenic VOC, natural sources of VOCs are a
critical component of all background O3 estimates.

28	Source apportionment techniques and derivative-normalization techniques use sensitivity to attribute
concentrations to sources. When a concentration is insensitive to VOC sources, the contribution estimate solely
from that source of VOC will be zero.

29	North American Background is analogous to USB; but NAB is generally characterized as the O3 concentrations
that would exist in the absence of North American anthropogenic emissions.

30	W126 is a daytime weighted average concentration where higher concentrations are given greater weight based on
a sigmoidal curve (see Chapter 4).

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2.5.1.3	Wildland Fires

Fires emit a complex mixture of nitrogen oxides, nitrogen reservoir species (e.g., PANs),
and VOCs that are all precursors to O3. In the northern hemisphere, the fire season generally
starts in spring and extends into fall with the specific timing varying widely by region. Fires also
exhibit significant year to year variability, with emissions varying by an order of magnitude
between high and low fire years in some places (van der Werf et al., 2017). While smoke from
fires affects most of the contiguous U.S. at some point during the year, the fire season in the
western U.S. occurs primarily late in the summer. Fires across western states and parts of Canada
can contribute both to regional background and episodic surface O3 enhancements (McClure and
Jaffe, 2018).31

Ozone production in fire plumes depends on a range of factors including the type of fuel
combusted, plume age, and interactions with other air masses (e.g. urban plumes) (Jaffe and
Wigder, 2012). While some studies have estimated wildfire O3 contributions to seasonal mean
O3 of up to several ppb during high fire years in the Western U.S. (Jaffe et al., 2018), O3
production from individual fires varies substantially (Akagi et al., 2013). Several studies have
shown that locations near large fires can even experience suppressed O3 formation, perhaps due
to titration from fresh NO emissions and/or reduced solar radiation resulting from high aerosol
concentrations (McClure and Jaffe, 2018;Buysse et al., 2019). Large variability in O3 precursor
emissions from fires combined with complex in-plume dynamics and chemistry make accurately
quantifying O3 production from fires extremely difficult at both regional and local scales.32

New data from recent and upcoming field and aircraft campaigns33 are expected to
provide new insights that expand current understanding of contributions from fires to O3
concentrations in the U.S., both in the context of regional background concentrations and
production during individual fire episodes.

2.5.1.4	Lightning Nitrogen Oxides

Lightning is an indirect natural O3 precursor source. Lightning produces NOx from
molecular nitrogen and oxygen, similar to traditional combustion processes. Because NOx is the

31	Fires may occur on wildlands naturally or accidentally, or fires may be planned (prescribed) for various purposes
and set intentionally. In the USB modeling work described in section 2.5.2.1 below, emissions associated with
prescribed fires are categorized as anthropogenic emissions and are not included in estimating USB.

32	Recently methods have been developed for identifying and estimating wild or prescribed fire contributions to O3
concentrations with the potential to contribute to standards' exceedances. These are described in documents
available at https://www.epa.gov/air-quality-analysis/final-2016-exceptional-events-rule-supporting-guidance-
documents-update d-faqs.

33	Western Wildfire Experiment for Cloud Chemistry, Aerosol Absorption and Nitrogen (WE-CAN,
https://www.eol.ucar.edu/field_projects/we-can) in 2018 and Fire Influence on Regional to Global Environments
and Air Quality (FIREX-AQ, https://www.esrl.noaa.gov/csd/projects/firex-aq/) in 2019.

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globally limiting precursor for O3 production and lightning emits where there are few other
sources, O3 production is quite sensitive to this source. Over the U.S., lightning NOx (LNOx)
emissions peak in summer with convective activity and are characterized as having high
interannual variability (Murray, 2016). Allen et al. (2012) showed that the majority of LNOx is
emitted in the free troposphere (i.e., troposphere above the planetary boundary layer). Thus,
LNOx is produced in a NOx-limited environment where any O3 formed as a result will be
efficiently transported and loss pathways are limited.

The total NOx created by lightning is highly uncertain (Murray, 2016). Murray (2016)
discusses the uncertainty in NO yield per flash rate and the role of large spatial gradients in the
yield. The effect of such uncertainties is evident in the range of global lightning emissions
(std/mean=0.4). Murray (2016) also discusses the uncertainty in the vertical distribution of NO
production and post-production redistribution.

Jaffe et al. (2018) reviewed contributions from lightning to surface USB O3 based on
modeling studies using various flash rate yields, which shows large single day contributions to
modeled MDA8 O3 (up to 46 ppb, Murray, 2016) and smaller contributions to annual means (1-6
ppb) and seasonal means (6-10 ppb). Lapina et al. (2014) showed that, in their modeling, W126
had a 15% contribution from lightning NOx over the U.S.34 A 15% contribution is consistent
with the annual and seasonal mean contributions to MDA8 reported by Zhang et al. (2014) and
Murray (2016). Lapina et al. (2014) also noted that 40% of the lightning NOx sensitivity comes
from lightning strikes outside the U.S. The findings from these studies highlight the primary
importance of lightning NOx as a contributor to the well-mixed background concentrations
(Murray, 2016).

2.5.1.5 Natural and Agricultural Soil NOx

Nitrogen oxides from soils are a naturally occurring source that is enhanced by
anthropogenic activity. Truly natural soil NOx is created as a byproduct of nitrogen fixation in
natural environments. The fixation and byproduct release are affected by flora composition,
nitrogen availability, and environmental conditions (e.g., humidity). Human activity affects the
amount and location of soil NOx emissions by changing land cover and by increasing the
availability of nitrogen for fixation though the application of fertilizer to crop lands or additions

34 The numbers shown in this report are derived from reported values in Lapina et al. (2014) which showed

sensitivity of W126 to anthropogenic NOx sources was 58% (of that, 80% US; 9% CAN; 4% MEX) and natural
NOx sources was 25%. The remaining 17% was attributed natural isoprene (1.3%), VOCs/CO from fires (Fig 9:
~3%) and international VOC/CO (Fig 9: —14%). So non-North American anthropogenic NOx (58% * 7% non-NA
= 4%) and natural NOx (25%) create a total NAB NOx sensitivity of 29% and total NAB sensitivity of 35% (29%
/ 79.8%). Of the total sensitivity (parentheses contain percent of NAB NOx sensitivity, see Fig 12), lightning was
15% (52.9%), soil NOx was 8% (28.2%), fire NOx was 1% (4.3%) and international anthropogenic NOx was 4%
(14.5%).

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of nitrogen via deposition of emissions from other sources. The effect of human land cover
alteration is readily apparent in soil NOx emission measurements. Steinkamp and Lawrence
(2011), highlight that soils in pristine natural ecosystems emit more NOx compared to similar
ecosystems that have been disturbed by human activity. At the same time, human managed crop
lands emit more than natural ecosystems (pristine or disturbed) environments because of the
applied fertilizer.

Soil NOx clearly has both anthropogenic and natural sources, but these are rarely
separated in the literature. First, Hudman et al., 2012 estimate that the majority (-80%) of soil
NOx emissions are currently attributed to land surfaces without considering active fertilization or
deposition of anthropogenic nitrogen. Second, the emissions and attribution are relatively
uncertain. Finally, anthropogenic soil NOx is associated with agricultural ammonia application
that is not directly regulated in the United States. As a result, the attribution of soil NOx as a
"background" source is imperfect. In this assessment, no distinction is made between natural and
fertilizer-enhanced soil NOx and instead we include both within "natural sources."

Hudman et al. (2012) estimated the global soil NOx emissions at 10.7 TgN/y. As noted
above, soil NOx emissions are linked to nitrogen availability in the soil, which is increased by
anthropogenic activities. Hudman et al. (2012) attributed 1.8 TgN/y to anthropogenic soil
fertilization and 0.5 TgN/y to atmospheric deposition. Like lightning, most soil NOx emissions
occur outside of the U.S. Unlike lightning, soil NOx has a smaller long-range transport
component because it is emitted at the surface. For example, Lapina et al. (2014) calculated that
W126 had an 8% sensitivity to soil NOx (see footnote 26) and noted that a small fraction (only
7%) was from emissions outside the U.S. The more local sensitivity is likely due to the emission
height and spatial distribution of soil NOx.

2.5.1.6 Post-Industrial Methane

Like VOCs, CH4 is a hydrocarbon that can form O3 in the presence of NOx and sunlight.
While some atmospheric methane is emitted naturally from wetlands, wildfires, geogenic
sources, and insects, significant global methane enhancements following the industrial revolution
are clearly associated with increased emissions from anthropogenic fossil fuel combustion
(Pachauri et al., 2015). Other human activities such as livestock cultivation, landfills and land
use modification (e.g., rice paddies) also release methane. More recently, changing climate
conditions have led to increased emissions from natural sources (e.g., permafrost melting) in
some areas (Reay et al., 2018), although the exact magnitude of these effects on global methane
concentrations, and consequently O3 in the U.S., over longer time scales remains uncertain.

Due to its long atmospheric lifetime (-10 years), methane is well-mixed at seasonal and
annual time scales. As a result, isolating contributions to atmospheric methane concentrations

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from individual geographic areas or specific emission sectors is very difficult (Turner et al.,
2017). However, sensitivity simulations with chemical transport models can be used to assess the
overall influence of global methane concentrations on regional O3 budgets. For example, Lin et
al. (2017) used the GFDL-AM3 chemistry-climate model to estimate that increasing global
methane concentrations contributed -20% to background MDA8 O3 trends during boreal spring
and summer at several western U.S. sites during the period 1988 to 2012. In general, post-
industrial anthropogenic methane is estimated to contribute ~5 ppb to surface O3 in the U.S., an
estimate that primarily comes from modeling studies (Jaffe et al., 2018 and references therein).

A major limitation with existing model-based estimates of the influence of global
methane on current U.S. O3 concentrations is our limited understanding of historical methane
emissions. The U.S. and the rest of the world's anthropogenic methane emissions have not been
tracked quantitatively in detail until relatively recently. As a result, the pre-industrial methane
concentration is relatively unconstrained. Further, post-industrial methane can be attributed to
direct emissions and emissions from natural sources (e.g., permafrost). Many modeling studies,
including this one, do not explicitly track methane sources and sinks, further complicating
attribution in an air quality context. Therefore, the post-industrial methane contribution is
difficult to quantitatively attribute. The post-industrial enhancement of methane is clearly related
to direct anthropogenic emissions and alteration of natural emissions by human activity, which
includes both foreign and domestic contribution.

2.5.1.7 International Anthropogenic Emissions

International anthropogenic emissions are the only anthropogenic contribution to USB.
For the purposes of discussion, NOx and VOCs will be discussed separately from methane
(methane is covered in section 2.5.1.6). NOx and VOC emission estimates from outside the U.S.
are derived from international collaborative efforts like the Hemispheric Transport of Air
Pollutants (HTAP) task force of the United Nations Economic Commission for Europe
(Janssens-Maenhout et al. 2015). HTAP harmonized national emission databases from individual
countries with global estimates that cover areas without their own estimates. Collecting and
harmonizing these emission datasets requires coordination and technical expertise, which
recently occurred twice (HTAP Phase I and HTAP Phase II) and a new HTAP emission
inventory is currently underway. Global estimates that incorporate national information are
available (e.g., Community Emissions Data System and Emissions Database for Global
Atmospheric Research), but do not always have as much participation from individual countries.
This is particularly important because individual countries are most aware of regulations and
controls that have been promulgated within their borders.

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International anthropogenic sources of O3 include emissions within the borders of other
countries (e.g., onroad sources, power plants, etc.) as well as sources in international waters and
air space. Sources within the borders of other countries can be easily attributed to those countries
using geographical bounds based on emission source location. Some studies (e.g., Lin et al.,
2014), however, have done more complex analyses to spatially attribute emissions globally based
on the consumption of produced goods. For the purposes of this document, international
emissions are attributed based on the emission source location. Using emission source location,
maritime shipping and aircraft sources require more artificial distinctions. Typically, aircraft
takeoff and landing are assigned completely to the country where it occurs. Aircraft cruising
emissions are attributed based on geographic boundaries. This assumes that both inbound and
outbound flights change source type (domestic/international) when they cross a border.

2.5.2 Approach for Quantifying U.S. Background Ozone

Updating USB estimates is motivated by interannual variability, trends in international
anthropogenic emissions, and continual improvements in simulating processes affecting USB.
USB sources are expected to vary from year to year because natural emissions vary in response
to meteorology (e.g., temperature) and long-range transport patterns alter the efficiency of
transport from long-range USB sources (Lin et al., 2015). In addition, the scientific
characterization of background emission sources continues to evolve. As a result, we provide an
updated assessment of USB for 2016 using the latest stable version of the Community Multiscale
Air Quality (CMAQ) model applied at hemispheric to regional scales.

This assessment uses a firmly source-oriented definition of USB based on modeling. The
source composition of a model estimate can be quantified using tagging techniques or by
sensitivity analysis. By contrast, the source composition of measured O3 is difficult to isolate. In
most areas at most times, measured O3 concentrations are the result of contributions from a
variety of anthropogenic and non-anthropogenic sources. Measurements from locations
sometimes suggested to be representative of USB often have contributions from U.S.
anthropogenic sources. As a result, some researchers have filtered measurements to focus on
times when US contributions are minimized (e.g., based on wind direction or other indicators).
The measurement filtering approach is based on conceptual or quantitative models of source
contributions as a function of wind direction or another environmental variable. After correction,
the degree of contamination is minimized but not precisely known. Recently, urban
measurements have been paired with simplistic statistical models to estimate background
(Parrish et al., 2017). However, Jaffe et al. (2018) concluded that statistical adjustment cannot be
directly interpreted as "background" - even though the estimate is useful for bounding simulated
background. Due to the complications of quantifying background based on ambient air

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measurements, the sources that contribute to background are most clearly defined using an air
quality model. Using separate nomenclature (baseline: monitors; background: models) helps to
clearly delineate between these approaches that each have their strengths and weaknesses.

This section quantifies O3 from sources using a sensitivity approach. The multiscale
system is applied to predict total O3 and then applied multiple times to predict O3 without U.S.
anthropogenic emission sources. The difference between total O3 and O3 without the U.S.
anthropogenic emissions is used to characterize the USB.

2.5.2.1 Methodology: USB Attribution

This assessment attributes O3 to USB sources using one of several available techniques.
Jaffe et al. (2018) reviewed the methods for identifying USB contributions. The methodologies
reviewed range in complexity from simply turning off U.S. anthropogenic (or specific sources)
emissions, to normalizing derivatives from instrumented models, to complex tagging techniques
(e.g., CAMx OSAT, APCA, or Grewe, 20 1 3).35 This analysis follows the zero-out approach for
simplicity of interpretation and consistency with previous EPA analyses. In urban areas, this
approach will estimate higher natural and USB contributions than total O3 when NOx titration is
present. The estimate, therefore, is an estimate of what concentrations could be without U.S.
anthropogenic emissions and not the fraction of observed O3 that is USB.

This analysis is designed to quantify 03 specifically and separately from global natural,
international anthropogenic, and U.S. anthropogenic sources. The precursors that this analysis
focuses on are NOx and VOC because they have a response on timescales relevant to the
NAAQS planning schedules (i.e., not methane). Table 2-1 lists simulations and the sources they
exclude at the various spatial scales modeled (i.e., hemispheric - 108 km resolution, regional -
36 km resolution and regional - 12 km resolution). For international shipping and aviation, the
U.S. domain is either included (ZROW) or excluded (ZUSA). These simulations form the basis
for estimating the contributions of USB and its components. Given the long atmospheric lifetime
and attributability to U.S. sources, methane is not separately identified nor is it perturbed in any
simulations. This has the effect of attributing methane to natural processes, which are a
background source.

35 For a discussion of methods and the effect on estimates, see (Jaffe et al., 2018).

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Table 2-1. Simulation names and descriptions for hemispheric-scale and regional-scale
simulations.

Simulation Description

Performed at Hemispheric A and RegionalB Scales

BASE	All emission sectors are included

ZUSA	All U.S. anthropogenic emissions are removed including prescribed fires.c

ZROW	All international anthropogenic emissions are removed including prescribed fires where

possible.

ZANTH	All anthropogenic emissions are removed including prescribed fires.

Performed at Hemispheric Scale only

ZCHN	All Chinese anthropogenic emissions are removed.

ZIND	All India anthropogenic emissions are removed.

ZSHIP	Zero all near-U.S. commercial marine vessel category 3 and all global shipping.

ZFIRE	Zero all fire emissions (agricultural, prescribed, and wild).

A Hemispheric-scale simulations use 108 km grid cells defined on a polar stereographic projection.

B Regional-scale simulations use a nested 36 km and 12km simulation on a lambertconformal projection.

c Emissions estimated to be associated with intentionally set fires ("prescribed fires") are grouped with anthropogenic fires.

Table 2-2 describes the calculations that are used to derive contributions. It is important
to note that contributions are not strictly additive. Large NOx sources can create non-linear
conditions that decrease O3 concentrations due to titration which is most relevant at night and in
the winter. In some cases, removing a source only increases the efficiency of other sources. In
that case, some anthropogenic contribution exists unless all anthropogenic sources are removed.
This residual anthropogenic contribution occurs in the model for both International and U.S.
sources. The results presented in this section focus on Base, USB, International, Natural
contributions. Some components of International and Natural were separately analyzed.
Canada/Mexico are separately quantified at both hemispheric and regional scales. The India,
China, Fire, and shipping contributions are analyzed only at the hemispheric scale and are
presented in Appendix 2B. The analyses in Appendix 2B support the interpretation in the
discussion below.

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Table 2-2. Expressions used to calculate contributions from specific sources.

Label

Name

Description

Expression



BASE

Total

Total Concentration

BASE



USB

USB

U.S. Background

ZUSA



USA

USA

U.S. Contribution

BASE-ZUSA



Intl

International

Rest of the World Contribution

BASE-ZROW



Natural

Natural

Natural Contribution

ZANTH



Res-Anth



Anthropogenic contribution that is
not attributed directly to either the
U.S. or International due to non-
linear chemistry

BASE - ZANTH - Ir

ltl - USA

IND

India

India Contribution

BASE-ZIND



CHN

China

China Contribution

BASE -ZCHN



Ship

Ship

Ship Contribution

BASE-ZSHIP



FIRE

Fire

Global fire contributions

BASE-ZFIRE



2.5.2.2 Methodology: Strengths, Limitations and Uncertainties

The model was evaluated to assess the accuracy of predictions and infer possible biases
in USB estimates. Evaluations included comparison to satellite retrievals, O3 sondes36,

CASTNET monitors, and AQS monitors. Results were also qualitatively compared to the
Tropospheric Ozone Assessment Report (TOAR) database, which has global O3 observations
that have been well characterized37 but Phase I, which was completed and available at the time of
analysis, only extends through 2014. The evaluation of the hemispheric simulation that provides
boundary conditions to the 36 km model simulation relies heavily upon the satellites, O3 sondes
and CASTNET monitors. Since the satellite data can be used to provide concentration estimates
in areas without surface monitors, these data are particularly useful for evaluating O3 column
totals in the hemispheric modeling. The sonde data provide a means to evaluate predictions aloft
which are important for understanding model performance of long-range transport. The regional
evaluation analysis focuses on data measured at CASTNET and AQS monitors.38 Evaluation
using the AQS monitors provides information on how the model performs at urban/suburban O3,
which may exhibit large space/time gradients in O3 concentration. CASTNET data are included

36	O3 sondes are balloon-borne instruments that ascend through the atmosphere taking O3 and meteorological
measurements. For more information, see https://www.esrl.noaa.gov/gmd/ozwv/ozsondes/.

37	The TOAR database includes O3 globally where each monitor has been consistently characterized as urban or
rural. The global observations have been processed for several metrics (MDA8, W126, etc.) and gridded to 2-
degree by 2-degree global fields for easy comparison to large-scale models.

38	In the discussion here in section 2.5, the data for CASTNET sites are referred to as "CASTNET data" and data for
all other sites in AQS are referred to as "AQS data" (even though data for many, if not all, CASTNET monitors
are stored in AQS).

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in the evaluation of both the hemispheric and regional models since monitoring sites in this
network are intended to represent O3 concentrations across broad areas of the U.S. Model
performance evaluation results are summarized in this chapter and provided in more detail in
Appendix 2-B.

The evaluation using sonde data shows that the hemispheric model predictions of O3 are
generally within 20% of the corresponding measurements throughout much of the free
troposphere. Near the tropopause, there is a low bias in the model that is most pronounced in the
spring. The low bias at the tropopause likely suggests an underestimate of stratospheric
exchange. Mean bias drops to below 20% in the middle troposphere (600-300 hPa). The low-bias
in the free troposphere may stem from underestimation of spring time stratospheric contribution
in some regions.

The acceptability of model performance was judged for the 2016 CMAQ O3 performance
results considering the range of performance found in recent regional O3 model applications
(NRC, 2002, Phillips et al., 2008, Simon et al„ 2012, U.S. EPA, 2009, U.S. EPA, 2018b). The
model performance results, as described in this document, demonstrate the predictions from the
2016 modeling platform closely replicate the corresponding observed concentrations in terms of
the magnitude, temporal fluctuations, and spatial differences for 8-hour daily maximum O3. At
CASTNET sites, the model performance is similarly good, but has a distinct seasonal pattern
(see Appendix 2B.3). The normalized mean bias increases from a low-bias in boreal Winter
(West: -16%; East: -14%) to relatively neutral in boreal Fall (West: 0%; East: 7%). These results
are consistent with the free troposphere bias seen in the comparison of model predictions to
sonde data. Despite the conceptual consistency, the low-bias in winter at CASTNET sites is also
influenced by local sources. For example, the Uinta Basin monitors have extremely high winter
observations that are underpredicted by the model. These are most likely due to underestimation
of O3 formed from precursors emitted by local sources as well as the need for finer resolution
meteorological inputs to capture cold pool meteorology conditions that characterize these
events.39

Model predictions have historically shown poor performance for capturing the impacts
from O3 of wildfires and stratospheric intrusions. Wildfire contributions have been overpredicted
by models (Baker et al., 2016, Baker et al., 2018). Model predictions of O3 from stratospheric
intrusions have ranged from underestimated to overestimated (e.g., Emery et al., 2012). Models
are not expected to perform well in capturing the contributions from wildfires and stratospheric

39 The DIN431 CASTNET monitor, among others, is in the Uinta basin where wintertime O3 can be caused by
snow-cover enhanced photolysis combined with light VOC emissions from the oil and gas production, (see
Ahmadov et al., 2015).

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intrusions without a focused effort on properly characterizing the physical properties of
individual events.

This analysis uses an emission inventory with known issues in the fire inventory. The
"2016fe" inventory had double counting of some grassland fires.40 To minimize the effects of
double counting, a filter is applied to the data to remove large episodic natural influences
including fires. The filter removes days where natural contributions deviate from the mean for
that grid cell by whichever is higher: 20 ppb or twice the standard deviation for that grid cell.
Using this approach, 0.1% of grid cell days were removed — 71% of grid cells have no days
removed and fewer than 5% have more than 1% removed. Of the days that were removed, fewer
than 21% had MDA8 concentrations above 70 ppb.

This study does not directly quantify USB uncertainty. Jaffe et al. (2018) highlight that
uncertainties in USB and USB component estimates come from multi-model comparisons.
Dolwick et al., 2015) showed that multi-model estimates converged when applying bias
correction, indicating that differences in USB estimates are correlated with model performance.
No bias correction has been applied here, so in a limited manner bias in ambient predictions can
help set expectations for bias in USB. Based on hemispheric model evaluation, the stratospheric
component in spring is likely underestimated leading to a USB low bias in spring. As a single
estimate, this study relies upon the literature based ฑ10 ppb for seasonal means and higher for
individual days (Jaffe et al., 2018). Further, differences between models that share
parameterizations may not fully quantify underlying uncertainty and the year-to-year variability
complicates comparing model simulations done for different years.

2.5.3 Estimates of USB and Contributions to USB in 2016

Background O3 is known to vary seasonally, spatially, and with elevation (as discussed in
section 2.5.1, above). Seasonal variations are related to temporal changes in both sources and
sinks. Spatial variations are related to differential transport patterns and the proximity to sources
of background O3. Elevation is important in determining USB because it relates to the proximity
to the free troposphere. In addition, the seasonality and spatial relationships of USB and USA
contributions are not always aligned. As a result, USB can be highest on days with lower total
O3. For these reasons, estimates of USB and USB components (i.e., Natural and International)
contributions developed from the current modeling are summarized spatially, over time, and as a
function of total O3.

All analyses of USB and components focus on model predictions over land within the
U.S. The U.S. and adjoining areas are represented in the modeling using grid cells. Only grid

40 More information related to this issue is available on the fire working group wiki page
http://views.cira. colostate.edu/wiki/wiki/9175#July-l 2-2018.

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cells in the U.S. are included in this analysis.41 Grid cells with water as the dominant land use
(e.g., lake or ocean) were simply excluded from analysis to acknowledge the potential bias of
total O3 over water bodies (U.S. EPA, 2018). The USB estimates provided here are all in terms
of a metric, MDA8, closely related to the form of the current O3 standards, and do not directly
apply to other metrics.

Section 2.5.3.1 characterizes the spatial variation of model-predicted MDA8 O3
concentrations and contributions using maps of seasonal averages. Section 2.5.3.2 characterizes
the time variation of the predicted MDA8 O3 and contributions using time series of spatial
averages. Section 2.5.3.3 characterizes the relationship between predicted USB components and
predicted total O3. Section 2.5.3.4 summarizes USB predictions across regions and seasons.

2.5.3.1 Spatial Characterization of O3 Contributions

Figure 2-19 and Figure 2-20 provide seasonally aggregated maps that show the spatial
distribution of total model-predicted MDA8 O3 and contributions from natural, international, and
U.S. anthropogenic sources across the U.S.

Figure 2-19 shows predicted MDA8 values for the 12 km domain averaged for spring
months (March, April, and May) for total O3 and contributions from Natural, International, and
USA. Natural is a relatively large contributor to total O3 in spring with a relatively small range of
values (ratio max:min = 2). International contributes less with a larger range (ratio max:min = 3).
There are spatial gradients primarily along parts of the Mexico border, and an overarching
general West-East gradient. The USA contribution, even in spring, has the largest variation (ratio
max:min > 20) with enhancements in some urban areas.

41 Modeling grid cells are assigned to the U.S. based on the grid cell centers. For grid cells whose area covers the
U.S. and an adjoining area, the grid cell is only assigned to the U.S. if the fraction of anthropogenic NOx
emissions contributed by the U.S. is greater than 80%. This is designed to remove grid cells from the analysis
when the model cannot differentiate the border.

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Intt: 9 ppb
(6, 17 ppb)

	41

Natural: 21 ppb
(14, 28 ppb)

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Figure 2-20. Predicted MDA8 total O3 concentration (top left), Natural (top right),

International (bottom left), and USA (bottom right) contributions in summer
(June, July, Aug). Each contribution has the spatial average and range (min,
max) in ppb in the lower left-hand corner of the panel.

2.5.3.2 Seasonal and Geographic Variations in Ozone Contributions

Seasonal and geographic variations are an important part of background O3. The
geographic variation helps us to understand where USB contributes appreciably to O3
concentrations. The seasonal variation is particularly important as it determines whether high
USB and MDA8 concentrations above 70 ppb are likely to occur at the same time. This section
begins by characterizing the dependencies of predictions for different USB components on
season and geography to define regions for further analysis. These dependencies are used to
define regions for subsequent time series analysis.

Seasonal dependence: Comparing Figure 2-19 and Figure 2-20 highlights the seasonal
differences in the predicted contributions from Natural, International, and USA sources. Between
spring and summer, the International contribution decreases by 33%; the USA contribution
increases by 40%; and the contribution from Natural sources shows a relatively small increase of
5%. The differences in contributions between the spring and summer are due to a complex
relationship between O3 production, O3 lifetime, and therefore transport efficiency. Cooler drier
conditions increase the lifetime of O3 in winter/spring compared to summer/fall (Liu et al.,
1987). As a result, winter and spring have more efficient transport of O3 compared to summer

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and fall. Summer and fall, however, have warmer weather that promotes higher local O3
production rates. Thus, summer and fall have locally fast O3 production and relatively inefficient
transport, which combined increase the relative contribution of proximate sources.

Border dependence: In the summer, model-predicted gradients of International O3 at the
borders are most obvious. As previously discussed, summer temperatures increase O3 production
rates and decrease O3 lifetimes. As a result, areas with locally high O3 are evident near the border
in southern California and the Big Bend and lower Rio Grande areas of Texas. These local
enhancements generally occur within tens of kilometers from the border due to the short O3
lifetime in summer as noted above.

Topography dependence: High elevation monitors are closer to the free troposphere; in
fact, at certain times of day and locations, the surface can sample free tropospheric air (Jaffe et
al., 2018). Complex topography can also enhance downward transport - for example, free
tropospheric air can "downwash" on the lee-side of high elevation mountains. Sites on the lee-
side can then be affected by this large-scale downwash. High elevation sites or sites influenced
by enhanced vertical transport may show higher contributions from more distant sources.

Combined Seasonal and Geographic Dependence: The simultaneous effects of
topography, proximity to international borders, and seasonal variations are highlighted by
Hovmoller diagrams (Figure 2-21). The Hovmoller diagram shows the average concentration as
a function of month (y-axis) and distance-to-border or elevation (x-axis). Due to the higher
magnitude of estimates of USB sources in the West than the East (Figure 2-19 and Figure 2-20),
the effects of distance and elevation are shown for the West. For the purposes of this analysis, we
use the 97W longitude line as a convenient way to separate the West from the East. The figures
show average estimated values and should not be used to estimate the international contribution
at any specific location. In addition, there are distinct gradients within the 100 m resolution of
the distance-to-border bins. For instance, the 0-100 km from the border grid cell values represent
a spatial average such that the locations directly adjacent to the border have Mexican
contributions higher than that average and the locations 100 km from the border have Mexican
contributions lower than that average.

Figure 2-21 shows that proximity to the border with Canada or Mexico is a good
indicator of the role of international contributions on USB predictions. In the spring, the average
international contribution can be as much as 12.4 ppb within 100 km of the border (62 miles). In
the early spring, large contributions persist further from the border because of the longer O3
lifetimes. Near the borders the contributions also have much higher variability, both from day-to-
day and between locations on the border. The contribution from international sources drops
notably in the summer months when O3 concentrations are highest. The day-to-day variability is
associated with the variations in wind direction, while the location variability is associated with

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the proximity to an international population center. International contributions are highest in
near-border areas of the U.S. where there are emissions sources on the other side of the border.

To isolate the effect of elevation alone, Figure 2-21 shows the predicted international
contributions as a function of elevation after excluding border areas. In the spring, higher
international contributions are seen at all elevations. The international contribution at all
elevations decreases in summer compared to spring, but to lower contributions at lower elevation
and mostly slowly for the very high elevations (> 1500 m). This is consistent with findings from
Zhang et al. (2011) who used this elevation as a threshold.

Mean 03 8HRMAX West of 97W All 12US2	Mean 03 8HRMAX West of 97W notnearbord 12US2

distance from MEXCAN border {0. 1094 km)	Elevation (*12. 3660 m)

Figure 2-21. Predicted contribution of International sources as a function of distance from
Mexico/Canada (left) and at "interior" locations (excluding border areas) by
elevation (right).

Timeseries Analysis: The maps in Figure 2-19 and Figure 2-20 and the Flovmoller plots in
Figure 2-21 highlight the impact of season and location on predicted O3 and contributions. To
further characterize the temporal variations in contributions, the contribution data are averaged
over West and East regions individually using 97W as a dividing line. The coarse "all-cells"
averaging of the data from individual grid cells ignores the major features of the relationship
between the sources and receptors on a sub-regional basis. For example, there are more grid cells
with high urban density and high anthropogenic NOx in the East, so the USA contribution will
be higher in the East. Similarly, there are more high elevation areas in the West, so transported
O3 from outside the U.S. will be higher there. Within the West, however, there are also urban
areas that have both high predicted contributions from international transport and anthropogenic
emissions in the U.S. An analysis using "all-cells" will highlight the general characteristics of the
region. To highlight the within region variability in the West, we also include analyses that focus
on urban cells at high-elevation, near borders, and elsewhere. Figure 2-22 shows regions (West

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and East) with high-elevation and near border areas and urban areas highlighted by contours. As
can be seen, all the high-elevation areas and Mexico/U.S. border are assigned to the West, the
Canada/U.S. border extends across both East and West, and there are no high-elevation areas in
the East.

Near and High
Near Border

High Elevation

West
East

Excluded

Figure 2-22. Grid cell assignments to East (of 97W), West (of 97W), High Elevation (>
1500m), Near Border (within 100 km), and Near and High (i.e., both High
Elevation and Near Border). The purple outlines highlight grid cells with 20%
or greater urban land use. Near Border areas are in both the West and East, while
High Elevation areas are exclusively in the West. Areas matching colors denoted
East and West, are thus the Low Elevation/Interior areas.

Figure 2-23 shows the time series of regional average (C) MDA8 O3 and O3 contributions
over the year for the West and East at "all-cells," calculated using equation 2-1.

Equation 2-1

Nx

where,

Nx = number of grid cells (x) included

("v = concentration at each grid cell location (x)

The temporal pattern in the regional average clearly shows that the seasonality of MDA8
predictions for each total O3 component varies by region. The natural contribution has a single
maximum in late summ er in the West, whereas, in the East there is evidence of two peaks— the
largest in late Spring and a second peak in early Fall. The somewhat lower MDA8 O3 in summer

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in the East requires further analysis but may be related to the lack of lightning emissions within
the regional domain. The seasonality international contribution predictions is more similar
between the two regions. The international contributions in both the West and East are greatest in
Spring, but the contribution in the West is larger both at its peak and its trough, compared to the
East. The total international contribution and the separately analyzed long-distance components
(e.g., China, India, international shipping) peak in spring when O3 lifetimes favor long-range
transport (see Appendix 2B, Figure 2B-29). However, the Canada/Mexico component of
international contributions peaks in summer because of the relative proximity to the U.S.
receptors. The predicted USA contribution increases in the summer for both the West and the
East, but the USA contribution in the West is smaller than in the East. As mentioned previously,
this "all cells" average is disproportionately rural in the West. The following analysis looks
further at the different types of land in the West, including urban areas that are more
representative of population centers that behave differently than the "all cells" analysis.

C West 97W 12km All >0 ppb

Natural

Res-Arith

Inti

USA

2016-03	2016-05	2016-07	2016-09	2016-11	2017-01

C East 97W 12km All >0 ppb	Natural m Res-Anth m Intl	USA

2016-03

2016-05

2016-07

2016-09

2016-11

2017-01

Figure 2-23. Annual time series of regional average predicted MDA8 total O3 concentration
and contributions of each source (see legend) for the West (top), and the East

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(bottom). Natural is global natural sources, Intl is international anthropogenic
sources, USA is U.S. anthropogenic sources, and Res-Anth is the residual
anthropogenic (see Table 2-2 for further descriptions).

Figure 2-24 shows the predicted contributions to total O3 in the West split into three
parts: the highest elevation areas, the near border areas, and Low/Interior areas with a weighted
average focusing on urban areas. Each of these subsets is illustrated in Figure 2-22, which shows
high elevation areas (exclusively in the West), near border areas (along the U.S./Mexico and
U.S./Canada borders), and dense urban areas. The Low/Interior areas are neither high elevation
nor near border. In each subset of cells, the purple outlines show the areas whose urban land use
is highest. The effect on O3 contributions of the relative amount of urban land use can be
illustrated by computing an urban area weighted average contribution (Cu), calculated using
equation 2-2.

where,

A% is the urban area in the grid cell x

The urban area weighted average gives a larger weight to data in those urban areas that have
dense emission sources (e.g., mobile). The urban area weighted average shows higher
contribution from USA while Natural and International are lower compared to Figure 2-23. The
differences between urban-weighted and non-weighted contributions are smaller in the East (not
shown) than in the West (compare Figure 2-23 top and Figure 2-24 bottom). Compared to the
West, the East has a larger fraction of land use that is urban (see Figure 2-22), which explains
this difference. Thus, the non-weighted regional average contributions in the East includes the
effects of urban areas much more so than the West. The seasonality of International is also
different between the highest elevation areas, near border areas, and urbanized areas. At
low/interior and at high-elevation sites, the simulated International contribution peaks earlier in
the year than at border sites. This earlier season peak is consistent with seasonality of O3 lifetime
necessary for long-range transport and a smaller contribution of long-distance sources (India,
China, and global shipping, see Appendix 2B, Figure 2B-30). At near-border sites, the seasonal
cycle of predicted USB contributions from Canada/Mexico and from long-range transport
combine to create a maximum later in the spring or early summer that is dominated by
Canada/Mexico contributions (see Appendix 2B, Figure 2B-30, middle panel).

Equation 2-2

X

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	 C" West 97 W 12km >1500m >0 ppb ฆฆ Natural ฆฆ Res-Anth mm Intl	USA

3 40

s

cฃ.

1	30
m

O

ra 20
ai

2

10

2016-05	2016-07	2016-09	2016-11	2017-01

	 West 97W 12km MX/CAN < 100km >0 ppb ฆฆ Natural m Res-Anth ฆ Intl ฆ USA

x
<
2
oc
X

5 40
S 30

2016-03	2016-05	2016-07	2016-09	2016-11	2017-01

	 C" West 97W 12km Low/Interior >0 ppb ฆฆ Natural IB Res-Anth MB Intl Hi USA

2

3

4	Figure 2-24. Annual time series of regional urban area-weighted average predicted MDA8

5	total Os concentration and contributions of each source (see legend) for the

6	High-elevation West (top), near-border West (middle), and Low/Interior West

7	(bottom). Natural is global natural sources, Intl is international anthropogenic

8	sources, USA is U.S. anthropogenic sources, and Res-Anth is the residual

9	anthropogenic (see Table 2-2 for further descriptions).

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2.5.3.3 Ozone Source Contributions as a function of Total Ozone Concentration

Background contributions are also known to vary as a function of total O3. To illustrate
the relationship, specialized scatter density plots were created to show the contributions as a
function of total O3. Unlike the rest of this section, the scatter density plots do not apply the
episodic natural filter described in section 2.5.2. Thus, episodic natural contributions including
double counted fires are included in these presentations, and the effect of large events may be
overestimated.42 In the scatter density plots (Figure 2-25 through Figure 2-27), each pixel
represents a 5 ppb O3 bin. In a traditional scatter density plot, the pixel color would represent the
proportion of all points that fall within that pixel. However, in Figure 2-25 through Figure 2-27
the color represents the fraction of grid-cell-days within each 5 ppb total O3 bin (i.e., the x-axis)
that have a particular model-predicted contribution value (i.e., the y-axis). Brighter colors show
where the most frequent model-predicted contribution (y-axis: Natural or International) lies
within each 5-ppb bin of total O3 value (x-axis). As a reference, percent contribution lines are
overlaid on the plots to help contextualize the results.

Figure 2-25 shows the simulated daily Natural contribution as a function of total MDA8
concentration in the West and East for the whole year. In both regions the majority of total O3
concentrations are under 40-50 ppb. At these low concentrations, the natural contribution
correlates well with total O3 and frequently contributes half of the total O3. At low
concentrations, natural contributions estimated by a zero-out approach can be larger than 100%
of the total prediction. This is a result of NOx-titration by local anthropogenic emissions, which
reduces O3 concentrations and is a well-known non-linearity of O3 chemistry. Thus, removing
the local NOx source increases prediction concentrations. At higher concentrations, Figure 2-25
shows that predicted natural contributions in both regions have a bimodal distribution (or a fork
in frequency of contributions). The lower mode represents a plateau of natural contributions with
increasing total O3, which represents enhancement by anthropogenic sources. The upper mode
represents instances where natural contributions are correlated with total predicted O3. In the
West, the lower mode is less dominant than the East. This suggests, at least in the modeling, that
there are more frequent model-predicted contributions from wildfires and/or stratospheric
intrusions in the West. Wildfire emissions are known to be overestimated in this emission
inventory and their contribution to O3 concentrations are also often overestimated by CMAQ
predictions. As a result, these predictions of very high natural contributions should be interpreted

42 When episodic natural events contribute to elevated O3 concentrations documented in air quality monitoring data
to such an extent that they result in a regulatorily significant exceedance or violation of the NAAQS, they can be
addressed via the Exceptional Events Rule (40 CFR 50.14).

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qualitatively as simply indicating that such contributions can be appreciable, rather than as
providing accurate and precise quantitative predictions.

50	100

Base ppb

50	100

Base 00b

Figure 2-25. Predicted contribution of Natural as a function of predicted total (Base)
MDA8 ().< concentration in the West and East. Sloped lines show percent
contribution as a quick reference. The number of cells in each column is
identified using the probability density function above the plot, which is on a
log scale that highlights infrequent high concentrations.

Figure 2-26 shows the predicted contribution in the West and East from international
anthropogenic sources. Unlike natural contributions, there is very little correlation between
international anthropogenic and total O3. There are rare large model-predicted contributions,
which are more frequent in the West than in the East and rarely contribute more than 50% total
O3 in either region. There are also negative contributions (up to -15 ppb), which arise from non-
linearities in chemistry. The largest negative contribution predictions are along the Mexico
border. These can either be NOx-titration events or cases where chemistry associated with
international NOx-sources remove precursors that would otherwise enhance O3 from U.S.
sources. Negative international contributions tend to occur at relatively low total O3
concentrations.

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irt ci

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-0.4 |
fฎ

ฆ•oo

50	100	150	200

Base ppb

r-r 10

• o.6;

50	LOO

Base ppb

150	200

Figure 2-26. Predicted contribution of International as a function of predicted total (Base)
MDA8 O3 concentration in the West and East. Sloped lines show percent
contribution as a quick reference. The number of cells in each column is
identified using the probability density function above the plot, which is on a
log scale that highlights infrequent high concentrations.

Figure 2-27 illustrates the relationship between predictions of U.S. anthropogenic sources
and total O3. Above 50 ppb, the predicted contribution from USA increases with total O3 in both
the West and the East. The relationship is stronger in the East, than the West, where near border
contributions, fire contributions, and stratospheric exchange are smaller. Even so, the higher total
O3 in the West has a similar association of larger USA contributions at larger concentrations.

This is consistent with previous findings (Henderson et al., 2012; U.S. EPA, 2014).

& 100

50	100

Base ppb

0.4 \

50	100

Base ppb

Figure 2-27. Predicted contribution of USA as a function of predicted total (Base) MDA8

O3 concentration in the West and East. Sloped lines show percent contribution
as a quick reference. The number of cells in each column is identified using the
probability density function above the plot, which is on a log scale that
highlights infrequent high concentrations.

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Another way of looking at the contributions is to restrict the time series to grid cells
where the concentration is above a threshold. Restricting to grid cells with high concentrations
implicitly weights the results toward urban areas where these high concentrations occur most
frequently. Figure 2-28 shows the seasonal and regional variation of USB (International
Anthropogenic and Natural) and USA (anthropogenic only) sources on high O3 days (MDA8
>70 ppb). The largest magnitude differences between sources in the East and West come from
contributions predicted for Natural and USA sources. Recall that the West contains all the high-
elevation areas (>1500 m) and the full length of the U.S./Mexican border. Figure 2-29 includes
time series for high elevation, near Mexico border, and low-elevation interior areas separately.
Compared to the East, the low/interior sites in the West have 9 ppb larger contribution from
Natural and 2 ppb more from International. Compared to low/interior sites in the West, the high-
elevation sites have 7 ppb larger contributions from Natural and 4 ppb more from International.
For border areas, the International contribution is 13 ppb greater than in Low/Interior sites. As
previously noted, there are large gradients of predicted international contributions even within
the border areas, such that some locations within the 100 km of the border are predicted to
receive larger international contributions while others are predicted to receive substantially
smaller international contributions than noted above.

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2016-01	2016-03 2016-05 2016-07	2016-09	2016-11	2017-01

2

3	Figure 2-28. Annual time series of regional average predicted MDA8 O3 and contributions

4	of each source to predicted MDA8 total O3 (see legend) in the West (top) and

5	East (bottom) including only those grid-cell days with MDA8 greater than 70

6	ppb. Natural is global natural sources, Intl is international anthropogenic sources,

7	USA is U.S. anthropogenic sources, and Res-Anth is the residual anthropogenic

8	(see Table 2-2 for further descriptions).

9

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C West 97W 12km >l500m >70 ppb

Natural

Res-A nth

Intl

USA

80

70

60

x

< 50

s

x

40

a)

?30
ฆ

a

ฃ 20

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2016-01

2016 03

2016-05

2016-07

2016-09

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2017-01

C West 97W 12km MX/CAN < 100km >70 ppb

Natural

Res-Anth

Intl

USA

so

70

a 60

X

I 50
en

ฃ 40

m

O 30

S 20

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0 4	

2016-01

2016-03

2016-05

2016-07

2016-09

2016-11

C" West 97W 12 km Low/Interior >70 ppb

Natural



Res-Anth

2016-03

2016-05

2016-07

2016-09

2016-11

2017-01

Figure 2-29. Annual time series of regional average predicted MDA8 O3 and contributions
of each source to predicted MDA8 O3 (see legend) in the high-elevation West
(top), in the near-border West (middle), and in the Low/Interior West
weighted toward urban areas (bottom) including only those grid-cell days with
MDA8 O3 greater than 70 ppb. Natural is global natural sources, Intl is
international anthropogenic sources, USA is U.S. anthropogenic sources, and Res-
Anth is the residual anthropogenic (see Table 2-2 for further descriptions).

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2.5.3.4 Predicted USB Seasonal Mean and USB on Peak O3 Days

The analyses above describe the contributions from the components of USB to MDA8 O3
over seasons and days. Jaffe et al. (2018) concluded that model predictions of seasonal means
have more certainty than individual daily or episodic estimates of USB. However, from a policy
perspective, it is also useful to understand the USB contributions for various regulatory-relevant
metrics. In addition to reporting predicted USB using a seasonal average metric, we also examine
predicted USB (1) on days with the highest predicted MDA8 total O3 concentrations (top 10
days); (2) on days predicted to have the 4th highest MDA8 total O3 concentrations in the year;
and (3) on days when predicted MDA8 for total O3 is above 60 ppb or above 70 ppb.

Figure 2-30 shows USB predicted by a single simulation with U.S. anthropogenic
emissions zeroed-out. Similar to what was found for the seasonal average metric, the effect of
topography and proximity to borders are readily evident for predicted MDA8 USB on the top 10
days and the 4th highest days. The differences in seasonal average contributions between the East
and West are also evident with the top 10 days metric and 4th highest day metric. The speckled
nature of the USB plot for the 4th highest day is due to the day or even season on which the 4th
high is predicted to occur, which varies from grid cell to grid cell. The season in which the 4th
highest day occurs influences the expected contribution from long-range international transport.
The average USB contributions for the top 10 days exhibit a smoother spatial pattern because
there is a tendency for high days to be grouped seasonally, even if the 4th highest is not. Because
the USB contribution varies by season, the predicted USB contribution on the predicted 4th
highest day is quite sensitive to model bias because bias may change the season on which the 4th
highest predicted day occurs.

It is also important to highlight that areas with high predicted USB contributions do not
always coincide with areas where MDA8 total O3 concentrations are predicted to be above 70
ppb. On the 10 highest predicted MDA8 O3 days, predicted USB is relatively constant over large
areas (see Figure 2-30 middle left). Within these areas of relatively constant USB, Figure 2-30
shows that the locations having model-predicted MDA8 concentrations above 70 ppb are
generally in or near urban areas (Figure 2-30 lower right).

The USB contribution predicted in urban areas on the predicted top 10 days tends to be
lower than in surrounding rural areas. This is due to the temporal anti-correlation of local
contribution with natural and international contributions. In urban areas, MDA8 total O3
concentrations above 70 ppb tend to occur in summer and fall when anthropogenic sources result
in locally high increments of O3. Also during these seasons, long-range transport is limited and
USB from intercontinental transport is at its lowest. As a result, the predicted top 10 and 4th
highest concentration days in urban areas tend to have lower predicted USB contributions than
do such days in rural parts of the region even though rural areas have lower MDA8 O3. As a

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result, the areas with predicted top 10 days having MDA8 total O3 above 70 ppb tend to have
lower percentage USB contributions than the surrounding areas.

Predicted USB contributions can be large on top 10 days near populated U.S./Mexico
border areas. In near-border areas with large anthropogenic emissions, international transport can
make a large contribution. For example, across the 4th highest days predicted for every grid cell
in this model simulation, the highest predicted MDA8 USB is 80 ppb (at a location immediately
adjacent to the border). Given the uncertainties associated with such single value predictions,
averaged predictions are important to consider. Compared to the maximum USB on the 4th high,
the maximum USB is 10 ppb lower for the average of top 10 days (Figure 2-30, middle left
panel) and 11 ppb lower the average of days with MDA8 above 70 ppb (Figure 2-30, lower left
panel). The very high USB values associated with international anthropogenic emissions are very
near the U.S./Mexico border and, to the extent that associated areas have been designated
nonattainment for the NAAQS, these areas may qualify under Clean Air Act section 179B, titled
"International border areas," for specified regulatory relief upon submission of a satisfactory
demonstration.

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1

USB: 37 ppb
(14, 70 ppb)

	ii_

USB; 37 ppb
(9, 80 ppb)

	11

>70 ppb: 0 days
(0, 90 days)

	1\ ^

2	Figure 2-30. Map of predicted USB contributions by O3 season for spring average (top left),

3	summer average (top right), top 10 predicted total O3 days (center left), 4th

4	highest total O3 simulated day (center right), and all days with total O3 greater

5	than 70 ppb (bottom left), along with a map of the number of days with total

6	O3 above 70 ppb (bottom right, where yellow pixels have 10+ days). Each

7	contribution has the spatial average and range (min, max) in the lower left-

8	hand corner of the panel.

9

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The maps in Figure 2-30 provide a detailed spatial representation of predicted USB but
may imply more precision than can be expected from a modeling system. For example, the
maximum USB on predicted fourth highest day reaches 80 ppb near the Mexico border. The
largest USB at nearby monitoring sites was 71 ppb.43 The observed 4th highs at those monitors
occurred in late February and early March, while the predicted 4th highs occurred in summer.
After selecting the 4th highs based on the observations and applying bias correction
proportionally to contributions, the new USB at these locations is 51 and 63 ppb. The USB
values for any given grid cell may be biased due to local features of topography, meteorology,
emissions bias, or model construct.

To complement the spatially resolved data and reduce bias associated with individual
daily model predictions, we also spatially aggregate the data by NOAA climate region. The
predicted USB values by climate region are provided in Table 2-3 to Table 2-6. Similar to the
figures, the tables separately quantify all grid cells (Table 2-3), high elevation (>1500 m) areas
(Table 2-4), near border areas (Table 2-5), and low-elevation (<1500 m) interior areas (Table 2-
6). These tables show the spatial averages of USB within each climate region for the annual
average, seasonal averages, averages of days when MDA8 O3 is greater than 60 or 70 ppb,
averages of each grid cell's top 10-days, and each cell's 4th highest day. Note that top 10-day
average and 4th high day for each grid cell may be from different times of the year compared to
the neighboring grid cells. As a result, grid cells with highest O3 driven by transport in the Spring
are being mixed with grid cells with highest O3 driven by local formation. Applying these
averages to interpret observations must, therefore, be done in the full context of time, space, and
concentration range.

43 Monitor 06-025-1003 measured 4th maximum value was 74 ppb on March 1, 2016. Monitor 06-073-1011

measured 4th maximum was 75 ppb on February 28, 2016. Predicted USB on predicted 4th high at both locations
was 71 ppb without bias correction in July and August.

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1	Table 2-3. Predicted USB for U.S. and U.S. regions based on averages for all U.S. grid

2	cells.

Regions*

Mean MDA8 for Seasons or Year

Mean MDA8 of Values in Subset

Annual
4th highest
MDA8

DJFB

MAMC

JJAD

SONE

ANNF

>60ppb

>70ppb

Top10

U.S.

26

32

31

29

30

38

33

37

37

West

28

35

36

32

33

47

43

44

44

East

24

29

24

25

26

28

27

28

28

NW

27

33

33

32

31

43

32

41

41

W

30

34

38

34

34

47

43

46

47

WNC

24

33

36

30

31

48

44

43

44

SW

31

38

39

35

36

51

48

49

49

S

27

33

26

27

28

34

29

33

33

ENC

21

30

28

26

26

31

34

32

33

C

24

30

25

26

26

28

28

28

28

SE

25

28

20

24

24

25

22

25

25

NE

25

29

27

27

27

29

26

28

27

AU.S.=continental U.S, West= >97 degrees West longitude, East= <97 degrees West longitude, NW=Northwest, W=West,
WNC=WestNorthCentral, SW=Southwest, S=South, ENC=EastNorthCentral, C=Central, SE=Southeast, and NE=Northeast.
B Season defined as December, January and February.
c Season defined as March, April and May.

D Season defined as June, July and August.

E Season defined as September, October and November.

F Annual mean.

3

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1 Table 2-4. Predicted USB for high elevation locations (>1500 m).



Mean M

DA8 for Seasons or Year

Mean MDA8 of values in subset

Annual
4th highest
MDA8

Regions*

DJFB

MAMC

JJAD

SONE

ANNF

>60ppb

>70ppb

ToplO

U.S.

31

37

40

35

35

52

49

49

50

West

31

37

40

35

35

52

49

49

50

East

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

NW

29

35

38

33

34

52

42

47

48

W

32

36

42

36

36

53

47

51

52

WNC

28

35

39

34

34

52

48

48

49

SW

32

38

39

35

36

51

50

50

50

S

35

43

36

35

37

55

59

52

53

ENC

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

C

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

SE

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

NE

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

A U.S.continental U.S, West= >97 degrees West longitude, East= <97 degrees West longitude, NW=Northwest, W=West,
WNC=WestNorthCentral, SW=Southwest, S=South, ENC=EastNorthCentral, C=Central, SE=Southeast, and NE=Northeast.
B Season defined as December, January and February.
c Season defined as March, April and May.

D Season defined as June, July and August.

E Season defined as September, October and November.

F Annual mean.

2 Table 2-5. Predicted USB for locations within 100 km of Mexico or Canada Border.

Regions*

Mean MDA8 for Seasons or Year

Mean MDA8 of values in subset

Annual
4th highest
MDA8

DJFB

MAMC

JJAD

SONE

ANNF

>60ppb

>70ppb

ToplO

U.S.

26

34

32

30

30

45

43

40

40

West

28

36

34

32

32

51

56

45

45

East

22

29

28

27

27

33

34

31

31

NW

27

32

30

31

30

46

N/A

38

38

W

30

35

41

36

36

46

51

51

51

WNC

21

33

34

29

29

49

N/A

42

42

SW

32

40

36

35

36

53

55

49

50

S

32

41

33

32

34

52

63

48

49

ENC

20

29

28

26

26

32

35

32

32

C

24

30

29

28

28

31

30

31

32

SE

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

NE

24

29

28

27

27

34

41

30

30

A U.S.continental U.S, West= >97 degrees West longitude, East= <97 degrees West longitude, NW=Northwest, W=West,
WNC=WestNorthCentral, SW=Southwest, S=South, ENC=EastNorthCentral, C=Central, SE=Southeast, and NE=Northeast.
B Season defined as December, January and February.
c Season defined as March, April and May.

D Season defined as June, July and August.

E Season defined as September, October and November.

F Annual mean.

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Table 2-6. Predicted USB for low-elevation (<1500 m) that are 100 km or farther from
the border.



Mean MDA8

for Seasons or Year

Mean MDA8 of values in subset

Annual 4th
highest
MDA8

Regions*

DJFB

MAMC

JJAD

SONE

ANNF

>60ppb

>70ppb

ToplO

U.S.

25

31

28

28

28

33

30

34

34

West

27

34

34

31

31

43

39

41

41

East

24

29

24

25

26

27

27

28

28

NW

27

32

31

31

30

37

32

38

38

W

29

32

35

33

32

42

41

42

42

WNC

23

33

36

29

30

44

42

41

42

SW

29

37

38

33

34

49

43

47

47

S

26

32

26

27

28

32

26

32

32

ENC

21

30

28

26

26

31

33

32

33

C

24

30

25

26

26

28

28

28

28

SE

25

28

20

24

24

25

22

25

25

NE

25

29

26

27

27

28

25

27

26

A U.S.continental U.S, West= >97 degrees West longitude, East= <97 degrees West longitude, NW=Northwest, W=West,
WNC=WestNorthCentral, SW=Southwest, S=South, ENC=EastNorthCentral, C=Central, SE=Southeast, and NE=Northeast.
B Season defined as December, January and February.
c Season defined as March, April and May.

D Season defined as June, July and August.

E Season defined as September, October and November.

F Annual mean.

2.5.4 Summary of USB

Background O3 results from a variety of sources, each of which has its own temporal
pattern and spatial distribution. The location and timing of these sources impacts O3 production,
dispersion and loss and thus different background O3 sources have unique seasonality and spatial
patterns. The analysis presented here provides updated model-based estimates of magnitude,
seasonality and spatial patterns of background O3 contributions. The analysis separately
characterizes the estimated magnitude and spatial/temporal patterns of MDA8 O3 from three
sources: natural, international anthropogenic, and USA anthropogenic.

The current analysis indicates that natural and USA O3 contributions peak during the
traditional O3 season (May through September), while long-range intercontinental transport of
international O3 (i.e. contributions from China, India, etc.) peaks in the spring (February through
May). The contributions from Canada/Mexico at near-border locations are associated with
relatively short-range transport and the seasonality peaks during May through September, similar
to USA anthropogenic O3. The influence of Canada/Mexico, however, is indicated by the model
predictions to have a stronger spatial gradient in summer, so Canada/Mexico contributions are
most evident near the border. Of the three categories of contributions, the USA anthropogenic is
best correlated with total O3 at concentrations above 40-50 ppb in both the West and the East

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suggesting that US anthropogenic emissions are usually the driving cause of high O3 events in
the US. This is largely explained by temporal patterns of background O3 influences in relation to
typical high O3 events. There can be exceptions to this rule that are generally associated natural
contributions at high-elevation, during fires events, or at near-border sites.

This modeling analysis indicates the relationship between predicted international and
USA anthropogenic contributions depend upon the international sources and the location. Long-
range transport and USA anthropogenic contributions tend peak at different times of the year, so
the contribution of international is often at its minimum when local sources are the driving factor
for high total O3 during the May through September O3 season. Even in cases where O3 formed
from international anthropogenic emissions does coincide seasonally with high O3 periods, the
impact of those sources can have large spatial variation. For example, O3 formed from
anthropogenic emissions in Canada and Mexico can peak in late spring or early summer when
total O3 is high. During this time-period, there is a strong spatial variability not shown in the
regional mean. As a result, specific days at specific locations may experience larger or smaller
contributions from cross-border transport on an episodic basis that is not well characterized by
average seasonal contributions. Another example of spatial heterogeneity is exemplified by
wintertime O3 events associated with emissions from local oil and gas production in the
Intermountain West. Even though these episodes can occur as early in the year as February,
international emissions do not contribute to them substantially. The conditions associated with
these events result in decoupling of the local air masses from the upper atmosphere, essentially
isolating air in the mountain valleys from the atmosphere above and reducing the influence of
long-range transport compared to other winter and early spring days. As a result, these unique
wintertime O3 episodes have little relative influence from international emissions despite
occurring at a time of year when long-range transport from Asia is efficient. This highlights the
need to perform location specific analysis rather than relying on regional averages.

In addition to seasonal patterns, the ISA highlights interannual patterns in background O3
as well as long-term trends (ISA, section IS.2.2.1). Natural emissions and international transport
are highly impacted by meteorological patterns which vary from year to year. One key ISA
finding is that decreasing East Asian NOx emissions starting around 2010, which would suggest
decreasing contributions from East Asia in the future if those trends continue, and therefore
decreasing spring USB.

Assessments of background O3 in the 2015 review reported regional variation in
background O3 (2013 ISA; 2014 PA). Consistent with those assessments, modeling presented
here predicts that USB is higher in the West than in the East. In this analysis, we found that on
high O3 days (greater than 70 ppb) the West-East differences are largely associated with
international contributions in near-border areas and natural contributions at high-elevation

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locations. The Natural component of USB exhibits the largest magnitude difference between the
West and East. International contributions from intercontinental transport (e.g., Asia) are most
important at high elevations in the West, while international contributions from Canadian and
Mexican sources are most pronounced immediately adjacent to the borders.

The modeling performed for this assessment does not differentiate between natural
sources of ozone. For this analysis we did not attempt to separately quantify the contributions
from individual Natural sources (e.g., lightning, soil, fires, stratosphere) or to address exceptional
events beyond basic screening to remove very large fire plumes. Literature-based emissions
estimates and photochemical modeling studies can help to inform the likely contributors to
natural. In the northern hemisphere, the natural NOx sources with the largest emissions estimates
are lightning (9.4 megatonN/yr), soils (5.5 megatonN/yr), and wildland fires (-2.2
megatonN/yr). Because NOx is the limiting precursor at hemispheric scales, the emissions
estimates suggest that lightning and soils are most likely the largest contributors to Natural O3,
except when impacted by specific fire episodes. As noted by Lapina et al. (2014), a large
contribution from lightning may be the result of lightning strikes outside the U.S. while the
contribution from soil NOx tends to be largest from emissions within the U.S. The distant
lightning source is likely to have its effect as part of the well-mixed background. The local soil
NOx emissions have a clear seasonal cycle and are known to have large local contributions. The
relative effect at any specific site would require further analysis, including identifying the portion
of the effect due to fertilizer.

The overall findings of this assessment are consistent with the 2014 PA, with the EPA's
Background Ozone whitepaper (U.S. EPA, 2015) and with the peer reviewed literature (e.g.,

Jaffe et al. 2018). The definition of USB is also consistent with the assessment in the 2014 PA
and includes global natural and international anthropogenic emission sources (NOx and VOC).
Specific findings from the current analysis are summarized as:

•	USB has important spatial variation that is related to geography, topography, and
international borders. The spatial variation is influenced by seasonal variation with long-
range international transport contributions peaking in the spring while US anthropogenic
contributions peak in summer.

•	The West has higher predicted USB concentrations than the East, which includes higher
contributions from International and Natural sources. Within the West, high-elevation
and near-border areas stand out as having particularly high USB. The high-elevation
areas have more International and Natural contributions than low-interior areas in the
same region. The near-border areas in the West can have substantially more international
contribution than other parts of the West.

•	The USA contributions that drive predicted MDA8 total O3 concentrations above 70 ppb
are predicted to typically peak in summer. In this typical case, the predicted USB is
overwhelmingly from Natural sources. The most notable exception to the typical case is

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1	reflected by predictions for an area near the Mexico border where the modeling indicates

2	that a combination of Natural and Canada/Mexico contributions can lead to predicted

3	MDA8 USB concentrations 60-80 ppb, on specific days, which is consistent with the O3

4	PA prepared for the 2015 review (2014 PA, Section 2.4).44

5	• Predicted international contributions, in most places, are lowest during the season with the

6	most frequent occurrence of MDA8 concentrations above 70 ppb. Except for the near-

7	border areas, the International contribution requires long-distance transport that is most

8	efficient in Spring.

9	• Days for which MDA8 total O3 concentrations are predicted to be above 70 ppb tend to

10	have a substantially higher model-predicted USA (anthropogenic) contribution than other

11	days in both the West and the East.

44 Uncertainties associated with such model predictions for individual days are recognized in section 2.5.3.4 above,
along with observations of how they may differ from measurements at monitoring locations in the same area. It is
also important to note that the modeling analyses presented here do not provide estimates of design values, which
are derived from monitoring data (collected over three years) and used to assess exceedances of the O3 standards.
Additionally, as noted earlier, where such exceedances occur and are shown to be caused by USB, regulations for
exceptional events may pertain.

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3 RECONSIDERATION OF THE PRIMARY STANDARD

This chapter presents and evaluates the policy implications of the key aspects of the
scientific and technical information pertaining to this reconsideration of the 2020 decision on the
O3 primary standard. Specifically, the chapter presents key aspects of the available evidence of
the health effects of O3, as documented in the 2020 ISA, with support from the prior ISA and
AQCDs, and associated public health implications.1 It also presents key aspects of the
quantitative risk and exposure analyses conducted for the 2020 review (and originally presented
in the 2020 PA), with the details provided in Appendices 3C and 3D. Together this information
provides the basis for our evaluation of the scientific information regarding health effects of O3
in ambient air and the potential for effects to occur under air quality conditions associated with
the existing standard (or any alternatives considered), as well as the associated implications for
public health.

Our evaluation in this chapter is framed around key policy-relevant questions derived
from the IRP (IRP, section 3.1.1), and also takes into account, as relevant, assessments of the
evidence and quantitative exposure/risk analyses in prior reviews. In this way we identify key
policy-relevant considerations and summary conclusions regarding the public health protection
provided by the current standard for the Administrator's consideration in this reconsideration of
the 2020 decision on the primary O3 standard.

Within this chapter, background information on the current standard is summarized in
section 3.1. The general approach for considering the available information, including policy-
relevant questions identified to frame our policy evaluation, is summarized in section 3.2. Key
aspects of the available health effects evidence and associated public health implications and
uncertainties are addressed in section 3.3, and the quantitative exposure and risk information,
with associated uncertainties, is addressed in section 3.4. Section 3.5 summarizes the key
evidence- and exposure/risk-based considerations identified in our evaluation, and also presents
associated preliminary conclusions of this analysis. Key remaining uncertainties and areas for
future research are identified in section 3.6.

1 The ISA builds on evidence and conclusions from previous assessments, focusing on synthesizing and integrating
the newly available evidence (ISA, section IS. 1.1). Past assessments are generally cited when providing further,
still relevant, details that informed the current assessment but are not repeated in the latest assessment.

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3.1 BACKGROUND ON THE CURRENT STANDARD

The current primary O3 standard of 0.070 ppm,2 as the annual fourth-highest daily
maximum 8-hour average concentration, averaged across three consecutive years, was set in
2015 and retained without revision in 2020 (80 FR 65292, October 26, 2015; 85 FR 87256,
December 31, 2020). Establishment of this standard, and its retention in 2020, were based on the
extensive body of evidence spanning several decades documenting the causal relationship
between O3 exposure and a broad range of respiratory effects, that had been augmented by
evidence available since the 2008 review (80 FR 65292, October 26, 2015; 2013 ISA, p. 1-14).
A key consideration driving the 2015 decision was the newly available evidence of adverse
respiratory effects from controlled human exposure studies in healthy adults at an exposure
concentration lower than had been previously studied (80 FR 65342-47 and 65362-66, October
26, 2015). While the study subjects in the vast majority of the controlled human exposure studies
(and in all of these studies conducted at the lowest exposures) are healthy adults, the EPA's
establishment of the standard in 2015, and its retention in 2020, focused particularly on
implications of these studies to ensure protection of much less well studied at-risk populations,3
such as people with asthma, and particularly children with asthma (80 FR 65343, October 26,
2015; 85 FR 87305, December 31, 2020).

The 2020 review of the 2015 standard also considered differences in the health effects
evidence since 2015 for effects other than respiratory effects. Specifically, the newly available
evidence supported updated conclusions regarding metabolic effects, cardiovascular effects, and
mortality (ISA, Table ES-1). For example, while the evidence available in the 2015 review was
sufficient to conclude that the relationships for short-term O3 exposure with cardiovascular
health effects and mortality were likely to be causal, that conclusion was no longer supported by
the more expansive evidence base which the 2020 ISA determines to be suggestive of, but not
sufficient to infer, a causal relationship for these health effect categories (ISA, Appendix 4,
section 4.1.17; Appendix 6, section 6.1.8). Further, newly available evidence since 2015 supports
a new determination that the relationship between short-term O3 exposure and metabolic effects

2	Although ppm are the units in which the level of the standard is defined, the units, ppb, are more commonly used

throughout this PA for greater consistency with their use in the more recent literature. The level of the current
primary standard, 0.070 ppm, is equivalent to 70 ppb.

3	As used here and similarly throughout the document, the term population refers to persons having a quality or

characteristic in common, such as, and including, a specific pre-existing illness or a specific age or lifestage. A
lifestage refers to a distinguishable time frame in an individual's life characterized by unique and relatively stable
behavioral and/or physiological characteristics that are associated with development and growth. Identifying at-
risk populations includes consideration of intrinsic (e.g., genetic or developmental aspects) or acquired (e.g.,
disease or smoking status) factors that increase the risk of health effects occurring with exposure to O3 as well as
extrinsic, nonbiological factors, such as those related to socioeconomic status, reduced access to health care, or
exposure.

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is likely to be causal (ISA, section IS.4.3.3). The basis for this conclusion is largely experimental
animal studies in which the exposure concentrations are well above those in the controlled
human exposure studies for respiratory effects as well as above those likely to occur in areas of
the U.S. that meet the current standard (85 FR 87270, December 31, 2020). Thus, while new
conclusions were reached in the 2020 review for these non-respiratory effect categories, they did
not lead to a change in focus for the standard, which continued to be protection of at-risk
populations from respiratory effects, as the effects causally related to O3 at the lowest exposure
levels.

With regard to respiratory effects, the health effects evidence base available in the 2015
and 2020 reviews documents a broad range of effects associated with O3 exposure (2013 ISA, p.
1-14; 2020 ISA, p. ES4-10). Such effects range from small, transient and/or reversible changes in
pulmonary function and pulmonary inflammation (documented in controlled human exposure
studies involving exposure durations ranging from 1 to 8 hours) to more serious health outcomes
such as emergency department visits and hospital admissions, which have been associated with
ambient air concentrations of O3 in epidemiologic studies (2013 ISA, section 6.2; 2020 ISA,
Appendix 3, sections 3.1.5.1 and 3.1.5.2).4

Across the different study types, the controlled human exposure studies, which were
recognized to provide the most certain evidence indicating the occurrence of health effects in
humans following specific O3 exposures, additionally document the roles of ventilation rate,5
exposure duration, and exposure concentration, in eliciting responses to O3 exposure (80 FR
65343, October 26, 2015; 2014 PA, section 3.4). For example, the exposure concentrations
eliciting a given level of response in subjects at rest are higher than those eliciting a response in
subjects exposed while at elevated ventilation, such as while exercising (2013 ISA, section
6.2.1.1).6 Accordingly, of particular interest is the extent and magnitude of exposures during

4	In addition to extensive controlled human exposure and epidemiologic studies, the evidence base includes

experimental animal studies that provide insight into potential modes of action for these effects, contributing to
the coherence and robust nature of the evidence.

5	Ventilation rate (Ve) is a specific technical term referring to breathing rate in terms of volume of air taken into the

body per unit of time. A person engaged in different activities will exert themselves at different levels and
experience different ventilation rates.

6	In the controlled human exposure studies, the magnitude or severity of the respiratory effects induced by O3 is

influenced by ventilation rate (in addition to exposure duration and exposure concentration), with physical
activity increasing ventilation and potential for effects. In studies of generally healthy young adults exposed while
at rest for 2 hours, 500 ppb is the lowest concentration eliciting a statistically significant 03-induced reduction in
group mean lung function measures, while a much lower concentration produces a statistically significant
response in lung function when the ventilation rate of the group of study subjects is sufficiently increased with
exercise (2013 ISA, section 6.2.1.1). For example, the lowest exposure concentration examined that elicited a
statistically significant 03-induced reduction in group mean lung function in an exposure of 2 hours or less was
120 ppb in a 1-hour exposure of trained cyclists who maintained a high exertion level throughout the exposure

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periods of elevated ventilation, such as while exercising, under air quality conditions of interest.
Thus, key considerations in the establishment of the standard in 2015 and in its review in 2020
were the population exposure and risk assessments performed for air quality conditions
associated with just meeting the standard (and with alternative air quality scenarios). These
assessments, which included a focus on the at-risk populations of children and children with
asthma, analyzed the occurrence of exposures to O3 concentrations of interest by individuals
breathing at elevated rates and characterized the associated risk.

The Administrator's judgment in establishing the standard in 2015 was based primarily
on the extensive evidence of respiratory health effects evidence for O3 with a focus on the public
health implications of the exposure and risk analyses conducted in that review. In the review
concluded in 2020, the Agency considered the health effects evidence base, including that newly
available since the 2015 decision, and the updated exposure/risk analyses. In 2020, the
Administrator reaffirmed judgments of the 2015 decision associated with establishment of the
different elements of the standard and made additional judgments reflecting the information
current to the review, concluding that the existing standard, set in 2015, continued to provide the
requisite public health protection with an adequate margin of safety (85 FR 87300-87306,
December 31, 2020). Key aspects of the health effects evidence and exposure and risk
information available in the 2020 review, as well as the associated judgments reflecting
consideration of associated limitations and uncertainties, are summarized below for each of the
four basic elements of the NAAQS (indicator, averaging time, form, and level), in turn.

In 1979, O3 was established as the indicator for a standard meant to provide protection
against photochemical oxidants in ambient air (44 FR 8202, February 8, 1979). In setting the
current standard in 2015 and reviewing it in 2020, the Administrator considered the available
information presented in the ISA and PA, along with advice from the CASAC and public
comment. Both the 2013 and 2020 IS As specifically noted that O3 is the only photochemical
oxidant (other than nitrogen dioxide) that is routinely monitored and for which a comprehensive
database exists (2013 ISA, section 3.6; 80 FR 65347, October 26, 2015; 2020 ISA, p. IS-3; 85
FR 87301, December 31, 2020). The 2020 ISA further noted that "the primary literature
evaluating the health and ecological effects of photochemical oxidants includes ozone almost
exclusively as an indicator of photochemical oxidants" (2020 ISA, p. IS-3). In both reviews, the
CASAC indicated its support for O3 as the appropriate indicator. Based on these considerations
and public comments, the Administrators in both reviews concluded that O3 remains the most
appropriate indicator for a standard meant to provide protection against photochemical oxidants

period (2013 ISA, section 6.2.1.1; Gong et al., 1986) or after 2-hour exposure (heavy intermittent exercise) of
young healthy adults (2013 ISA, section 6.2.1.1; McDonnell et al., 1983).

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in ambient air, and they retained O3 as the indicator for the primary standard (80 FR 65347,
October 26, 2015; 85 FR 87306; December 31, 2020).

The 8-hour averaging time for the primary O3 standard was established in 1997 with the
decision to replace the then-existing 1-hour standard with an 8-hour standard (62 FR 38856, July
18, 1997). The decision in that review was based on newly available evidence from numerous
controlled human exposure studies in healthy adults of adverse respiratory effects resulting from
6- to 8-hour exposures, as well as quantitative analyses indicating the air quality control provided
by an 8-hour averaging time of both 8-hour and 1-hour peak exposures and associated health risk
(62 FR 38861, July 18, 1997; U.S. EPA, 1996). The 1997 decision was also consistent with
advice from the CASAC (62 FR 38861, July 18, 1997; 61 FR 65727, December 13, 1996). This
averaging time has been retained in each of the three NAAQS reviews since then (73 FR 16436,
March 27, 2008; 80 FR 65292, October 26, 2015; 85 FR 87256, December 31, 2020). In the
establishment of the existing standard in 2015 and its review in 2020, the averaging time was
retained in light of both the strong evidence for 03-associated respiratory effects following short-
term exposures and the available evidence related to effects following longer-term exposures (80
FR 65347-50, October 26, 2015). The 2015 decision on a revised standard recognized that an 8-
hour averaging time is similar to the exposure periods evaluated in the more recent controlled
human exposure studies conducted at the lowest concentrations, and that other evidence,
including that from epidemiologic studies did not provide a strong basis of support for alternative
averaging times (80 FR 65348, October 26, 2015). Further, in 2015 the considerations on a
revised standard also included consideration of the extent to which the available evidence and
exposure/risk information suggested that a standard with an 8-hour averaging time can provide
protection against respiratory effects associated with longer-term exposures to ambient air O3.
Based on the then-available evidence and information discussed in detail in the 2013 ISA, 2014
Health Risk and Exposure Assessment (HREA), and 2014 PA, along with CASAC advice and
public comments, the Administrator concluded that a standard with an 8-hour averaging time
(and revised level) could effectively limit health effects attributable to both short- and long-term
O3 exposures and that it was appropriate to retain the 8-hour averaging time (80 FR 65350,
October 26, 2015). The EPA reached similar conclusions in the 2020 review and retained the 8-
hour averaging time (85 FR 87306; December 31, 2020).

While giving foremost consideration to the adequacy of public health protection provided
by the combination of all elements of the standard, including the form, in 2015 the Administrator
placed considerable weight on the findings from prior reviews with regard to the use of the ซth-
high metric, as described below (80 FR 65350-65352, October 26, 2015). Based on these
findings and consideration of CASAC advice, the Administrator judged it appropriate to retain
the fourth-high form, more specifically the annual fourth-highest daily maximum 8-hour O3

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average concentration, averaged over 3 years (80 FR 65352, October 26, 2015). The EPA
reached similar conclusions in the 2020 review and retained the form of the annual fourth-
highest daily maximum 8-hour O3 average concentration, averaged over 3 years (85 FR 87306;
December 31, 2020).

The concentration-based form (e.g., the //th-high metric) of the existing standard was
established in the 1997 review when it was recognized that such a form better reflects the
continuum of health effects associated with increasing O3 concentrations than an expected
exceedance form,7 which had been the form of the standard prior to 1997. Unlike an expected
exceedance form, a concentration-based form gives proportionally more weight to years when 8-
hour O3 concentrations are well above the level of the standard than years when 8-hour O3
concentrations are just above the level of the standard. With regard to a specific concentration-
based form, the fourth-highest daily maximum was selected in 1997, recognizing that a less
restrictive form (e.g., fifth highest) would allow a larger percentage of sites to experience O3
peaks above the level of the standard, and would allow more days on which the level of the
standard may be exceeded when the site attains the standard (62 FR 38868-38873, July 18,
1997), and there was not a basis identified for selection of a more restrictive form (62 FR 38856,
July 18, 1997). In subsequent reviews, the EPA also considered the potential value of a
percentile-based form, recognizing that such a statistic is useful for comparing datasets of
varying length because it samples approximately the same place in the distribution of air quality
values, whether the dataset is several months or several years long (73 FR 16474-75, March 27,
2008). However, the EPA concluded that, because of the differing lengths of the monitoring
season for O3 across the U.S., a percentile-based statistic would not be effective in ensuring the
same degree of public health protection across the country.8 The importance of a form that
provides stability to ongoing control programs was also recognized.9 Advice from the CAS AC in
the 2015 review supported this, stating that this concentration-based form that is averaged over
three years "provides health protection while allowing for atypical meteorological conditions that
can lead to abnormally high ambient ozone concentrations which, in turn, provides programmatic

7	The first O3 standard, set in 1979 as an hourly standard, had an expected exceedance form, such that attainment

was defined as when the expected number of days per calendar year, with maximum hourly average concentration
greater than 0.12 ppm, was equal to or less than 1 (44 FR 8202, February 8, 1979).

8	Specifically, a percentile-based form would allow more days with higher air quality values (i.e., higher O3

concentrations) in locations with longer O3 seasons relative to locations with shorter O3 seasons.

9	In the case of O3, for example, it was noted that it was important to have a form that provides stability and

insulation from the impacts of extreme meteorological events that are conducive to O3 occurrence. Such events
could have the effect of reducing public health protection, to the extent they result in frequent shifts in and out of
attainment due to meteorological conditions because such frequent shifting could disrupt an area's ongoing
implementation plans and associated control programs (73 FR 16475, March 27, 2008).

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stability" (Frey, 2014, p. 6; 80 FR 65352, October 26, 2015). Advice from the CASAC did not
raise objections with the indicator, averaging time and form of the existing standard (Cox, 2020).

In establishing the level of the standard in 2015 and in the decision to retain it in 2020,
the Administrator at each time carefully considered: (1) the assessment of the health effects
evidence and conclusions reached in the ISA; (2) the available quantitative exposure/risk
analyses, including associated limitations and uncertainties, described in detail in the HREA (in
the 2015 review) or appendices of the 2020 PA (in 2020); (3) considerations and staff
conclusions and associated rationales in the PA; (4) advice and comments from the CASAC; and
(5) public comments (80 FR 65362, October 26, 2015; 85 FR 37300, December 31, 2020). In
weighing the health effects evidence and making judgments regarding the public health
significance of the quantitative estimates of exposures and risks allowed by the existing standard
and potential alternative standards considered, as well as judgments regarding margin of safety,
both of the decisions, in 2015 and 2020, considered the currently available information,
including EPA judgments in prior reviews, advice from the CASAC, statements of the American
Thoracic Society (ATS), an organization of respiratory disease specialists, and public comments.
In so doing, each decision recognized that the determination of what constitutes an adequate
margin of safety is expressly left to the judgment of the EPA Administrator. See Lead Industries
Ass'n v. EPA, 647 F.2d 1130, 1161-62 (D.C. Cir 1980); Mississippi v. EPA, 744 F.3d 1334, 1353
(D.C. Cir. 2013). In NAAQS reviews generally, evaluations of how particular primary standards
address the requirement to provide an adequate margin of safety include consideration of such
factors as the nature and severity of the health effects, the size of the sensitive population(s) at
risk, and the kind and degree of the uncertainties present. Consistent with past practice and long-
standing judicial precedent, in both the 2015 and 2020 decisions, the Administrator took into
account the need for an adequate margin of safety as an integral part of their decision-making.

The 2015 decision to set the level of the revised primary O3 standard at 70 ppb placed the
greatest weight on the results of controlled human exposure studies and on quantitative analyses
based on information from these studies, particularly analyses comparing exposure estimates for
study area populations of children at elevated exertion to exposure benchmark concentrations
(exposures of concern), consistent with CASAC advice and interpretation of the scientific
evidence (80 FR 65362, October 26, 2015; Frey, 2014b).10 This weighting reflected the
recognition that controlled human exposure studies provide the most certain evidence indicating
the occurrence of health effects in humans following specific O3 exposures, and, in particular,

10 The Administrator viewed the results of other quantitative analyses in this review - the lung function risk
assessment, analyses of O3 air quality in locations of epidemiologic studies, and epidemiologic-study-based
quantitative health risk assessment - as being of less utility for selecting a particular standard level among a range
of options (80 FR 65362, October 26, 2015).

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that the effects reported in the controlled human exposure studies are due solely to O3 exposures,
and are not complicated by the presence of co-occurring pollutants or pollutant mixtures (as is
the case in epidemiologic studies) (80 FR 65362-65363, October 26, 2015).u. With regard to this
evidence, the Administrator at that time recognized that: (1) the largest respiratory effects, and
the broadest range of effects, have been studied and reported following exposures to 80 ppb O3
or higher (i.e., decreased lung function, increased airway inflammation, increased respiratory
symptoms, airway hyperresponsiveness, and decreased lung host defense12); (2) exposures to O3
concentrations somewhat above 70 ppb13 have been shown to both decrease lung function and to
result in respiratory symptoms; and (3) exposures to O3 concentrations as low as 60 ppb have
been shown to decrease lung function and to increase airway inflammation (80 FR 65363,
October 26, 2015). The Administrator also noted that 70 ppb was well below the O3 exposure
concentration documented to result in the widest range of respiratory effects (i.e., 80 ppb), and
also below the lowest O3 exposure concentration shown in 6.6-hour exposures with quasi-
continuous exercise to result in the combination of lung function decrements and respiratory
symptoms (80 FR 65363, October 26, 2015).

Consideration of the controlled human exposure study results and quantitative analyses
based on information from those studies focused primarily, both in 2015 and 2020, on the
exposure-based comparison-to-benchmarks analysis. This analysis characterizes the extent to
which individuals in at-risk populations could experience O3 exposures, while engaging in their
daily activities, with the potential to elicit the effects reported in controlled human exposure
studies for concentrations at or above specific benchmark concentrations. The analysis conducted
for the 2020 review reflected a number of updates and improvements and provided estimates
with reduced uncertainty compared to those from the 2015 review (see section 3.4.1 below for
details). The results for analyses in both reviews are characterized through comparison of
exposure concentration estimates to three benchmark concentrations of O3: 60, 70, and 80 ppb.
These are based on the three lowest concentrations targeted in studies of 6- to 6.6-hour exposures
of generally healthy adults engaging in quasi-continuous exercise (at a moderate level of
exertion), and that yielded different occurrences of statistical significance and severity of

11	Other quantitative exposure/risk analyses (e.g., the lung function risk assessment, analyses of O3 air quality in
locations of epidemiologic studies, and epidemiologic-study-based quantitative health risk assessment) were
viewed as providing information in support of the 2015 decision to revise the then-current standard level of 75
ppb, but of less utility for selecting a particular standard level among a range of options (80 FR 65362, October
26, 2015).

12	Host defense refers to a decreased ability to repel pathogens and resist infection.

13	For the 70 ppb target exposure, the time weighted average concentration across the full 6.6-hour exposure was 73
ppb and the mean O3 concentration during the exercise portion of the study protocol was 72ppb, based on O3
measurements during the six 50-minute exercise periods (Schelegle et al., 2009).

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respiratory effects (80 FR 65312, October 26, 2015; 85 FR 87277; December 31, 2020; 2020 PA,
section 3.3.3).14 A second exposure-based analysis provided population risk estimates of the
occurrence of days with Cb-attributable lung function reductions of varying magnitudes by using
the exposure-response (E-R) information in the form of E-R functions or other quantitative
descriptions of biological processes.15 These latter estimates were given less weight in the
Administrator's decisions in both the 2015 and 2020 reviews due to a recognition of relatively
greater uncertainty in interpretation of the results. Analyses in the 2020 PA quantitatively
illustrated this greater uncertainty associated with the lung function risk estimates related to their
greater reliance on estimation of responses at exposure levels below those that have been studied
(80 FR 65464, October 26, 2015; 85 FR 87277, December 31, 2020; 2020 PA, section 3.4.4).

In the 2015 decision to revise the standard level to 70 ppb (while retaining the existing
indicator, averaging time and form) and also the 2020 decision to retain that level (and all other
standard elements), without revision, the exposure analysis results for each of the three
benchmarks were considered in the context of the Administrator's judgments concerning each
benchmark. Such judgments of the Administrator in setting the standard level of 70 ppb in 2015
are briefly summarized below. These are followed by a description of key aspects of the
considerations and judgments associated with the decision to retain this standard in 2020.

In the 2015 considerations of the degree of protection to be provided by a revised
standard, and the extent to which that standard would be expected to limit population exposures
to the broad range of O3 exposures shown to result in health effects, the Administrator focused
particularly on the exposure analysis estimates of two or more exposures of concern. Placing the
most emphasis on a standard that limits repeated occurrences of exposures at or above the 70 and
80 ppb benchmarks, while at elevated ventilation, the Administrator noted that a standard of the
existing form and averaging time with a revised level of 70 ppb was estimated to eliminate the
occurrence of two or more days with exposures at or above 80 ppb and to virtually eliminate the
occurrence of two or more days with exposures at or above 70 ppb for all children and children
with asthma, even in the worst-case year and location evaluated (80 FR 65363-65364, October
26, 2015).16 The Administrator's consideration of exposure estimates at or above the 60 ppb
benchmark (focused most particularly on multiple occurrences), an estimated exposure to which

14	The studies given primary focus were those for which O3 exposures occurred over the course of 6.6 hours during
which the subjects engaged in six 50-minute exercise periods separated by 10-minute rest periods, with a 35-
minute lunch period occurring after the third hour (e.g., Folinsbee et al., 1988 and Schelegle et al., 2009).
Responses after O3 exposure were compared to those after filtered air exposure.

15	The E-R information and quantitative models derived from it are based on controlled human exposure studies.

16	Under conditions just meeting an alternative standard with a level of 70 ppb across the 15 urban study areas, the
estimate for two or more days with exposures at or above 70 ppb was 0.4% of children, in the worst year and
worst area (80 FR 65313, Table 1, October 26, 2015).

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the Administrator was less confident would result in adverse effects,17 was primarily in the
context of considering the extent to which the health protection provided by a revised standard
included a margin of safety against the occurrence of adverse 03-induced effects (80 FR 65364,
October 26, 2015). In this context, the Administrator noted that a revised standard with a level of
70 ppb was estimated to protect the vast majority of children in urban study areas (i.e., about
96% to more than 99% of children in individual areas) from experiencing two or more days with
exposures at or above 60 ppb (while at moderate or greater exertion).18

Given the considerable protection provided against repeated exposures of concern for all
three benchmarks, including the 60 ppb benchmark, the Administrator in 2015 judged that a
standard with a level of 70 ppb would incorporate a margin of safety against the adverse 03-
induced effects shown to occur in the controlled human exposure studies following exposures
(while at moderate or greater exertion) to a concentration somewhat higher than 70 ppb (80 FR
65364, October 26, 2015).19 The Administrator also judged the estimates of one or more
exposures (while at moderate or greater exertion) at or above 60 ppb to also provide support for
her somewhat broader conclusion that "a standard with a level of 70 ppb would incorporate an
adequate margin of safety against the occurrence of O3 exposures that can result in effects that
are adverse to public health" (80 FR 65364, October 26, 2015).20

17	The 2015 decision noted that "the Administrator is notably less confident in the adversity to public health of the
respiratory effects that have been observed following exposures to O3 concentrations as low as 60 ppb," citing,
among other considerations, "uncertainty in the extent to which short-term, transient population-level decrease in
FEVi would increase the risk of other, more serious respiratory effects in that population" (80 FR 54363, October
26, 2015). Note: FEVi (a measure of lung function response) is the forced expiratory volume in one second.

18	The 2015 decision also noted the Administrator's consideration of the extent to which she judged that adverse
effects could occur following specific O3 exposures related to each of the three benchmarks. The Administrator
recognized the interindividual variability in responsiveness in her interpretation of the exposure analysis results
noting noted "that not everyone who experiences an exposure of concern, including for the 70 ppb benchmark, is
expected to experience an adverse response," further judging "that the likelihood of adverse effects increases as
the number of occurrences of O3 exposures of concern increases." And "[i]n making this judgment, she note[d]
that the types of respiratory effects that can occur following exposures of concern, particularly if experienced
repeatedly, provide a plausible mode of action by which O3 may cause other more serious effects. Therefore, her
decisions on the primary standard emphasize [d] the public health importance of limiting the occurrence of
repeated exposures to O3 concentrations at or above those shown to cause adverse effects in controlled human
exposure studies" (80 FR 65331, October 26, 2015).

19	In so judging, she noted that the CASAC had recognized the choice of a standard level within the range it
recommended based on the scientific evidence (which was inclusive of 70 ppb) to be a policy judgment (80 FR
65355, October 26, 2015; Frey, 2014b).

20	While the Administrator was less concerned about single exposures, especially for the 60 ppb benchmark, she
judged the HREA of one-or-more estimates informative to margin of safety considerations. In this regard, she
noted that "a standard with a level of 70 ppb is estimated to (1) virtually eliminate all occurrences of exposures of
concern at or above 80 ppb; (2) protect the vast majority of children in urban study areas from experiencing any
exposures of concern at or above 70 ppb (i.e., > about 99%, based on mean estimates; Table 1); and (3) to achieve
substantial reductions, compared to the [then-]current standard, in the occurrence of one or more exposures of
concern at or above 60 ppb (i.e., about a 50% reduction; Table 1)" (80 FR 65364, October 26, 2015).

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The 2020 review of the 2015 standard also focused on the exposure-based analyses in the
context of results from the controlled human exposure studies of exposures from 60 to 80 ppb,
recognizing this information on exposure concentrations found to elicit respiratory effects in
exercising study subjects to be unchanged from what was available in the 2015 review (2020 PA,
section 3.3.1; 85 FR 87302, December 31, 2020).21 In considering the significance of responses
documented in these studies and in the full evidence base for the purposes of judging
implications of the available information on public health protection provided by the current
standard, several aspects, limitations and uncertainties of the evidence base were noted. For
example, as also recognized in 2015, the responses reported from exposures ranging from 60 to
80 ppb are transient and reversible in the study subjects who are largely healthy, adult subjects.
Such study data are lacking at these exposure levels for children and people with asthma, and the
evidence indicates that such responses, if repeated or sustained, particularly in people with
asthma, pose risks of effects of greater concern, including asthma exacerbation, as cautioned by
the CASAC (85 FR 87302, December 31, 2020).22

As in 2015, the Administrator in 2020 also considered statements from the ATS, as well
as judgments made by the EPA in considering similar effects in previous NAAQS reviews (85
FR 87270-72, 87302-87305, December 31, 2020; 80 FR 65343, October 26, 2015). The ATS
statements included one newly available in the 2020 review (Thurston et al., 2017), which is
generally consistent with the prior statement (that was considered in the 2015 review) including
the attention that the prior statement gives to at-risk or vulnerable population groups, while also
broadening the discussion of effects, responses, and biomarkers to reflect the expansion of
scientific research in these areas (ATS, 2000; Thurston et al., 2017). The Administrator
recognized the role of such statements, as described by the ATS, as proposing principles or
considerations for weighing the evidence rather than offering "strict rules or numerical criteria"
(ATS, 2000, Thurston et al., 2017). In keeping with this intent of these statements (to avoid

21	With regard to the epidemiologic studies of respiratory effects, the Administrator recognized that, as a whole,
these investigations of associations between O3 and respiratory effects and health outcomes (e.g., asthma-related
hospital admission and emergency department visits) provided strong support for the conclusions of causality but
the studies were less informative regarding exposure concentrations associated with O3 air quality conditions that
meet the current standard. He noted that the evidence base in the 2020 review did not include new evidence of
respiratory effects associated with appreciably different exposure circumstances than the evidence available in the
2015 review, including particularly any circumstances that would also be expected to be associated with air
quality conditions likely to occur under the current standard.

22	The CASAC noted that'' [ajrguably the most important potential adverse effect of acute ozone exposure in a child
with asthma is not whether it causes a transient decrement in lung function, but whether it causes an asthma
exacerbation" and that O3 "has respiratory effects beyond its well-described effects on lung function," including
increases in airway inflammation which also have the potential to increase the risk for an asthma exacerbation.
The CASAC further cautioned with regard to repeated episodes of airway inflammation, indicating that they have
the potential to contribute to irreversible reductions in lung function (Cox, 2020, Consensus Responses to Charge
Questions pp. 7-8).

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specific criteria), the statements, in discussing what constitutes an adverse health effect, do not
comprehensively describe all the biological responses raised, e.g., with regard to magnitude,
duration or frequency of small pollutant-related changes in lung function.

The Administrator also recognized the limitations in the available evidence base with
regard to our understanding of these aspects of such changes that may be associated with
exposure concentrations of interest (e.g., as estimated in the exposure analysis). Notwithstanding
these limitations and associated uncertainties, he took note of the emphasis of the earlier ATS
statement on consideration of individuals with preexisting compromised function, such as that
resulting from asthma (an emphasis which is reiterated and strengthened in the current
statement), agreeing that these were important considerations in his judgment on the adequacy of
protection provided by the current standard for at-risk populations.

Among such important considerations, it was recognized that the controlled human
exposure studies, primarily conducted in healthy adults, on which the depth of our understanding
of 03-related health effects is based, in combination with the larger evidence base, informs our
conceptual understanding of O3 responses in people with asthma and in children. Aspects of the
EPA's understanding continue to be limited, however, including with regard to the risk of
particular effects and associated severity for these less studied population groups that may be
posed by 7-hour exposures with exercise to concentrations as low as 60 ppb that are estimated in
the exposure analyses for the 2020 review (85 FR 87303, December 31, 2020).

Collectively, these aspects of the evidence and associated uncertainties contributed to the
recognition that for O3 in the 2020 review, as for other pollutants and other reviews, the available
evidence base in aNAAQS review generally reflects a continuum, consisting of levels at which
scientists generally agree that health effects are likely to occur, through lower levels at which the
likelihood and magnitude of the response become increasingly uncertain. As is the case in
NAAQS reviews in general, the 2020 decision regarding the primary O3 standard depended on a
variety of factors, including science policy judgments and public health policy judgments. These
factors included judgments regarding aspects of the evidence and exposure/risk estimates, such
as judgments concerning the Administrator's interpretation of the different benchmark
concentrations, in light of the available evidence and of associated uncertainties, as well as
judgments on the public health significance of the effects that have been observed at the
exposures evaluated in the health effects evidence. These judgments are rooted in interpretation
of the evidence, which reflects a continuum of health-relevant exposures, with less confidence
and greater uncertainty in the existence of adverse health effects as one considers lower O3
exposures. The factors relevant to judging the adequacy of the standards also included the
interpretation of, and decisions as to the relative weight to place on, different aspects of the
results of the exposure and risk assessment for the areas studied and the associated uncertainties.

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Together, factors identified here informed the Administrator's judgment about the degree of
protection that is requisite to protect public health with an adequate margin of safety, including
the health of sensitive groups, and, accordingly, his conclusion that the existing standard is
requsite to protect public health with an adequate margin of safety (85 FR 87303, December 31,
2020).

In placing greater weight and giving primary attention to the comparison-to-benchmarks
analysis, the Administrator recognized that, as noted in the 2020 PA, the comparison-to-
benchmarks analysis (newly updated in the 2020 review with a number of improvements over
the 2014 analysis, as described in section 3.4.1 below) provides for characterization of risk for
the broad array of respiratory effects documented in the controlled human exposure studies,
facilitating consideration of an array of respiratory effects, including but not limited to lung
function decrements (85 FR 87294, December 31, 2020). The Administrator recognized the three
benchmark concentrations (60, 70 and 80 ppb) to represent exposure conditions (during quasi-
continuous exercise) associated with different levels of respiratory response (both with regard to
the array of effects and severity of individual effects) in the subjects studied and to inform his
judgments on different levels of risk that might be posed to unstudied members of at-risk
populations. The highest benchmark concentration (80 ppb) represented an exposure where
multiple controlled human exposure studies involving 6.6-hour exposures during quasi-
continuous exercise demonstrate a range of 03-related respiratory effects including inflammation
and airway responsiveness, as well as respiratory symptoms and lung function decrements in
healthy adult subjects. The second benchmark (70 ppb) represented an exposure level below the
lowest exposures that have reported both statistically significant lung function decrements23 and
increased respiratory symptoms (reported at 73 ppb, Schelegle et al., 2009) or statistically
significant increases in airway resistance and responsiveness (reported at 80 ppb, Horstman et
al., 1990). The lowest benchmark (60 ppb) represents still lower exposure, and a level for which
findings from controlled human exposure studies of largely healthy subjects have included:
statistically significant decrements in lung function (with mean decrements ranging from 1.7% to
3.5% across the four studies with average exposures of 60 to 63 ppb), but not respiratory
symptoms; and a statistically significant increase in a biomarker of airway inflammatory
response relative to filtered air exposures in one study (Kim et al., 2011).

23 The study group mean lung function decrement for the 73 ppb exposure was 6%, with individual decrements of
15% or greater (moderate or greater) in about 10% of subjects and decrements of 10% or greater in 19% of
subjects. Decrements of 20% or greater were reported in 6.5% of subjects (Schelegle et al., 2009; 2020 PA, Table
3-2 and Appendix 3D, Table 3D-20). In studies of 80 ppb exposure, the percent of study subjects with individual
FEVi decrements of this size ranged up to nearly double this (2020 PA, Appendix 3D, Table 3D-20).

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In turning to the exposure/risk analysis results, the Administrator considered the
controlled human exposure evidence represented by these benchmarks noting that due to
differences among individuals in responsiveness, not all people experiencing exposures (e.g., to
73 ppb), experience a response, such as a lung function decrement, and among those
experiencing a response, not all will experience an adverse effect (85 FR 87304, December 31,
2020). Accordingly, the Administrator noted that not all people estimated to experience an
exposure of 7-hour duration while at elevated exertion above even the highest benchmark would
be expected to experience an adverse effect, even members of at-risk populations. With these
considerations in mind, he noted that while single occurrences could be adverse for some people,
particularly for the higher benchmark concentration where the evidence base is stronger, the
potential for adverse response and greater severity increased with repeated occurrences (as
cautioned by the CASAC). The Administrator also noted that while the exposure/risk analyses
provide estimates of exposures of the at-risk population to concentrations of potential concern,
they do not provide information on how many of such populations will have an adverse health
outcome. Accordingly, in considering the exposure/risk analysis results, while giving due
consideration to occurrences of one or more days with an exposure at or above a benchmark,
particularly the higher benchmarks, he judged multiple occurrences to be of greater concern than
single occurrences.

In this context, the Administrator considered the exposure risk estimates, focusing first on
the results for the highest benchmark concentration (80 ppb), which represents an exposure well
established to elicit an array of responses in sensitive individuals among study groups of largely
healthy adult subjects, exposed while at elevated exertion. Similar to judgments of past
Administrators, the Administrator in 2020 judged these effects in combination and severity to
represent adverse effects for individuals in the population group studied, and to pose a risk of
adverse effects for individuals in at-risk populations, most particularly people with asthma, as
noted above. Accordingly, he judged that the primary standard should provide protection from
such exposures. In considering the exposure/risk estimates, he focused on the results for children,
and children with asthma, given the higher frequency of exposures of potential concern for
children compared to adults, in terms of percent of the population groups. The exposure/risk
estimates indicated more than 99.9% to 100% of children and children with asthma, on average
across the three years, to be protected from one or more occasions of exposure at or above 80
ppb; the estimate is 99.9% of children with asthma and of all children for the highest year and
study area (85 FR 87279, Table 2, December 31, 2020). Further, no children in the simulated
populations (zero percent) were estimated to be exposed more than once (two or more occasions)
in the 3-year simulation to 7-hr concentrations, while at elevated exertion, at or above 80 ppb (85
FR 87279, Table 2, December 31, 2020). These estimates indicated strong protection against

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exposures of at-risk populations that have been demonstrated to elicit a wide array of respiratory
responses in multiple studies (85 FR 87304, December 31, 2020).

The Administrator next considered the results for the second benchmark concentration
(70 ppb), which is just below the lowest exposure concentration (73 ppb) for which a study has
reported a combination of a statistically significant increase in respiratory symptoms and
statistically significant lung function decrements in sensitive individuals in a study group of
largely healthy adult subjects, exposed while at elevated exertion (Schelegle et al., 2009).
Recognizing the lack of evidence for people with asthma from studies at 80 ppb and 73 ppb, as
well as the emphasis in the ATS statement on the vulnerability of people with compromised
respiratory function, such as people with asthma, the Administrator judged it appropriate that the
standard protect against exposure, particularly multiple occurrences of exposure, to somewhat
lower levels. In so doing, he noted that the exposure/risk estimates indicate more than 99% of
children with asthma, and of all children, to be protected from one or more occasions in a year,
on average, of 7-hour exposures to concentrations at or above 70 ppb, while at elevated exertion
(85 FR 87279, Table 2, December 31, 2020). The estimate is 99% of children with asthma for
the highest year and study area (85 FR 87279, Table 2, December 31, 2020). Further, he noted
that 99.9% of these groups were estimated to be protected from two or more such occasions, and
100%) from still more occasions. These estimates also indicated strong protection of at-risk
populations against exposures similar to those demonstrated to elicit lung function decrements
and increased respiratory symptoms in healthy subjects, a response described as adverse by the
ATS (85 FR 87304, December 31, 2020).

In consideration of the exposure/risk results for the lowest benchmark (60 ppb), the
Administrator noted that the lung function decrements in controlled human exposure studies of
largely healthy adult subjects exposed while at elevated exertion to concentrations of 60 ppb,
although statistically significant, were much reduced from that observed in the next higher
studied concentration (73 ppb), both at the mean and individual level, and were not reported to
be associated with increased respiratory symptoms in healthy subjects.24 In light of these results
and the transient nature of the responses, the Administrator did not judge these responses to
represent adverse effects for generally healthy individuals. However, he further considered these
findings specifically with regard to protection of at-risk populations, such as people with asthma.
In this regard, he noted that such data are lacking for at-risk groups, such as people with asthma,
and considered the evidence and comments from the CASAC regarding the need to consider
endpoints of particular importance for this population group, such as risk of asthma exacerbation

24 The response for the 60 ppb studies is also somewhat lower than that for the 63 ppb study (Table 1; 2020 PA,
Appendix 3D, Table 3D-20).

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and prolonged inflammation. He took note of comments from the CASAC (and also noted in the
ATS statement) that small lung function decrements in this at-risk group may contribute to a risk
of asthma exacerbation, an outcome described by the CASAC as "arguably the most important
potential adverse effect" of O3 exposure for a child with asthma. Thus, he judged it important for
the standard to provide protection that reduces such risks. With regard to the inflammatory
response, he noted the evidence indicating the role of repeated occurrences of inflammation in
contributing to severity of response. Thus, he found repeated occurrences of exposure events of
potential concern to pose greater risk than single events, leading him to place greater weight on
exposure/risk estimates for multiple occurrences (85 FR 87304-87305, December 31, 2020).

Thus, in this context, and given that the 70 ppb benchmark represents an exposure level
somewhat below the lowest exposure concentration for which both statistically significant lung
function decrements and increased respiratory symptoms have been reported in largely healthy
adult subjects, the Administrator considered the exposure/risk estimates for the third benchmark
of 60 ppb to be informative most particularly to his judgments on an adequate margin of safety.
In so doing, he took note that these estimates indicate more than 96% to more than 99% of
children with asthma to be protected from more than one occasion in a year (two or more), on
average, of 7-hour exposures to concentrations at or above this level (60 ppb), while at elevated
exertion (85 FR 87279, Table 2, December 31, 2020). Additionally, the analysis estimates more
than 90% of all children, on average across the three years, to be protected from one or more
occasions of exposure at or above this level. The Administrator found this to indicate an
appropriate degree of protection from such exposures (85 FR 87305, December 31, 2020).

The Administrator additionally considered whether it was appropriate to consider a more
stringent standard that might be expected to result in reduced O3 exposures. As an initial matter,
he considered the advice from the CASAC. With regard to the CASAC advice, while part of the
Committee concluded the evidence supported retaining the current standard without revision,
another part of the Committee reiterated advice from the prior CASAC, which while including
the current standard level among the range of recommended standard levels, also provided policy
advice to set the standard at a lower level. In considering this advice in the 2020 review, as it was
raised by part of the then-current CASAC, the Administrator noted the slight differences of the
current exposure and risk estimates from the corresponding 2014 estimates for the lowest
benchmark, which were those considered by the CASAC in 2014 (85 FR 87280, Table 3,
December 31, 2020). For example, while the 2014 HREA estimated 3.3 to 10.2% of children, on
average, to experience one or more days with exposures at or above 60 ppb (and as many as
18.9%) in a single year), the comparable estimates for the current analyses are lower (3.2 to 8.2%
on average and 10.6% in a single year), particularly with regard to the upper end of the range of
averages and the highest in a single year. While the estimates for two or more days with

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occurrences at or above 60 ppb, on average across the assessment period, were more similar
between the two assessments, the 2020 estimate for the single highest year was much lower (9.2
versus 4.3%). The Administrator additionally recognized the 2020 PA finding that the factors
contributing to these differences, which includes the use of air quality data reflecting
concentrations much closer to the now-current standard than was the case in the 2015 review,
also contribute to a reduced uncertainty in the current estimates (85 FR 87275-87279, December
31, 2020; 2020 PA, sections 3.4 and 3.5). Thus, he noted that the exposure analysis estimates in
the 2020 review indicate the current standard to provide appreciable protection against multiple
days with a maximum exposure at or above 60 ppb. In the context of his consideration of the
adequacy of protection provided by the standard and of the CAA requirement that the standard
protect public health, including the health of at-risk populations, with an adequate margin of
safety, the Administrator concluded, "in light of all of the considerations raised here, that the
current standard provides appropriate protection, and that a more stringent standard would be
more than requisite to protect public health" (85 FR 87306; December 31, 2020).

Therefore, based on his consideration of the evidence and exposure/risk information,
including that related to the lowest exposures studied in controlled human exposure studies, and
the associated uncertainties, the Administrator judged that the current standard provides the
requisite protection of public health, including an adequate margin of safety, and thus should be
retained, without revision. Accordingly, he also concluded that a more stringent standard was not
needed to provide requisite protection and that the current standard provides the requisite
protection of public health under the Act (85 FR 87306, December 31, 2020).

3.2 GENERAL APPROACH AND KEY ISSUES

As is the case for primary NAAQS reviews, this reconsideration of the 2020 decision on
the primary O3 standard is fundamentally based on using the Agency's assessment of the
scientific evidence and associated quantitative analyses to inform the Administrator's judgments
related to the primary standard. This approach builds on the substantial assessments and
evaluations performed over the course of O3 NAAQS reviews to inform our understanding of the
key-policy relevant issues in this reconsideration of the 2020 decision.

The evaluations in the PA of the scientific assessments in the ISA (building on prior such
assessments), augmented by the quantitative risk and exposure analyses,25 are intended to inform
the Administrator's public health policy judgments and conclusions, including his decisions

25 The overarching purpose of the quantitative exposure and risk analyses is to inform the Administrator's

conclusions on the public health protection afforded by the current primary standard. An important focus is the
assessment, based on current tools and information, of the potential for exposures and risks beyond those
indicated by the information available at the time the standard was established.

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regarding the primary O3 standard. The PA considers the potential implications of various
aspects of the scientific evidence, the exposure/risk-based information, and the associated
uncertainties and limitations. Thus, the approach for this PA is to draw on the evaluation of the
scientific and technical information available in the 2020 review to address a series of key
policy-relevant questions using both evidence- and exposure/risk-based considerations. Together,
consideration of the available evidence and information will inform the answer to the following
initial overarching question:

• Do the available scientific evidence and exposure/risk-based information support or call
into question the adequacy of the public health protection afforded by the current
primary O3 standard?

In reflecting on this question, we consider the body of scientific evidence, assessed in the
2020 ISA and used as a basis for developing or interpreting exposure/risk analyses, including
whether it supports or calls into question the scientific conclusions reached in the 2020 review
regarding health effects related to exposure to ambient air-related O3. Information that may be
informative to public health judgments regarding significance or adversity of key effects is also
be considered. Additionally, the available exposure and risk information is considered, including
with regard to the extent to which it may continue to support judgments made in the 2020
review. Further, in considering this question with regard to the primary O3 standard, as in all
NAAQS reviews, we give particular attention to exposures and health risks to at-risk
populations.26 Evaluation of the available scientific evidence and exposure/risk information with
regard to consideration of the current standard and the overarching question above focuses on
key policy-relevant issues by addressing a series of questions on specific topics. For background,
Figure 3-1 summarizes, in general terms, the approach to considering the available information
in the context of policy-relevant questions pertaining to reviews of the primary standard.

26 As used here and similarly throughout this document, the term population refers to persons having a quality or
characteristic in common, such as a specific pre-existing illness or a specific age or lifestage. Identifying at-risk
populations involves consideration of susceptibility and vulnerability. Susceptibility refers to innate (e.g., genetic
or developmental aspects) or acquired (e.g., disease or smoking status) sensitivity that increases the risk of health
effects occurring with exposure to O3. Vulnerability refers to an increased risk of 03-related health effects due to
non-biological factors such as those related to socioeconomic status or exposure.

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Does the
available information
call into question the
adequacy of
current standard? /'

\

\

no I Consider Retaining
Current Standard



, iES

i

J*	

Consider Potential Alternative Standards

vindicator, Averaging Tub, Fern, Level

( Potential Alternative Standards for Consideration )

1

2	Figure 3-1. Overview of general approach for the primary O3 standard.

3

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The Agency's approach with regard to the O3 primary standard is consistent with
requirements of the provisions of the CAA related to the review of the NAAQS and with how the
EPA and the courts have historically interpreted these provisions. As discussed in section 1.2
above, these provisions require the Administrator to establish primary standards that, in the
Administrator's judgment, are requisite (i.e., neither more nor less stringent than necessary) to
protect public health with an adequate margin of safety. Consistent with the Agency's approach
across NAAQS reviews, the approach of the PA to informing these judgments is based on a
recognition that the available health effects evidence generally reflects continuums that include
ambient air exposures for which scientists generally agree that health effects are likely to occur
through lower levels at which the likelihood and magnitude of response become increasingly
uncertain. The CAA does not require the Administrator to establish a primary standard at a zero-
risk level or at background concentration levels, but rather at a level that reduces risk sufficiently
so as to protect public health, including the health of sensitive groups,27 with an adequate margin
of safety.

The Agency's decisions on the adequacy of the current primary standard and, as
appropriate, on any potential alternative standards considered in a review are largely public
health policy judgments made by the Administrator. The four basic elements of the NAAQS (i.e.,
indicator, averaging time, form, and level) are considered collectively in evaluating the health
protection afforded by the current standard, and by any alternatives considered. Thus, the
Administrator's final decisions draw upon the scientific evidence for health effects, quantitative
analyses of population exposures and/or health risks, as available, and judgments about how to
consider the uncertainties and limitations that are inherent in the scientific evidence and
quantitative analyses.

3.3 HEALTH EFFECTS EVIDENCE

The health effects evidence on which this PA for the reconsideration of the 2020 decision
on the O3 primary standard will focus is the evidence as assessed and described in the 2020 ISA
and prior ISAs or AQCDs. As described in section 1.5 above, the EPA has provisionally
considered more recently available studies that were raised in public comments in the 2020
review or were identified in a literature search that the EPA conducted for this reconsideration of
more recently available controlled human exposure studies (Luben et al., 2020; Duffney et al.

27 More than one population group may be identified as sensitive or at-risk in a NAAQS review. Decisions on
NAAQS reflect consideration of the degree to which protection is provided for these sensitive population groups.
To the extent that any particular population group is not among the identified sensitive groups, a decision that
provides protection for the sensitive groups would be expected to also provide protection for other population
groups.

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2022). The provisional consideration of these studies concluded that, taken in context, the
associated information and findings did not materially change any of the broad scientific
conclusions of the ISA regarding the health and welfare effects of O3 in ambient air or warrant
reopening the air quality criteria for this review. Thus, the discussion below focuses on the health
effects evidence assessment, with associated conclusions, as described in the 2020 ISA.

3.3.1 Nature of Effects

The health effects evidence base for O3 includes decades of extensive evidence that
clearly describes the role of O3 in eliciting an array of respiratory effects and the more recent
evidence suggests the potential for relationships between O3 exposure and other effects. As was
established in prior O3 NAAQS reviews, the most commonly observed effects, and those for
which the evidence is strongest are transient decrements in pulmonary function and respiratory
symptoms, such as coughing and pain on deep inspiration, as a result of short-term exposures
particularly when breathing at elevated rates (ISA, section IS.4.3.1; 2013 ISA, p. 2-26). These
effects are demonstrated in the large, long-standing evidence base of controlled human exposure
studies28 (1978 AQCD, 1986 AQCD, 1996 AQCD, 2006 AQCD, 2013 ISA, ISA). Lung function
effects are also positively associated with ambient air O3 concentrations in epidemiologic panel
studies, available in past reviews, that describe these associations for outdoor workers and
children attending summer camps in the 1980s and 1990s (2013 ISA, section 6.2.1.2; ISA,
Appendix 3, section 3.1.4.1.3). Collectively, the epidemiologic evidence base documents
consistent, positive associations of O3 concentrations in ambient air with lung function effects in
epidemiologic panel studies29 and with more severe health outcomes in other epidemiologic
studies, including asthma-related emergency department visits and hospital admissions (2013
ISA, sections 6.2.1.2 and 6.2.7; ISA, Appendix 3, sections 3.1.4.1.3, 3.1.5.1 and 3.1.5.2).
Extensive animal toxicological evidence informs a detailed understanding of mechanisms
underlying the respiratory effects of short-term exposures, and studies in animal models also
provide evidence for effects of longer-term O3 exposure on the developing lung (ISA, Appendix
3, sections 3.1.11 and 3.2.6).

28	The vast majority of the controlled human exposure studies (and all of the studies conducted at the lowest
exposures) involved young healthy adults (typically 18-35 years old) as study subjects (ISA, section 3.1.4; 2013
ISA, section 6.2.1.1). There are also some 1-8 hour controlled human exposure studies in older adults and adults
with asthma, and there are still fewer controlled human exposure studies in healthy children (i.e., individuals aged
younger than 18 years) or children with asthma (See, for example, Appendix 3A, Table 3A-3).

29	Panel studies are a type of longitudinal epidemiologic study. The studies referenced here include a number of such
past studies investigating O3 and lung function measures in groups of children attending summer camp and
respiratory symptoms in group s of children with asthma (I SA, sections 3.1.4.1.3 and 3.1.5.3; 2013 ISA, sections
6.2.1.2 and 6.2.4.1).

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• Does the available scientific evidence alter prior conclusions regarding the health
effects attributable to exposure to O3?

The available scientific evidence, as assessed in the ISA, continues to support the prior
conclusion that short-term O3 exposure causes respiratory effects. Specifically, the full body of
evidence continues to support the conclusions of a causal relationship of respiratory effects with
short-term O3 exposures and a likely causal relationship of respiratory effects with longer-term
exposures (ISA, sections IS.4.3.1 and IS.4.3.2). The evidence base described in the 2020 ISA
which is expanded from the evidence available in the 2015 review (and described in the 2013
ISA), also indicates a likely causal relationship between short-term O3 exposure and metabolic
effects,30 which were not evaluated as a separate category of effects in the 2015 review when less
evidence was available (ISA, section IS.4.3.3). The more recent evidence is primarily from
experimental animal research. For other types of health effects, recent evidence has led to
different conclusions from those reached previously. Specifically, the evidence base described in
the 2020 ISA, particularly in light of the additional controlled human exposure studies, is less
consistent than what was previously available and less indicative of 03-induced cardiovascular
effects.31 This recent evidence has altered conclusions from the 2015 review with regard to
relationships between short-term O3 exposures and cardiovascular effects and mortality, such
that likely to be causal relationships are no longer supported.32 Thus, as discussed in the ISA,
conclusions have changed for some effects based on the recent evidence, and conclusions are
newly reached for an additional category of health effects. The prior conclusions on respiratory
effects, however, continue to be supported.

3.3.1.1 Respiratory Effects

The available evidence, as described in the 2020 ISA, continues to support the conclusion
of a causal relationship between short-term O3 exposure and respiratory effects (ISA, section
IS. 1.3.1). The strongest evidence for this comes from controlled human exposure studies

30	The term "metabolic effects" is used in the ISA to refer metabolic syndrome (a collection of risk factors including
high blood pressure, elevated triglycerides and low high density lipoprotein cholesterol), diabetes, metabolic
disease mortality, and indicators of metabolic syndrome that include alterations in glucose and insulin
homeostasis, peripheral inflammation, liver function, neuroendocrine signaling, and serum lipids (ISA, section
IS.4.3.3).

31	As described in the ISA, "[t]he number of controlled human exposure studies showing little evidence of ozone
induced cardiovascular effects has grown substantially" and "the plausibility for a relationship between short-
term ozone exposure to cardiovascular health effects is weaker than it was in the previous review, leading to the
revised causality determination" (ISA, p. IS-43).

32	The evidence for cardiovascular, reproductive and nervous system effects, as well as mortality, is "suggestive of,
but not sufficient to infer" a causal relationship with short- or long-term O3 exposures (ISA, Table IS-1). The
evidence is inadequate to infer the presence or absence of a causal relationship between long-term O3 exposure
and cancer (ISA, section IS4.3.6.6).

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demonstrating Cb-related respiratory effects in generally healthy adults.33 The key evidence
comes from the body of controlled human exposure studies that document respiratory effects in
people exposed for short periods (6.6 to 8 hours) during quasi-continuous exercise.34 The
potential for O3 exposure to elicit health outcomes more serious than those assessed in the
experimental studies, particularly for children with asthma, continues to be indicated by the
epidemiologic evidence of associations of O3 concentrations in ambient air with increased
incidence of hospital admissions and emergency department visits for an array of health
outcomes, including asthma exacerbation, COPD exacerbation, respiratory infection, and
combinations of respiratory diseases (ISA, Appendix 3, sections 3.1.5 and 3.1.6). The strongest
such evidence is for asthma-related outcomes and specifically asthma-related outcomes among
children, indicating an increased risk for people with asthma and particularly children with
asthma (ISA, Appendix 3, section 3.1.5.7).

Respiratory responses observed in human subjects exposed to O3 for periods of 8 hours or
less, while intermittently or quasi-continuously exercising, include reduced lung function (e.g.,
based on forced expiratory volume in one second [FEVi] measurements),35 respiratory
symptoms, increased airway responsiveness, mild bronchoconstriction (measured as a change in
specific airway resistance [sRaw]), and pulmonary inflammation, with associated injury and
oxidative stress (ISA, Appendix 3, section 3.1.4; 2013 ISA, sections 6.2.1 through 6.2.4). The
available mechanistic evidence, discussed in greater detail in the ISA, describes pathways
involving the respiratory and nervous systems by which O3 results in pain-related respiratory
symptoms and reflex inhibition of maximal inspiration (inhaling a full, deep breath), commonly
quantified by decreases in forced vital capacity (FVC) and total lung capacity. This reflex
inhibition of inspiration combined with mild bronchoconstriction contributes to the observed

33	The phrases "healthy adults" or "healthy subjects" are used to distinguish from subjects with asthma or other
respiratory diseases, because "the study design generally precludes inclusion of subjects with serious health
conditions," such as individuals with severe respiratory diseases (2013 ISA, p. lx).

34	A quasi-continuous exercise protocol is common to these controlled exposure studies where, in the case of a 6.6-
hour study, subjects complete six 50-minute periods of exercise, each followed by 10-minute periods of rest, in
addition to a 30-minute lunch exposure period at rest (e.g., ISA, Appendix 3, section 3.1.4.1.1, and p. 3-11;2013
ISA, section 6.2.1.1).

35	The measure of lung function response most commonly considered across O3 NAAQS reviews is changes in
FEVi. In considering controlled human exposure studies, an 03-induced change in FEVi is typically the
difference between the decrement observed with O3 exposure ([post-exposure FEVi minus pre-exposure FEVi]
divided by pre-exposure FEVi) and what is generally an improvement observed with filtered air (FA) exposure
([postexposure FEVi minus pre-exposure FEVi] divided by pre-exposure FEVi). As explained in the 2013 ISA,
"[njoting that some healthy individuals experience small improvements while others have small decrements in
FEVi following FA exposure, investigators have used the randomized, crossover design with each subject serving
as their own control (exposure to FA) to discern relatively small effects with certainty since alternative
explanations for these effects are controlled for by the nature of the experimental design" (2013 ISA, pp. 6-4 to 6-

5).

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decrease in forced expiratory volume in one second (FEVi), the most common metric used to
assess Ch-related pulmonary function effects. The evidence also indicates that the additionally
observed inflammatory response is correlated with mild airway obstruction, generally measured
as an increase in sRaw (ISA, Appendix 3, section 3.1.3). As described in section 3.3.3 below, the
prevalence and severity of respiratory effects in controlled human exposure studies, including
symptoms (e.g., pain on deep inspiration, shortness of breath, and cough) increases, with
increasing O3 concentration, exposure duration, and ventilation rate of exposed subjects (ISA,
Appendix 3, sections 3.1.4.1 and 3.1.4.2).

Within the evidence base from controlled human exposure studies, the majority of studies
involve largely healthy subjects (generally 18 to 35 years old), although there are studies
involving subjects with asthma, and a limited number of studies, generally of durations shorter
than four hours, involving individuals younger than 18 and/or older than 50 years. A summary of
salient observations of O3 effects on lung function, based on the controlled human exposure
study evidence reviewed in the 1996 and 2006 AQCDs, and recognized in the 2013 ISA,
continues to pertain to this evidence base as it exists today "(1) young healthy adults exposed to
>80 ppb O3 develop significant reversible, transient decrements in pulmonary function and
symptoms of breathing discomfort if minute ventilation (Ve) or duration of exposure is increased
sufficiently [i.e., as measured by FEVi and/or FVC]; (2) relative to young adults, children
experience similar spirometric responses but lower incidence of symptoms from O3 exposure; (3)
relative to young adults, ozone-induced spirometric responses are decreased in older individuals;
(4) there is a large degree of inter-subject variability in physiologic and symptomatic responses
to O3, but responses tend to be reproducible within a given individual over a period of several
months; and (5) subjects exposed repeatedly to O3 for several days experience an attenuation of
spirometric and symptomatic responses on successive exposures, which is lost after about a week
without exposure" (ISA, Appendix 3, section 3.1.4.1.1, p. 3-11).36

The evidence is most well established with regard to the effects, reversible with the
cessation of exposure, that are associated with short-term exposures of several hours. For
example, the evidence indicates a rapid recovery from 03-induced lung function decrements
(e.g., reduced FEVi) and respiratory symptoms (2013 ISA, section 6.2.1.1). However, in some
cases, such as after exposure to higher concentrations such as 300 ppb, the recovery phase may
be slower and involve a longer time period (e.g., at least 24 hours [hrs]). Repeated daily exposure
studies at such higher concentrations also have found FEVi response to be enhanced on the
second day of exposure. This enhanced response is absent, however, with repeated exposure at

36 A spirometric response refers to a change in the amount of air breathed out of the body (forced expiratory
volumes) and the associated time to do so (e.g., FEVi).

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lower concentrations, perhaps as a result of a more complete recovery or less damage to
pulmonary tissues (2013 ISA, section pp. 6-13 to 6-14; Folinsbee et al., 1994).

With regard to airway inflammation and the potential for repeated occurrences to
contribute to further effects, Cb-induced respiratory tract inflammation "can have several
potential outcomes: (1) inflammation induced by a single exposure (or several exposures over
the course of a summer) can resolve entirely; (2) continued acute inflammation can evolve into a
chronic inflammatory state; (3) continued inflammation can alter the structure and function of
other pulmonary tissue, leading to diseases such as fibrosis; (4) inflammation can alter the
body's host defense response to inhaled microorganisms, particularly in potentially at-risk
populations such as the very young and old; and (5) inflammation can alter the lung's response to
other agents such as allergens or toxins" (2013 ISA, p. 6-76; ISA Appendix 3, section 3.1.5.6).
With regard to Cb-induced increases in airway responsiveness, the controlled human exposure
study evidence for healthy adults generally indicates a resolution within 18 to 24 hours after
exposure, with slightly longer persistence in some individuals (ISA, Appendix 3, section
3.1.4.3.1; 2013 ISA, p. 6-74; Folinsbee and Hazucha, 2000).

The extensive evidence base for Cb-related health effects, compiled over several decades,
continues to indicate respiratory responses to short exposures as the most sensitive effects of O3.
This array of respiratory effects, including reduced lung function, respiratory symptoms,
increased airway responsiveness, and inflammation are of increased significance to people with
asthma given aspects of the disease that contribute to a baseline status that includes chronic
airway inflammation and greater airway responsiveness than people without asthma (ISA,
section 3.1.5). For example, O3 exposure of a magnitude that increases airway responsiveness
may put such people at potential increased risk for prolonged bronchoconstriction in response to
asthma triggers (ISA, Appendix 3, p. 3-7, 3-28; 2013 ISA, section 6.2.9; 2006 AQCD, section
8.4.2). The increased significance of effects in people with asthma and risk of increased exposure
for children (from greater frequency of outdoor exercise as described in Section 3.3.2) is
illustrated by the epidemiologic findings of positive associations between O3 exposure and
asthma-related emergency department visits and hospital admissions for children with asthma.
Thus, the evidence indicates O3 exposure to increase the risk of asthma exacerbation, and
associated outcomes, in children with asthma.

With regard to an increased susceptibility to infectious diseases, the experimental animal
evidence continues to indicate, as described in the 2013 ISA and past AQCDs, a potential role
for O3 exposures through effects on defense mechanisms of the respiratory tract (2013 ISA,
section 6.2.5). Evidence regarding respiratory infections and associated effects has been
augmented by a number of epidemiologic studies reporting positive associations between short-

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term O3 concentrations and emergency department visits for a variety of respiratory infection
endpoints (ISA, Appendix 3, section 3.1.7; 2013 ISA, section 6.2.5).

Although the long-term exposure conditions that may contribute to further respiratory
effects are less well understood, the evidence-based conclusion remains that there is likely to be
a causal relationship for such exposure conditions with respiratory effects (ISA, section IS.4.3.2).
Most notably, experimental studies, including with nonhuman infant primates, have provided
evidence relating O3 exposure to allergic asthma-like effects, and epidemiologic cohort studies
have reported associations of long-term average O3 concentrations in ambient air with asthma
development in children (ISA, Appendix 3, section 3.2.4.1.3 and 3.2.6). The biological
plausibility of such a role for O3 has been indicated by animal toxicological evidence on
biological mechanisms (ISA, Appendix 3, sections 3.2.3 and 3.2.4.1.2). Specifically, the animal
evidence, including the nonhuman primate studies of early life O3 exposure, indicates that such
exposures can cause "structural and functional changes that could potentially contribute to
airway obstruction and increased airway responsiveness," which are hallmarks of asthma (ISA,
Appendix 3, section 3.2.6, p. 3-113).

Overall, the recent respiratory effects evidence is generally consistent with the evidence
base in the 2015 review (ISA, Appendix 3, section 3.1.4). A few recent studies provide insights
in previously unexamined areas, both with regard to human study groups and animal models for
different effects, while other studies confirm and provide depth to prior findings with updated
protocols and techniques (ISA, Appendix 3, sections 3.1.4.1, 3.1.6.1, 3.1.11, 3.2.4.2 and 3.2.6).
Thus, our current understanding of the respiratory effects of O3 is similar to that in the 2015
review.

One aspect of the evidence, augmented in the 2020 review as compared with the 2015
review, concerns pulmonary function in adults older than 50 years of age. Previously available
evidence in this age group indicated smaller 03-related decrements in middle-aged adults (35 to
60 years) than in adults 35 years of age and younger (2006 AQCD, p. 6-23; 2013 ISA, p. 6-22;
ISA, Appendix 3, section 3.1.4.1.1.2). A recent multicenter study of 55- to 70-year old subjects
(average of 60 years), conducted for a 3-hour duration involving alternating 15-minute rest and
exercise periods and a 120 ppb exposure concentration, reported a statistically significant O3
FEVi response (ISA, Appendix 3, section 3.1.4.1.1.2; Aijomandi et al., 2018). While there is not
a precisely comparable study in younger adults, the mean response for the 55- to 70-year olds,
1.2% 03-related FEVi decrement, is lower than results for somewhat comparable exposures in
adults aged 35 or younger, suggesting somewhat reduced responses to O3 exposure in this older
age group (ISA, Appendix 3, section 3.1.4.1.1.2; Aijomandi et al., 2018; Adams, 2000; Adams,

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2006a).37 Such a reduced response in middle-aged and older adults compared to young adults is
consistent with conclusions in the past (2013 ISA, section 6.2.1.1; 2006 AQCD, section 6.4).

The strongest evidence of 03-related health effects continues to document the respiratory
effects of O3 (ISA, section ES.4.1). There are no new studies, however, of 6.6-hour exposures
(with exercise) to O3 concentrations below those previously studied.38 Among the newly
available studies in the 2020 ISA, are several controlled human exposure studies that
investigated lung function effects of higher exposure concentrations (e.g., 100 to 300 ppb) in
healthy individuals younger than 35 years old, with findings generally consistent with previous
studies (ISA, Appendix 3, section 3.4.1.1.2, p. 3-17). The newly available animal toxicological
studies augment the previously available information concerning mechanisms underlying the
effects documented in experimental studies. Lastly, newly available epidemiologic studies of
hospital admissions and emergency department visits for a variety of respiratory outcomes
supplement the previously available evidence with additional findings of consistent associations
with O3 concentrations across a number of study locations (ISA, Appendix 3, sections 3.1.4.1.3,
3.1.5, 3.1.6.1.1, 3.1.7.1 and 3.1.8). These studies include a number that report positive
associations for asthma-related outcomes, as well as a few for COPD-related outcomes. Together
these epidemiologic studies continue to indicate the potential for O3 exposures to contribute to
such serious health outcomes, particularly for people with asthma.

3.3.1.2 Other Effects

As was the case for the evidence available previously, the evidence for health effects
other than those on the respiratory system is more uncertain than that for respiratory effects. For
some of these other categories of effects, the more recent evidence as described in the 2020 ISA
has contributed to changes to conclusions reached in the 2015 review. For example, likely to be
causal relationships of cardiovascular effects and mortality with O3 exposure are no longer
supported based on newly available evidence in combination with the uncertainties that had been
recognized for the previously available evidence. Additionally, newly available evidence also led

37	For the same exposure concentration of 120 ppb, Adams (2006a) observed an average 3.2%, statistically
significant, 03-related FEVi decrement in young adults (average age 23 years) at the end of the third hour of an 8-
hour protocol that alternated 30 minutes of exercise and rest, with the equivalent ventilation rate (EVR) averaging
20 L/min-m2 during the exercise periods (versus 15 to 17 L/min-m2 in Arjomandi et al., 2018]). For the same
concentration with a lower EVR during exercise (17 L/min-m2), although with more exercise, Adams (2000)
observed a 4%, statistically significant, 03-related FEVi decrement in young adults (average age 22 years) after
the third hour of a 6.6-hour protocol (alternating 50 minutes exercise and 10 minutes rest).

38	The 2020 ISA includes a newly available 3-hr study of subjects aged 55 years of age or older that involves a
slightly lower target ventilation rate for the exercise periods. The exposure concentrations were 120 ppb and 70
ppb, only the former of which elicited a statistically significant FEVi decrement in this age group of subjects
(ISA, Appendix 3, section 3.1.4.1.1.1).

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to conclusions for another category, metabolic effects, for which formal causality determinations
were previously not articulated.

The evidence for metabolic effects summarized in the ISA is sufficient to conclude that
there is likely to be a causal relationship with short-term O3 exposures (ISA, section IS.4.3.3).
The evidence of metabolic effects of O3 comes primarily from experimental animal study
findings that short-term O3 exposure can impair glucose tolerance, increase triglyceride levels
and elicit fasting hyperglycemia and increase hepatic gluconeogenesis (ISA, Appendix 5, section
5.1.8, and Table 5-3). The exposure conditions from these studies generally involve much higher
O3 concentrations than those commonly occurring in areas of the U.S. where the current standard
is met. For example, the animal studies include 4-hour concentrations of 400 to 800 ppb (ISA,
Appendix 5, Tables 5-8 and 5-10). In addition, an epidemiologic study of a Taiwanese cohort
and 2002 air quality that was available in the 2015 review has reported positive associations of
multiday average O3 concentrations in ambient air with changes in two indicators of glucose and
insulin homeostasis (ISA, Appendix 5, sections 5.1.3.1.1 and 5.1.8).

The evidence in the ISA is suggestive of, but not sufficient to infer, a causal relationship
between long-term O3 exposures and metabolic effects (ISA, section IS.4.3.6.2). As with
metabolic effects and short-term O3 exposures, the primary evidence is from experimental
animal studies in which the exposure concentrations are appreciably higher than those commonly
occurring in the U.S. For example, the animal studies include exposures over several weeks to
concentrations of 250 ppb and higher (ISA, Appendix 5, section 5.2.3.1.1). The somewhat
limited epidemiologic evidence related to long-term O3 concentrations and metabolic effects
includes several studies reporting increased odds of being overweight or obese or having
metabolic syndrome and increased hazard ratios for diabetes incidence with increased O3
concentrations (ISA, Appendix 5, sections 5.2.3.4.1, 5.2.5 and 5.2.9, Tables 5-12 and 5-15).

With regard to cardiovascular effects and total (nonaccidental) mortality and short-term
O3 exposures, the conclusions in the ISA regarding the potential for a causal relationship have
changed from what they were in the 2015 review after integrating the previously available
evidence with the more recently available evidence. The relationships are now characterized as
suggestive of, but not sufficient to infer, a causal relationship (ISA, Appendix 4, section 4.1.17;
Appendix 6, section 6.1.8). This reflects several aspects of the evidence base: (1) a now-larger
body of controlled human exposure studies providing evidence that is not consistent with a
cardiovascular effect in response to short-term O3 exposure; (2) a paucity of epidemiologic
evidence indicating more severe cardiovascular morbidity endpoints,39 that would be expected if

39 These include emergency department visits and hospital admission visits for cardiovascular endpoints including
myocardial infarctions, heart failure or stroke (ISA, Appendix 6, section 6.1.8).

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the impaired vascular and cardiac function (observed in animal toxicological studies) was the
underlying basis for cardiovascular mortality (for which epidemiologic studies have reported
some positive associations with O3); and (3) the remaining uncertainties and limitations
recognized in the 2013 ISA (e.g., lack of control for potential confounding by copollutants in
epidemiologic studies) that still remain. Although there exists consistent or generally consistent
evidence for a limited number of Cb-induced cardiovascular endpoints in animal toxicological
studies and cardiovascular mortality in epidemiologic studies, there is a general lack of
coherence between these results and findings in controlled human exposure and epidemiologic
studies of cardiovascular health outcomes (ISA, section IS. 1.3.1). Related to this updated
conclusion for cardiovascular effects, the evidence for short-term O3 and mortality is also
updated (ISA, Appendix 6, section 6.1.8). While there remain consistent, positive associations
between short-term O3 and total (nonaccidental), respiratory, and cardiovascular mortality (and
there are some studies reporting associations to remain after controlling for PM10 and NO2), the
full evidence base does not describe a continuum of effects that could lead to cardiovascular
mortality.40 Therefore, because cardiovascular mortality is the largest contributor to total
mortality, the relatively limited biological plausibility and coherence within and across
disciplines for cardiovascular effects (including mortality) contributes to an accompanying
change in the causality determination for total mortality (ISA, section IS.4.3.5). Thus, the
evidence for cardiovascular effects and total mortality, as evaluated in the ISA, is concluded to
be suggestive of, but not sufficient to infer, a causal relationship with short-term (as well as long-
term) O3 exposures (ISA, section IS. 1.3.1).

For other health effect categories, EPA's conclusions, as described in the ISA, are largely
unchanged from those in the 2015 review. For example, the available evidence for reproductive
effects, as well as for effects on the nervous system, continue to be suggestive of, but not
sufficient to infer, a causal relationship (ISA, section IS.4.3.6). Additionally, the evidence is
inadequate to determine if a causal relationship exists between O3 exposure and cancer (ISA,
section IS.4.3.6.6).

3.3.2 Public Health Implications and At-risk Populations

The public health implications of the evidence regarding 03-related health effects, as for
other effects, are dependent on the type and severity of the effects, as well as the size of the
population affected. Such factors are discussed here in the context of our consideration of the

40 Due to findings from controlled human exposure studies examining clinical endpoints (e.g., blood pressure) that
do not indicate an O3 effect and from epidemiologic studies examining cardiovascular-related hospital admissions
and emergency department visits that do not find positive associations, a continuum of effects that could lead to
cardiovascular mortality is not apparent (ISA, Appendices 4 and 6).

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health effects evidence related to O3 in ambient air. Additionally, we summarize the available
information related to judgments or interpretative statements developed by public health experts,
including particularly experts in respiratory health. This section also summarizes the current
information on population groups at increased risk of the effects of O3 in ambient air.

With regard to O3 in ambient air, the potential public health impacts relate most
importantly to the role of O3 in eliciting respiratory effects, the category of effects concluded to
be causally related to O3 exposure in the ISA. Controlled human exposure studies have
documented reduced lung function, respiratory symptoms, increased airway responsiveness, and
inflammation, among other effects, in adults exposed while at elevated ventilation, such as while
exercising. A small subset of these studies also documents such responses in people with asthma.
For individuals with compromised respiratory function, such as individuals with asthma, such
effects, depending on severity, are plausibly related to emergency department visits and hospital
admissions for asthma which have been associated with ambient air concentrations of O3 in
epidemiologic studies (as summarized in section 3.3.1 above; 2013 ISA, section 6.2.7; ISA,
Appendix 3, sections 3.1.5.1 and 3.1.5.2).

Accordingly, the health status of the individual, as well as the magnitude of the
respiratory responses, the severity of respiratory symptoms, and the duration of the response are
some of the important factors influencing the clinical significance of individual responses to O3
exposure. While a particular reduction in FEVi or increase in inflammation or airway
responsiveness may not be of concern for a healthy group,41 it may increase the risk of a more
severe effect in a group with asthma. As a more specific example, the same increase in
inflammation or airway responsiveness in individuals with asthma could predispose them to an
asthma exacerbation event triggered by an allergen to which they may be sensitized (e.g., ISA,
Appendix 3, section 3.1.5.6.1; 2013 ISA, sections 6.2.3 and 6.2.6). Duration and frequency of
documented effects is also reasonably expected to influence potential adversity and interference
with normal activity. In summary, consideration of differences in magnitude or severity, and also
the relative transience or persistence of the responses (e.g., FEVi changes) and respiratory
symptoms, as well as pre-existing sensitivity to effects on the respiratory system, and other
factors, are important to characterizing implications for public health effects of an air pollutant
such as O3 (ATS, 2000; Thurston et al., 2017).

41 For example, for most healthy individuals, moderate effects on pulmonary function, such as transient FEVi

decrements smaller than 20% or transient respiratory symptoms, such as cough or discomfort on exercise or deep
breath, would not be expected to interfere with normal activity, while larger pulmonary function effects (e.g.,
FEVi decrements of 20% or larger lasting longer than 24 hours) and/or more severe respiratory symptoms are
more likely to interfere with normal activity for more of such individuals (e.g., 2014 PA, p. 3-53; 2006 AQCD,
Table 8-2).

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Decisions made in past reviews of the O3 primary standard and associated judgments
regarding adversity or health significance of measurable physiological responses to air pollutants
have been informed by guidance, criteria or interpretative statements developed within the public
health community, including the ATS, an organization of respiratory disease specialists, as well
as the CASAC. The ATS released its initial statement (titled Guidelines as to What Constitutes
an Adverse Respiratory Health Effect, with Special Reference to Epidemiologic Studies of Air
Pollution) in 1985 and updated it in 2000 (ATS, 1985; ATS, 2000). The ATS described its 2000
statement as being intended to "provide guidance to policy makers and others who interpret the
scientific evidence on the health effects of air pollution for the purposes of risk management"
(ATS, 2000). The statement further asserts that "principles to be used in weighing the evidence
and setting boundaries" and "the placement of dividing lines should be a societal judgment"
(ATS, 2000). The ATS explicitly states that it does "not attempt to provide an exact definition or
fixed list of health impacts that are, or are not, adverse," providing instead "a number of
generalizable 'considerations'" and that there "cannot be precise numerical criteria, as broad
clinical knowledge and scientific judgments, which can change over time, must be factors in
determining adversity" (ATS, 2000). A more recent ATS statement, while generally consistent
with the 2000 statement in the attention that statement gives to at-risk or vulnerable population
groups, broadens the discussion of effects, responses and biomarkers to reflect the expansion of
scientific research in these areas (Thurston, et al., 2017). The more recent statement additionally
notes that it does not offer "strict rules or numerical criteria, but rather proposes considerations to
be weighed in setting boundaries between adverse and nonadverse health effects," providing a
general framework for interpreting evidence that proposes a "set of considerations that can be
applied in forming judgments" for this context (Thurston et al., 2017). Thus, the most recent
statement expands upon (with some specificity) and updates the prior statement by retaining
previously identified considerations, including, for example, its emphasis on consideration of
vulnerable populations, while retaining core consistency with the earlier ATS statement
(Thurston et al., 2017; ATS, 2000).

With regard to pulmonary function decrements, the earlier ATS statement concluded that
"small transient changes in forced expiratory volume in 1 s[econd] (FEVi) alone were not
necessarily adverse in healthy individuals, but should be considered adverse when accompanied
by symptoms" (ATS, 2000). The more recent ATS statement continues to support this
conclusion and also gives weight to findings of such lung function changes in the absence of
respiratory symptoms in individuals with pre-existing compromised function, such as that
resulting from asthma (Thurston et al., 2017). More specifically, the recent ATS statement
expresses the view that when occurring in individuals with pre-existing compromised function,
such as asthma, the occurrence of "small lung function changes" "should be considered adverse

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... even without accompanying respiratory symptoms" (Thurston et al., 2017). In keeping with
the intent of these statements to avoid specific criteria, neither statement provides more specific
descriptions of such responses, such as with regard to magnitude, duration or frequency of small
pollutant-related lung function changes, for consideration of such conclusions. The earlier ATS
statement, in addition to emphasizing clinically relevant effects, also emphasized both the need
to consider changes in "the risk profile of the exposed population," and effects on the portion of
the population that may have a diminished reserve that puts its members at potentially increased
risk if affected by another agent (ATS, 2000). In a similar vein, the more recent statement
emphasizes the distinction between population changes and individual changes in lung function
measures noting that for an exposed group of study subjects, while the mean change or reduction
may be small, some individual study group members will have larger reductions which in some
cases may have passed a threshold for clinical importance (Thurston et al., 2017). These
concepts, including the consideration of the magnitude of effects occurring in just a subset of
study subjects, continue to be recognized as important in the more recent ATS statement
(Thurston et al., 2017) and continue to be relevant to the evidence base for O3.

• Does the available evidence alter our prior understanding of populations that are
particularly at risk from O3 exposures? What are important uncertainties in that
evidence?

The newly available information regarding O3 exposures and health effects among
sensitive populations, as thoroughly evaluated in the ISA, has not altered our understanding of
human populations at particular risk of health effects from O3 exposures (ISA, section IS.4.4).
For example, the respiratory effects evidence, extending decades into the past and augmented by
new studies in this review, supports the conclusion that "individuals with pre-existing asthma are
at greater risk of ozone-related health effects based on the substantial and consistent evidence
within epidemiologic studies and the coherence with toxicological studies" (ISA, p. IS-57).
Numerous epidemiologic studies document associations of O3 with asthma exacerbation. Such
studies indicate the associations to be strongest for populations of children which is consistent
with their generally greater time outdoors while at elevated exertion. Together, these
considerations indicate people with asthma, including particularly children with asthma, to be at
relatively greater risk of Cb-related effects than other members of the general population (ISA,
sections IS.4.3.1 and IS.4.4.2, Appendix 3).42

With respect to people with asthma, the limited evidence from controlled human
exposure studies (which are primarily in adult subjects) indicates similar magnitude of FEVi

42 Populations or lifestages can be at increased risk of an air pollutant-related health effect due to one or more
factors. These factors can be intrinsic, such as physiological factors that may influence the internal dose or
toxicity of a pollutant, or extrinsic, such as sociodemographic, or behavioral factors.

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decrements as in people without asthma (ISA, Appendix 3, section 3.1.5.4.1). Across studies of
other respiratory effects of O3 (e.g., increased respiratory symptoms, increased airway
responsiveness and increased lung inflammation), the responses observed in study subjects
generally do not differ due to the presence of asthma, although the evidence base is more limited
with regard to study subjects with asthma (ISA, Appendix 3, section 3.1.5.7). However, the
features of asthma (e.g., increased airway responsiveness) contribute to a risk of asthma-related
responses, such as asthma exacerbation in response to asthma triggers, which may increase the
risk of more severe health outcomes (ISA, section 3.1.5). For example, a particularly strong and
consistent component of the epidemiologic evidence is the appreciable number of epidemiologic
studies that demonstrate associations between ambient air O3 concentrations and hospital
admissions and emergency department visits for asthma (ISA, section IS.4.4.3.1).43 This
integration of evidence from controlled human exposure studies and epidemiologic studies
contributes to the well-founded conclusion that people with asthma are at increased risk from O3
exposures.

We additionally recognize that in these studies, the strongest associations (e.g., highest
effect estimates) or associations more likely to be statistically significant are those for childhood
age groups, which are, as recognized in section 3.4, the age groups most likely to spend time
outdoors during afternoon periods (when O3 may be highest) and at activity levels corresponding
to those that have been associated with respiratory effects in the human exposure studies (ISA,
Appendix 3, sections 3.1.4.1 and 3.1.4.2).44 The epidemiologic studies of hospital admissions
and emergency department visits are augmented by a large body of individual-level
epidemiologic panel studies that demonstrated associations of short-term ozone concentrations
with respiratory symptoms in children with asthma. Additional support comes from
epidemiologic studies that observed Cb-associated increases in indicators of airway inflammation
and oxidative stress in children with asthma (ISA, section IS.4.3.1). Together, this evidence

43	In addition to asthma exacerbation, the epidemiologic evidence also includes findings of positive associations of
increased O3 concentrations with hospital admissions or emergency department visits for COPD exacerbation and
other respiratory diseases (ISA, Appendix 3, sections 3.1.6.1.3 and 3.1.8).

44	Evaluations of activity pattern data indicate children to more frequently spend time outdoors during afternoon and
early evening hours, while at moderate or greater exertion level, than other age groups (Appendix 3D, section
3D.2.5.3, including Figure 3D-9; 2014 HREA, section 5.4.1.5 and Appendix 5G, section 5G-1.4). For example,
for days with some time spent outdoors, children spend, on average, approximately 2% hours of afternoon time
outdoors, 80% of which is at a moderate or greater exertion level, regardless of their asthma status (Appendix 3D,
section 3D.2.5.3). Adults, for days having some time spent outdoors, also spend approximately 2% hours of
afternoon time outdoors regardless of their asthma status but the percent of afternoon time at moderate or greater
exertion levels for adults (about 55%) is lower than that observed for children. Such analyses also note greater
participation in outdoor events during the afternoon, compared to other times of day, for children ages 6 through
19 years old during the warm season months (ISA, Appendix 2, section 2.4.1, Table 2-1). Analyses of the limited
activity pattern data by health status do not indicate asthma status to have appreciable impact (Appendix 3D,
section 3D.2.5.3; 2014 HREA, section 5.4.1.5).

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continues to indicate the increased risk of population groups with asthma (ISA, Appendix 3,
section 3.1.5.7).

Children and outdoor adult workers, are at increased risk largely due to their generally
greater time spent outdoors while at elevated exertion rates (including in summer afternoons and
early evenings when O3 levels may be higher).45 This behavior makes them more likely to be
exposed to O3 in ambient air under conditions contributing to increased dose, e.g., elevated
ventilation taking greater air volumes into the lungs46 (ISA, section IS.4.4.2; 2013 ISA, section
5.2.2.7). Thus, in light of the evidence summarized in the prior paragraphs, children and outdoor
workers with asthma may be at increased risk of more severe outcomes, such as asthma
exacerbation. Further, with regard to children, there is experimental evidence from early life
exposures of nonhuman primates that indicates the potential for effects in childhood (through
adolescence) when human respiratory systems are under development (ISA, sections IS.4.4.2 and
IS.4.4.4.1). As noted in the ISA, "these experimental studies indicate that early-life ozone
exposure can cause structural and functional changes that could potentially contribute to airway
obstruction and increased airway responsiveness" (ISA, p. IS-52). Overall, the available
evidence, while not increasing our knowledge about susceptibility or at-risk status of these
population groups, is consistent with that in the 2015 review (ISA, section IS.4.4).

Evidence available in the 2020 ISA for older adults, a population identified as at risk in
the 2015 review, adds little to the evidence previously available (ISA, sections IS.4.4.2 and
IS.4.4.4.2; Table IS-10). The ISA notes, however, that "[t]he majority of evidence for older
adults being at increased risk of health effects related to ozone exposure comes from studies of
short-term ozone exposure and mortality evaluated in the 2013 Ozone ISA" (ISA, p. IS-52).

Such studies are part of the larger evidence base that is now concluded to be suggestive, but not
sufficient to infer a causal relationship of O3 with mortality (ISA, sections IS.4.3.5 and
IS.4.4.4.2, Appendix 4, section 4.1.16.1 and 4.1.17).

The ISA also expressly considered the evidence regarding O3 exposure and health effects
among populations with several other potential risk factors. As in the 2015 review, there is
suggestive evidence of low socioeconomic status (SES) as a factor associated with potentially

45	More specifically regarding outdoor workers, in 2020 about 4% of civilian workers were required to spend more
than two-thirds of their workday outdoors. Among construction, landscaping and groundskeeping workers, about
80-90% were required to spend more than two-thirds of their working day outside. Other employment sectors,
including highway maintenance, protection services, extraction and other construction trades like engineers and
equipment operators also had a high percentage of employees who spent most of their workday outdoors (Bureau
of Labor Statistics, 2020). Such jobs often include physically demanding tasks and involve increased ventilation
rates, increasing the potential for exposure to O3.

46	Additionally, compared to adults, children have higher ventilation rates relative to their lung volume which tends
to increase the dose normalized to lung surface area (ISA, p. IS-60).

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increased risk of Cb-related health effects (2013 ISA, section 8.3.3 and p. 8-37; ISA, section
IS.4.4). The 2013 ISA concluded that "[ojverall, evidence is suggestive of SES as a factor
affecting risk of Cb-related health outcomes based on collective evidence from epidemiologic
studies of respiratory hospital admissions but inconsistency among epidemiologic studies of
mortality and reproductive outcomes," additionally stating that "[fjurther studies are needed to
confirm this relationship, especially in populations within the U.S." (2013 ISA, p. 8-28). The
evidence in the 2020 ISA adds little to the evidence previously available in this area (ISA,
section IS.4.4.2 and Table IS-10). Regarding populations identified by race or ethnicity,
including American Indians or Native Americans, the evidence continued to be inadequate to
make a determination regarding a potential for increased risk (ISA, section IS.4.4, Table IS-10).

The ISA in the 2015 review additionally identified a role for dietary anti-oxidants such as
vitamins C and E in influencing risk of Cb-related effects, such as inflammation, as well as a role
for genetic factors to also confer either an increased or decreased risk (2013 ISA, sections 8.1
and 8.4.1). No recently available evidence was evaluated in the ISA that would inform or change
these prior conclusions (ISA, section IS.4.4 and Table IS-10).

• What does the available information indicate with regard to the size of at-risk
populations and their distribution in the U.S.?

The magnitude and characterization of a public health impact is dependent upon the size
and characteristics of the populations affected, as well as the type or severity of the effects. As
summarized above, children are an at-risk population and children under the age of 18 account
for 22.2% of the total U.S. population, with 5.7% of the total population being children under 5
years of age (U.S. Census Bureau, 2022). Further, as summarized above, a key population most
at risk of health effects associated with O3 in ambient air is people with asthma. The National
Center for Health Statistics data for 2019 indicate that approximately 7.8% of the U.S.
population has asthma (Table 3-1; CDC, 2020). This is one of the principal populations that the
primary O3 NAAQS is designed to protect (80 FR 65294, October 26, 2015). Table 3-1 below
considers the currently available information that helps to characterize key features of this
population.47

The age group for which asthma prevalence documented by these data is greatest is five
to 19 years, with 8.6% of individuals aged 12 to 17 and 9.3% of individuals ages 15-19 having
asthma. In 2012 (the most recent year for which such an evaluation is available), asthma was the
leading chronic illness affecting children (Bloom et al., 2013). The prevalence is greater for girls

47 Additionally, as part of the 2020 National Health Interview Survey, about 41% of people with asthma reported
having had an asthma attack or asthma episode within the prior 12 months, with this percentage being slightly
greater among children with asthma (42.7%) compared to adults with asthma (40.7%). A summary is available in
Tables 5-1 and 6-1 of the survey (https://www.cdc.gov/asthma/most_recent_national_asthma_data.htm).

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1	than boys (for those less than 18 years of age). Among populations of different races or

2	ethnicities, black non-Hispanic children have the highest prevalence, at 12.3%. Asthma

3	prevalence is also increased among populations in poverty. For example, 11.0% of people living

4	in households below the poverty level have asthma, compared to 7.4%, on average, of those

5	living above it. Populations groups with relatively greater asthma prevalence, such as

6	populations in poverty and children, might be expected to have a relatively greater potential for

7	03-related health impacts.48

8

9	Table 3-1. National prevalence of asthma, 2020.

Characteristic A

Number with Current Asthma

Percent with Current

(in thousands)6

Asthma

Total

25,257

7.8

Child (Age <18)

4,226

5.8

Adult (Age 18+)

21,030

8.4

All Age Groups

0-4 years

394

2.0

5-14 years

2,699

6.6

15-19 years

1,833

9.3

20-24 years

2,253

10.3

25-34 years

3,600

8.1

35-64 years

10,245

8.3

65+ years

4,215

7.8

Child Age Group

0-4 years

394

2.0

5-11 years

1,641

5.9

12-17 years

2,191

8.6

12-14 years

1,057

8.1

15-17 years

1,133

9.1

Sex

Males

9,604

6.1

Boys (Age <18)

2,107

5.7

Men (Age 18+)

7,497

6.2

Females

15,652

9.5

Girls (Age <18)

2,119

6.0

Women (Age 18+)

13,532

10.4

Race/Ethnicity

White NHc

15, 286

7.6

Child (Age <18)

2,062

5.5

Adult (Age 18+)

13,224

8.1

48 As summarized in section 3.1 above, the current standard was set to protect at-risk populations, which include
people with asthma. Accordingly, any population with asthma living in areas not meeting the standard would be
expected to be at increased risk of effects.

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. . .. . Number with Current Asthma
Characteristic A (in thousands) b

Percent with Current
Asthma

Black NH

4,025

10.8

Child (Age <18)
Adult (Age 18+)

1,151
2,873

12.3
10.3

AI/ANE NH

417

10.8

Child (Age <18)

88

9.3

Adult (Age 18+)

328

11.3

Asian NH

632

3.5

Child (Age <18)
Adult (Age 18+)

119
513

3.5
3.5

Multiple0 NH
Child (Age <18)

735
264

11.5
8.8

Adult (Age 18+)

471

13.8

Hispanic, all
Child (Age <18)

3,770
1,263

6.7
6.7

Adult (Age 18+)

2,506

6.7

Hispanic, MexicanF
Child (Age<18)
Adult (Age 18+)

1,829
675
1,154

5.5
5.7
5.3

Hispanic, OtherF
Child (Age<18)
Adult (Age 18+)

1,916
583
1,332

h-- h-- CO
CO CO 00

Federal Poverty Threshold

Below 100% of poverty level

100% to less than 250% of poverty level

4,035
7,828

11.0
8.7

250% to less than 450% of poverty level

6,004

6.9

450% of poverty level or higher

7,387

6.7

A Numbers within selected characteristics may not sum to total due to rounding



B Includes persons who answered "yes" to the questions "Have you EVER been told by a doctor or other health
professional that you had asthma" and "Do you still have asthma?"
c NH = non-Hispanic

D Subcategory includes 'Other single and multiple races' for 2019
E AI/AN = American Indian/ Alaska Native

FAs a subset of Hispanic

Adapted from 2020 National Health Interview Survey, Tables 3-1 and 4-1





{https://www.cdc.gov/asthma/most_recent_national_asthma_data.htm).





1

2	3.3.3 Exposure Concentrations Associated with Effects

3	Evidence related to exposure concentrations associated with O3 effects comes from

4	controlled human exposure, epidemiologic, and animal studies. Each type of study, with its

5	inherent strengths and limitations, informs our conclusions on this topic. The strengths of the

6	controlled human exposure study design include its ability to elucidate O 3 related exposure

7	factors and circumstances (e.g., duration, concentration, activity level) that elicit a specific type

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of health effect (e.g., lung function decrements, inflammatory response, respiratory symptoms).
The type of effects that can be safely or ethically studied, however, is accordingly limited to
those that are generally less severe and are reversible. Similarly, this type of study is generally
performed for short durations on a small number of generally healthy adults, although subjects
may include those with certain conditions, such as mild or moderate asthma. Epidemiologic
studies, in contrast, include a large number and range of populations, including children and
individuals with pre-existing disease that for ethical or safety reasons are often not included in
controlled human exposure studies. These studies provide for the assessment of more severe
health outcomes, such as emergency department visits and hospitalizations which may be the
result of short- or long-term exposure histories. Additionally, while subjects of a controlled
human exposure study will have been exposed to the full mixture of pollutants in ambient air
prior to the study exposure, the study exposure itself is limited to O3 only. An epidemiologic
study by its very nature involves concurrent exposures to all the pollutants in ambient air, which
then poses challenges to characterization of the 03-specific response. Further, epidemiologic
studies do not generally include measurements of exposure. Rather, they utilize ambient air
concentrations at monitoring sites as surrogates for exposure. While animal studies have the
strength of controlled experimental designs, differences between humans and other species
contribute uncertainties to their interpretation. Further, while animal studies often provide
important evidence on mode of action, they commonly involve exposures much higher than
relevant to the human circumstances of interest. These various strengths and limitations inform
the discussion below.

The extensive evidence base for O3 health effects, compiled over several decades and
evaluated in the ISA, continues to indicate the most certain evidence to be that for respiratory
responses to short-term exposures, as described in section 3.3.1 above. The evidence comes from
controlled human exposure studies, epidemiologic studies, and experimental animal studies. In
this section, we consider the evidence with regard to the exposure concentrations associated with
effects causally or likely causally related to O3 exposure, with particular attention to the effects
for which the evidence is most certain. In so doing, we consider the following overarching
question.

• Does the available evidence alter prior conclusions regarding the exposure duration
and concentrations associated with health effects? Does the available scientific
evidence indicate health effects attributable to exposures to O3 concentrations lower
than previously reported?

The extensive and long-standing evidence base for O3 health effects continues to indicate
respiratory responses to short-term exposures as the most sensitive effects of O3. The available
evidence, as documented in the ISA, including that newly available in the 2020 review, does not

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alter our conclusions from the 2015 review on exposure duration and concentrations associated
with 03-related health effects. These conclusions were largely based on the body of evidence
from the controlled human exposure studies. A limited number of newly available controlled
human exposure studies are described in the ISA, although none involve lower exposure
concentrations than those previously studied (e.g., Figure 3-2) or find effects not previously
reported (ISA, Appendix 3, section 3.1.4).49 As summarized in section 3.3.1.1 above, an array of
respiratory effects is well documented in controlled human exposure studies of subjects exposed
for 1 to 8 hours, primarily while exercising. The risk of more severe health outcomes associated
with such effects is increased in people with asthma as illustrated by the epidemiologic findings
of positive associations between O3 exposure and asthma-related emergency department visits
and hospital admissions.

In discussing the current evidence with regard to exposure circumstances associated with
respiratory effects, we begin with a focus on respiratory effects and the evidence from controlled
human exposure studies followed by consideration of the epidemiologic evidence, and then
consider the evidence for metabolic effects. We discuss the information from controlled human
exposure studies first, given their prominence in decision-making in past reviews due to the
greater confidence in identification of specific exposure concentrations eliciting effects. As at the
time of the 2015 review, the EPA's conclusions regarding exposure concentrations of O3
associated with respiratory effects reflect the extensive longstanding evidence base of controlled
human exposure studies of short-term O3 exposures of people with and without asthma.50 These
studies have documented an array of respiratory effects, including reduced lung function,
respiratory symptoms, increased airway responsiveness, and inflammation, in study subjects
following 1- to 8-hour exposures, primarily while exercising. The severity of observed
responses, the percentage of individuals responding, and strength of statistical significance at the
study group level have been found to increase with increasing exposure (ISA; 2013 ISA; 2006
AQCD).51 For example, evidence from studies with similar duration and exercise aspects (i.e.,
6.6-hour duration with six 50-minute exercise periods) demonstrates an exposure-response

49	No 6.6-hour studies are newly available (ISA, Appendix 3, section 3.1.4.1.1). The newly available studies are
generally for exposures of three hours or less, and in nearly all instances involve exposure (while at elevated
exertion) to concentrations above 100 ppb (ISA, Appendix 3, section 3.1.4).

50	As recognized elsewhere, the studies are generally conducted with adult subjects.

51	Factors influencing exposure include activity level or ventilation rate, exposure concentration, and exposure
duration (ISA; 2013 ISA; 2006 AQCD).

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relationship for Cb-induced reduction in lung function (Figure 3-2).52'53 This specific evidence
was integral to the Administrator's judgments and decisions in 2015 and 2020 (80 FR 65292,
October 26, 2015; 85 FR 87256, December 31, 2020).

The magnitude of respiratory responses documented in the controlled human exposure
studies (e.g., size of lung function decrements and magnitude of symptom scores) is influenced
by ventilation rate, exposure duration, and exposure concentration. When performing physical
activities requiring elevated exertion, ventilation rate is increased, leading to greater potential for
health effects due to an increased internal dose (2013 ISA, section 6.2.1.1, pp. 6-5 to 6-11).
Accordingly, the exposure concentrations eliciting a given level of response after a given
exposure duration is lower for subjects exposed while at elevated ventilation, such as while
exercising (2013 ISA, pp. 6-5 to 6-6). For example, in studies of generally healthy young adults
exposed while at rest for 2 hours, 500 ppb is the lowest concentration eliciting a statistically
significant Cb-induced group mean lung function decrement, while a 1- to 2-hour exposure to
120 ppb produces a statistically significant response in lung function when the ventilation rate of
the group of study subjects is sufficiently increased with exercise (2013 ISA, pp. 6-5 to 6-6).
Further, while most studies are of largely healthy subjects, a few studies of 6.6 hr or longer
duration and multiple studies of shorter duration also assess responses in subjects with asthma to
exposure concentrations of 160 ppb or higher (Appendix 3A, Tables 3A-2 and 3A-3). Based on
these studies, the ISA states that overall "the majority of controlled human exposure studes
found little to no difference in ozone-induced lung function responses between individuals with
and without asthma" (ISA, p. 3-46).

The exposure conditions (e.g., duration and exercise) given primary focus in the past
several reviews are those of the 6.6-hour study design, which involves six 50-minute exercise
periods during which subjects maintain a moderate level of exertion to achieve a ventilation rate
of approximately 20 L/min per m2 body surface area while exercising. The 6.6 hours of exposure
in these studies has generally occurred in an enclosed chamber and the study design includes
three hours in each of which is a 50-minute exercise period and a 10-minute rest period, followed
by a 35-minute lunch (rest) period, which is followed by three more hours of exercise and rest, as

52	For a subset of the studies included in Figure 3-2 (those with face mask rather than chamber exposures), there is
no O3 exposure during some of the 6.6-hr experiment (e.g., during the lunch break). Thus, while the exposure
concentration during the exercise periods is the same for the two types of studies, the time-weighted average
(TWA) concentration across the full 6.6-hr period differs slightly. For example, in the facemask studies of 120
ppb, the TWA across the full 6.6-hour experiment is 109 ppb (Appendix 3A, Table 3A-2).

53	The relationship also exists for size of FEVi decrement with alternative exposure or dose metrics, including total
inhaled O3 and intake volume averaged concentration.

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before lunch.54 Most of these studies performed to date involve exposure maintained at a
constant (unchanging) concentration for the full duration, although a subset of studies have
concentrations that vary (generally in a stepwise manner) across the exposure period and are
selected so as to achieve a specific target concentration as the exposure average (Appendix 3 A,
Table 3A-2).55

No studies of the 6.6-hour quasi-continuous exercise design are newly available since the
2015 review. The previously available studies of this design document statistically significant
03-induced reduction in lung function (FEVi) and increased pulmonary inflammation in young
healthy adults exposed to O3 concentrations as low as 60 ppb. Statistically significant group
mean changes in FEVi, also often accompanied by statistically significant increases in
respiratory symptoms, become more consistent across such studies of exposures to higher O3
concentrations, such as 70 ppb and 80 ppb (Table 3-2; Appendix 3A, Table 3A-1). The lowest
exposures concentration for which these studies document a statistically significant increase in
respiratory symptoms is somewhat above 70 ppb, at 73 ppb56 (Schelegle et al., 2009; Appendix
3A, Table 3A-1). In the 6.6-hour studies, the group means of 03-induced57 FEVi reductions for
target exposure concentrations at or below 70 ppb are approximately 6% or lower (Figure 3-2,
Table 3-2). For example, the group means of 03-induced FEVi decrements reported in these
studies that are statistically significantly different from the responses in filtered air are 6.1% for
the 70 ppb target (73 ppb time weighted average based on measurements) and 1.7% to 3.5% for
the 60 ppb target (Figure 3-2, Table 3-2).

54	A few studies have involved exposures by facemask rather than in a chamber. To date, there is little research
differentiating between exposures conducted with a facemask and in a chamber since the pulmonary responses of
interest do not seem to be influenced by the exposure mechanism. However, similar responses have been seen in
studies using both exposure methods at higher O3 concentrations (Adams, 2002; Adams, 2003). In the facemask
designs, there is a short period of zero exposure, such that the total period of exposure is closer to 6 hours than 6.6
(Adams, 2000; Adams, 2002; Adams, 2003).

55	In these studies, the exposure concentration changes for each of the six hours in which there is exercise and the
concentration during the 35-minute lunch is the same as the prior (third) hour of exercise. For example, in Adams
(2006b), the protocol for a target exposure concentration average of 0.06 ppm for the 6.6-hour period is as
follows: 60 minutes at 0.04 ppm, 60 minutes at 0.07 ppm, 95 minutes at 0.09 ppm, 60 minutes at 0.07 ppm, 60
minutes at 0.05 ppm and 60 minutes at 0.04 ppm.

56	Measurements are reported in this study for each of the six 50-minute exercise periods, for which the mean is 72
ppb (Schelegle et al., 2009). Based on these data, the time-weighted average concentration across the full 6.6-
hour duration was 73 ppb (Schelegle et al., 2009). The study design includes a 35-minute lunch period following
the third exposure hour during which the exposure concentration remains the same as in the third hour.

57	Consistent with the ISA and 2013 ISA, the phrase "03-induced" decrement or reduction in lung function or FEVi
refers to the percent change from pre-exposure measurement of the O3 exposure minus the percent change from
pre-exposure measurement of the filtered air exposure (2013 ISA, p. 6-4).

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16 A Adams (2006)

14

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110

Q>

or

a
o

<5 6

+ F

X Adams (2003)	+

+ Adams (2002)

~ Horstman et al (1900)

*	Kim et al. (2011), McDonnell et al. (2012)
O McDonnell etal. (1991)

o Schelegle et al. (2009)

~	Folinsbee et al (1988)

ฆFolinsbee et al. (1994)

A Adams (2000)

•	Adams and Ollison (1997)

oป

t
B

~ *

IF.V

gP

Av

ov

+ F

-AL

0V	>K	F = Face mask

A Av	v = Varying

X

30 40 50 60 70 80 90 100 110 120 130

Ozone (ppb)

Figure 3-2. Group mean 03-induced reduction in FEVi from controlled human exposure
studies of healthy adults exposed for 6.6 hours with quasi-continuous exercise.

FEVi values plotted reflect group mean 03-induced percent change in FEVi, based
on subtraction of the group mean filtered air percent change (post-pre exposure)
from the group mean O3 percent change in FEVi (adapted from Appendix 3A; ISA,
Appendix 3, Figure 3-1). Concentrations are the time-weighted averages of target
concentrations across full 6.6-hour period in chamber studies (or the average of
target concentrations across the six exposures in face mask studies).

The group mean 03-induced FEVi decrements generally increase with increasing O3
exposures, reflecting increases in both the number of the individuals affected and the magnitude
of the FEVi reduction (Figure 3-2, Table 3-2). For example, foll owing 6.6-hour exposures to a
lower concentration (40 ppb), for which decrements were not statistically significant at the group
mean level, none of 60 subjects across two separate studies experienced an 03-induced FEVi
reduction as large as 15% or more (Appendix 3D, Table 3D-20). Across the four experiments
(with number of subjects ranging from 30 to 59 subjects) that have reported results for 60 ppb

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1	target exposure,58 the number of subjects experiencing this magnitude of FEV1 reduction (at or

2	above 15%) varied (zero of 30, one of 59, two of 31 and two of 30 exposed subjects), while,

3	together, they represent 3% of all 150 subjects. The percentage of subjects (with reductions of

4	15% or more) increased to 10% (three of 31 subjects) for the study at 73 ppb (70 ppb target

5	concentration) and is higher still (16%) in a variable exposure study at 80 ppb (Appendix 3D,

6	Tables 3D-20; Schelegle et al., 2009). In addition to illustrating the E-R relationship, these

7	findings also illustrate the considerable variability in magnitude of responses observed among

8	study subjects (ISA, Appendix 3, section 3.1.4.1.1; 2013 ISA, p. 6-13).

9

58 For these four experiments, the average concentration across the 6.6-hour period ranged from 60 to 63 ppb
(Appendix 3A, Table 3A-2).

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1	Table 3-2. Summary of 6.6 to 8 hour controlled human exposure study-findings for

2	adults.

Endpoint

O3 Target
Exposure
Concentration*

Statistically
Significant
EffectB

03-lnduced Group
Mean Response B

Study

FEVi
Reduction

120 ppb

Yes

-4.07% to -15.9% c

Folinsbee et al. 1988; Horstman et al. 1990;
Hazucha et al. 1992; Folinsbee et al. 1994;
Adams and Ollison 1997; Adams 2000;
Adams 2002; Adams 2006aD

100 ppb

Yes

-8.5% to -13.9% c

Horstman et al., 1990; McDonnell et al.,
1991E

87 ppb

Yes

-12.2%

Schelegle et al., 2009

80 ppb

Yes

-7.5%

Horstman et al., 1990

-7.7%

McDonnell et al., 1991

-6.5%

Adams, 2002

-6.2% to -5.5% c

Adams, 2003

-7.0% to -6.1% c

Adams, 2006b

-7.8%

Schelegle et al., 2009

NDE

-3.5%

Kimet al., 2011 F

70 ppb

Yes

-6.1%

Schelegle et al., 2009

60 ppb

Yes

G

-2.9%
-2.8%

Adams, 2006b; Brown et al., 2008

Yes

-1.7%

Kim et al., 2011

No

-3.5%

Schelegle et al., 2009

40 ppb

No

-1.2%

Adams, 2002

No

-0.2%

Adams, 2006b

Increased
Respiratory
Symptoms

160 ppb

Yes

Increased symptom
scores

Horstman et al. 1995

120 ppb

Yes

Folinsbee et al. 1988; Horstman et al. 1990;
McDonnell et al., 1991; Hazucha et al.
1992; Folinsbee et al. 1994; Adams and
Ollison 1997; Adams 2000; Adams, 2002;
Adams, 2003; Adams 2006a; Adams,
2006b; Schelegle et al., 2009H

100 ppb

Yes

87 ppb

Yes

80 ppb

Yes

70 ppb

Yes

60 ppb

No

Adams, 2002; Adams, 2006b; Kim et al.,
2011; Schelegle et al., 2009 H

40 ppb

No

Airway
Inflammation

80 ppb

Yes

Multiple indicators1

Devlin et al., 1991; Alexis et al., 2010

60 ppb

Yes

Increased neutrophils

Kim et al., 2011

Increased
Airway
Resistance and
Responsiveness

120 ppb

Yes

Increased

Horstman et al., 1990; Folinsbee et al.,
1994 (O3 induced sRaw not reported)

100 ppb

Yes

Horstman et al., 1990

80 ppb

Yes

Horstman et al., 1990

A This refers to the average concentration across six to eight exercise periods targeted by authors. This differs from the time-
weighted average concentration for the full exposure periods (targeted or actual). For example, as shown in Appendix 3A, Table
3A-2, in 6.6 hour chamber studies implementing a varying concentration protocol with targets of 0.03, 0.07, 0.10, 0.15, 0.08 and
0.05 ppm, the exercise period average concentration is 0.08 ppm while the time weighted average for the full exposure period
(based on targets) is 0.082 ppm due to the 0.6 hour lunchtime exposure between periods 3 and 4. In some cases this also
differs from the exposure period average based on study measurements. For example, based on measurements reported in

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Schelegle et al., (2009), the full exposure period average concentration for the 70 ppb target exposure is 73 ppb, and the
average concentration during exercise is 72 ppb.

3 Statistical significance based on the O3 compared to filtered air response at the study group mean (rounded to the first
decimal).

c Ranges reflect the minimum to maximum FEV1 decrements across multiple exposure designs and studies. Study-specific
values and exposure details provided in the PA, Appendix 3A, Tables 3A-1 and 3A-2, respectively.

D Citations for specific FEV1 findings for exposures above 70 ppb are provided in Appendix 3A, Table 3A-1.

E ND (not determined) indicates these data have not been subjected to statistical testing.

F The data for 30 subjects exposed to 80 ppb by Kim et al. (2011) are presented in Figure 5 of McDonnell et al. (2012).

G Adams (2006) reported FEV1 data for 60 ppb exposure by both constant and varying concentration designs. Subsequent
analysis of the FEV1 data from the former found the group mean O3 response to be statistically significant (p < 0.002) (Brown et
al., 2008; 2013 ISA, section 6.2.1.1). The varying-concentration design data were not analyzed by Brown et al., 2008.

H Citations for study-specific respiratory symptoms findings are provided in Appendix 3A, Table 3A-1.

1 Increased numbers of bronchoalveolar neutrophils, permeability of respiratory tract epithelial lining, cell damage, production of
proinflammatory cytokines and prostaglandins (ISA, Appendix 3, section 3.1.4.4.1; 2013 ISA, section 6.2.3.1).	

For shorter exposure periods (e.g., from one to two hours), with heavy intermittent or
very heavy continuous exercise, higher exposure concentrations, ranging from 80 ppb to 400
ppb, have been studied (ISA, Appendix 3A, section 3.1, Table 3A-3; 2013 ISA, section 6.2.1.1;
2006 AQCD, Chapter 6). Across these shorter-duration studies (which involved ventilation rates
2-3 times greater than in the prolonged [6.6- or 8-hour] exposure studies),59 the lowest exposure
concentration for which statistically significant respiratory effects were reported is 120 ppb, for a
1-hour exposure combined with continuous very heavy exercise and a 2-hour exposure with
intermittent heavy exercise. As recognized above the increased ventilation rate associated with
increased exertion increases the amount of O3 entering the lung, where depending on dose and
the individual's susceptibility, it may cause respiratory effects (2013 ISA, section 6.2.1.1). Thus,
for exposures involving a lower exertion level, a comparable response would not be expected to
occur without a longer duration at this concentration (120 ppb), as is illustrated by the 6.6-hour
study results for this concentration (Appendix 3 A, Table 3 A-l).

While, as recognized above, a strength of the controlled human exposure studies includes
the controlled nature of the experiments which provides confidence in identification of specific
exposure conditions eliciting effects, we recognize that such studies are limited with regard to
some aspects important to judgments in NAAQS reviews. For example, study subjects are
generally less diverse than the general population (e.g., most frequently relatively young and
largely healthy adults). Further, such studies do not and cannot reflect all of the environmental
conditions that may be influencing the more severe effects such as those that result in emergency
department visits or hospitalizations for the at-risk populations such as people with asthma.

Thus, we also consider the epidemiologic evidence. While, epidemiologic studies also have
unique limitations (as discussed further below), these studies investigate associations of health

59 A quasi-continuous exercise protocol is common to the prolonged exposure studies where study subjects complete
six 50-minute periods of exercise, each followed by 10-minute periods of rest (2013 ISA, section 6.2.1.1).

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outcomes ranging in severity to the most severe (i.e., mortality), with a broad array of ambient
air O3 concentrations within the real-world complex of environmental mixtures and other factors.
Such studies also generally include individuals and populations less likely to be participants in
controlled studies, including those who may be at greater risk due to various susceptibility or
vulnerability factors.

In turning to the epidemiologic studies, we focus primarily on studies reporting positive
associations between O3 concentrations and respiratory health outcomes (e.g., asthma-related
emergency department visits and hospitalizations, as well as emergency department visits and
hospitalizations for respiratory outcomes). In the 2020 review, as in prior reviews, the
epidemiologic studies continue to present consistent evidence of an association between O3 and
respiratory health effects across a number of study locations and various O3 concentration
metrics (i.e., daily maximum and average 1-hour and 8-hour metrics, as well as 24-hour
averages) for studies that include a variety of study designs and exposure assignment techniques,
including population-weighted monitor averages, CMAQ modeling estimates, and fusions of
modeled and monitored data (Table 3-3; see Appendix 3B Table 3B-land 3B-2 for details on
study subject monitor assignments). As discussed in section 3.3.1, this epidemiologic evidence
base provides strong support for the conclusions of a causal relationship.60

In considering the exposure circumstances in these epidemiologic studies, we note that
these studies generally do not provide information on details of the specific O3 exposure
circumstances that may be eliciting respiratory health effects. For example, these studies
generally do not measure personal exposures of the study population or track individuals in the
population with a defined exposure to O3 alone. Rather the studies utilize various air quality
approaches to estimate a surrogate for personal exposure. Additionally, the studies assess a
variety of air quality metrics, which for short-term studies include daily maximum and average
1-hour and 8-hour metrics, as well as 24-hour averages. The O3 epidemiologic evidence does not
indicate any one averaging time to be more consistently or strongly associated with respiratory
health effects, such that each of them may be a surrogate for exposure conditions that elicit
respiratory health effects (2013 ISA, p. IS-30).61

In light of this uncertainty regarding to exposure circumstances that might be eliciting
observed health outcomes, our use of epidemiologic studies in considering adequacy of the
primary standard often starts with the broader question of what are the O3 concentrations in the
study locations—and more specifically, whether the studies are indicating the potential for O3-

60	Combined with the coherent evidence from experimental studies, the epidemiologic studies "can support and
strengthen determinations of the causal nature of the relationship between health effects and exposure to ozone at
relevant ambient air concentrations" (ISA, p. ES-17).

61	Long-term studies often utilize monthly or seasonal average concentrations.

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related health outcomes to be occurring when air quality is meeting the existing standard. If
concentrations in the study locations are well above those that would meet the current standard, it
is more difficult to draw any conclusions about the adequacy of the current standard. Thus,
studies for which the current standard would have been met in the studied locations during the
studied time periods are of particular interest. For example, consistent, repeated findings of
positive associations of respiratory outcomes with O3 during times and in locations that would
have met the current standard might signal the potential for the standard to be allowing air
quality and associated exposures of potential concern. This would then indicate the need for
more detailed consideration of the air quality conditions in the studies, in combination with
consideration of estimates from the risk and exposure analyses. Thus, to consider the potential
for such a situation for the currently available studies, we have analyzed the air quality data
available for the locations and time periods of the U.S. and Canadian studies in order to ascertain
whether such a situation exists.62

In so doing, we note that comparing the air quality metric values from the epidemiologic
studies to the O3 standard level does not actually tell one whether the O3 standard, with its 4th
highest form (to limit "peak" concentrations) is met. For example, while median concentration
values from short-term studies of O3 and respiratory effects for the array of air quality metrics
utilized (1-hr, 8-hr, 24-hr and etc.) may be below 70 ppb (the level of the current standard), this
does not necessarily mean that the study areas were meeting the current standard during the time
period of the study. To discern whether air quality for a location and time period would be
expected to meet the current standard, we must calculate the "design value" (here, the 3-year
average of annual 4th highest 8-hour daily maximum O3 concentrations). When the design value
metric is at or below the current standard level (70 ppb), we would expect the standard to have
been met at that time in that location. Given the distribution of ambient air O3 concentrations,
median (and/or mean) values of epidemiologic study air quality metrics may be well below 70
ppb while the design value (which reflects the peak form of the standard) is above 70 ppb. When
the design value is above 70 ppb, we know that air quality in the area would exceed the current
standard. In such instances, it is possible that the health outcomes associated with O3 in the study
are influenced wholly or in large part by concentrations above the level of the current standard.
While the associations observed in studies in which the air quality exceeds the standard still
indicate a role for O3 in the outcomes (and provide support for the causal relationship between

62 Consistent with the evaluation of the epidemiologic evidence of associations between O3 exposure and respiratory
health effects in the ISA, we focus on those studies conducted in the U.S. and Canada as including populations
and air quality characteristics that may be most relevant to circumstances in the U.S. (ISA, Appendix 3, section
3.1.2; and Table 3-3, and Appendix 3B).

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O3 and respiratory effects and the need for a primary O3 standard), such studies do not indicate
effects occurring at exposure concentrations allowed by the current standard.63

Therefore, in order to understand the extent to which air quality in locations and time
periods studied may have met, or violated, the current standard, we estimated design values for
locations and time periods of the U.S. and Canadian epidemiologic studies reporting positive
associations between O3 concentrations and respiratory health outcomes based on publicly
available data for these locations and time periods. These values are presented in the Attachment
to Appendix 3B, and summarized for each study in Appendix 3B, Tables 3B-1 and 3B-2.64 For
ease of reference, some of this information is also presented in this chapter for studies of
respiratory outcomes associated with short-term O3 concentrations (Table 3-3 throughTable 3-5
below).

Among the 42 U.S. and Canadian epidemiologic studies finding a statistically significant
positive relationship of short- or long-term O3 concentrations with respiratory outcomes, the vast
majority were in locations and time periods that would not have met the current standard (Table
3-3). Out of 18 single-city U.S. studies that reported positive associations, only one study (which
examined emergency department visits for respiratory infection) had a design value metric at/or
below 70 during any of the nine 3-year periods of the study (Table 3-3, Table 3-5; Appendix 3B,
Table 3B-1; Rodopoulou et al., 2015). However, the air quality in this study would have
exceeded the standard 88% of the time (Table 3-3). Of the three Canadian single-city studies,
two (conducted in western Canada) include locations for which the air quality would have just
met the current standard (Table 3-3, Appendix 3B, Table 3B-1 and attachment; Kousha and
Rowe, 2014; Villeneuve et al., 2007). However, these studies did not include analyses of
correlations with other co-occurring pollutants (ISA, Tables 3-14 and 3-39), contributing
uncertainty to identification of specific O3 exposure concentrations that may be independently
eliciting such effects. Further, as recognized in the ISA, the populations in such studies may have

63	This discussion illustrates the different purposes for the two types of metrics. Air quality metrics in epidemiologic
studies are used as exposure surrogates to investigate potential for an air pollutant to be playing a role in health
outcomes occurring in the areas and time periods studied, while air quality standards are intended to control air
quality, and associated air pollutant exposure exposures of concern.

64	The design values calculated for the purposes of these tables, while derived using the method described in 40 CFR
part 50, Appendix U, or in the case of most studies available in the 2015 review, 40 CFR part 50, Appendix P, are
not actual regulatory design values. However, they are generally derived in the same way and are therefore
intended to inform our understanding of the extent to which air quality in these studies would have met the
existing standard. For the time period analyzed in any study, the 3-year periods for which these values were
derived begin with the first three years of the study, and end with the last three years. We note, however, that the
first year of the study will also have contributed to two additional 3-year periods which may or may not have met
the standard. Further, since O3 concentrations have generally been higher in earlier vs. later years, not including
those two additional periods may have resulted in an underestimate of the extent to which the first year
contributed to design values that would not have met the standard.

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also experienced longer-term, variable and uncharacterized exposure to O3 (as well as to other
ambient air pollutants), such that "disentangling the effects of short-term ozone exposure from
those of long-term ozone exposure (and vice-versa) is an inherent uncertainty in the evidence
base" (ISA, p. IS-87 [section IS.6.1]). Such an uncertainty is important to our identification of
exposure concentrations that may elicit health effects under air quality conditions that meet the
current standard.

There are also a handful of multicity U.S or Canadian studies reporting positive
associations of short- or long-term respiratory health outcomes with O3 concentrations in which a
subset of the study locations and/or for a portion of the study period appear to have met the
current standard (Table 3-3 throughTable 3-4; Appendix 3B, Tables 3B-1 and 3B-2 and
attachment). Concentrations in other portions of the study area or study period, however, would
not have met the standard, or data were not available in some cities for the earlier years of the
study period when the design value metric in other cities of the study was well above 70 ppb.
The extent to which reported associations with health outcomes in the resident populations in
these studies are influenced by the periods of higher concentrations during times that would not
have met the current standard is unknown. Additionally, with regard to multicity studies, the
reported associations were based on the combined dataset from all cities, complicating
interpretations regarding the contribution of concentrations in the small subset of locations that
would have met the current standard compared to that from the larger number of locations that
would not have met the standard (Tables 3-3, 3-4, 3-5, Appendix 3B, Table 3B-1 and Table 3B-
2).65 For example, in a U.S study examining respiratory mortality associated with 1-hr daily
maximum O3 concentrations in 90 cities over an 8-year period (1987-1996), with the design
value metrics ranging from 18-192 ppb, 94% of the study locations across the entire study period
had air quality for which the design value metric exceeded 70 ppb and only one city (Lincoln,
NE) would have met the current standard over the entire study period (Table 3-3; Appendix 3B
attachment; Katsouyanni et al., 2009). Of the other three U.S. multicity studies of respiratory
outcomes in which air quality would have met the standard in at least one location and three-year
period, two analyzed respiratory mortality associations, with short-term (8-hour daily average)
and long-term (monthly average) O3 concentrations, respectively (Table 3-3; Appendix 3B,

Table 3B-1 and 3B-2 and attachment; Zanobetti and Schwartz, 2008; Jerrett et al., 2009). Air
quality relavant to these studies would have met the standard in 5% or less of the locations and
time periods in each study, meaning that 95% or more of the locations and time periods had air

65 As recognized in the 2015 review, "multicity studies do not provide a basis for considering the extent to which
reported O3 health effects associations are influenced by individual locations with ambient [air] O3 concentrations
low enough to meet the current O3 standard versus locations with O3 concentrations that violate this standard" (80
FR 64344, October 26, 2015).

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quality that would not have met the standard (Table 3-3 through Table 3-5 and Appendix 3B,
Table 3B-2 and attachment). Similarly, air quality in the third U.S. multicity study, a study
analyzing long-term (areawide annual mean) concentrations, would also have not met the current
standard during more than 96% of the locations and time periods included (Appendix 3B Table
3B-2 and attachment; Garcia et al., 2019).

Turning to the Canadian multicity studies of respiratory outcome associations with O3
concentrations, there are two focused on associations of asthma-related emergency department
visits with 24-hour daily average O3 concentrations. The air quality in these studies in a subset of
the study locations and/or for a portion of the study period would have met the current standard.
Both of these studies, however, included multiple cities in which the design value metric
exceeded the standard level (70 ppb) across the entire study period. (Table 3-3, and Appendix
3B; Stieb et al., 2009; Szyszkowicz et al., 2018). In another Canadian multicity study that
focused on hospitalizations for a broader array of respiratory causes, the O3 concentrations in a
subset of the study locations and/or for a portion of the study period would have met the current
standard (Cakmak et al., 2006). Among the cities in this study, three had one or more three-year
periods in which the design value metric exceeded 70 ppb (Table 3-3, Appendix 3B
attachment).66

Regarding studies that reported positive and statistically significant associations with
short- or long-term respiratory mortality, there are no U.S. studies that would have met the
current standard over the entire study (Table 3-3, and 3-4, Appendix 3B attachment). There are
three Canadian studies when the air quality in some of study cities, though not all study cities,
would have met the current standard over the entire study period, (Cakmak et al., 2006
Katsouyanni et al., 2009; Vanos et al., 2014). For example, one or more design values derived
for half of the cities studied by Vanos et al (2014) and half of the cities studied by Katsouyanni
et al (2009) had air quality that exceeded the current standard across the entire study period (
Table 3-3 and Appendix 3B attachment).

Thus, while the numerous epidemiologic studies reporting positive associations of
respiratory outcomes with O3 concentrations provide strong support for the conclusions of
causality,67 they are less informative with regard to O3 exposure concentrations occurring under

66	Another multi-city Canadian study (in Quebec province) reporting a positive association of asthma incidence with
long-term O3 concentrations (average 8-hour midday summer concentrations) involved air quality conditions that
may have met the standard during a portion of the study (Appendix 3B, Table 3B-2 and attachment; Tetreault et
al., 2016). However, more than half the locations for which there were sufficient data to derive a design value,
would not have met the current standard.

67	Combined with the coherent evidence from experimental studies, the epidemiologic studies "can support and
strengthen determinations of the causal nature of the relationship between health effects and exposure to ozone at
relevant ambient air concentrations" (ISA, p. ES-17).

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air quality conditions allowed by the current standard that may be eliciting health effects. For
example, none of the U.S. single- or multi-city studies that found associations between O3 and
the clearly adverse health outcomes of hospital admissions or emergency department visits for
respiratory causes or with respiratory mortality were conducted in times and locations when the
air quality would have met the current standard throughout the study. For the two Canadian
single-city studies for which air quality may have met the standard, as discussed above,
interpretation of results with regard to 03-specific exposure circumstances is complicated by the
presence of co-occurring pollutants or pollutant mixtures. With regard to the small number of
studies in which the current standard may have been met during a portion of the time period or
locations studied, it is unknown to what extent reported associations with health outcomes in the
resident populations in these studies are influenced by the periods of higher concentrations
during times or in locations that did not meet the current standard. With regard to the multicity
studies, the handful of studies conducted in the U.S. or Canada in which the O3 concentrations in
a subset of the study locations and/or for a portion of the study period appear to have met the
current standard (Table 3-3 through Table 3-5 and Appendix 3B) are less informative given that
the extent to which reported associations with health outcomes in the resident populations in
these studies were influenced by the periods of higher concentrations during times that did not
meet the current standard is unknown. In summary, the currently available epidemiologic studies
are extremely limited in their ability to provide insights regarding exposure concentrations
associated with health outcomes that might be expected under air quality conditions that meet the
current standard.

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1	Table 3-3. Epidemiologic studies reporting suihMkalK ^i'^nHlcant associations between short-term 03 concentrations and

2	respirator) effects and ambient air quality conditions during the study.

Study Information*

Ambient Air Quality

Study Area

Health
Study
Time
Period

Air Quality
Time
Period

Study
ReferenceB

Health
Outcome

O3 Concentration Metric
Associated with Health
Outcome

Study-reported Oa Concentrations, in
terms of study metric (ppb)

DV for Current

NAAQS,
across cities
and study
years (ppb)c

% of DV
periods
(fraction of
cities) > 70
ppbD

Mean/median

Range

U.S. Studies, Single City

Indianapolis,
IN

2007-2011

2007-2011

Byers et al.,
2015

ED Asthma

8-hr daily max, moving
average of lag 0-2

8-hr WS: 48.5

NA

73-77

100

Atlanta, GA

1993-2004

1993-2004

Darrowet al.,
2011

ED Aggregate
Resp Diseases

1-hr and 8-hr daily max,
previous day lag (lag 1)

1-hr WS: 62.0
8-hr WS: 53.0

1-h Max: 180.0
8-hr Max: 148.0

91-121

100

Atlanta, GA

1993-2010

1993-2010

Darrowet al.,
2014

ED Resp
Infection

8-hr daily max, 3-day
moving average of lag 0-2

8-hr YR: 45.9

3.0-127.1

80-121

100

New Jersey

2004-2007

2004-2007

Gleason et al.,
2014

ED Asthma

8-hr daily max, same day
lag (lag 0)

NA

NA

92-93

100

New York,
NY

1999-2009

1999-2009

Goodman et
al., 2017a

HA Asthma

8-hr daily max, average of
lag 0-1

8-hr YR: 30.7

2.0-105.4

84-115

100

New York,
NY

1999-2002

1999-2002

Ito et al., 2007

ED Asthma

8-hr daily max, average of
lag 0-1

8-hr YR: 30.4
8-hr WS: 42.7

5th and 95th
percentiles:
YR: 6.0-68.0
WS: 18.0-77.0

109-115

100

Atlanta, GA

1998-2007

1998-2007

Klemm et al.,
2011

Resp Mortality

8-hr daily max, average of
lag 0-1

8-hr YR: 35.5

0.0-109.1

90-121

100

Atlanta, GA

2002-2008

2002-2008

O'Lenick et
al., 2017

ED Asthma

8-hr daily max, 3-day
moving average of lag 0-2

NA

NA

90-95

100

Little Rock,
AR

2002-2012

2002-2012

Rodopoulou
et al., 2015

ED Resp
Infection

8-hr daily max, lag 2

8-hr YR: 40.0

NA

70-83

88

Atlanta, GA

1999-2002

1999-2002

Sarnat et al.,
2013

ED Asthma

24-hr daily average

8-hr YR: 41.9

3.5-132.7

99-107

100

St. Louis,
MO

2001-2003

2001-2004

Sarnat et al.,
2015

ED Asthma

8-hr daily max, distributed
lags (lags 0-2)

8-hr YR: 36.2

NA

92

100

New York,
NY

2005-2011

2005-2012

Sheffield et
al., 2015

ED Asthma

24-hr daily average

NA

NA

82-94

100

New York,
NY

2005-2011

2005-2011

Shmool et al.,
2016

ED Asthma

24-hr daily average, case-
day

WS Temporal
estimates: 30.4
Spatiotemporal est:
29.0

Temporal estimates:
5.0-60.0
Spatiotemporal
estimates: 4.6-60.3

82-94

100

New York,
NY

1999-2006

1999-2006

Silverman and
Ito, 2010

HA Asthma

8-hr daily max, average of
lag 0-1

8-hr WS: 41.0

10th and 90th
percentiles: 18.0-
77.0

93-115

100

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Study Information*

Ambient Air Quality

Study Area

Health
Study
Time
Period

Air Quality
Time
Period

Study
ReferenceB

Health
Outcome

O3 Concentration Metric
Associated with Health
Outcome

Study-reported O3 Concentrations, in
terms of study metric (ppb)

DV for Current

NAAQS,
across cities
and study
years (ppb)c

% of DV
periods
(fraction of
cities) > 70
ppbD

Mean/median

Range

Atlanta, GA

2002-2010

2002-2010

Strickland et
al., 2014

ED Asthma

8-hr daily max, 3-day
moving average lag 0-2

8-hr YR: 42.2

NA

80-95

100

Atlanta, GA

1993-2004

1993-2004

Tolbert et al.,
2007

ED Aggregate
Resp Diseases

8-hr daily max, average of
lag 0-1

8-hr (EC): 53.0

2.9-147.5

91-121

100

St. Louis,
MO

2001-2007

2001-2007

Winquist et
al., 2012

HA Asthma; ED
Asthma and
Resp Infection;
HA and ED
Resp Diseases

8-hr daily max, distributed
lags (lags 0-4)

NA

NA

86-92

100

Atlanta, GA

1998-2004

1998-2004

Winquist et
al., 2014

ED Asthma

8-hr daily max, 3-day
moving average of lag 0-2

8-hr WS: 53.9

NA

91-121

100

U.S. Studies, Multi-city

3 U.S. cities

1993-2009

1993-2009

Alhanti et al.,
2016

ED Asthma

8-hr daily max, 3-day
moving average of lag 0-2

8-hr YR for 3 cities
mean range:
37.3-43.7

NA

86-121

100 (3/3)

5 U.S. cities

2002-2008

2002-2008

Barry et al.,
2018

ED Asthma,
Resp Infection,
and Aggregate
Resp Diseases

8-hr daily max, 3-day
moving average of lag 0-2

8-hr YR for 5 cities
mean range:
37.5-42.2

Min Range: 3.9-9.4
Max Range: 80.2-
106.3

83-95

100 (5/5)

3 metro
areas in TX

2003-2011

2003-2011

Goodman et
al., 2017b

HA Asthma

8-hr daily max, same day
lag (lag 0)

8-hr YR: 41.8

2.0-107.0

74-103

100 (3/3)

Nationwide
(U.S.)

1987-1996

1987-1996

Katsouyanni
et al., 2009

Resp Mortality

1-hr daily max, 2-day
average of lag 0-1

NA

NA

18-192

94 (85/89)

California

2005-2008

2005-2009

Malig et al.,
2016

ED Asthma,
Resp Infection,
and Aggregate
Resp Diseases

1-hr daily max, 2-day
average of lag 0-1

8-hr for 16 climatic
zones mean range:
YR: 33.0-55.0
WS: 31.0-75.0

NA

119-122

100 (NA)

3 U.S. cities

2002-2008

2002-2008

O'Lenick et
al., 2017

ED Aggregate
Resp Diseases

8-hr daily max, 3-day
moving average of lag 0-2

8-hr YR for 3 cities
mean range: 40.0-
42.2

Min Range: 0.15-
2.21

Max Range: 115-125

85-96

100 (3/3)

North
Carolina

2006-2008

2006-2008

Sacks et al.,
2014

ED Asthma

8-hr daily max, 3-day
moving average of lag 0-2

8-hr YR: 43.6
8-hr WS: 50.1

Max: 108.1

94

100 (NA)

Georgia

2002-2008

2002-2008

Xiao et al.,
2016

ED Asthma,
Resp Infection

8-hr daily max, 3-day
moving average of lag 0-2

8-hr YR: 42.1

5.4-106.1

91-95

100 (NA)

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Study Information*

Ambient Air Quality

Study Area

Health
Study
Time
Period

Air Quality
Time
Period

Study
ReferenceB

Health
Outcome

O3 Concentration Metric
Associated with Health
Outcome

Study-reported 0,i Concentrations, in
terms of study metric (ppb)

DV for Current

NAAQS,
across cities
and study
years (ppb)c

% of DV
periods
(fraction of
cities) > 70
ppbD

Mean/median

Range

48 U.S.
cities

1989-2000

1989-2000

Zanobetti and
Schwartz,
2008

Resp Mortality

8-hr daily average, same
day lag (lag 0)

8-hr WS for 40 U.S.
cities mean
range:15.1-62.8

Min Range: 0.9-23.6
Max Range: 34.3-
146.2

45-179

95 (45/48)

6 cities in TX

2001-2013

2001-2013

Zu etal.,2017

HA Asthma

8-hr daily max, lag 0-3

8-hr YR:32.2

1.0-82.8

71-103

100 (6/6)

Canadian Studies, Single City

Edmonton

1992-2002

1992-2002

Kousha and
Rowe, 2014

ED Resp
Infection

8-hr daily max, same day
lag (lag 0).

8-hr YR: 18.6

NA

56-64

0 (NA)

Windsor

2004-2010

2004-2010

Kousha and
Castner, 2016

ED Resp
Infection

8-hr daily max, same day
lag (lag 0)

8-hr YR: 25.3

NA

73-87

100 (NA)

Census
metropolitan
area of
Edmonton

1992-2002

1992-2002

Villeneuve et
al., 2007

ED Asthma

8-hr daily max, lag 1

8-hr WS: 38.0
(Median)

NA

60-69

0 (NA)

Canadian Studies, Multi-city

10 Canadian
cities

1993-2000

1993-2000

Cakmak et al
2006

HA for
Aggregate
Respiratory
Conditions

24-hr daily average, lag 1

24-hr (YR): 17.4

Min Range: 0.0-4.0
Max Range: 38.0-
79.0

45-106

28(3/10)

12 Canadian
cities

1987-1996

1987-1996

Katsouyanni
et al., 2009

Resp Mortality

1-hr daily max, 2-day
average of lag 0-1

1-hr (YR) for 12
cities median
range: 6.7-8.3

NA

45-106E

37 (6/12)

7 Canadian
cities

1992-2003

1992-2003

Stieb et al.,
2009

ED Asthma

24-hr daily average, lag 1

24-hr YR: Mean
range: 10.3-22.1

NA

49-85F

23 (2/7)

9 Canadian
cities

2004-2011

2004-2011

Szyszkowicz
et al., 2018

ED Asthma and
Resp Infection

24-hr daily average, lag 1

24-hr YR: 9 urban
areas/districts
mean range:
22.5-29.2

Min Range: 1.0-3.0
Max Range: 60.7-
80.0

57-79

50 (7/9)

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Study Information*

Ambient Air Quality

Study Area

Health
Study
Time
Period

Air Quality
Time
Period

Study
ReferenceB

Health
Outcome

O3 Concentration Metric
Associated with Health
Outcome

Study-reported O3 Concentrations, in
terms of study metric (ppb)

DV for Current

NAAQS,
across cities
and study
years (ppb)c

% of DV
periods
(fraction of
cities) > 70
ppbD

Mean/median

Range

10 Canadian
cities

1981-1999

1981-1999

Vanos et al.,
2014

Resp Mortality

24-hr daily average, lag 1

24-hr YR: 19.3

NA

49-106F

31 (5/10)

Abbreviations: DV - design value; WS - warm season; YR - year round
A See Appendix 3B, Table 3B-2 for specific study details on assignment of monitors.

B Studies investigating associations between short-term O3 exposure and respiratory mortality are summarized in the following tables and figures of Appendix 3 of the ISA (U.S. EPA, 2020): HA for
asthma: Table 3-13, Figure 3-4; ED visits for asthma: Table 3-14, Figure 3-5; ED visits for respiratory infection: Table 3-39, Figure 3-6; Respiratory-related HA and ED: Figure 3-7; HA for aggregate
respiratory diseases: Table 3-41; ED visits for aggregate respiratory diseases: Table 3-42.

c For those studies available at the time of the 2015 review, design values were drawn from (Wells, 2012) and are presented in units of ppm. For those studies available since the time of the 2015
review, DVs were calculated based on data available from the EPAs Air Quality System (AQS) for U.S. studies and the National Air Pollutant Surveillance (NAPS) program for Canadian studies.
D Percent is calculated for the 3-year periods for which data were available and met completeness criteria for DV calculations. In parentheses are the fraction of cities/areas in multicity studies that
had one or more 3-year periods for which the estimated DV exceeded 70 ppb. See Appendix 3B Attachment for individual DV for locations and time periods analyzed in epidemiologic studies.
E Does not include three year periods prior to 1988 as air quality data were not readily available for years prior to 1986.

F While the data analyzed by Stieb et al. (2009) as a whole included years from 1992 to 2003, different time periods were analyzed for each of the seven cities. For example, the air qualtiy analyzed
for Ottawa was for 1992-1998, while the air qualtiy analyzed for Toronto and Vancouver only spanned a 3 year period (2001-2003) (see Appendix 3C attachment). Accordingly, across the seven
cities, there were fewer 3-year periods for which we estimated DVs (a total 31) than would have been the case if the study analyzed air quality for all years from 1992-2003 for all cities.

1

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Table 3-4. Summary of statistical associations and ambient air quality conditions for
studies of asthma-related hospital admissions and short-term O3
concentrations.

Summary of associations from studies of short-term ozone exposures and hospital admissions for
asthma for a standardized increase in ozone concentrations. A

Ambient Air
Quality Data

Study

Location

Ages

Mean

Concentrations3

Season

Lag

1
1
1

DV for
NAAQS,
across
cities and
study years
(ppb)B

% of DV
>70
ppbฐ

Silverman et al. (2010)

New York, NY

<6

41

Warm

0-1

	L#	

93-115

100

tGoodman etal. (2017)

New York. NY

<6

30 7

Warm

0-1

"4"

84-115

100

tZu el al. (2017)

6 Texas Cities

5-14

32.2; 8-hr avg

Year-Round

0-3

1

71-103

100

tGoodman et al- (2017)

3 Texas Cities

5-14

41.8

Year-Round

0

; -m-

74-103

100

Silverman et al, (2010)

New York, NY

6*18

41

Warm

0-1



93-115

100



tGoodman et al (2017)

New York, NY

6-18

30.7

Warm

0-1



84-115

100

tZu el al (2017)



15-64





0-3

1

]-*-

71-103

100

tGoodman el al (2017)

3 Texas Cities

15-64

41.8

Year-Round

0

~

74-103

100

Silverman et al. (2010)

New York, NY

19-49

41

Warm

0-1

-#_l—

93-115

100

tGoodman et al. (2017)

New York. NY

19-49

30 7

Warm

0-1

r%-

84-115

100

Silverman et al. (2010)

tGoodman etal, (2017)

New York, NY

50+

41



0-1

1
1

	T-#	

93-115

100

New York. NY

50+

30.7

Warm

0-1

1

84-115

100

tZu et al. (2017)

6 Texas Cities

65+

32.2: 8-hr avg

Year-Round

0-3

1

71-103

100

tGoodman etal. (2017)

3 Texas Cilies

65+

41.8

Year-Round

0



74-103

100

tWinquistet al (2012)

St. Louis. MO

All

41

Year-Round

0-4 DL

1

1

86-192

100

tZu el al (2017)

6 Texas Cities

All (5+)

32.2; 8-hr avg

Year-Round

0-3

1

ซ ~

71-103

100

tGoodman etal. (2017)

3 Texas Cities

All (5+)

41.8

Year-Round

0



74-103

100

Silverman et al, (2010)

New York. NY

All

41

Warm

0-1

I

93-115

100

tGoodman etal. (2017)

New York. NY

All

30.7

Warm

0-1

~

1

84-115

100











1	1	1

09 1 11 1.2 1.3
Effect Estimate (95% CI)



A Adapted from ISA Fig. 3-4: Note: tStudies in red published since the 2013 Ozone ISA. Black text = studies included in the 2013 Ozone ISA.
aMean concentrations reported in ppb and are for an 8-hour daily max averaging time, unless otherwise noted. Results standardized to a 15-
ppb increase in 24-hour avg, 20-ppb increase in 8-hour daily max, or 25-ppb increase in 1-hour daily max ozone
concentrations.Corresponding quantitative results are reported in ISA Table 3-5.

B For those studies available at the time of the 2015 review, design values were drawn from (Wells, 2012) and are presented in units of ppm.
For those studies available since the time of the 2015 review, DVs were calculated based on data available from the EPA's Air Quality
System (AOS) for U.S. studies and the National Air Pollutant Surveillance (NAPS) program for Canadian studies.
c Calculated from design value periods in locations with a valid DV. See Appendix 3B Attachment for individual DV for locations and time
periods analyzed in epidemiologic studies.

Abbreviations: DL = distributed lag; DV - design value.

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Table 3-5. Summary of statistical associations and ambient air quality conditions for
studies of asthma-related emergency department visits and short-term O3
concentrations.

Summary of associations from studies of short-term ozone exposures and asthma emergency
department (ED) visits for a standardized increase in ozone concentrations/

Ambient Air
Quality Data

Study

Stieb 2009

Location

Ages

All

Mean

Lag

1

Season

DV for
NAAQS,
across
cities and
study
years
(ppb)B

% of
DV
>70
ppbฐ

Multicity, Canada

10.3-22.1; 24-hr avg

1

Year-Round r*-

49-85

23

fMalig et al. (2016)

California

All

33-55; 1-hr max

0-1

1 *

119-122

100

fSacksetal (2014)

North Carolina

All

43.6

0-2



94

100

fSarnat et al. (2013)

Atlanta. GA

All

41 9; 24-hr avg

0-2

!*•

99-107

100

fWinquistel al. (2012)

St. Louis, MO

All

NR

0-4 DL

;

86-92

100

f Barry et al. (2018)

Atlanta, GA
Birmingham, AL
Dallas. TX
Pittsburgh, PA
St Louis, MO

All

37.5-42.2

0-2

;~

!~-

83-95

100

fSarnat etal. (2015)

St. Louis, MO

All

362

0-2 DL



92

100

fAlhantiet al. (2016)

3 U S, Cities

0-4

37.3-43 7

0-2

>

86-121

100

f Strickland et al. <2014)

Atlanta, GA

2-16

42.2

0-2

1
1

80-95

100

fXiao et al. (2016)

Georgia

2-18

42.1

0-3

;~

91-95

100

fO'Le nickel al. (2017)

Atlanta, GA

5-17

NR

0-2

! -~

85-96

100

fAlhantiet al. (2016)

3 U.S. Cities

5-18

37 3-437

0-2

ซ -#
1

86-121

100

TSzyszkowiCZ et a I (201B)

Multicity, Canada

<20, Females
<20; Males

22.5-29,2; 24-hr avg

1

l-#-

r#-

57-79

50

fAlhantiet al. (2016)

3 U.S. Cities

19-39
40-64
65+

37 3-43.7

0-2

ซ•-
>

86-121

100

fMalig etal. (2016)

California

All

33-55; 1-hr max

0-1

1

Warm ]

119-122

100

fSacksetal (2014)

North Carolina

All

50.1

0-2



94

100

fByers et at, (2015)

Indianapolis. IN

All (5+)

48,5

0-2



73-77

100

fGleason et at (2014)

New Jersey

3-17

NR

0-2

1 ฉ.

92-93

100

fWinquistel al (2014)

Atlanta, GA

5-17

539

0-2

1 ^

91-121

100

fSheffieid et al. (2015)

New York. NY

5-17

NR

0-3

1

82-94

100

fByers et al (2015)

Indianapolis, IN

5-17

18-44

45+

48.5

0-2

-p-•	

—

73-77

100

fWinquistel a I (2014)

Atlanta. GA

5-17

53 9

0-2

Cold

91-121

100











1 1 i

0.9 1 11 1.2
Effect Estimate (95% CI)



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1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

A Adapted from ISA Fig. 3-5: Note: tStudies in red published since the 2013 Ozone ISA. Black text = studies included in the 2013 Ozone ISA.
a Mean concentrations reported in ppb and are for an 8-hour daily max averaging time, unless otherwise noted. Results standardized to a 15-
ppb increase in 24-hour avg, 20-ppb increase in 8-hour daily max, or 25-ppb increase in 1-hour daily max ozone concentrations.
Corresponding quantitative results are reported in ISA Table 3-6.

B For those studies available at the time of the 2015 review, design values were drawn from (Wells, 2012) and are presented in units of ppm.
For those studies available since the time of the 2015 review, DVs were calculated based on data available from the EPA's Air Quality System
(AOS) for U.S. studies and the National Air Pollutant Surveillance (NAPS) program for Canadian studies.

c Calculated from design value periods in locations with a valid DV. See Appendix 3B Attachment for individual DV for locations and time
periods analyzed in epidemiologic studies.

Abbreviations: DL - distributed lag; DV - design value.

With regard to the experimental animal evidence (largely rodent studies) and exposure
conditions associated with respiratory effects, the exposure concentrations in the animal studies
are generally much greater than those examined in the controlled human exposure studies
(summarized above) and higher than concentrations commonly occurring in ambient air in areas
of the U.S. where the current standard is met. This is also true for the small number of early life
studies in nonhuman primates (recognized in section 3.3.1.1 above) that reported O3 to contribute
to allergic asthma-like effects in infant primates.68 The exposures eliciting the effects in these
studies included multiple 5-day periods with O3 concentrations of 500 ppb over 8-hours per day,
exposure conditions appreciably greater than occur in areas of the U.S. where the current
standard is met (ISA, Appendix 3, section 3.2.4.1.2).

With regard to short-term O3 and metabolic effects, the category of nonrespiratory effects
for which the ISA concludes there to be a likely causal relationship with O3, the evidence base is
comprised primarily of experimental animal studies, as summarized in section 3.3.1.2 above
(ISA, Appendix 5, section 5.1). The exposure conditions from these studies, however, generally
involve much higher O3 concentrations than those examined in the controlled human exposure
studies for respiratory effects (and much higher than concentrations occurring in ambient air in
areas of the U.S. where the current standard is met). For example, the animal studies include 4-
hour concentrations of 400 to 800 ppb (ISA, Appendix 5, Table 5-8).69 The two epidemiologic
studies reporting statistically significant positive associations of O3 with metabolic effects (e.g.,
changes in glucose, insulin, metabolic clearance) are based in Taiwan and South Korea,
respectively.70 Given the potential for appreciable differences in air quality patterns between

68	These studies indicate that sufficient early-life O3 exposure can cause structural and functional changes that could
potentially contribute to airway obstruction and increased airway responsiveness (ISA, Table IS-10, p. 3-92 and
p.3-113).

69	The exposure concentration in the single controlled human exposure study of metabolic effects (e.g., 300 ppb) are
also well above those examined in the respiratory effect studies (ISA, Appendix 5, Table 5-7).

70	Of the five epidemiologic studies discussed in the ISA that investigate associations between short-term O3
exposure and metabolic effects, three are conducted in Asia or South America and two are conducted in the U.S.
The two U.S. studies report either a null or negative association of metabolic markers with O3 concentration, and
while the South American study (focused on hospital admissions associated with diabetes complications) reported

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1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

Taiwan and South Korea and the U.S., as well as differences in other factors that might affect
exposure (e.g., activity patterns), those studies are of limited usefulness for informing our
understanding of exposure concentrations and conditions eliciting such effects in the U.S. (ISA,
Appendix 5, section 5.1).

Thus, as in the 2015 review, the exposures to which we give greatest attention,
particularly with regard to considering O3 exposures expected under air quality conditions that
meet the current standard, are those informed by the controlled human exposure studies. The full
body of evidence described in the current ISA continues to indicate respiratory effects as the
effects associated with lowest exposures, with conditions of exposure (e.g., duration, ventilation
rate, and concentration) influencing dose and associated response. Evidence for other categories
of effects does not indicate effects at comparably low exposures.

3.3.4 Uncertainties in the Health Effects Evidence

• To what extent have previously identified uncertainties in the health effects evidence
been reduced or do important uncertainties remain?

We have not identified any new uncertainties in the evidence since the 2015 review.
However, we continue to recognize important uncertainties that also existed at that time. These
important areas of uncertainty relate to the available health evidence, including that newly
available in the 2020 review, and are summarized below.

Although the evidence clearly demonstrates that short-term O3 exposures cause
respiratory effects, as was the case in the last review, we continue to recognize uncertainties that
remain in several aspects of our understanding of these effects. Such uncertainties include those
associated with the severity and prevalence of responses to short (e.g., 6.6- to 8-hour) O3
exposures at and below 60 ppb and responses of some population groups not well represented in
the evidence base of controlled human exposure studies (e.g., children and people with asthma).
There are also uncertainties concerning the potential influence of exposure history and co-
exposure to other pollutants on the relationship between short-term O3 exposure and respiratory
effects. With regard to the full health effects evidence base, we also recognize as an important
uncertainty the extent to which O3 exposures are related to health effects other than respiratory
effects. The following discussion touches on each of these types of uncertainty.

The majority of the available studies have generally involved healthy young adult
subjects, although there are some studies involving subjects with asthma, and a limited number
of studies, generally of very short durations (i.e., less than four hours), involving adolescents and
adults older than 50. While there is evidence from short (6.6- to 8-hour) controlled exposure

positive associations with 24-hr average concentrations for some subgroups, no associations were statistically
significant (ISA, Appendix 5, Tables 5-6 and 5-9).

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1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

studies of healthy adult subjects to concentrations as low as 40 ppb, the only controlled human
exposure studies of such a duration (7.6 hours with quasi-continuous light exercise) conducted in
people with asthma were for a target exposure concentration of 160 ppb (Appendix 3 A, Table
3A-2). Given the paucity of studies using subjects that have asthma, particularly those at
exposure concentrations likely to occur under conditions meeting the current standard,
uncertainties remain with regard to characterizing the response in people with asthma while at
elevated ventilation to lower exposure concentrations, e.g., below 80 ppb. The extent to which
the epidemiologic evidence, including that recently available, can inform this area of uncertainty
also may be limited.71 As discussed in section 3.3.2 above, given the effects of asthma on the
respiratory system, exposures associated with relatively mild respiratory responses in largely
healthy people may pose an increased risk of more severe responses, including asthma
exacerbation, in people with asthma. Such considerations remain areas of uncertainty at this
time. Thus, uncertainty remains with regard to the extent to which the controlled human
exposure study evidence describes the responses of the populations, such as children with
asthma, that may be most at risk of Cb-related respiratory effects (e.g., through an increased
likelihood of severe responses, or greatest likelihood of response).

Other areas of uncertainty concerning the potential influence of O3 exposure history and
co-exposure to other pollutants on the relationship between short-term O3 exposures and
respiratory effects also remain in the evidence base. As in the epidemiologic evidence in the
2015 review, there is a limited number of studies that include copollutant analyses for a small set
of pollutants (e.g., PM or NO2). Recent studies with such analyses suggest that observed
associations between O3 concentrations and respiratory effects are independent of co-exposures
to correlated pollutants or aeroallergens (ISA, sections IS.4.3.1 and IS.6.1; Appendix 3, sections
3.1.10.1 and 3.1.10.2). Despite the increased prevalence of copollutant modeling in recent
epidemiologic studies, however, uncertainty still exists with regard to the independent effect of
O3 given the high correlations observed for some copollutants in some studies and the small
fraction of all atmospheric pollutants included in these analyses (ISA, section IS.4.3.1; Appendix
2, section 2.5). We also note that neither of the two epidemiologic studies of respiratory
outcomes conducting in Canadian areas that would have met the current standard included
copollutant modeling (as recognized in section 3.3.3 above).

71 Associations of health effects with O3 that are reported in the epidemiologic analyses are based on air quality
concentration metrics used as surrogates for the actual pattern of O3 exposures experienced by study population
individuals over the period of a particular study. Therefore, the studies are limited in what they can convey
regarding the specific patterns of exposure circumstances (e.g., magnitude of concentrations over specific
duration and frequency) that might be eliciting reported health outcomes.

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Further, although there remains uncertainty in the evidence with regard to the potential
role of exposures to O3 in eliciting health effects other than respiratory effects, the evidence has
been strengthened since the 2015 review with regard to metabolic effects. As noted in section
3.3.1.2 above, the ISA newly identifies metabolic effects as likely to be causally related to short-
term O3 exposures. The evidence supporting this relationship is limited and not without its own
uncertainties. For example, as noted in section 3.3.1.2 above, the conclusion is based primarily
on animal toxicological studies conducted at much higher O3 concentrations than those common
in ambient air in the U.S. A limited number of epidemiologic studies of short-term O3
concentrations and metabolic effects are available, many of which did not control for
copollutants confounding; just two studies, both in Asia, report significant positive associations
with changes in markers of glucose homeostasis (ISA, Appendix 5; sections 5.1.8 and 5.3).

Uncertainty is increased with regard to a relationship between O3 exposure and
cardiovascular effects and mortality, as discussed in section 3.3.1.2 above, including regarding a
now-larger body of controlled human exposure studies providing evidence that is not consistent
with a cardiovascular effect in response to short-term O3 exposure; and a paucity of
epidemiologic evidence indicating more severe cardiovascular morbidity endpoints, that would
be expected if the impaired vascular and cardiac function (observed in animal toxicological
studies) was the underlying basis for cardiovascular mortality (for which epidemiologic studies
have reported some positive associations with O3). Additionally, uncertainties and limitations
recognized in the 2013 ISA (e.g., lack of control for potential confounding by copollutants in
epidemiologic studies) still remain (ISA, section IS. 1.3.1). As discussed in section 3.3.1.2, these
uncertainties also pertain to conclusions regarding short-term O3 and mortality (ISA, Appendix
6, section 6.1.8). Uncertainties are unchanged with regard to other nonrespiratory categories of
effects (described in section 3.3.1.2 above) for which the evidence is either suggestive of, but not
sufficient to infer, a causal relationship or is inadequate to determine if a causal relationship
exists with O3 (ISA, section IS.4.3).

In summary, while there are some changes with regard to limitations and uncertainties of
the health effects evidence base, some key uncertainties associated with the evidence for
respiratory effects that were identified in the 2015 review remain, including those related to the
extent of effects at concentrations below those evaluated in controlled human exposure studies,
and the potential for more severe impacts in individuals with asthma, including particularly
children, and in other at-risk populations.

3.4 EXPOSURE AND RISK INFORMATION

Our consideration of the scientific evidence, as in each review of the O3 NAAQS, is
informed by results from quantitative analyses of estimated population exposure and consequent

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risk. Estimates from the exposure-based analyses, particularly the comparison of daily maximum
exposures to benchmark concentrations, were most informative to the Administrator's decision
in the 2015 review (as summarized in section 3.1 above). This largely reflected the EPA
conclusion that "controlled human exposure studies provide the most certain evidence indicating
the occurrence of health effects in humans following specific O3 exposures," and recognition that
"effects reported in controlled human exposure studies are due solely to O3 exposures, and
interpretation of study results is not complicated by the presence of co-occurring pollutants or
pollutant mixtures (as is the case in epidemiologic studies)" (80 FR 65343, October 26, 2015).72
Therefore, the quantitative analyses developed in the 2020 review focused on exposure-based
risk analyses, in reflection of the emphasis given to these types of analyses and the
characterization of their uncertainties in the 2015 review, along with the availability of new or
updated information, models, and tools that address those uncertainties (IRP, Appendix 5A).

This reconsideration of the 2020 decision will rely on the exposure-based risk analyses
performed in the 2020 review, which were first presented in the 2020 PA and considered in the
2020 decision. These analyses are also presented here and described in detail in the associated
Appendices 3C and 3D. In section 3.4.1, we summarize the conceptual model for the assessment,
as well as key aspects of the assessment design, including the study areas, populations simulated,
modeling tools, and exposure and risk metrics derived. Sections 3.4.2 and 3.4.3 summarize the
assessment results. Key limitations and uncertainties associated with the assessment estimates
are identified in section 3.4.4. and potential public health implications are discussed in section
3.4.5. An overarching consideration is whether the current exposure and risk information alters
overall conclusions reached in the 2015 review regarding the health risk associated with
exposure to O3 in ambient air which formed an important foundation in the establishment at that
time of the existing standard.

72 In the 2015 review, the Administrator placed relatively less weight on the air quality epidemiologic-based risk
estimates, in recognition of an array of uncertainties, including, for example, those related to exposure
measurement error (80 FR 65346, October 26, 2015). In so doing, she recognized key uncertainties in utilizing
the estimated air concentrations and epidemiologic study relationships (often called epidemiologic-based risk
estimates) (80 FR 65316; 79 FR 75277-75279; 2014 HREA, sections 3.2.3.2 and 9.6). These included the
heterogeneity in effect estimates between locations, the potential for exposure measurement errors, and
uncertainty in the interpretation of the shape of concentration-response functions at lower O3 concentrations, as
well as uncertainties related to the public health importance of increases in relatively low O3 concentrations
following air quality adjustment. Lower confidence was also placed in the results of the epidemiologic-based risk
assessment of respiratory mortality risks associated with long-term O3 exposures in consideration of several
factors. Importantly since that time, the causal determinations for short-term O3 exposure with mortality in the
current ISA differ from the 2013 ISA. The current determinations for both short-term and long-term O3 exposure
(as summarized in section 3.1 above) are that the evidence is "suggestive" but not sufficient to infer causal
relationships for O3 with mortality (ISA, Table IS-1).

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3.4.1 Conceptual Model and Assessment Approach

The long-standing evidence base for 03-related health effects is comprised of a large
assemblage of controlled human exposure studies, laboratory animal research studies, and air
quality epidemiologic studies. Together, these health effect studies lead to the strongly supported
conclusion that O3 exposure causes respiratory effects (as summarized in section 3.3 above).

This conclusion is strongest with regard to short-term O3 exposures, for which the ISA and
science assessments in prior reviews have determined there to be a causal relationship. The ISA
additionally determines the relationship between long-term exposure and respiratory effects, as
well as between short-term exposures and metabolic effects to be likely causal, recognizing that
associated uncertainties remain in the evidence. Given the relatively greater strength of the
evidence and understanding of the relevant exposure conditions, as well as availability of
appropriate data and modeling tools, the exposure and risk analysis is focused on respiratory
risks associated with short-term O3 exposures.

The controlled human exposure studies document the occurrence of an array of
respiratory effects in humans in a variety of short-term exposure circumstances. These studies, in
combination with the laboratory animal studies, inform our understanding of the mode of action
for 03-attributable effects, including those health outcomes associated with ambient air
concentrations in air quality epidemiologic studies (ISA, Appendix 3, section 3.1.3). Figure 3-3
below illustrates the conceptual model for O3 in ambient air and respiratory effects, with a
particular focus on short-term exposures and including linkages with the risk metrics assessed in
the quantitative analyses described here.

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a
o
w
o

a.

x

UJ

ซ

o

1LI

t/i

P

O >-
oo

*

a:

Emissions of 03 precursors to ambient air

Indoor Air 4	

03 originating
indoors

Children and adults (all and subgroups with asthma)



r

Inhalation while at moderate or greater exertion





Respiratory system

1

r

Lung function decrements (FEV.,, sRaw), inflammation, respiratory
symptoms, etc.





1
1
+

Exposures of Concern:

Number & percent of
people experiencing a
day with an exposure (at
elevated breathing rates)
above benchmarks

Lung Function Risk:

Number & percent of
people experiencing a
day with an 03-induced
FEV! reduction
(>10%, 15%, 20%)

Incidence of Respiratory
Health Outcomes

(e.g., hospital emergency
department [ED] visits,
hospital admissions [HA],
mortality)

Figure 3-3. Conceptual model for exposure-based risk assessment. Solid lines indicate

processes explicitly modeled in the assessment. Dashed lines indicate relationships
that are not explicitly modeled.

The exposure-based analyses, described in detail in Appendix 3D, were developed based
on this conceptual model, in consideration of the information newly available in the 2020 review.
In these analyses, we have estimated O3 exposures and resulting risk for air quality conditions of
interest, most particularly air quality conditions that just meet the current primary O3 standard.
These analyses inform our understanding of the protection provided by the current primary
standard from effects that the health effects evidence indicates to be elicited in some portion of
population from short-term exposures to elevated O3 concentrations..

The analysis approach employed is summarized in Figure 3-4 below and described in
detail in Appendi ces 3C and 3D. This approach incorporates the use of an array of models and
data to develop population exposure and risk estimates for a set of eight urban study areas.
Ambient air O3 concentrations were estimated in each study area using an approach that relies on
a combinati on of ambient air monitoring data, atmospheric photochemical modeling and

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statistical methods (described in detail in Appendix 3C). Population exposure and risk modeling
is employed to characterize exposures and related lung function risk associated with the ambient
air concentration estimates (described in detail in Appendix 3D). While the lung function risk
analysis focuses only on the specific O3 effect of FEVi reduction, the comparison-to-benchmark
approach, with its use of multiple benchmark concentrations, provides for characterization of the
risk of other respiratory effects, the type and severity of which increase with increased exposure
concentration.

CO

a

Ambient Air Monitoring Data (hourly concentrations)

	T	

Hourly concentrations at monitoring sites

1 Adjustments 1



Photochemical

—

Air Quality



Modeling

0

I—

=3
CO

o

CL
X

LU

scenarios (just meeting the current standard and other design values)

Voronoi Neighbor Averaging (VNA) Interpolation lj
		

Hourly concentrations at census tracts

Exposure Modeling (APEX)

(exposure concentrations and ventilation rate for each individual's exposure events)

22
Cd

Population counts
of 7-hour daily
maximum 03
exposures at
elevated ventilation

Time series of 03
exposure events
(concentrations and
ventilation rates) for
each individual

Population counts
of 7-hour daily
maximum 03
exposures at
elevated ventilation

Health-Based
Benchmark
Concentrations

Controlled Human
Exposure Data

(exposures involving
moderate or greater
exertion)

MSS-FEV,
Lung Function
Risk Model

Exposure to Benchmark Comparison

Output: Number and percent of simulated at-risk
populations estimated to experience 1 or more days
with daily maximum exposures, at moderate or
greater exertion, at or above benchmark
concentrations (60 ppb, 70 ppb, 80 ppb)

		~

Lung Function Risk

Exposure-
Response

(E-R)
Function
	I	

Output: Number and percent of simulated at-risk
populations estimated to experience 1 or more days
with specified 03-related lung function responses
(FEV, >10%, 15% and 20%)

Figure 3-4. Analysis approach for exposure-based risk analyses. Dashed lines and gray box
indicate the sole lung function risk approach used prior to 2014 HREA.

The analyses estimate exposure and risk for simulated populations in eight study areas in
Atlanta, Boston, Dallas, Detroit, Philadelphia, Phoenix, Sacramento and St. Louis. The eight
study areas represent a variety of circumstances with regard to population exposure to short-term

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concentrations of O3 in ambient air. The eight study areas range in total population size from
approximately two to eight million and are distributed across the U.S. in seven of the nine
different NOAA climate regions: the Northeast, Southeast, Central, East North Central, South,
Southwest and West (Karl and Koss, 1984). Assessment of this set of study areas and the
associated exposed populations is intended to be informative to the EPA's consideration of
potential exposures and risks that may be associated with the air quality conditions that meet the
current primary standard.

This set of eight study areas represents a streamlined set as compared to the 15 study
areas in the 2015 review, with the areas chosen to ensure they reflect the full range of air quality
and exposure variation expected across major urban areas in the U.S. (2014 HREA, section 3.5).
As a specific example, while seven of the eight study areas were also included in the 2014
HREA, the eighth study area was not, and has been included in the more recent assessment to
insure representation of a large city in the southwest. Additionally, the years simulated reflect
more recent emissions and atmospheric conditions subsequent to data used in the 2014 HREA,
and therefore represent O3 concentrations somewhat nearer the current standard than was the
case for study areas included in the HREA of the 2015 review (Appendix 3C, Table 3C and 2014
HREA, Table 4-1). Thus, the urban study areas (e.g., combined statistical areas that include
urban and suburban populations) the exposure and risk analyses discussed here reflect an array of
air quality, meteorological, and population exposure conditions.

Consistent with the health effects evidence (summarized in section 3.3 above), the focus
of the assessment is on short-term exposures of individuals in the population during times when
they are breathing at an elevated rate. Exposure and risk are characterized for four population
groups that include representation of key at-risk populations (children and people with asthma),
as described in section 3.3.2 above. Two of the four groups are populations of school-aged
children, aged 5 to 18 years:73 all children and children with asthma. Two are populations of
adults: all adults and adults with asthma. Another population identified as at risk for O3, outdoor
workers, was not included due to appreciable data limitations, a decision also made for past
exposure assessments.74

73	The child population group focuses on ages 5 to 18 in recognition of data limitations and uncertainties, including
those related to accurately simulating activities performed, estimating physiological attributes, and also
challenges in asthma diagnoses for children younger than 5 years old.

74	Outdoor workers, due to the requirements of their job spend more time outdoors at elevated exertion. For a
number of reasons, including the appreciable data limitations (e.g., related to specific durations of time spent
outdoors and activity data), and associated uncertainties summarized in Table 3D-64 of Appendix 3D, this group
was not simulated in this assessment. Limited exploratory analyses of a hypothetical outdoor worker population
in the 2014 HREA (single study area, single year) for the 75 ppb air quality scenario estimated an appreciably
greater portion of this population to experience exposures at or above benchmark concentrations than the full

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Asthma prevalence estimates for each of the entire populations in the eight study areas
ranges from 7.7 to 11.2%; the rates for children in these study areas range from 9.2 to 12.3%
(Appendix 3D, section 3D.3.1). Spatial variation within each study area related to the population
distribution of age, sex, and family income was also taken into account.75 For children, this
variation is greatest in the Detroit study area, with census tract level, age-specific asthma
prevalence estimates ranging from 6.4 to 13.2% for girls and from 7.7 to 25.5% for boys
(Appendix 3D, Table 3D-3).

Ambient air O3 concentrations were estimated in each study area for the air quality
conditions of interest by adjusting hourly ambient air concentrations, from monitoring data for
the years 2015-2017, using a photochemical model-based approach and then applying a spatial
interpolation technique to produce air quality surfaces with high spatial and temporal resolution
(Appendix 3C).76 The photochemical modeling outputs included both modeled O3 concentrations
and sensitivities of O3 concentrations to changes in NOx emissions for each hour in a single year
at all ambient air monitor locations (Appendix 3C, sections 3C.4 and 3C.5). Linear regression
was used with these single-year model outputs to create relationships between the sensitivities
and O3 concentrations at each monitoring location for each hour of the day during each of the
four seasons. The relationships between hourly sensitivities and hourly O3 for each season were
then used with three years of ambient air monitoring data at each location to predict hourly
sensitivities for the complete 3-year record at each monitoring location. From these, we
calculated hourly O3 concentrations at each monitor location based on iteratively increasing NOx
reductions to determine the adjustments necessary for the monitor location with the highest
design value in each study area to just meet the target value, e.g., 70 ppb for the current standard
scenario (Appendix 3C, section 3C.5). Hourly O3 concentrations for all census tracts comprising
each study area were then derived from the model adjusted hourly concentrations at the ambient
air monitor locations using the Voronoi Neighbor Averaging (VNA) spatial interpolation
technique (Appendix 3C, section 3C.6). The final products were datasets of ambient air O3
concentration estimates with high temporal and spatial resolution (hourly concentrations in 500

adult or child populations simulated, although there are a number of uncertainties associated with the estimates
due to appreciable limitations in the data underlying the analyses (2014 HREA, section 5.4.3.2). It is expected
that if an approach similar to that used in the 2014 HREA had been used for this assessment a generally similar
pattern might be observed, although with somewhat lower overall percentages based on the comparison of current
estimates with estimates from the 2014 HREA (Appendix 3D, section 3D.3.2.4).

75	As described in Appendix 3D, section 3D.2.2.2, asthma prevalence in each study area is estimated based on
combining regional national prevalence information from NHIS with U.S census tract level population data by
linking demographic information related to age, sex, and family income. Then, further adjustments were made
using state-level prevalence obtained from the U.S. Behavioral Risk Factor Surveillance System. See Appendix
3D, Attachment 1 for details.

76	A similar approach was used to develop the air quality scenarios for the 2014 HREA.

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to 1700 census tracts) for each of the eight study areas (Appendix 3C, section 3C.7) representing
each of the three air quality scenarios assessed. 77

The photochemical modeling approach involved use of the Comprehensive Air Quality
Model with Extensions (CAMx), version 6.5, instrumented with the higher order decoupled
direct method (HDDM).78 The CAMx-HDDM was run with emissions estimates and
meteorology data for calendar year 2016 to estimate the O3 sensitivities,79 and the linear
regressions of the modeled O3 concentrations to their respective sensitivities were applied to
hourly O3 concentrations reported at ambient air monitors for the 2015-2017 period to determine
the adjustments needed for each air quality scenario (Appendix 3C, sections 3C.4 and 3C.5). We
maximized the spatial representation of the monitoring data by using all available monitors
within each study area (between 12 and 30) in addition to those within 50 km of the study area
boundaries (yielding between 5 and 31 additional monitors per area). Because we selected study
areas having design values close to the level of the current standard, the levels of NOx emissions
adjustments needed to meet the air quality scenarios of interest were generally lower than those
used in the 2014 HREA, thus reducing one of the important sources of uncertainty associated
with these air quality estimates.

Population exposures were estimated using the EPA's Air Pollutant Exposure model
(APEX) version 5, which probabilistically generates a large sample of hypothetical individuals
from demographic and activity pattern databases and simulates each individual's movements
through time and space to estimate their time-series of O3 exposures occurring within indoor,
outdoor, and in-vehicle microenvironments (Appendix 3D, section 3D.2).80 The APEX model
accounts for the most important factors that contribute to human exposure to O3 from ambient
air, including the temporal and spatial distributions of people and ambient air O3 concentrations
throughout a study area, the variation of ambient air-related O3 concentrations within various
microenvironments in which people conduct their daily activities, and the effects of activities

77	For this assessment, high spatial and temporal resolution O3 concentration datasets were created for conditions
representing each area meeting the current standard of 70 ppb and two alternative air quality scenarios characterized
by ozone concentrations that would result in design values of 75 and 65 ppb representing a level slightly above and a
level slightly below the current standard.

78	Details on the models, methods and input data used to estimate ambient air concentrations for the eight study
areas are provided in Appendix 3C. The "higher order" aspect of the HDDM tool refers to the capability of
capturing nonlinear response curves (Appendix 3C, section 3C.5.1).

79	Sensitivities of O3 refer to predicted incremental changes in O3 concentrations in response to incremental changes
in precursor emissions (e.g., NOx emissions).

80	The APEX model is a probabilistic model that estimates population exposure using a stochastic, event-based
microenvironmental approach. This model has a history of application, evaluation, and progressive model
development in estimating human exposure, dose, and risk for reviews of NAAQS for gaseous pollutants,
including the 2015 review of the 03 NAAQS (U.S. EPA, 2008; U.S. EPA, 2009; U.S. EPA, 2010; U.S. EPA,
2014; U.S. EPA, 2018).

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involving different levels of exertion on breathing rate (or ventilation rate) for the exposed
individuals of different sex, age, and body mass in the study area (Appendix 3D, section 3D.2).
The APEX model generates each simulated person or profile by probabilistically selecting values
for a set of profile variables, including demographic variables, health status and physical
attributes (e.g., residence with air conditioning, height, weight, body surface area) and activity-
specific ventilation rate (Appendix 3D, section 3D.2).

By incorporating individual activity patterns81 and estimating physical exertion for each
exposure event,82 the model addresses an important determinant of individual's exposure (2013
ISA, section 4.4.1). This aspect of the exposure modeling is critical in estimating exposure,
ventilation rate, O3 intake (dose), and health risk resulting from ambient air concentrations of
O3.83 Because of variation in O3 concentrations among the different microenvironments in which
individuals are active, the amount of time spent in each location, as well as the exertion level of
the activity performed, will influence an individual's exposure to O3 from ambient air and
potential for adverse health effects. Activity patterns vary both among and within individuals,
resulting in corresponding variations in exposure across a population and over time (2013 ISA,
section 4.4.1). For each exposure event, APEX tracks activity performed, ventilation rate,
exposure concentration, and duration for all simulated individuals throughout the assessment
period. This time-series of exposure events serves as the basis for calculating exposure and risk
metrics of interest.

The APEX model estimates of population exposures for simulated individuals breathing
at elevated rates84 are used to characterize health risk based on information from the controlled
human exposure studies on the incidence of lung function decrements in study subjects who are
exposed over multiple hours while intermittently or quasi-continuously exercising (Appendix
3D, section 3D.2.8). In drawing on this evidence base for this purpose, the assessment gives

81	To represent personal time-location-activity patterns of simulated individuals, the APEX model draws from the
CHAD developed and maintained by the EPA (McCurdy, 2000; U.S. EPA, 2019). The CHAD is comprised of
data from several surveys that collected activity pattern data at city, state, and national levels. Included are
personal attributes of survey participants (e.g., age, sex), the locations visited, and activities performed by survey
participants throughout a day, and the time-of-day activities occurred and their duration (Appendix 3D, section
3D.2.5.1).

82	An exposure event occurs when a simulated individual inhabits a microenvironment for a specified time, while
engaged at a constant exertion level and experiencing a particular pollutant concentration. If the
microenvironmental concentration and/or activity/activity level changes, a new exposure event occurs (McCurdy
and Graham, 2003).

83	Indoor sources are generally minor in comparison to O3 from ambient air (ISA, Appendix 2, section 2.4.3) and are
not accounted for by the exposure modeling in this assessment.

84	Based on minute-by-minute activity levels, and physiological characteristics of the simulated person, APEX
estimates an equivalent ventilation rate (EVR), by normalizing the simulated individuals' activity-specific
ventilation rate to their body surface area (Appendix 3D, section 3D.2.2.3.3).

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primary focus to the well-documented controlled human exposure studies summarized in
Appendix 3A, Table 3 A-l for 6.6-hour average exposure concentrations ranging from 40 ppb to
120 ppb (0; ISA, Appendix 3, Figure 3-3). Health risk is characterized in two ways, producing
two types of risk metrics: one involving comparison of population exposures involving elevated
exertion to benchmark concentrations (that are specific to elevated exertion exposures), and the
second involving estimated population occurrences of ambient air 03-related lung function
decrements (0). The first risk metric estimates population occurrences of daily maximum 7-hour
average exposure concentrations (during periods of elevated breathing rates) at or above
concentrations of potential concern (benchmark concentrations). The second metric (lung
function risk) uses E-R information for O3 exposures and FEVi decrements to estimate the
portion of the simulated at-risk population expected to experience one or more days with an 03-
related FEVi decrement of at least 10%, 15% and 20%. Both of these metrics are used to
characterize health risk associated with O3 exposures among the simulated population during
periods of elevated breathing rates. Similar risk metrics were also derived in the HREA for the
2015 review and the associated estimates informed the Administrator's 2015 decision on the
current standard (80 FR 65292, October 26, 2015).

The general approach and methodology for the exposure-based assessment is similar to
that used in the 2015 review although a number of updates and improvements, related to the air
quality, exposure and risk aspects of the assessment, have been implemented (Appendices 3C
and 3D). These are summarized here.

•	The ambient air monitoring data used is from a more recent period (e.g., 2015-2017)
during which O3 concentrations in the eight study areas are at or near the current standard
(Appendix 3C, Table 3C-1). This contrasts with the 2014 HREA use of 2006-2010 air
monitoring data, that for many study areas included design values (for unadjusted
concentrations) well above (e.g., by more than 10 ppb) the level of the then-existing
standard (2014 HREA, section 4.3.1.1, Table 4-1). The use of more recent ambient air
monitoring data in the current analysis allows for smaller adjustments to develop the air
quality conditions of interest, thus contributing to generally lesser uncertainty in the
concentrations estimated in each air quality scenario.

•	The most recent CAMx model, with updates to the treatment of atmospheric chemistry
and physics within the model, is used to derive spatially and temporally varying
relationships between changes to emissions and modeled O3 concentrations, which are
then used in adjusting ambient air concentrations to just meet the air quality scenarios.
Model inputs represent recent year emissions, meteorology, and international transport
(e.g., 2016). The 2016-based inputs were derived using updated methods for calculating
emissions, as well as updated meteorological and hemispheric photochemical models
(described in more detail in Appendix 3C).

•	A significantly expanded CHAD, with now nearly 180,000 diaries, including over 25,000
for school-aged children is drawn on in the exposure modeling (Appendix 3D, section

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3D.2.5.1), as are updated National Health and Nutrition Examination Survey data (2009-
2014), which are the basis for the age- and sex-specific body weight distributions used to
specify the individuals in the modeled populations (Appendix 3D, section 3D.2.2.3.1).

•	Population exposure modeling inputs include the most recent U.S. Census demographics
and commuting data (i.e., 2010), meteorological data to reflect the assessment years
studied (e.g., 2015-2017), and updated estimates of asthma prevalence for all census
tracts in all study areas (e.g., 2013-2017). Regarding asthma prevalence, the more recent
information includes increased prevalence reported for adults and for children aged 10-17
years (Akinbami et al., 2016; CDC, 2016).85

•	The APEX equations used to estimate of ventilation rate (Ve) and resting metabolic rate
have been updated such that the overall statistical model fit and predictability has been
improved (U.S. EPA, 2018, Appendix H).

•	The approach for deriving population exposure estimates, both for comparison to
benchmark concentrations and for use in deriving lung function risk using the E-R
function, has been modified to provide for a better match of the simulated population
exposure estimates with the 6.6-hour duration of the controlled human exposure studies
and with the study subject ventilation rates (Appendix 3D, section 3D.2.8.1). The
modifications include deriving estimates for exposures of a duration and ventilation rate
more closely corresponding to the duration and average ventilation rate across the 6.6-
hour duration in the controlled human exposure studies (Appendix 3D, section 3D.2.8.1).

86

•	In addition to the E-R function, as updated in the 2014 HREA, an updated version of the
McDonnell Stewart Smith model (MSS-FEVi model, McDonnell et al., 2013) is used to
estimate individual-based lung function risk. Although the impact on risk estimates is
unclear, the updated MSS model has been described as better accounting for intra-subject
variability, yielding an improved model fit (McDonnell et al., 2013; Appendix 3D,
section 3D.2.8.2.2).

The comparison-to-benchmarks analysis characterizes the extent to which individuals in
at-risk populations could experience O3 exposures, while engaging in their daily activities, with
the potential to elicit the effects reported in controlled human exposure studies for concentrations
at or above specific benchmark concentrations. Results are characterized through comparison of
exposure concentrations to three benchmark concentrations of O3: 60, 70, and 80 ppb. These are
based on the three lowest concentrations targeted in studies of 6- to 6.6-hour exposures, with

85	For more information, see https://www.cdc.gov/nchs/products/databriefs/db239.htm.As described in Appendix
3D, sections 3D.2.2, 3D.2.9.1 and 3D.3.4.1, the asthma prevalence information is used in estimating the size of
population groups with asthma in each of the study areas.

86	Estimated exposures for a 7-hour duration are used in the comparison to benchmark concentrations (that are based
on the 6.6-hour exposure studies). The use of 7-hour exposure duration provides for a closer match of the duration
for the benchmark concentrations to the duration of population exposure concentration estimates than the 8-hour
exposure concentrations used in the last review. Additionally, an equivalent ventilation rate (EVR) of at least 17.3
L/min-m2 is used to more closely correspond to the average across the 6.6 hours of the controlled human
exposure studies (Appendix 3D, section 3D.2.8.1).

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quasi-continuous exercise (at moderate level of exertion), and that yielded different occurrences
of statistical significance, and severity of respiratory effects (section 3.3.3 above; Appendix 3 A,
section 3A.1; Appendix 3D, section 3D.2.8.1). The lowest benchmark, 60 ppb, represents the
lowest exposure concentration for which controlled human exposure studies have reported
statistically significant respiratory effects (as summarized in section 3.3.3 above). Exposure to
approximately 70 ppb87 averaged over a similar time resulted in a larger group mean lung
function decrement, as well as a statistically significant increase in prevalence of respiratory
symptoms over what was observed for 60 ppb (Figure 3-3; ISA, Appendix 3, section 3.1.4.1.1;
Schelegle et al., 2009). Studies of exposures to approximately 80 ppb have reported larger lung
function decrements at the study group mean than following exposures to 60 or 70 ppb, in
addition to an increase in airway inflammation, increased respiratory symptoms, increased
airway responsiveness, and decreased resistance to other respiratory effects (Figure 3-3 and
section 3.3.3, above; ISA, Appendix 3, sections 3.1.4.1-3.1.4.4).

The APEX-generated exposure concentrations for comparison to these benchmark
concentrations is the average of concentrations encountered by an individual while at an activity
level that elicits the specified elevated ventilation rate.88 The incidence of such exposures at or
above the benchmark concentrations are summarized for each simulated population, study area,
and air quality scenario as discussed in sections 3.4.2 and 3.4.3 below (Appendix 3D).

The lung function risk analysis estimates (in two different ways) the extent to which
individuals in exposed populations could experience different sizes of 03-induced lung function
decrements. The two different approaches utilize the evidence from the 6.6-hour controlled
human exposure studies in different ways.89 One, the population-based E-R function, uses

87	The design for the study on which the 70 ppb benchmark concentration is based, Schelegle et al. (2009), involved
varying concentrations across the full exposure period. The study reported the average O3 concentration measured
during each of the six exercise periods. The mean concentration across these six values is 72 ppb. The 6.6-hr time
weighted average based on the six reported measurements and the study design is 73 ppb (Schelegle et al., 2009).
Other 6.6-hr studies generally report an exposure concentration precision at or below 3 ppb (e.g., Adams, 2006b).

88	The model averages the ventilation rate (Ve) for the exposed individual (based on the activities performed) over 7-
hour periods. This is done based on the APEX estimates of Ve and exposure concentration for every individual's
time-series of exposure events. For the exposure duration of interest (e.g., 7 hours), the model derives and outputs
the daily maximum average Ve (and hence an equivalent ventilation rate or EVR) and simultaneously occurring
exposure concentration for the specified duration for each simulated individual. To reasonably extrapolate the
ventilation rate of the controlled human study subjects (i.e., adults having a specified body size and related lung
capacity), who were engaging in quasi-continuous exercise during the study period, to individuals having varying
body sizes (e.g., children with smaller size and related lung capacity), an equivalent ventilation rate (EVR) was
calculated by normalizing the ventilation rate (L/min) by body surface area (m2). Seven-hour exposure
concentrations associated with 7-hour average EVR at or above the target of 17.3 ฑ1.2 L/min-m2 (i.e., the value
corresponding to average EVR across the 6.6-hour study duration in the controlled human exposure studies) are
compared to the benchmark concentrations (Appendix 3D, section 3D.2.8.1).

89	The two approaches also estimate responses associated with unstudied exposure circumstances and population
groups in different ways.

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quantitative descriptions of the E-R relationships for study group incidence of different
magnitudes of lung function decrements based on the individual study subject observations. The
second, the individual-based MSS model, uses quantitative estimations of biological processes
identified as important in eliciting the different sizes of decrements at the individual level, with a
factor that also provides a representation of intra- and inter-individual response variability
(Appendix 3D, section 3D.2.8.2.2). The two approaches, described in detail in Appendix 3D,
utilize evidence from the 6.6-hour controlled human exposure studies in different ways, and
accordingly, differ in their strengths, limitations, and uncertainties.

The E-R function used for estimating the risk of lung function decrements was developed
from the individual study subject measurements of 03-related FEVi decrements from the 6.6-
hour controlled human exposure studies targeting mean exposure concentrations from 120 ppb
down to 40 ppb (Appendix 3D, Table 3D-19; Appendix 3 A, Figure 3A-1). The FEVi responses
reported in these studies have been summarized in terms of percent of study subjects
experiencing 03-related decrements equal to at least 10%, 15% or 20%. Across the exposure
range from 40 to 120 ppb, the percentage of exercising study subjects with asthma estimated to
have at least a 10% O3 related FEVi decrement increases from 0 to 7% (a statistically non-
significant response at exposures of 40 ppb) up to approximately 50 to 70% (at exposures of 120
ppb) (Appendix 3D, Section 3D.2.8.2.1, Table 3D-19). The E-R function relies on equations that
describe the fraction of the population experiencing a particular size decrement as a function of
the exposure concentration experienced while at the target ventilation rate.90 This type of risk
model has been used in risk assessments since the 1997 O3 NAAQS review. As used here, the
functions (fraction of the population having of a day or more per simulation period with at least
one decrement of one of the specified sizes) are applied to the APEX estimates of 7-hour average
exposure concentrations concomitant with the target ventilation level estimated by APEX, with
the results presented in terms of number of individuals in the simulated populations (and percent
of the population) estimated to experience a day (or more) with a lung function decrement at or
above 10%, 15% and 20%.

The MSS model, also used for estimating the risk of lung function decrements, was
developed using the extensive database from controlled human exposure studies that has been
compiled over the past several decades, and biological concepts based on that evidence
(McDonnell et al., 2012; McDonnell et al., 2013). The model mathematically estimates the
magnitude of FEVI decrement as a function of inhaled O3 dose (based on concentration &
ventilation rate) over the time period of interest (Appendix 3D, section 3D.2.8.2.2). The

90 This risk model was updated in the 2015 review to include the more recently available study data at that time
(Appendix 3D, section 3D.2.8.2.1).

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simulation of decrements is dynamic, based on a balance between predicted development of the
decrement in response to inhaled dose and predicted recovery (using a decay factor). Each
occurrence of decrements of interest (e.g., at or above 10%, 15% and 20%) is tallied. This model
was first applied in combination with the APEX model to generate lung function risk estimates
in the 2015 03 NAAQS review (80 FR 65314, October 26, 2015).91

To generate risk estimates for lung function decrements, the model is applied to the
APEX estimates of exposure concentration and ventilation for every exposure event experienced
by a simulated individual. The model then utilizes its mathematical descriptions of dose
accumulation and decay, and relationship of dose to response, to estimate the magnitude of O3
response associated with the sequence of exposure events in each individual's day. We report the
MSS model risk results using the same metrics as for the E-R function, i.e., number of
individuals in the simulated populations (and percent of the population) estimated to experience
a day (or more) per simulation period with a lung function decrement at or above 10%, 15% and
20%.

The comparison-to-benchmark analysis (involving comparison of 7-hour average
exposure concentrations that coincide with a 7-hour average elevated ventilation rates) provides
perspective on the extent to which the air quality being assessed could be associated with
discrete exposures to O3 concentrations reported to result in an array of respiratory effects. For
example, estimates of such exposures can indicate the potential for 03-related effects in the
exposed population, including effects for which we do not have E-R functions that could be used
in quantitative risk analyses (e.g., airway inflammation). Thus, the comparison-to-benchmark
analysis differs from the two lung function risk analyses with their specific focus on lung
function decrements and provides for a broader risk characterization with consideration of the
array of 03-related respiratory effects.

3.4.2 Population Exposure and Risk Estimates for Air Quality Just Meeting the Current
Standard

In this section, we consider the exposure and risk estimates in the context of the
following questions.

• What are the nature and magnitude of O3 exposures and associated health risks for
air quality conditions just meeting the current standard? What portions of the

91 As noted below, the MSS model used in the current assessment has been updated since the 2015 review based on
the most recent study by its developers (McDonnell et al., 2013).

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exposed populations are estimated to experience exposures of concern or lung

function decrements?

To address these questions, we consider the estimates provided by the exposure and risk
simulations for the eight urban study areas with air quality conditions adjusted to just meet the
current standard (Appendix 3D, sections 3D.3.2 through 3D.3.3). In considering these estimates
here and their associated limitations, uncertainties and implications in greater depth in sections
3.4.5 and 3.5 below, we particularly focus on the extent of protection provided by the standard
from O3 exposures of potential concern. As described in the prior section, the exposure and risk
analyses present two types of risk estimates for the 3-year simulation in each study area: (1) the
number and percent of simulated people experiencing exposures at or above the particular
benchmark concentrations of interest in a year, while breathing at elevated rates; and (2) the
number and percent of people estimated to experience at least one 03-related lung function
decrement (specifically, FEVi reductions of a magnitude at or above 10%, 15% or 20%) in a
year and the number and percent of people estimated to experience multiple lung function
decrements.

As an initial matter regarding the objectives for the analysis approach, we note that the
analyses and the use of an urban case study approach (summarized in section 3.4.1 above) are
intended to provide assessments of air quality scenarios, including in particular one just meeting
the current standard, for a diverse set of areas and associated exposed populations. These
analyses are not intended to provide a comprehensive national assessment. Nor is the objective to
present an exhaustive analysis of exposure and risk in the areas that currently just meet the
current standard and/or of exposure and risk associated with air quality adjusted to just meet the
current standard in areas that currently do not meet the standard. Rather, the purpose is to assess,
based on current tools and information, the potential for exposures and risks beyond those
indicated by the information available at the time the standard was established. Accordingly, use
of this approach recognizes that capturing an appropriate diversity in study areas and air quality
conditions (that reflect the current standard scenario)92 is an important aspect of the role of the
exposure and risk analyses in informing the Administrator's conclusions on the public health
protection afforded by the current standard.

92 A broad variety of spatial and temporal patterns of O3 concentrations can exist when ambient air concentrations
just meet the current standard. These patterns will vary due to many factors including the types, magnitude, and
timing of emissions in a study area, as well as local factors, such as meteorology and topography. We focused our
current assessment on specific study areas having ambient air concentrations close to conditions that reflect air
quality that just meets the current standard. Accordingly, assessment of these study areas is more informative to
evaluating the health protection provided by the current standard than would be an assessment that included areas
with much higher and much lower concentrations.

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Of the two types of risk metrics derived in the exposure and risk analyses, we turn first to
the results for the benchmark-based risk metric, which are summarized in terms of the percent of
the simulated populations of all children and children with asthma estimated to experience at
least one day per year93 with a 7-hour average exposure concentration at or above the different
benchmark concentrations while breathing at elevated rates under air quality conditions just
meeting the current standard (Table 3-6). The estimates for the adult populations, in terms of
percentages, are generally lower, due to the lesser amount and frequency of time spent outdoors
at elevated exertion (Appendix 3D, section 3D.3.2). Given the recognition of people with asthma
as an at-risk population and the relatively greater amount and frequency of time spent outdoors at
elevated exertion of children, we focus here on the estimates for children, including children with
asthma.

Under air quality conditions just meeting the current standard, less than 0.1% of any
study area's children with asthma, on average, were estimated to experience any days per year
with a 7-hour average exposure at or above 80 ppb, while breathing at elevated rates (Table 3-6).
With regard to the 70 ppb benchmark, the study areas' estimates for children with asthma range
up to 0.7 percent (0.6% for all children), on average across the 3-year period, and range up to
1.0% in a single year (Table 3-6). Approximately 3% to nearly 9% of each study area's
simulated children with asthma, on average across the 3-year period, are estimated to experience
one or more days per year with a 7-hour average exposure at or above 60 ppb (Table 3-6). This
range is very similar for the populations of all children (Table 3-6).

Regarding multiday occurrences, we see that no children are estimated to experience
more than a single day with a 7-hour average exposure at or above 80 ppb in any year simulated
in any study location (Table 3-6). For the 70 ppb benchmark, the estimate is less than 0.1% of
any area's children (on average across 3-year period), both those with asthma and all children
(Table 3-6, Figure 3-4). The estimates for the 60 ppb benchmark are slightly higher, with up to
3% of children estimated to experience more than a single day with a 7-hour average exposure at
or above 60 ppb, on average (and more than 4% in the highest year across all eight study area
locations) (Table 3-6).

These estimates are based on analyses that, while based on conceptually similar
approaches to those used in the 2014 HREA, reflect the updates and revisions to those
approaches that have been implemented since that time. Taking that into consideration, the

93 The three years of ambient air O3 concentrations analyzed in the exposure assessment analyses include
concentrations during the O3 seasons for that area. These seasons capture the times during the year when
concentrations are elevated (80 FR 65419-65420, October 26, 2015). While the duration of an O3 season for each
year may vary across the study areas, for the purposes of the exposure and risk analyses, the O3 season in each
study area is considered synonymous with a year.

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1	estimates for the 3-year period from the current assessment for air quality conditions simulated to

2	just meet the current standard are of a magnitude roughly similar, although slightly lower at the

3	upper end of the ranges, to the estimates for these same populations in the 2014 HREA. For

4	example, for air quality conditions just meeting the standard with a level of 70 ppb, the 2014

5	HREA estimated 0.1 to 1.2% of children to experience at least one day with exposure at or above

6	70 ppb, while at elevated ventilation (Appendix 3D, section 3D.3.2.4, Table 3D-38). There are a

7	number of differences between the quantitative modeling and analyses performed in the current

8	assessment and the 2014 HREA that likely contribute to the small differences in estimates

9	between the two assessments (e.g., 2015-2017 vs. 2006-2010 distribution of ambient air

10	concentrations, full statistical distribution of ventilation rates vs. a 5th percentile point estimate,

11	7-hour vs. 8-hour exposure durations).

12	Table 3-6. Percent and number of simulated children and children with asthma

13	estimated to experience at least one or more days per year with a 7-hour

14	average exposure at or above indicated concentration while breathing at an

15	elevated rate in areas just meeting the current standard.

Exposure
Concentration

(ppb)

One or more days

Two or more days

Four or more days

Average per
year

Highest in a
single year

Average
per year

Highest in a
single year

Average
per year

Highest in a
single year

Children with asthma - percent of simulated population A

>80

0B — <0.1 c

0.1

0

0

0

0

>70

0.2-0.7

1.0

<0.1

0.1

0

0

>60

3.3-8.8

11.2

0.6-3.2

4.9

<0.1-0.8

1.3

-numl

b er of individuals A

>80

0-67

202

0

0

0

0

>70

93-1145

1616

3-39

118

0

0

>60

1517-8544

11776

282 - 2609

3977

23-637

1033

All children - percent of simulated population A

>80

0B - <0.1

0.1

0

0

0

0

>70

0.2-0.6

0.9

<0.1

0.1

0 - <0.1

<0.1

>60

3.2-8.2

10.6

0.6-2.9

4.3

<0.1-0.7

1.1

-numl

b er of individuals A

>80

0-464

1211

0

0

0

0

>70

727 - 8305

11923

16-341

757

0-5

14

>60

14928 -
69794

96261

2601 -
24952

36643

158-5997

9554

A Estimates for each study area were averaged across the 3-year assessment period. Ranges reflect the ranges of averages.
B A value of zero (0) means that there were no individuals estimated to have the selected exposure in any year.
c An entry of <0.1 is used to represent small, non-zero values that do not round upwards to 0.1 (i.e., <0.05).

16

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In framing these same exposure estimates from the perspective of estimated protection
provided by the current standard, these results indicate that, in the single year with the highest
concentrations across the 3-year period, 99% of the population of children with asthma would
not be expected to experience such a day with an exposure at or above the 70 ppb benchmark;
99.9% would not be expected to experience such a day with exposure at or above the 80 ppb
benchmark. The estimates, on average across the 3-year period, indicate that over 99.9%, 99.3%
and 91.2%) of the population of children with asthma would not be expected to experience a day
with a 7-hour average exposure while at elevated ventilation that is at or above 80 ppb, 70 ppb
and 60 ppb, respectively (Table 3-6 above). Further, with regard to multiple days, more than
approximately 97% of all children or children with asthma (on average across a 3-year period),
are estimated to be protected against multiple days of exposures at or above 60 ppb. These
estimates indicate generally similar protection to that described in establishing the current
standard in 2015 (as summarized in section 3.1 above), with slightly greater level of protection
for occurrences at 70 ppb (see section 3.5.2 below, refer to Table 3-11).

With regard to lung function risk, the estimates for all children and for children with
asthma are again roughly similar, with the higher end of the ranges for the eight study areas
being just slightly higher in some cases for the children with asthma (Table 3-7). The lung
function risk estimates from the MSS model are appreciably higher than those based on the E-R
function (full results in Appendix 3D, section 3D.3.3). This difference relates to the fact, noted in
section 3.4.1 above, that the two lung function risk approaches are based on different aspects of
the controlled human exposure study evidence and differ in how they extrapolate beyond the
exposure study conditions and observations. Accordingly, uncertainties associated with the two
modeling approaches also differ (as discussed in section 3.4.4 below). The E-R function risk
approach conforms more closely to the circumstances of the 6.6-hour controlled human exposure
studies, such that the 7-hour duration and moderate or greater exertion level are necessary for
nonzero risk. This approach additionally, however, uses a continuous function which predicts
responses for exposure concentrations below those studied down to zero. As a result, exposures
below those studied in the controlled human exposures will result in a fraction of the population
being estimated by the E-R function to experience a lung function decrement (albeit to an
increasingly small degree with decreasing exposures). The MSS model, which has been
developed based on a conceptualization intended to reflect a broader set of controlled human
exposure studies (e.g., including studies of exposures to higher concentrations for shorter
durations), does not require a 7-hour exposure period for the model to generate an estimated
response, and lung function decrements are estimated for exertion below moderate or greater
levels, as well as for exposure concentrations lower than those that have been studied (Appendix
3D, section 3D.3.4.2; 2014 HREA section 6.3.3). These differences in the models, accordingly,

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result in differences in the extent to which they produce estimates that reflect the particular
conditions of the available controlled human exposure studies and the frequency and magnitude
of the measured responses in those studies.94

For example, the 6.6-hour controlled human exposure studies have reported
approximately 3% of subjects exposed to an average concentration of 60 ppb and 10% of
subjects exposed to 70 ppb to have at least a 15% FEVi decrement (Appendix 3D, Table 3D-20
and Figure 3D-11). Table 3-6 above shows that, at a maximum, approximately 11% and 1% of
children with asthma are estimated in a single year to have a day with daily maximum 7-hour
exposure at or above the 60 ppb and 70 ppb benchmarks, respectively, indicating that perhaps
10%) (11%) minus 1%>) might be expected to have a day with an exposure at or above 60 ppb but
less than 70 ppb. If the simulated children had the same sensitivity as the controlled human
exposure study subjects, it might be expected that 0.3% (3% times 10%>) of this group could have
a 15%o (or larger) FEVi decrement resulting from concentrations at or above 60 ppb and less than
70 ppb and 0.1% (10%> times 1 %>) of this group could have a 15% (or larger) decrement resulting
from concentrations at or above 70 ppb. Accordingly, this would yield an estimated lung
function risk for the simulated population of 0.4% for decrements of 15% or larger. This
contrasts with the estimates based on the E-R function, that are at most a 1% risk (Table 3-7),
and the MSS model estimates, that are at most an 8.7% risk (Table 3-7).

94 The two models, their bases in the evidence and associated limitations and uncertainties are discussed in detail in
Appendix 3D, sections 3D.2.8.2 and 3D.3.4.

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1	Table 3-7. Percent of simulated children and children with asthma estimated to

2	experience at least one or more days per year with a lung function decrement

3	at or above 10,15 or 20% while breathing at an elevated rate in areas just

4	meeting the current standard.

Lung Function
DecrementA

One or more days

Two or more days

Four or more days

Average
per year

Highest in a
single year

Average
per year

Highest in a
single year

Average per
year

Highest in a
single year

E-R Function



percent of simulatec

children with asthma A

> 20%

CO
O
I

CM
O

0.4

CM
O
I

O

0.2

O
I

CD

O

V

0.1

> 15%

0.5-0.9

1.0

CO
O
I

CO
0

0.6

O
I

CM
O

0.4

> 10%

CO
CO
I

CO
cm

3.6

1.5-2.4

2.6

0.9-1.7

1.8



percent of all simulated children A

> 20%

CO
O
I

CM
O

0.4

CM
O
I

O

0.2

A
O

I

O

0.1

> 15%

OO
0
I

LO
0

0.9

LO
O
I

CO
0

0.6

O
I

CM
O

0.4

> 10%

CO
I

CM
CM

3.3

CM
CM
I

CO

2.4

CO
I

OO
O

1.7

MSS Model



percent of simulatec

children with asthma A

> 20%

LO
CO
I

OO

3.9

CM
I

OO
O

2.5

0.3-1.1

1.3

> 15%

4.5-8.2

8.7

CT>
1

CM
CM

5.3

1.1-2.9

3.3

> 10%

13.9-22

23.3

OO
O
1

CO

16

CO
I

CO
CO

10.5



percent of all simulated children A

> 20%

1.7-3.1

3.6

0

CO

1

2.0

CD
O
I

CO

0

1.1

> 15%

4.1 -7.1

7.8

CO
1

CM

4.9

LO
CM
I

O

2.9

> 10%

13.2-20.4

21.8

CO
CO

1

14.8

3.9-8.8

9.7

A Estimates for each urban case study area were averaged across the 3-year assessment period. Ranges reflect the ranges
across urban study area averages.

B An entry of <0.1 is used to represent small, non-zero values that do not round upwards to 0.1 (i.e., <0.05).

5

6	3.4.3 Population Exposure and Risk Estimates for Additional Air Quality Scenarios

7	In addition to estimating population exposure and risk for O3 concentrations simulated to

8	occur under air quality conditions when the current standard is just met, the exposure and risk

9	analyses also estimated population exposure and risk in the eight study areas for two additional

10	air quality scenarios. In these scenarios, the air quality conditions were adjusted such that the

11	monitor location with the highest concentrations in each area had a design value just equal to

12	either 75 ppb or 65 ppb.

13	The results for the comparison-to-benchmarks analysis for these additional air quality

14	scenarios are summarized in Table 3-8 below for all three benchmark concentrations. The

15	estimates for these two additional scenarios differ markedly from the results for air quality just

16	meeting the current standard (summarized in Table 3-6 above). For simplicity, the summary of

17	the comparison discussed here focuses on the 70 ppb benchmark concentration, which falls just

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below the time-weighted exposure concentration for which there was a statistically significant
lung function decrement and also a statistically significant increase in respiratory symptom score
in one of the controlled human exposure studies, as noted in section 3.3.3 (ISA, Appendix 3,
section 3.1.4.1.1; Schelegle et al., 2009). The pattern is similar for the other two benchmarks,
although in general, the differences of the results for the additional scenarios from the results for
the current standard (presented in section 3.4.2) are somewhat greater for the higher benchmark
and slightly smaller for the lower benchmark.

Under air quality conditions in the 75 ppb scenario, estimated percentages of children
with asthma expected to experience at least one day per year with exposures at or above the
benchmark concentrations are two or more times higher than the estimates discussed in section
3.4.2 above for air quality conditions just meeting the current standard. For example, the
minimum and maximum percentages, on average per year across the study areas, of children
with asthma estimated to experience one or more days with exposures at or above the 70 ppb
benchmark are five and three times, respectively, greater than the corresponding percentages for
conditions associated with the current standard (Table 3-6 and Table 3-8). The highest estimated
percentage in a single year for the 70 ppb benchmark is more than twice as high for the 75 ppb
scenario compared to conditions associated with the current standard. The corresponding
estimate for two or more days per year is even greater for the 75 ppb scenario versus the current
standard scenario (Table 3-6 and Table 3-8).

In contrast, under air quality conditions in the 65 ppb scenario, the estimated percentages
of children with asthma expected to experience at least one day per year with exposures above
the benchmark concentrations are at most one third the estimates discussed in section 3.4.2 above
for air quality conditions just meeting the current standard (Table 3-6 and Table 3-8). The
highest estimated percentage of children expected to experience two or more days a year at or
above the 70 ppb benchmark drops to zero for the 65 ppb scenario compared to <0.1% for air
quality conditions just meeting the current standard (Table 3-6, Table 3-8).

As with the estimates for air quality just meeting the current standard, and as expected
given the various exposure and risk analysis updates implemented, the estimates discussed here
for the additional air quality scenarios are also slightly different from the estimates for such
scenarios that were derived in the 2015 review. However, the differences are not of such a
magnitude that the estimates for one air quality scenario in the current analyses are similar to
results for a different scenario in the 2015 review. For example, while the current estimates for
the 75 ppb air quality scenario are somewhat lower for some benchmarks than those for that
scenario in the 2015 review, they are still higher than the estimates from the 2015 review for the
air quality scenario just meeting the current standard.

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1	Table 3-8. Percent and number of simulated children and children with asthma

2	estimated to experience one or more days per year with a daily maximum 7-

3	hour average exposure at or above indicated concentration while breathing at

4	an elevated rate - additional air quality scenarios.

Exposure

One or more days

Two or more days

Four or more days

Concentration

(ppb)

Average per
year

Highest in a
single year

Average per
year

Highest in a
single year

Average per
year

Highest in a
single year

Air quality scenario for 75 ppb

Children with asthma

- percent of simulated population A





>80

<0.1B-0.3

0.6

O

0

1

A
O

<0.1

0

0

>70

1.1 -2.1

3.9

O
I

o

0.8

0

1

A
O

0.1

>60

7.6-17.1

19.2

CD
CO
I

o

CM

11.0

CO
CO
I

o

4.4

- number of individuals A

>80

23-410

888

1^

i

o

20

0

0

>70

502-2480

4544

36-316

637

0-33

99

>60

3538-14054

17673

1188-7232

8931

204 - 2708

3595

All child

ren

- percent of simulated population A





>80

<0.1 b-0.3

0.6

O

0

1

A
O

<0.1

0

0

>70

O

cm
I

3.4

CO

o
I

o

0.7

<0.1

<0.1

>60

6.6-15.7

17.9

I

00
o

9.9

O
CO
I

o

4.1

- number of individuals A

>80

129-3127

6658

0-54

121

0

0

>70

4915-19794

34981

414-2750

5775

3-141

368

>60

34918-133400

162894

11087-67747

83660

1813-25773

34902

Air quality scenario for 65 ppb

Children with asthma

- percent of simulated population A





>80

O
I

A
O

<0.1

0

0

0

0

>70

CM
O
I

o

0.3

0

0

0

0

>60

0.5-2.5

4.3

CO
O
I

o

V

0.6

O
I

A
O

0.1

- number of individuals A

>80

0-23

68

0

0

0

0

>70

0-311

455

0

0

0

0

>60

212-3542

5165

13-386

709

0-14

42

All child

ren

- percent of simulated population A





>80

O
I

A
O

<0.1

0

0

0

0

>70

CM
O
I

o

0.2

O
I

A
O

<0.1

0

0

>60

CO
CM
I

o

3.7

CO
O
I

O

V

0.5

0

1

A
O

<0.1

- number of individuals A

>80

0-38

114

0

0

0

0

>70

0 - 2495

3140

0-13

23

0

0

>60

1832-29486

39772

83 - 3681

7188

0-179

354

A Estimates for each study area were averaged across the 3-year assessment period. Ranges reflect the ranges of averages.
B An entry of <0.1 is used to represent small, non-zero values that do not round upwards to 0.1 (i.e., <0.05).
c A value of zero (0) means that there were no individuals estimated to have the selected exposure in any year.

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Lung function risk estimated for children and children with asthma in air quality
scenarios with design values just above and below the current standard are presented in detail in
Appendix 3D, section 3D.3.3. The patterns of the estimates are, as expected, higher for the 75
ppb air quality scenario and lower for the 65 ppb scenario. For each scenario, the differences in
risk estimates between the two models is similar to that which occurs with the risk estimates for
air quality just meeting the current standard (as discussed in section 3.4.2 above). These
estimates (for both lung function risk approaches) are less different from those for the current
standard air quality scenario than are differences noted above for the comparison-to-benchmarks
estimates. This is due to the greater influence on the risk results of exposures associated with the
low O3 concentrations that are less affected by air quality adjustments used to develop air
concentration surfaces for which the highest-concentration location has a design value just
meeting the different targets.

3.4.4 Key Uncertainties

In this section, we consider the uncertainties associated with the quantitative estimates of
exposure and risk, including those recognized by the characterization of uncertainty in Appendix
3D (section 3D.3.4). This characterization is based on an approach intended to identify and
compare the relative impact that important sources of uncertainty may have on the exposure and
risk estimates. The approach utilized is largely qualitative and is adapted from the World Health
Organization (WHO) approach for characterizing uncertainty in exposure assessment (WHO,
2008) augmented by several quantitative sensitivity analyses of key aspects of the assessment
approach (described in detail in Appendix 3D, section 3D.3.4). This characterization and
associated analyses build upon information generated from a previously conducted quantitative
sensitivity analysis of population-based O3 exposure modeling (Langstaff, 2007), considering the
various types of data, algorithms, and models that together yield exposure and risk estimates for
the eight study areas. In this way, we considered the limitations and uncertainties underlying
these data, algorithms and models and the extent of their influence on the resultant exposure/risk
estimates using the general approach applied in past risk and exposure assessments for O3,
nitrogen oxides, carbon monoxide and SOx (U.S. EPA, 2008; U.S. EPA, 2010; U.S. EPA, 2014;
U.S. EPA, 2018).

The exposure and risk uncertainty characterization and quantitative sensitivity analyses,
presented in Appendix 3D, section 3D.3.4, involve consideration of the various types of inputs
and approaches that together result in the exposure and risk estimates for the eight study areas. In
this way the limitations and uncertainties underlying these inputs and approaches and the extent
of their influence on the resultant exposure/risk estimates are considered. Consistent with the
WHO (2008) guidance, the overall impact of the uncertainty is scaled by considering the extent

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or magnitude of the impact of the uncertainty as implied by the relationship between the source
of the uncertainty and the exposure and risk output. The characterization in Appendix 3D also
evaluated the direction of influence, indicating how the source of uncertainty was judged, or
found, to quantitatively affect the exposure and risk estimates, e.g., likely to over- or under-
estimate (Appendix 3D, section 3D.3.4.1).

• What are the important uncertainties associated with the exposure and risk
estimates?

Based on the uncertainty characterization and associated analyses in Appendix 3D and
consideration of associated policy implications, we recognize several areas of uncertainty as
particularly important in our consideration of the exposure and risk estimates, while also
recognizing several areas where new or updated information reduced uncertainties in the
exposure and risk estimates compared to those in the 2015 review. In so doing, we note areas
that pertain to estimates for both types of risk metrics, as well as areas that pertain more to one
type of estimate versus the other. We also note differences in the uncertainties that pertain to
each of the two approaches used for the lung function risk metric.

An overarching and important area of uncertainty, remaining from the 2015 review and
important to our consideration of the exposure and risk analysis results, relates to the underlying
health effects evidence base. The quantitative analysis focuses on the evidence providing the
"strongest evidence" of O3 respiratory effects (ISA, p. IS-1), the controlled human exposure
studies, and on the array of respiratory responses documented in those studies (e.g., lung function
decrements, respiratory symptoms, increased airway responsiveness and inflammation). The
comparison-to-benchmarks analysis is particularly focused on consideration of the potential for
exposures that pose a risk of experiencing this array of effects. We note, however, evidence is
lacking from controlled human exposure studies of 6.6-hour duration at the lower concentrations
(e.g., 60, 70 and 80 ppb) for children and for people of any age with asthma. While the limited
evidence informing our understanding of potential risk to people with asthma is uncertain, it
indicates the potential for this group, given their disease status, to be at risk (e.g., of asthma
exacerbation), as summarized in section 3.3.4 above. Such a conclusion is consistent with the
epidemiologic study findings of positive associations of O3 concentrations with asthma-related
emergency department visits and hospital admissions (and the higher effect estimates from these
studies), as referenced in section 3.3.1 above and presented in detail in the ISA. Thus, we
recognize uncertainty in interpretation of the exposure and risk estimates in the broader context
(e.g., as discussed in section 3.4.5 below).

Key uncertainties and limitations in data and tools that affect the quantitative estimates of
exposure and risk, particularly in their interpretation in the context of considering the current
standard, relate to each step in the assessment. These include uncertainty related to estimation of

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the concentrations in ambient air for the current standard and the additional air quality scenarios;
lung function risk approaches that rely, to varying extents, on extrapolating from controlled
human exposure study conditions to lower exposure concentrations, lower ventilation rates, and
shorter durations; and characterization of risk for particular population groups that may be at
greatest risk, particularly for people with asthma, and particularly children with asthma
(Appendix 3D, Table 3D-64). Areas in which uncertainty has been reduced by new or updated
information or methods include the use of updated air quality modeling, with a more recent
model version and model inputs, applied to study areas with design values near the current
standard, as well as updates to several inputs to the exposure model, including changes to the
exposure duration to better match those in the controlled human exposure studies and an
alternate approach to characterizing periods of activity while at moderate or greater exertion for
simulated individuals.

With regard to the analysis approach overall, two updates since the 2014 HREA reduce
uncertainty in the results. The first relates to identifying when simulated individuals may be at
moderate or greater exertion, with the new approach reducing the potential for overestimation of
the number of people achieving the associated ventilation rate, which was an important
uncertainty in the 2014 HREA. Additionally, the current analysis focus on exposures of 7 hours
duration better represents the 6.6-hour exposures from the controlled human exposure studies
(than the 8-hour exposure durations used for the 2014 HREA and prior assessments).

Additional aspects of the analytical design pertaining to both exposure-based risk metrics
include the estimation of ambient air O3 concentrations for the air quality scenarios, and main
components of the exposure modeling. Uncertainties include the modeling approach used to
adjust ambient air concentrations to meet the air quality scenarios of interest and the method
used to interpolate monitor concentrations to census tracts. While the adjustment to conditions
near, just above, or just below the current standard is an important area of uncertainty, the size of
the adjustment needed to meet a given air quality scenario is minimized with the selection of
study areas for which recent O3 design values were near the level of the current standard. Also,
more recent data are used as inputs for the air quality modeling, such as more recent O3
concentration data (2015-2017), meteorological data (2016) and emissions data (2016), as well
as a recently updated air quality photochemical model which includes state-of-the-science
atmospheric chemistry and physics (Appendix 3C). Further, the number of ambient monitors
sited in each of the eight study areas provides a reasonable representation of spatial and temporal
variability for the air quality conditions simulated in those areas.

Among other key aspects, there is uncertainty associated with the simulation of study
area populations (and at-risk populations), including those with particular physical and personal
attributes. As also recognized in the 2014 HREA, exposures could be underestimated for some

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population groups that are frequently and routinely outdoors during the summer (e.g., outdoor
workers, children).95 In addition, longitudinal activity patterns do not exist for these and other
potentially important population groups (e.g., those having respiratory conditions other than
asthma), limiting the extent to which the exposure model outputs reflect information that may be
particular to these groups. Important uncertainties in the approach used to estimate energy
expenditure (i.e., metabolic equivalents of work or METs used to estimate ventilation rates),
include the use of longer-term average MET distributions to derive short-term estimates, along
with extrapolating adult observations to children. Both of these approaches are reasonable based
on the availability of relevant data and appropriate evaluations conducted to date, and
uncertainties associated with these steps are somewhat reduced in the current analyses (compared
to the 2014 HREA) because of the added specificity and use of redeveloped METs distributions
(based on newly available information), which is expected to more realistically estimate activity-
specific energy expenditure.

With regard to the exposure and risk modeling aspects of the two risk metrics, we
recognize that there are some uncertainties that apply to the estimation of lung function risk and
not the comparison-to-benchmarks analysis. For example, both lung function risk approaches
utilized in the risk analyses incorporate some degree of extrapolation beyond the exposure
circumstances evaluated in the controlled human exposure studies in recognition of the potential
for lung function decrements to be greater in unstudied population groups than is evident from
the available studies. For example, both models generate nonzero predictions for 7-hour
concentrations below the 6.6-hour concentrations investigated in the controlled human exposure
studies. In considering these risk estimates, we recognize that the uncertainty in the lung function
risk estimates increases with decreasing exposure concentration, and is particularly increased for
concentrations below those evaluated in controlled exposure studies (section 3.4.4 and Appendix
3D, section 3D.3.4). Further, the two lung function risk approaches differ in how they
extrapolate beyond the controlled human exposure study conditions and in the impact on the
estimates. The E-R function risk approach generates nonzero predictions from the full range of
potential nonzero concentrations for 7-hour average durations in which the average exertion
levels meets or exceeds the target. The MSS model, which draws on evidence-based concepts of
how human physiological processes respond to O3, extrapolates beyond the controlled
experimental conditions, with regard to exposure concentration, exposure duration, and also,
ventilation rate (both magnitude and duration). The impact of this extrapolation, and the
difference between the two models in its extent beyond the studied exposure circumstances, is

95 As described in section 3.4.1 above, the child populations modeled were school ages (ages 5 to 18), in recognition
of limitations and uncertainties in the data for children younger than five years.

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illustrated by differences in the percent of the risk estimates derived on days for which the
highest 7-hour average concentration is below the lowest 6.6-hour exposure concentration tested
(Table 3-9 and Table 3-10). For example, while 3 to 6% of the risk to children (based on single-
year estimates for three study areas) of experiencing at least one day with decrements greater
than 20% estimated by the E-R model is associated with exposure concentrations below 40 ppb
(the lowest exposure concentration studied, and at which no decrements of this severity occurred
in any study subjects), 25% to nearly 40% of MSS model estimates of decrements greater than
20% derive from exposures below 40 ppb (Table 3-9 and Table 3-10). Further, using ventilation
rates lower than those used for the E-R function risk approach (which are based on the controlled
human exposure study conditions) also contribute to relatively greater risks estimated by the
MSS model. Limiting the MSS model results to estimates for individuals with at least the same
exertion level achieved by study subjects (>17.3 L/min-m2), reduces the risks of experiencing at
least one lung function decrement by an amount between 24 to 42% (Appendix 3D, Table 3D-
69).

The difference between the two models for risk contribution from low concentrations is
smaller for risk estimates for two or more days than the estimates for one or more days. This is
largely because the percent contribution to low-concentration risk for two or more decrement
days predicted by the E-R approach is, by design, greater than the corresponding contribution to
low-concentration risk for one or more days.96 This also occurs because the MSS model
estimates risk from a larger variety of exposure and ventilation conditions (Table 3-9, Table 3-
10). Further, many of the uncertainties previously identified as part of the 2014 HREA unique to
the MSS model remain as important uncertainties in the current assessment. For example, the
extrapolation of the MSS model age parameter down to age 5 (from the age range of 18- to 35-
year old study subjects to which the model was fit) is an important uncertainty given that
children are an at-risk population of particular interest in this assessment. Also, there is
uncertainty in estimating the frequency and magnitude of lung function decrements as a result of
the statistical form and parameters used for the MSS model inter- and intra-individual variability
terms. Each of these, among other newly identified MSS model uncertainties, are evaluated and
discussed in the current uncertainty characterization (Appendix 3D, section 3D.3.4). As a whole,
the differences between the two lung function risk approaches described above and the estimates
generated by these approaches indicate appreciably greater uncertainty associated with the MSS

96 The E-R function approach uses the daily maximum exposure concentration for the simulated population. By
design, every individual would more than likely have a lower exposure on the second day than that experienced
on the first day, and so on for each progressive day throughout the simulation period. Therefore, if any risk is
estimated, the distribution of exposures would be shifted more so to lower concentrations for a greater proportion
of the population.

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1	model estimates than the E-R function estimates due to the significantly greater portion of

2	relatively low concentrations contributing to risk.

3	Table 3-9. Percent of risk estimated for air quality just meeting the current standard in

4	three study areas using the E-R function approach on days where the daily

5	maximum 7-hour average concentration is below specified values.

Size of
Lung
Function
Decrement

Percent of child population at risk of decrement from specific 7-hour concentrations A

Percent of one-or-more-days risk

Percent of two-or-more-days risk

< 30 ppb

< 40 ppb

< 50 ppb

< 60 ppb

< 30 ppb

< 40 ppb

< 50 ppb

< 60 ppb

> 20%

0.7-1%

3-6%

12-25%

39-70%

2-3%

7-12%

24-44%

67-93%

>15%

2-3%

6-11%

19-34%

48-78%

4-5%

12-18%

34-54%

75-95%

>10%

4-5%

11-16%

29-45%

61 -86%

7-9%

18-25%

45-63%

83-97%

A The ranges presented are based on 1-year simulations in three study areas (Atlanta, Dallas, and St Louis); the values
presented here are rounded to whole numbers or at least one significant digit (full results are in Appendix 3D, section
3D.3.4.2, Table 3D-62).

6	Table 3-10. Percent of risk estimated for air quality just meeting the current standard in

7	three study areas using the MSS model approach on days where the daily

8	maximum 7-hour average concentration is below specified values.

Size of
Lung
Function
Decrement

Percent of child population at risk of decrement from specified 7-hour concentrations A

Percent of one-or-more-days risk

Percent of two-or-more-days risk

< 30 ppb

< 40 ppb

< 50 ppb

< 60 ppb

< 30 ppb

< 40 ppb

< 50 ppb

< 60 ppb

> 20%

5-9%

25-38%

63-78%

88-96%

5-10%

28-42%

66-81%

90-98%

>15%

11-18%

36-51%

72 - 84%

92-98%

11-19%

38-54%

74-87%

93-99%

>10%

25-32%

57-67%

84-91%

96-99%

26-33%

57-68%

84-91%

96-99%

A The ranges presented are based on 1-year simulations in three study areas (Atlanta, Dallas, and St Louis); the values
presented here are rounded to whole numbers or at least one significant digit (full results are in Appendix 3D, section
3D.3.4.2, Table 3D-63).

9

10	An additional area in which uncertainty has been reduced for the exposure estimates is

11	related to the approach to identifying when simulated individuals may be at moderate or greater

12	exertion. The approach used in the current assessment reduces the potential for overestimation of

13	the number of people achieving the associated ventilation rate, an important uncertainty

14	identified in the 2014 HREA. We also note that the exposure duration in the assessment was a 7-

15	hour averaging time, which was selected to better represent the 6.6-hour exposures from the

16	controlled human exposure studies, compared to the 8-hour exposure durations used in the model

17	in the 2014 HREA and prior assessments.

18	In summary, among the multiple uncertainties and limitations in data and tools that affect

19	the quantitative estimates of exposure and risk and their interpretation in the context of

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considering the current standard, we recognize several here as particularly important, noting that
some of these uncertainties are similar to those recognized in the 2015 review. These include
uncertainty related to estimation of the concentrations in ambient air for the current standard and
the additional air quality scenarios; lung function risk approaches that rely, to varying extents, on
extrapolating from controlled human exposure study conditions to lower exposure
concentrations, lower ventilation rates, and shorter durations; and, characterization of risk for
particular population groups that may be at greatest risk, particularly for people with asthma,
particularly children. We also recognize several areas in which uncertainty has been reduced by
new or updated information or methods, including more refined air quality modeling based on
selection of study areas with design values near the current standard and more recent model
inputs, as well as updates to several inputs to the exposure model including changes to the
exposure duration to better match those in the controlled human exposure studies and an
alternate approach to characterizing periods of activity while moderate or greater exertion for
simulated individuals.

3.4.5 Public Health Implications

In considering public health implications of the quantitative exposure and risk estimates
that may inform the Administrator's judgments in this area, this section discusses the information
pertaining to the following question.

• To what extent are the estimates of exposures and risks to at-risk populations

associated with air quality conditions just meeting the current standard reasonably
judged important from a public health perspective?

Several factors are important to the consideration of public health implications. These
include the magnitude or severity of the effects associated with the estimated exposures, as well
as their adversity at the individual and population scale. Other important considerations include
the size of the population estimated to experience such effects or to experience exposures
associated with such effects. Thus, the discussion here reflects consideration of the health
evidence, and exposure and risk estimates, as well as the consideration of potential public health
implications in previous NAAQS decisions and ATS policy statements (as also discussed in
section 3.3.2).

In considering the severity of responses associated with the exposure and risk estimates,
we take note of the health effects evidence for the different benchmark concentrations and
judgments made with regard to the severity of these effects in the 2015 review. We recognize the
greater prevalence of more severe lung function decrements among study subjects exposed to 80
ppb or higher concentrations (compared to the study findings for lower exposure concentrations),
as well as the prevalence of other effects such as respiratory symptoms; thus, such exposures (of

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80 ppb and greater) are appropriately considered to be associated with adverse respiratory effects
consistent with past and recent ATS position statements and with EPA's judgments in
establishing the current standard in 2015.97 Further, in the controlled human exposure study of an
average exposure level somewhat above 70 ppb (73 ppb), statistically significant increases in
transient lung function decrements (specifically reduced FEVi) and respiratory symptoms have
been reported, leading EPA to also characterize these exposure conditions as being associated
with adverse responses, consistent with ATS statements as summarized in section 3.1 above
(e.g., 80 FR 65343, 65345, October 26, 2015; 85 FR 87304, December 31, 2020). Some studies
of controlled human exposures to the lowest benchmark concentration of 60 ppb have found
small but statistically significant Cb-related decrements in lung function and airway
inflammation (without increased incidence of respiratory symptoms).

We additionally take note of the greater significance of estimates for multiple
occurrences of exposures at or above these benchmarks consistent with the evidence. This is
consistent with past O3 NAAQS reviews in which it was recognized, using the example of effects
such as inflammation, that while isolated occurrences can resolve entirely, repeated occurrences
from repeated exposure could potentially result in more severe effects (2013 ISA, section 6.2.3
and p. 6-76). The ascribing of greater significance to repeated occurrences of exposures of
potential concern is also consistent with public health judgments in NAAQS reviews for other
pollutants, such as SOx and carbon monoxide (84 FR 9900, March 18, 2019; 76 FR 54307,
August 31, 2011).

The exposure-based analyses include two types of metrics, one involving comparison-to-
benchmark concentrations corresponding to 6.6-hour exposure concentrations to which
exposures while at elevated ventilation have elicited lung function decrements, and the second
involving estimates of lung function risk with regard to such decrements of magnitudes at or
above 10%, 15% or 20%. Based on evidence base described in the 2020 ISA, which is largely
consistent with that available in the 2015 review (as summarized in section 3.3.1 above), the
quantitative exposure and risk analyses results in which we have the greatest confidence are
estimates from the comparison-to-benchmarks analysis, as discussed in section 3.4.4 above.

In light of the conclusions that people with asthma and children are at-risk populations
for 03-related health effects (summarized in section 3.3.2 above) and the exposure and risk
analysis findings of higher exposures and risks for children (in terms of percent of that
population), we have focused the discussion here on children, and specifically children with

97 The ATS statements indicate that consideration of differences in magnitude or severity, and also the relative
transience or persistence of the adverse responses (e.g., FEVi changes) and respiratory symptoms, as well as pre-
existing sensitivity to effects on the respiratory system, and other factors, is important to characterizing
implications for public health effects of an air pollutant such as O3 (ATS, 2000; Thurston et al., 2017).

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asthma. We recognize that the exposure and risk estimates indicate that in some areas of the U.S.
where O3 concentrations just meet the current standard, on average across the 3-year period
simulated, just over 0.5%, and less than 0.1% of the simulated population of children with
asthma might be expected to experience a single day per year with a 7-hour exposure at or above
70 ppb and 80 ppb, respectively, while breathing at an elevated rate. With regard to the lowest
benchmark considered (60 ppb), the corresponding percentage is just over 8%, with higher
percentages in some individual years (Table 3-9). The corresponding estimates for the air quality
scenario with higher O3 concentrations are notably higher (Table 3-8). For example, for the 75
ppb air quality scenario, 1.1% to 2.1% of children with asthma, on average across the 3-year
design period, are estimated to experience at least one day with exposure concentrations at or
above 70 ppb, while at moderate or greater exertion, with as many as 3.9% in a single year
(Table 3-8). For the 60 ppb benchmark, the single-day occurrence estimates for the 75 ppb
scenario range up to nearly 16%. Estimates for the 65 ppb scenario are appreciably lower.

With regard to estimates of lung function decrements, we focus on the E-R model
estimates as having less associated uncertainty, as discussed in section 3.4.4 above. The exposure
and risk analysis estimates 0.2 to 0.3% of children with asthma, on average across the 3-year
design period to experience one or more days with a lung function decrement at or above 20%,
and 0.5 to 0.9 % to experience one or more days with a decrement at or above 15% (Table 3-7
above). In a single year, the highest estimate is 1.0% of this at-risk population expected to
experience one or more days with a decrement at or above 15%. The corresponding estimate for
two or more days is 0.6% (Table 3-7 above). As discussed in section 3.4.3 above, the estimates
for the 75 ppb air quality scenario are notably higher, while the estimates for the 65 ppb scenario
are notably lower (Table 3-8). In reviewing the lung function risk estimates, we note the
uncertainties discussed in section 3.4.4 above, including the appreciable portion of these
estimates that are based on quantifying risk for exposure concentrations below those studied.

The size of the at-risk population (people with asthma, particularly children) in the U.S.
is substantial. As summarized in section 3.3.2, nearly 8% of the total U.S. population98 and 5.8%
of U.S. children have asthma. The asthma prevalence in U.S. child populations (younger than 18
years) of different races or ethnicities ranges from 6.7% for all Hispanic children to 12.3% for
black non-Hispanic children (Table 3-1 above). This is well reflected in the exposure and risk
analysis study areas in which the asthma prevalence ranged from 7.7% to 11.2% of the total
populations and 9.2% to 12.3% of the children. In each study area, the prevalence varies among

98 The number of people in the US with asthma is estimated to be about 25 million. As shown in Table 3-1 the
estimated number of people with asthma was 25,131,000 in 2019.

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census tracts, with the highest tract having a prevalence in boys of 25.5% and a prevalence in
girls of 17.1% (Appendix 3D, Table 3D-3).

The exposure and risk analyses inherently recognize that variability in human activity
patterns (where people go and what they do) is key to understanding the magnitude, duration,
pattern, and frequency of population exposures. For O3 in particular, the amount and frequency
of afternoon time outdoors at moderate or greater exertion is an important factor for
understanding the fraction of the population that might experience O3 exposures that have
elicited respiratory effects in controlled human exposure studies (2014 HREA, section 5.4.2). In
considering the available information regarding prevalence of behavior (time outdoors and
exertion levels) and daily temporal pattern of O3 concentrations, we take note of the findings of
evaluations of the data in the CHAD. Based on these evaluations of human activity pattern data,
it appears that children and adults both, on average, spend about 2 hours of afternoon time
outdoors per day, but differ substantially in their participation in these events at elevated exertion
levels (rates of about 80% versus 60%, respectively) (2014 HREA, section 5.4.1.5), indicating
children are more likely to experience exposures that may be of concern. This is one basis for
their identification as an at-risk population for Cb-related health effects. The human activity
pattern evaluations have also shown there is little to no difference in the amount or frequency of
afternoon time outdoors at moderate or greater exertion for people with asthma compared with
those who do not have asthma (2014 HREA, section 5.4.1.5). Further, recent CHAD analyses
indicate that while 46 - 73% of people do not spend any afternoon time outdoors at moderate or
greater exertion, a fraction of the population (i.e., between 5.5 - 6.8% of children) spend more
than 4 hours per day outdoors at moderate or greater exertion and may have greater potential to
experience exposure events of concern than adults (Appendix 3D, section 3D.2.5.3 and Figure
3D-9). It is this potential that contributes importance to consideration of the exposure and risk
estimates.

In considering the public health implications of the exposure and risk estimates across the
eight study areas, we note the purpose for the study areas is to illustrate exposure circumstances
that may occur in areas that just meet the current standard, and not to estimate exposure and risk
associated with conditions occurring in those specific locations today. To the extent that
concentrations in the specific areas simulated may differ from others across the U.S., the
exposure and risk estimates for these areas are informative to consideration of potential
exposures and risks in areas existing across the U.S. that have air quality and population
characteristics similar to the study areas assessed, and that have ambient concentrations of O3
that just meet the current standard today or that will be reduced to do so at some period in the
future. We note that numerous areas across the U.S. have air quality for O3 that is near or above

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the existing standard." Thus, the air quality and exposure circumstances assessed in the eight
study areas are of particular importance in considering whether the available information calls
into question the adequacy of public health protection afforded by the current standard.

The exposure and risk estimates for the eight study areas reflect differences in exposure
circumstances among those areas and illustrate the exposures and risks that might be expected to
occur in other areas with such circumstances under air quality conditions that just meet the
current standard (or the alternate conditions assessed). Thus, the exposure and risk estimates
indicate the magnitude of exposure and risk that might be expected in many areas of the U.S.
with O3 concentrations at or near the current standard. Although the methodologies and data used
to estimate population exposure and lung function risk in this assessment differ in several ways
from what was used in the 2015 review, the findings and considerations summarized here present
a pattern of exposure and risk that is generally similar to that considered in the last review (as
described in section 3.4.2 above), and indicate a level of protection generally consistent with that
described in the 2015 decision.

In summary, the considerations raised here are important to conclusions regarding the
public health significance of the exposure and risk results. We recognize that such conclusions
also depend in part on public health policy judgments that weigh in the Administrator's decision
regarding the protection afforded by the current standard. Such judgments that are common to
NAAQS decisions include those related to public health implications of effects of differing
severity (75 FR 355260 and 35536, June 22, 2010; 76 FR 54308, August 31, 2011; 80 FR 65292,
October 26, 2015). Such judgments also include those concerning the public health significance
of effects at exposures for which evidence is limited or lacking, as discussed in section 3.4.4
above, such as effects at the lower benchmark concentrations considered and lung function risk
estimates associated with exposure concentrations lower than those tested or for population
groups not included in the controlled exposure studies.

3.5 KEY CONSIDERATIONS REGARDING THE CURRENT PRIMARY
STANDARD

In considering what the available evidence and exposure/risk information indicate with
regard to the current primary O3 standard, the overarching question we begin with is:

99 Based on data from 2016-2018, 142 counties have O3 concentrations that exceed the current standard. Population
size in these counties ranges from approximately 20,000 to more than ten million, with a total population of over
112 million living in counties that exceed the current standard. Air quality data are from Table 4. Monitor Status
in the Excel file labeled ozone_designvalues_20162018_final_06_28_19.xlsx downloaded from
https://www.epa.gov/air-trends/air-quality-design-values. Population sizes are based on 2017 estimates from the
U.S. Census Bureau (https://www.census.gov/programs-surveys/popest.html).

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•	Does the available scientific evidence- and exposure/risk-based information support
or call into question the adequacy of the protection afforded by the current primary
O3 standard?

To assist us in interpreting the available scientific evidence and the results of recent
quantitative exposure/risk analyses to address this question, we have focused on a series of more
specific questions, as detailed in sections 3.5.1 and 3.5.2 below. In considering the scientific and
technical information, we take into account the information available at the time of the 2015
review and information newly available in the 2020 review, which have been critically analyzed
and characterized in the 2013 ISA for the 2015 review and the ISA for the 2020 review,
respectively. In this context, a primary consideration is whether the available information alters
overall prior conclusions regarding health effects associated with photochemical oxidants,
including O3, in ambient air.

3.5.1 Evidence-based Considerations

In considering the evidence with regard to the overarching question posed above
regarding the adequacy of the current standard, we address a series of more specific questions
that focus on policy-relevant aspects of the evidence. These questions begin with consideration
of the available evidence on health effects associated with exposure to photochemical oxidants,
and particularly O3.

•	Is there evidence that indicates the importance of photochemical oxidants other than
O3 with regard to abundance in ambient air, and potential for human exposures and
health effects?

The 2020 ISA did not identify any newly available evidence regarding the importance of
photochemical oxidants other than O3 with regard to abundance in ambient air, and potential for
health effects.100 As summarized in section 2.1 above, O3 is one of a group of photochemical
oxidants formed by atmospheric photochemical reactions of hydrocarbons with nitrogen oxides
in the presence of sunlight, with O3 being the only photochemical oxidant other than nitrogen
dioxide that is routinely monitored in ambient air. Data for other photochemical oxidants are
generally derived from a few special field studies such that national scale data for these other
oxidants are scarce (ISA, Appendix 1, section 1.1; 2013 ISA, sections 3.1 and 3.6). Moreover,
few studies of the health impacts of other photochemical oxidants beyond O3 have been
identified by literature searches conducted for other recent O3 assessments (ISA, Appendix 1,
section 1.1). As stated in the ISA, "the primary literature evaluating the health.. .effects of

100 Close agreement between past O3 measurements and the photochemical oxidant measurements upon which the
early photochemical oxidants NAAQS was based indicated the very minor contribution of other oxidant species
in comparison to O3 (U.S. DHEW, 1970).

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photochemical oxidants includes ozone almost exclusively as an indicator of photochemical
oxidants" (ISA, section IS. 1.1, p. IS-3). Thus, the evidence base for health effects of
photochemical oxidants does not indicate an importance of any other photochemical oxidants.
For these reasons, discussion of photochemical oxidants in this document focuses on O3.

•	Does the available scientific evidence alter prior conclusions regarding the nature of
health effects attributable to human exposure to O3 from ambient air?

The evidence, as evaluated in the 2020 ISA, is largely consistent with the conclusion in
the last ISA (in the 2015 review) regarding the health effects causally related to O3 exposures,
and most specifically regarding respiratory effects, which, as in the past, are concluded to be
causally related to short-term exposures to O3. Also, as in the 2015 and prior reviews, respiratory
effects are concluded to be likely causally related to longer-term O3 exposures (ISA, section
IS.1.3.1, Appendix 3). Further, while a causal determination was not made in the 2015 review
regarding metabolic effects, the 2020 ISA finds there to be sufficient evidence to conclude there
to likely be a causal relationship of short-term O3 exposures and metabolic effects and finds the
evidence to be suggestive of, but not sufficient to infer, such a relationship between long-term O3
exposure and metabolic effects (ISA, section IS. 1.3.1). This is based on more recently available
evidence, largely from experimental animal studies, on these effects (ISA, Appendix 5).
Additionally, the EPA's causal determinations regarding cardiovascular effects and mortality
have been updated from what they were in 2013 ISA based on more recently available evidence
in combination with uncertainties that had been identified in the previously available evidence
(ISA, Appendix 4, section 4.1.17 and Appendix 6, section 6.1.8). The EPA has concluded that
the evidence base is suggestive of, but not sufficient to infer, causal relationships between O3
exposures (short- and long-term) and cardiovascular effects, mortality, reproductive and
developmental effects, and nervous system effects (ISA, section IS.1.3.1). As in the 2015 and
prior O3 NAAQS reviews, the strongest evidence, including with regard to characterization of
relationships between O3 exposure and occurrence and magnitude of effects, is for respiratory
effects, and particularly for effects such as lung function decrements, respiratory symptoms,
airway responsiveness, and respiratory inflammation.

•	Does the available evidence alter our prior understanding of populations that are
particularly at risk from O3 exposures?

The evidence, as evaluated in the 2020 ISA, does not alter our prior understanding of
populations at risk from health effects of O3 exposures. As in the past, people with asthma, and
particularly children, are the at-risk population groups for which the evidence is strongest. In
addition to populations with asthma, groups with relatively greater exposures, particularly those
who spend more time outdoors during times when ambient air concentrations of O3 are highest

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and while engaged in activities that result in elevated ventilation, are recognized as at increased
risk. Such groups include outdoor workers and children. Other groups for which the evidence is
less clear include older adults, individuals with reduced intake of certain nutrients and
individuals with certain genetic variants. Recent evidence does not provide additional
information for these groups beyond the evidence available at the time of the 2015 review (ISA,
section IS.4.4).

• Does the available evidence alter past conclusions regarding the exposure duration
and concentrations associated with health effects? To what extent does the scientific
evidence indicate health effects attributable to exposures to O3 concentrations lower
than previously reported and what are important uncertainties in that evidence?

The available evidence documented in the 2020 ISA regarding O3 exposures associated
with health effects is largely similar to that available at the time of the 2015 review and does not
indicate effects attributable to exposures of shorter duration or lower concentrations than
previously understood. Respiratory effects continue to be the effects for which the experimental
information regarding exposure concentrations eliciting effects is well established, as
summarized in section 3.3.3 above. Such information allows for characterization of potential
population risk associated with O3 in ambient air under conditions allowed by the current
standard. The more recently available controlled human exposure studies, as discussed in section
3.3.3 above, are conducted over shorter durations while at much higher concentrations than the
key set of 6.6-hour studies that have been the focus of the last several reviews. The respiratory
effects evidence includes support from a large number of epidemiologic studies. The positive
associations of O3 with respiratory health outcomes (e.g., asthma-related hospital admissions and
emergency department visits) reported in these studies are coherent with findings from the
controlled human exposure and experimental animal studies. All but a few of these studies,
however, are conducted in areas during periods when the current standard would not have been
met, making them less informative with regard to indication of health effects of exposures
allowed by the current standard.

Within the evidence base for the recently identified category of metabolic effects, the
evidence derives largely from experimental animal studies of exposures appreciably higher than
those for the 6.6-hour human exposure studies along with a small number of epidemiologic
studies. As discussed in section 3.3.3 above, these studies do not prove to be informative to our
consideration of exposure circumstances likely to elicit health effects.

Thus, the 6.6-hour controlled human exposure studies of respiratory effects remain the
focus for our consideration of exposure circumstances associated with O3 health effects. Based
on these studies, the exposure concentrations investigated range from as low as approximately 40
ppb to 120 ppb. This information on concentrations that have been found to elicit effects for 6.6-

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hour exposures while exercising is unchanged from what was available in the 2015 review. The
lowest concentration for which lung function decrements have been found to be statistically
significantly increased over responses to filtered air remains approximately 60 ppb, at which
group mean decrements on the order of 2% to 4% have been reported (Table 3-2, 0). Respiratory
symptoms were not increased with this exposure level.101 Exposure to concentrations slightly
above 70 ppb, with quasi-continuous exercise, has been reported to elicit statistically significant
increases in both lung function decrements and respiratory symptom scores, as summarized in
section 3.3.3 above. Still greater group mean and individual responses in lung function
decrements and respiratory symptom scores, as well as inflammatory response and airway
responsiveness, are reported for higher exposure concentrations.

• To what extent have previously identified uncertainties in the health effects evidence

been reduced or do important uncertainties remain?

Uncertainties identified in the health effects evidence at the time of the 2015 review
generally remain. These include uncertainties related to the susceptibility of population groups
not studied, the potential for effects to result from exposures to concentrations below those
included in controlled human exposure studies, and the potential for increased susceptibility as a
result of prior exposures. We additionally recognize uncertainties associated with the
epidemiologic studies (e.g., the potential for copollutant confounding and exposure measurement
error). In this context, however, we note the appreciably greater strength in the epidemiologic
evidence in its support for determination of a causal relationship for respiratory effects than the
epidemiologic evidence related to other categories, such as metabolic effects, more recently
determined to have a likely causal relationship with short-term O3 exposures (as summarized in
section 3.3.1 above).

3.5.2 Exposure/risk-based Considerations

Our consideration of the scientific evidence is informed by results from a quantitative
analysis of estimated population exposure and associated risk, as at the time of the 2015 review.
The overarching consideration in this section is whether the current exposure/risk information
alters overall conclusions of the 2015 review regarding health risk associated with exposure to
O3 in ambient air. As in our consideration of the evidence in section 3.3.1 above, we have
focused the discussion regarding the exposure/risk information around key questions to assist us
in considering the exposure/risk analyses of at-risk populations living in a set of urban areas

101A statistically significant increase in sputum neutrophils (a marker of increased airway inflammation) was
observed in one controlled human exposure study following 6.6-hour exposures to 60 ppb (Table3-2, 0; Appendix
3A).

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under air quality conditions simulated to just meet the existing primary O3 standard. These
questions are as follows.

• To what extent are the estimates of exposures and risks to at-risk populations

associated with air quality conditions just meeting the current standard reasonably
judged important from a public health perspective? What are the important
uncertainties associated with any exposure/risk estimates?

The exposure and risk analyses conducted for the 2020 review, as described in section
3.4, provide exposure and risk estimates associated with air quality that might occur in an area
under conditions that just meet the current standard. These estimates illustrate the differences
likely to occur across various locations with such air quality as a result of area-specific
differences in emissions, meteorological and population characteristics. In understanding these
results, we note that the eight study areas provide a variety of circumstances with regard to
population exposure to concentrations of O3 in ambient air. These study areas reflect different
combinations of different types of sources of O3 precursor emissions, and also illustrate different
patterns of exposure to O3 concentrations in a populated area in the U.S. (Appendix 3C, section
3C.2). In this way, the eight areas provide a variety of examples of exposure patterns that can be
informative to the EPA's consideration of potential exposures and risks that may be associated
with air quality conditions occurring under the current O3 standard. While the same conceptual
air quality scenario is simulated in all eight study areas (i.e., conditions that just meet the existing
standard), variability in emissions patterns of O3 precursors, meteorological conditions, and
population characteristics in the study areas contribute to variability in the estimated magnitude
of exposure and associated risk across study areas.

In considering the exposure and risk results, we focus first on estimates for the eight
study areas from the comparison-to-benchmarks analysis, the results in which we have the
greatest confidence, as discussed in section 3.4.4 above. These results for urban areas with air
quality that just meets the current standard indicate that up to 0.7% of children with asthma, on
average across the 3-year period, and up to 1.0% in a single year might be expected to
experience, while at elevated exertion, at least one day with a 7-hour average O3 exposure
concentration at or above 70 ppb (Table 3-6). As noted earlier, this benchmark concentration
reflects the finding of statistically significant 03-related decrements and increased respiratory
symptoms in a controlled human exposure study of largely healthy individuals at elevated
exertion. Less than 0.1% of this population group is estimated to have multiple days with an
occurrence of this exposure level (Table 3-6). For the benchmark concentration of 80 ppb (which
reflects the potential for more severe effects), a much lower percentage of children with asthma,
<0.1% on average across the 3-year period, with 0.1% in the highest single year, might be
expected to experience, while at elevated exertion, at least one day with such a concentration

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(Table 3-6). There are no children with asthma estimated to experience more than a single day
per year with a 7-hour average O3 concentration at or above 80 ppb (Table 3-6). With regard to
the lowest benchmark concentration of 60 ppb, 8.8% of children with asthma, on average across
the 3-year period, might be expected to experience one or more days with a 7-hour average O3
exposure concentration at or above 60 ppb (the concentration associated with less severe effects),
and just over 11% in the highest single year (Table 3-6). Regarding multiple day occurrences, the
percentages for more than a single day occurrence are 3%, on average across the three years, and
just below 5% in the highest single year period (Table 3-6).

The estimates for the additional air quality scenarios differ as would be expected. For the
75 ppb air quality scenario, the percent of children with asthma that might be expected to
experience at least one day with a 7-hour average O3 exposure concentration, while at elevated
exertion, at or above 70 ppb, is a factor of three or more higher than for the current standard
(Table 3-6, Table 3-8). The corresponding estimates for multiple days are a factor of four or
more higher than those for air quality just meeting the current standard. By comparison,
corresponding estimates for the 65 ppb scenario are approximately a third those for the current
standard scenario, with a correspondingly smaller incremental difference in absolute number of
children (Table 3-6, Table 3-8). With regard to the 80 ppb benchmark, the difference of the 75
ppb scenario from the current standard is a factor of three (for average across the 3-year period)
to six (for the highest in a single year) (Table 3-6, Table 3-8). In contrast, the estimates for the 80
ppb benchmark (which is associated with the more severe effects) in the 65 ppb air quality
scenario are nearly identical to those for the current standard (Table 3-6, Table 3-8).

With regard to the estimates of lung function risk, as an initial matter we note the
uncertainty associated with these estimates, as discussed in section 3.4.4 above. In this context,
we also recognize the lesser uncertainty associated with estimates derived using the E-R function
(in comparison to estimates based on MSS model). Accordingly, it is those estimates which we
consider here for air quality conditions just meeting the current standard. The E-R lung function
risk analysis for the eight study areas indicates that the percent of children with asthma in an
urban area that just meets the current standard that might be expected to experience one or more
days with a lung function decrement of at least 15% or 20% might range up 0.9% or 0.3%,
respectively, on average across the three years, and 1.0% or 0.4%, respectively, in a single-year
period (Table 3-7). The estimates for a day with a decrement of at least 10% might range up to
3.3%), on average across the three years, and just over 3.5% in a single-year period (Table 3-77).
With regard to multiple day occurrences, the percent of children with asthma that might be
expected to experience two or more days with a lung function decrement of at least 10% may be
as high as 2.4%, on average across the three years, and 2.6% in a single year (Table 3-7), with
much smaller percentages for larger decrements. For multiple days with a decrement of at least

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15% or 20%, the corresponding percentages are much lower, 0.6% or 0.2%, respectively, on
average across the three years, and 0.6% or 0.2%, respectively, in a single year period (Table 3-

7).

We also consider the estimates from this assessment in light of the estimates from the
2014 HREA that were a focus of the decision on the standard in 2015. The estimates across all
study areas from this assessment are generally similar to those reported in the 2015 review across
all study areas included in that HREA, particularly for the two or more occurrences and for the
80 ppb benchmark (Table 3-11).102 In our consideration here, we focus on the full array of study
areas (e.g., rather than limiting to areas common to the two assessments) given the purpose of the
assessments in providing estimates across a range of study areas to inform decision making with
regard to the exposures and risks that may occur across the U.S. in areas that just meet the
current standard. We note only slight differences, particularly for the lower benchmarks, and
most particularly in the estimates for the highest year. For example, for the 70 ppb benchmark,
the lower and higher end of the range of average per year percent of children with at least one
day above the benchmark from the 2014 HREA are both twice the corresponding values from the
current assessment (Table 3-11). Consideration of the percentage of children estimated to
experience a day or more with an exposure at or above 70 ppb across the three air quality
conditions in the two assessments, however, indicates that differences between air quality
scenarios in the current assessment remain appreciably larger than the slight differences in
estimates between the two assessments for a given scenario. The factors likely contributing to the
slight differences between the two assessments, such as for the lowest benchmark, include
greater variation in ambient air concentrations in some of the study areas in the 2014 HREA, as
well as the lesser air quality adjustments required in study areas for the current assessment due to
closer proximity of conditions to meeting the current standard (70 ppb).103 Other important
differences between the two assessments are the updates made to the ventilation rates used for
identifying when a simulated individual is at moderate or greater exertion and the use of 7 hours
for the exposure duration. Both of these changes were made to provide closer linkages to the
conditions of the controlled human exposure studies which are the basis for the benchmark
concentrations. Thus, although uncertainties remain in the exposure/risk estimates, as discussed
in section 3.4.4 above, we recognize there to be reduced uncertainty associated with the current

102	For consistency with the estimates highlighted in the 2015 review, Table 3-11 focuses on the simulated
population of all children (versus the simulated population for children with asthma that are the focus in section
3.4).

103	The 2014 HREA air quality scenarios involved adjusting 2006-2010 ambient air concentrations, and some study
areas had design values in that time period that were well above the then-existing standard (and more so for the
current standard). Study areas included the current exposure analysis had 2015-2017 design values close to the
current standard, requiring less of an adjustment for the current standard (70 ppb) air quality scenario.

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1	estimates in light of the updates to the analysis since the 2014 HREA. Overall, particularly in

2	light of differences in the assessments, we conclude the current estimates to be generally similar

3	to those which were the focus in the 2015 decision on establishing the current standard.

4

5	Table 3-11. Comparison of current assessment and 2014 HREA (all study areas) for

6	percent of children estimated to experience at least one, or two, days with an

7	exposure at or above benchmarks while at moderate or greater exertion.

Air Quality
Scenario

(DVฐ, ppb)

Estimated average % of simulated children
with at least one day per year
at or above benchmark

(highest in single season)

Estimated average % of simulated children
with at least two days per year
at or above benchmark

(highest in single season)

Current PA A

2014 HREA B

Current PA A

2014 HREA B

Benchmark Exposure Concentration of 80 ppb

75

<0.1A-0.3 (0.6)

0-0.3(1.1)

0 - <0.1 (<0.1)

0(0.1)

70

0 - <0.1 (0.1)

0-0.1 (0.2)

0(0)

0(0)

65

0 - <0.1 (<0.1)

0(0)

0(0)

0(0)

Benchmark Exposure Concentration of 70 ppb

75

1.1 -2.0(3.4)

0.6-3.3(8.1)

0.1-0.3(0.7)

0.1-0.6(2.2)

70

0.2-0.6(0.9)

0.1-1.2(3.2)

<0.1 (0.1)

0-0.1 (0.4)

65

0-0.2(0.2)

0-0.2(0.5)

0 - <0.1 (<0.1)

0(0)

Benchmark Exposure Concentration of 60 ppb

75

6.6-15.7 (17.9)

9.5-17.0 (25.8)

1.7-8.0 (9.9)

3.1 -7.6(14.4)

70

3.2-8.2 (10.6)

3.3-10.2 (18.9)

0.6 - 2.9 (4.3)

0.5-3.5(9.2)

65

0.4-2.3(3.7)

0-4.2(9.5)

<0.1-0.3(0.5)

0-0.8(2.8)

A For the current analysis, calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values
equal to zero are designated by "0" (there are no individuals exposed at that level). Small, non-zero values that do not round
upwards to 0.1 (i.e., <0.05) are given a value of "<0.1"

B For the 2014 HREA. calculated percent was rounded to the nearest tenth decimal using conventional rounding. Values that
did not round upwards to 0.1 (i.e., <0.05) were given a value of "0".

c The monitor location with the highest concentrations in each area had a design value just equal to the indicated value.

8

9	3.5.3 Preliminary Conclusions on the Primary Standard

10	This section describes our preliminary conclusions for the Administrator's consideration

11	with regard to the current primary O3 standard. These preliminary conclusions are based on

12	considerations described in the sections above, and in the discussion below regarding the

13	available scientific evidence (as summarized in the 2020 ISA, and the ISA and AQCDs from

14	prior reviews), and the risk and exposure information developed in the 2020 review and

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summarized in section 3.4 above. Taking into consideration the discussions above in this chapter,
this section addresses the following overarching policy question.

• Do the available scientific evidence- and exposure/risk-based information support or
call into question the adequacy of the protection afforded by the current primary O3
standard?

In considering this question, we recognize that, as is the case in NAAQS reviews in
general, the extent to which the protection provided by the current primary O3 standard is judged
to be adequate will depend on a variety of factors, including science policy judgments and public
health policy judgments. These factors include public health policy judgments concerning the
appropriate benchmark concentrations on which to place weight, as well as judgments on the
public health significance of the effects that have been observed at the exposures evaluated in the
health effects evidence. The factors relevant to judging the adequacy of the standards also
include the interpretation of, and decisions as to the weight to place on, different aspects of the
results of the quantitative exposure/risk analyses and the associated uncertainties. Thus, we
recognize that the Administrator's conclusions regarding the adequacy of the current standard
will depend in part on public health policy judgments, science policy judgments, including those
regarding aspects of the evidence and exposure/risk estimates, and judgments about the degree of
protection that is requisite to protect public health with an adequate margin of safety.

Our response to the overarching question above takes into consideration the discussions
that address the specific policy-relevant questions in prior sections of this document (see section
3.2) and builds on the approach from previous reviews. We focus first on consideration of the
evidence, including that newly available in the 2020 ISA, including the extent to which it alters
prior key conclusions supporting the current standard. We then turn to consideration of the
quantitative exposure and risk estimates developed for the 2020 review, including associated
limitations and uncertainties. We consider what they indicate regarding the level of protection
from adverse effects provided by the current standard, as well as the extent to which
exposure/risk estimates may indicate differing conclusions regarding air quality conditions
associated with the current standard from those based on past assessments. We additionally
consider the key aspects of the evidence and exposure/risk estimates emphasized in establishing
the current standard, and the associated public health policy judgments and judgments about the
uncertainties inherent in the scientific evidence and quantitative analyses that are integral to
decisions on the adequacy of the current primary O3 standard.

As an initial matter, we recognize the continued support in the available evidence for O3
as the indicator for photochemical oxidants, as recognized in section 3.5.1 above. Of the
photochemical oxidants, O3 is the only one other than nitrogen dioxide (for which there are
separate NAAQS) that is routinely monitored in ambient air. Further, as stated in the ISA, "the

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primary literature evaluating the health and ecological effects of photochemical oxidants
includes ozone almost exclusively as an indicator of photochemical oxidants" (ISA, section
IS. 1.1, p. IS-3). In summary, the evidence base for health effects of photochemical oxidants does
not indicate an importance of any other photochemical oxidants as it includes O3 almost
exclusively as an indicator of photochemical oxidants, thus continuing to support the
appropriateness of O3 as the indicator for photochemical oxidants.

In considering the extensive evidence base for health effects of O3, we give particular
attention to the longstanding evidence of respiratory effects causally related to O3 exposures.
This array of effects, and the underlying evidence base, was integral to the basis for setting the
current standard in 2015. As summarized in section 3.3.1 above and addressed in detail in the
ISA, the available evidence base does not include new evidence of respiratory effects associated
with appreciably different exposure circumstances, including any that would be expected to
occur under air quality conditions associated with the current standard. Thus, in considering the
information available at this time, we continue to focus on exposure circumstances associated
with the current standard as those of importance in this reconsideration.

Further, while the evidence base has been augmented somewhat since the 2015 review,
we note that the newly available evidence does not lead to different conclusions regarding the
respiratory effects of O3 in ambient air or regarding exposure concentrations associated with
those effects; nor does it identify different populations at risk of 03-related effects. For example,
as in the 2015 review, people of all ages with asthma, children, and outdoor workers, are
populations at increased risk of respiratory effects related to O3 in ambient air. Children with
asthma, which number approximately four million in the U.S., may be particularly at risk
(section 3.3.2 and Table 3.1).104 In these ways, the health effects evidence is consistent with
evidence available in the 2015 review when the current standard was established. This strong
evidence base continues to demonstrate a causal relationship between short-term O3 exposures
and respiratory effects, including in people with asthma. This conclusion is primarily based on
evidence from controlled human exposure studies that was available at the time the standard was
set that reported lung function decrements and respiratory symptoms in people exposed to O3 for
6.6 hours during which they engage in five hours of exercise. Support is also provided by the
experimental animal and epidemiologic evidence that is coherent with the controlled exposure
studies. The epidemiologic evidence, including that recently available, includes studies reporting
positive associations for asthma-related hospital admissions and emergency department visits,
which are strongest for children, with short-term O3 exposures. Based collectively on this

104 The size of the U.S. population with asthma is approximately 25 million.

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evidence, populations identified as at risk of such effects include people with asthma and
children.

As in the 2015 review, the most certain evidence of health effects in humans elicited by
exposures to specific O3 exposure concentrations is provided by controlled human exposure
studies. This category of short-term studies includes an extensive evidence base of 1- to 3-hour
studies, conducted with continuous or intermittent exercise and generally involving relatively
higher exposure concentrations (e.g., greater than 120 ppb).105 Given the lack of ambient air
concentrations of this magnitude in areas meeting the current standard (see section 2.4.1 above
and Appendix 2A), we continue to focus primarily on a second group of somewhat longer-
duration studies of much lower exposure concentrations. These studies employ a 6.6-hour
protocol that includes six 50-minute periods of exercise at moderate or greater exertion. There
are no new such studies with exercise available since the 2015 review. Thus, the newly available
evidence does not extend our understanding of the range of exposure concentrations that elicit
effects in such studies beyond what was understood previously.

Similarly, as in the 2015 review, 60 ppb remains the lowest exposure concentration
(target concentration, as average across exercise periods) at which statistically significant lung
function decrements have been reported in the 6.6-hour exposure studies. Two studies have
assessed exposure concentrations at the lower concentration of 40 ppb, with no statistically
significant finding of 03-related FEVi decrements for the group mean in either study (which is
just above 1% in one study, and well below in the second). At 60 ppb, the group mean 03-related
decrement in FEVi ranges from approximately 2 to 4%, with associated individual study subject
variability in decrement size. In the single study assessing the next highest exposure
concentration (just above 70 ppb, at 73 ppb),106 the group mean FEVi decrement (6%) was also
statistically significant, as were respiratory symptom scores. At higher exposure concentrations,
the incidence of both respiratory symptom scores and 03-related lung function decrements in the
study subjects is increased. Other respiratory effects, such as inflammatory response and airway
resistance are also increased at higher exposures (ISA; 2013 ISA; 2006 AQCD).

105	Table 3A-3 in Appendix 3 summarizes controlled human exposures to O3 for 1 to 2 hours during continuous or
intermittent exercise in contrast to similar exposure durations at rest. This table was adapted from Table 7-1 in the
1996 AQCD and Table AX6-1 in the 2006 CD, with additional studies from Table AX6-13 in the 2006 AQCD, as
well as more recent studies from the 2013 ISA and the ISA.

106	As noted in sections 3.1.1 and 3.3.3 above, the 70 ppb target exposure comes from Schelegle et al. (2009). That
study reported, based on O3 measurements during the six 50-minute exercise periods, that the mean O3
concentration during the exercise portion of the study protocol was 72 ppb. Based on the measurements for the
six exercise periods, the time weighted average concentration across the full 6.6-hour exposure was 73 ppb
(Schelegle et al., 2009).

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In considering what may be indicated by the epidemiologic evidence with regard to
exposure concentrations eliciting effects, we recognize that of the numerous single-city
epidemiologic studies of respiratory outcome associations with O3 in ambient air, none were
conducted in U.S. locations during time periods when the current standard would have been met.
In fact, the vast majority of single- and multi-city studies were conducted in locations and during
time periods that would not have met the current standard, thus making them less informative for
considering the potential for O3 concentrations allowed by the current standard to contribute to
health effects. While there were a handful of multi-city studies in which the O3 concentrations in
a subset of the study locations and for a portion of the study period may appear to have met the
current standard, data were not available in some cities for the earlier years of the study period
when design values for other cities were well above 70 ppb (as discussed in section 3.3.3). We
recognize that the study analyses and associations reported were based on the combined dataset
across the full time period (and, for multicity studies, from all cities), and the extent to which risk
associated with exposures derived from the concentrations in the subset of years (and locations)
that would have met the current standard compared to that from the years (and locations) that
would not have met the standard influenced the study findings is not clear. There were no studies
conducted in U.S. locations with ambient air O3 concentrations that would meet the current
standard for the entire duration of the study (i.e., with design values107 at or below 70 ppb). Thus,
the epidemiologic studies are extremely limited in their ability to provide insights regarding
exposure concentrations associated with health outcomes that might be expected under air
quality conditions that meet the current standard (section 3.3.3 above). Accordingly, the studies
of 6.6-hour exposures with quasi-continuous exercise, and particularly those for concentrations
ranging from 60 to 80 ppb continue to provide an appropriate focus in this reconsideration.

As in the 2015 review, we recognize some uncertainty, reflecting limitations in the
evidence base, with regard to the exposure levels eliciting effects as well as the severity of the
effects in some population groups not included in the available controlled human exposure
studies, such as children and individuals with asthma. Further, we note uncertainty in the extent
or characterization of effects at exposure levels below those studied. In this context, we
recognize that the controlled human exposure studies, primarily conducted in healthy adults, on
which the depth of our understanding of Cb-related health effects is based, provide limited, but
nonetheless important information with regard to responses in people with asthma or in children.
We also note that the evidence indicates that responses such as those observed in the controlled
human exposure studies, if repeated or sustained, particularly in people with asthma, can pose

107 As described in chapter 2, a design value is the metric used to describe air quality in a given area relative to the
level of the standard, taking the averaging time and form into account. For example, a design value of 70 ppb just
meets the current primary standard.

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risks of effects of greater concern, including asthma exacerbation. We also take note of
statements from the ATS, and judgments made by the EPA in considering similar effects in past
NAAQS reviews (80 FR 65343, October 26, 2015; 85 FR 87302, December 31, 2020). In so
doing, we recognize the role of such statements in proposing principles or considerations for
weighing the evidence rather than offering "strict rules or numerical criteria" (ATS, 2000;
Thurston et al., 2017).

The more recent ATS statement (Thurston et al., 2017) is generally consistent with the
prior (2000) statement, that was considered in the 2015 O3 NAAQS review, including the
attention that statement gives to at-risk or vulnerable population groups, while also broadening
the discussion of effects, responses, and biomarkers to reflect the expansion of scientific research
in these areas. One example of this increased specificity is in the discussion of small changes in
lung function (in terms of FEVi) in people with compromised function, such as people with
asthma (Thurston et al., 2017). We note that, in keeping with the intent of these statements to
offer "a set of considerations that can be applied in forming judgments," rather than specific
criteria for what constitutes an adverse health effect, the statements do not comprehensively
describe all aspects of potential biological responses, e.g., with regard to magnitude, duration or
frequency of small pollutant-related changes in lung function. These concepts, including the
consideration of the magnitude of effects occurring in just a subset of study subjects, continue to
be recognized as important in the more recent ATS statement (Thurston et al., 2017) and
continue to be relevant to the evidence base for O3. In this context, we also recognize the
limitations in the available evidence base with regard to our understanding of these aspects (e.g.
magnitude, duration and frequency) of such changes (e.g., in lung function) that may be
associated with exposure concentrations of interest, including with regard to the exposure levels
eliciting effects (as well as the severity or magnitude of the effects) in some population groups
not included in the available controlled human exposure studies, such as children and individuals
with asthma. Notwithstanding these limitations, we recognize that the controlled human
exposure studies, primarily conducted in healthy adults, in combination with the larger evidence
base, inform our conceptual understanding of O3 responses in people with asthma and in
children. Aspects of our understanding continue to be limited, however, including with regard to
the risk of particular effects and associated severity for these less studied population groups that
may be posed by 7-hour exposures with exercise to concentrations as low as 60 ppb that are
estimated in the exposure analyses. Notwithstanding these limitations and associated
uncertainties, we take note of the emphasis of the ATS statements on consideration of effects in
individuals with pre-existing compromised function, such as that resulting from asthma. Such
considerations are important to the judgments on the adequacy of protection provided by the
current standard for at-risk populations. Collectively, these aspects of the evidence and

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associated uncertainties contribute to a recognition that for O3, as for other pollutants, the
available evidence base in a NAAQS review generally reflects a continuum, consisting of
exposure levels at which scientists generally agree that health effects are likely to occur, through
lower levels at which the likelihood and magnitude of the response become increasingly
uncertain.

As at the time the current standard was set in 2015, the exposure and risk estimates
developed from modeling exposures to O3 derived from precursors emitted into ambient air are
critically important to consideration of the potential for exposures and risks of concern under air
quality conditions of interest, and consequently are critically important to judgments on the
adequacy of public health protection provided by the current standard. In turning to consideration
of the public health implications of estimated occurrences of exposures (while at increased
exertion) to the three benchmark concentrations (60, 70 and 80 ppb), we note the respiratory
effects reported for this range of concentrations in controlled human exposure studies during
quasi-continuous exercise. In this context, we recognize that the three benchmarks represent
exposure conditions associated with different levels of respiratory responses in the subjects
studied and can inform judgments on different levels of risk that might be posed to unstudied
members of at-risk populations. The highest benchmark concentration (80 ppb) represents an
exposure where multiple controlled human exposure studies, involving 6.6-hour exposures
during quasi-continuous exercise, demonstrate a range of 03-related respiratory effects. These
respiratory effects include a statistically significant increase in multiple types of respiratory
inflammation indicators in multiple studies; statistically significantly increased airway resistance
and responsiveness; statistically significant FEVi decrements; and statistically significant
increases in respiratory symptoms (Table 3.2). In one variable exposure study for which 80 ppb
was the exposure period average concentration, the study subject group mean FEV1 decrement
was nearly 8%, with individual decrements of 15% or greater (of moderate or greater size) in
16% of subjects and decrements of 10% or greater in 32% of subjects (Schelegle et., al 2009;
Table 3.2; Appendix 3D, Figure 3D-11 and Table 3D-20); the percentages of individual subjects
with decrements greater than 10 or 15% were lower in other studies for this exposure (Appendix
3D, Figure 3D-11 and Table 3D-20). The second benchmark (70 ppb) represents an exposure
level below the lowest exposures that have reported both statistically significant FEV 1
decrements108 and increased respiratory symptoms (reported at 73 ppb, Schelegle et al., 2009) or
statistically significant increases in airway resistance and responsiveness (reported at 80 ppb,

108 The study group mean lung function decrement for the 73 ppb exposure was 6%, with individual decrements of
15% or greater (of moderate or greater size) in about 10% of subjects and decrements of 10% or greater in 19% of
subjects. Decrements of 20% or greater were reported in 6.5% of subjects (Schelegle et al., 2009; Table 3-2;
Appendix 3D, Figure 3D-11 and Table 3D-20).

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Horstman et al., 1990). The lowest benchmark (60 ppb) represents still lower exposure, and a
level for which findings from controlled human exposure studies of largely healthy subjects have
included: statistically significant decrements in lung function (with group mean decrements
ranging from 1.7% to 3.5% across the four studies with average exposures of 60 to 63 ppb109),
but not respiratory symptoms; and, a statistically significant increase in a biomarker of airway
inflammatory response relative to filtered air exposures in one study (Kim et al, 2011; Table 3.2).

In this context, we additionally note that while not all people experiencing such
exposures experience a response (e.g. lung function decrement), as illustrated by the percentages
cited above, and among those individuals that experience a response, not all will experience an
adverse effect; the likelihood of adverse effects increase as the number of occurrences of O3
exposures of concern increases (as recognized in the 2015 decision establishing the current
standard).110 Thus, while single occurrences can be adverse for some people, particularly for the
higher benchmark concentration where the evidence base is stronger, the potential for adverse
response increases with repeated occurrences (particularly for people with asthma). Accordingly,
we recognize that the exposure/risk analyses provide estimates of exposures of the at-risk
population to concentrations of potential concern but are not yet able to provide information on
how many of such populations will have an adverse health outcome. Thus, in considering the
exposure/risk analysis results, while taking note of the extent of occurrences of one or more days
with an exposure at or above a benchmark, particularly the higher benchmarks, we additionally
recognize the potential for multiple occurrences to be of greater concern than single occurrences
(as was judged in establishing the current standard in 2015).

In the 2015 decision establishing the current standard, the controlled human exposure
study evidence as a whole provided context for consideration of the 2014 HREA results for the
exposures of concern (i.e., the comparison-to-benchmarks analysis) (80 FR 65363, October 26,

109	Among subjects in all four of these studies, individual FEVi decrements of at least 15% were reported in 3% of
subjects, with 7% of subjects reported to have decrements at or above a lower value of 10% (Appendix 3D,

Figure 3D-11 and Table 3D-20).

110	The 2015 decision establishing the current standard stated for example: "the Administrator acknowledge[d] such
interindividual variability in responsiveness in her interpretation of estimated exposures of concern." In the 2015
decision, the Administrator noted "that not everyone who experiences an exposure of concern, including for the
70 ppb benchmark, is expected to experience an adverse response," judging "that the likelihood of adverse effects
increases as the number of occurrences of O3 exposures of concern increases." In making this judgment, the
Administrator noted that "the types of respiratory effects that can occur following exposures of concern,
particularly if experienced repeatedly, provide a plausible mode of action by which O3 may cause other more
serious effects." Therefore, the 2015 decision reflected her emphasis on "the public health importance of limiting
the occurrence of repeated exposures to O3 concentrations at or above those shown to cause adverse effects in
controlled human exposure studies" (80 FR 65331, October 26, 2015).

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2015).111 Similarly, in this reconsideration of the 2020 decision to retain the standard, the
evidence base of 6.6-hour controlled human exposure studies, particularly those of exposures
from 60 to 80 ppb, which is little changed from the 2015 review, provides context for our
consideration of the public health implications of the results from the updated exposure/risk
analyses. In our consideration of these analyses, we first note several ways in which they differ
from and improve upon those available in the 2015 review. For example, we note the number of
improvements to input data and modeling approaches summarized in section 3.4.1 above. As in
past reviews, exposure and risk are estimated from air quality scenarios designed to just meet an
O3 standard in all its elements. That is, the air quality scenarios are defined by the highest design
value in the study area, which is the location with the highest 3-year average of annual fourth
highest daily maximum 8-hour O3 concentrations (e.g., equal to 70 ppb for the current standard
scenario). The risk and exposure analyses include air quality simulations based on more recent
ambient air quality data that include O3 concentrations closer to the current standard than was the
case for the analyses in the 2015 review. As a result, much smaller reductions in precursor
emissions were needed in the photochemical modeling than was the case with the 2014 HREA.
Further, this modeling was updated to reflect the current state of the science. Additionally, the
approach for deriving population exposure estimates, both for comparison to benchmark
concentrations and for use in deriving lung function risk using the E-R function approach, has
been modified to provide for a better match of the simulated population exposure estimates with
the 6.6-hour duration of the controlled human exposure studies and with the study subject
ventilation rates. Together, these differences, as well as a variety of updates to model inputs, are
believed to reduce uncertainty associated with our interpretation of the analysis results.

As we consider the exposure and risk estimates, we also take note of the array of air
quality and exposure circumstances represented by the eight study areas. As summarized in
section 3.2.2 above, the areas fall into seven of the nine climate regions in the continental U.S.
The population sizes of the associated metropolitan areas range in size from approximately 2.4 to
8 million and vary in population demographic characteristics. While there are uncertainties and
limitations associated with the exposure and risk estimates, as noted in section 3.4.4 above, the
factors recognized here contribute to their usefulness in informing judgments relevant to the
Administrator's consideration of the current standard.

111 As summarized in section 3.1 above, the decision in the 2015 review considered the breadth of the O3 respiratory
effects evidence, recognizing the relatively greater significance of effects reported for exposures at and above 80
ppb as well as the greater array of effects elicited. The decision additionally emphasized consideration of the
much less severe effects associated with lower exposures, such as 60 ppb, in light of the need for a margin of
safety in setting the standard.

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While there are more adults in the U.S. with asthma than children with asthma, the
exposure and risk analysis results in terms of percent of the simulated at-risk populations,
indicate higher frequency of exposures of potential concern and risks for children as compared to
adults. This finding relates to children's greater frequency and duration of outdoor activity, as
well as their greater activity level while outdoors (section 3.4.3 above). In light of these
conclusions and findings, we have focused our consideration of the exposure and risk analyses
here on children.

As can be seen by variation in exposure estimates across the study areas, the eight study
areas represent an array of exposure circumstances, including those contributing to relatively
higher and relatively lower exposures and associated risk. As recognized in Appendix 3D and in
section 3.4.3 above, the risk and exposure analyses are not intended to provide a comprehensive
national assessment. Rather, the analyses for this array of study areas and air quality patterns are
intended to indicate the magnitude of exposures and risks that may be expected in areas of the
U.S. that just meet the current standard but that may differ in ways affecting population
exposures of interest. In that way, the exposure and risk estimates are intended to be informative
to the EPA's consideration of potential exposures and risks associated with the current standard
and the Administrator's decision on the adequacy of protection provided by the current standard.

While we note reduced uncertainty in several aspects of the exposure and risk analysis
approach (as summarized above), we continue to recognize the relatively greater uncertainty
associated with the lung function risk estimates compared to the results of the comparison-to-
benchmarks analysis (and the greater uncertainty with the estimates derived using the MSS
model approach than the E-R approach). Thus, we focus primarily on the estimates of exposures
at or above different benchmark concentrations that represent different levels of significance of
03-related effects, both with regard to the array of effects and severity of individual effects.

Based on all of the above, and taking into consideration related information, limitations
and uncertainties, such as those recognized above, we address the extent to which the recently
available information supports or calls into question the adequacy of protection afforded by the
current standard. Focusing on the air quality scenario for the current standard, we note that
across all eight study areas, which provide an array of exposure situations, less than 1% of
children with asthma are estimated to experience, while breathing at an elevated rate, a daily
maximum 7-hour exposure per year at or above 70 ppb, on average across the 3-year period, with
a maximum of 1% for the study area with the highest estimates in the highest single year (as
summarized in section 3.4.2 above). Further, the percentage for at least one day with such an
exposure above 80 ppb is less than 0.1%, as an average across the 3-year period (and 0.1% or
less in each of the three years simulated across the eight study areas). No simulated individuals
were estimated to experience more than a single such day with an exposure at or above the 80

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ppb benchmark. Although the exposure and risk analysis approaches have been updated since the
2015 review as summarized in section 3.4.1 above, these estimates are generally similar to the
comparable estimates for these benchmarks from the 2014 HREA considered at the time the
current standard was set,112 with only slight differences observed, e.g., for the lowest benchmark.
We take note, however, of the differences across air quality scenarios for both sets of estimates
which remain appreciably larger than the slight differences between the current and 2014
estimates. Thus, we observe that the current estimates of children and children with asthma that
might be expected to experience a day with an exposure while exercising at or above the three
benchmark concentrations are generally similar to those that were a primary focus of the decision
in establishing the current standard in 2015.

We additionally consider the estimates of 7-hour exposures, at elevated ventilation, at or
above 60 ppb. In so doing, we recognize that the role of this consideration in the 2015 decision
was in the context of the judgment of the Administrator at the time regarding an adequate margin
of safety for the new standard. We additionally recognize the greater significance of risk for
multiple occurrences of days at or above this benchmark, given the associated greater potential
for more lasting effects. The exposure analysis estimates indicate fewer than 1% to just over 3%
of children with asthma, on average across the 3-year period, to be expected to experience two or
more days with an exposure at or above 60 ppb, while at elevated ventilation. This finding of
about 97% to more than 99% of children protected from experiencing two or more days with
exposures at or above 60 ppb while at elevated exertion is quite similar to the characterization of
such estimates at the time of the 2015 decision establishing the current standard (as summarized
in section 3.1.2.4 above),113 and half that indicated by the comparable estimates for air quality
just meeting the slightly higher design value of 75 ppb. In addition to this level of protection at
the lower exposure level (of 60 ppb), the current information also indicates more than 99% of
children with asthma, on average per year, to be protected from a day or more with an exposure
at or above 70 ppb. In light of public health judgments by the EPA in prior NAAQS reviews, and

112	For example, in the 2015 decision to set the standard level at 70 ppb, the Administrator took note of several
findings for the air quality scenarios for this level, noting that "a revised standard with a level of 70 ppb is
estimated to eliminate the occurrence of two or more exposures of concern to O3 concentrations at or above 80
ppb and to virtually eliminate the occurrence of two or more exposures of concern to O3 concentrations at or
above 70 ppb for all children and children with asthma, even in the worst-case year and location evaluated" (80
FR 65363, October 26, 2015). This statement remains true for the results of the current assessment (Table 3-11).

113	For example, with regard to the 60 ppb benchmark, for which the 2015 decision placed relatively greater weight
on multiple (versus single) occurrences of exposures at or above it, the Administrator at that time noted the 2014
HREA estimates for the 70 ppb air quality scenario that estimated 0.5-3.5% of children to experience multiple
such occurrences on average across the study areas, stating that the now-current standard "is estimated to protect
the vast majority of children in urban study areas ... from experiencing two or more exposures of concern at or
above 60 ppb" (80 FR 65364, October 26, 2015). The corresponding estimates, on average across the 3-year
period in the current assessments, are remarkedly similar at 0.6 -2.9% (Table 3-11).

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related considerations, as well as ATS guidance, we recognize a greater concern for 7-hour
exposures generally at or above 70 and 80 ppb (while at elevated exertion) than such exposures
to O3 concentrations below 70 ppb, and a greater concern for repeated (versus single)
occurrences of such exposures at concentrations at or above 60 ppb up to 70 ppb. With this in
mind, we find the current exposure and risk estimates to indicate that the current standard is
likely to provide a high level of protection from 03-related health effects to at-risk populations of
all children and children with asthma. We additionally recognize such protection to be generally
similar to what was estimated when the standard was set in 2015.

As recognized above, the protection afforded by the current standard stems from its
elements collectively, including the level of 70 ppb, the averaging time of eight hours and the
form of the annual fourth-highest daily maximum concentration averaged across three years. The
current evidence as considered in the ISA, the current air quality information as analyzed in
chapter 2 of this document, and the current risk and exposure information (presented in
Appendix 3D and summarized in section 3.4 above) provide continued support to these elements,
as well as to the current indicator, as discussed earlier in this section.

In summarizing the information discussed thus far, we reflect on the key aspects of the
2015 decision that established the current standard. As an initial matter, effects associated with
6.6-hour exposures with quasi-continuous exercise (in controlled human exposure studies) to 73
ppb O3 (as a time-weighted average) included both lung function decrements and respiratory
symptoms, which the EPA recognized to be adverse; this judgment was based on consideration
of the EPA decisions in prior NAAQS reviews and CASAC advice, as well as ATS guidance (80
FR 65343, October 26, 2015). We note that the newly available information since the 2015
review includes an additional statement from ATS on assessing adverse effects of air pollution
which is generally consistent with the earlier statement (available at the time of the 2015
decision), e.g., continuing to emphasize potentially at-risk groups, including specific
consideration of effects in people with compromised lung function. While recognizing the
differences between the current and past exposure and risk analyses, as well as uncertainties
associated with such analyses, we note a rough consistency of the associated estimates when
considering the array of study areas in both reviews. Overall, the recent quantitative analyses
appear to comport with the conclusions reached in the 2015 review regarding control expected to
be exerted by the current standard on exposures of concern.

We additionally recognize that decisions regarding the adequacy of the current standard
depend in part on public health policy judgments, such as those identified above, and judgments
about when a standard is requisite to protect the public health, including the health of at-risk
populations, allowing for an adequate margin of safety. In this context, we take note of the long-
standing health effects evidence that documents the effects of 6.6-hour O3 exposures on people

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exposed while breathing at elevated rates and recognize that these effects have been reported in a
few individuals for the lowest concentration studied in exposure chambers (40 ppb). Thus, in
considering the exposure analysis estimates for 7-hour exposures at and above 60 ppb, we also
take note of the variability in the responses at low concentrations, including, for example, the
variation in average response to a 7-hour 60 ppb exposure with exercise (group mean FEVi
decrement of 1.7 to 3.5% change), as well as the lack of statistically significant decrements in
lung function from such exposures at concentrations below 60 ppb. Consistent with the EPA's
judgments in previous reviews, we also recognize the greater potential for health risk from
repeated (versus isolated single) occurrences. In light of this, we note that the exposure estimates
indicate the current standard may be expected to protect more than 97% of populations of
children with asthma residing in areas just meeting the current standard from experiencing more
than a single day per year with an exposure at or above 60 ppb, on average over a 3-year period.
We additionally note the estimates that indicate protection of more than 99.9% of children with
asthma living in such areas from experiencing any days with a 7-hour exposure while at elevated
exertion of 80 ppb or higher in a 3-year period, on average. In light of ATS guidance, CASAC
advice and EPA judgments and considerations in pastNAAQS reviews, these results indicate a
high level of protection of key at-risk populations from 03-related health effects that is a
generally similar level of protection to what was articulated when the standard was set in 2015
and retained in 2020. Thus, the evidence and exposure/risk information, including that related to
the lowest exposures studied, lead us to conclude that the combined consideration of the body of
evidence and the quantitative exposure estimates including the associated uncertainties, do not
call into question the adequacy of the protection provided by the current standard. Rather, this
information continues to provide support for the current standard, and thus supports
consideration of retaining the current standard, without revision.

In reaching these conclusions, we recognize that the Administrator's decisions in primary
standard reviews, in general, are largely public health judgments, as described above. We further
note that different public health policy judgments (e.g., from those made in both 2020 and 2015)
could lead to different conclusions regarding the extent to which the current standard provides
protection of public health with an adequate margin of safety. Such public health judgments
include those related to the appropriate degree of public health protection that should be afforded
to protect against risk of respiratory effects in at-risk populations, such as asthma exacerbation
and associated health outcomes in people with asthma, as well as with regard to the appropriate
weight to be given to differing aspects of the evidence and exposure/risk information, and how to
consider their associated uncertainties. For example, different judgments might give greater
weight to more uncertain aspects of the evidence or reflect a differing view with regard to margin
of safety. Such judgments are left to the discretion of the Administrator.

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In both the 2020 and 2015 reviews, the role of such judgments has been explicitly
discussed by the CAS AC. For example, in its advice during the 2015 review, the CASAC
described a range of recommended levels for the standard, concluding that "there is adequate
scientific evidence to recommend a range of levels for a revised primary ozone standard from 70
ppb to 60 ppb" (Frey, 2014, p. ii).114 At that time, the CASAC further acknowledged "that the
choice of a level within the range recommended based on scientific evidence is a policy
judgment under the statutory mandate of the Clean Air Act" (Frey, 2014, p. ii). The CASAC then
described that its "policy advice is to set the level of the standard lower than 70 ppb within a
range down to 60 ppb, taking into account [the Administrator's] judgment regarding the desired
margin of safety to protect public health, and taking into account that lower levels will provide
incrementally greater margins of safety" (Frey, 2014, p. ii). In conveying its advice in 2020, the
CASAC stated that it "agrees that the evidence newly available in this review that is relevant to
setting the ozone standard does not substantially differ from that of the 2015 Ozone NAAQS
review" (Cox, 2020, p. 12 of the Consensus Responses). Additionally at that time, while some
CASAC members expressed their view that the available evidence did not call into question the
adequacy of protection provided by the current standard, and supported retaining the existing
primary standard, other members indicated their agreement with the previous CASAC's policy
advice, based on its review of the 2014 draft PA, that a primary standard set at 70 ppb may not
be protective of public health with an adequate margin of safety (Cox, 2020, p. 1 of letter). In
both reviews, judgments, such as these regarding the adequacy of the margin of safety, were left
to the discretion of the Administrator. In this context, we note that the scientific evidence and
quantitative exposure and risk information in the record on which this reconsideration is based
are largely unchanged. Staff conclusions regarding the adequacy of the current standards thus
remain unchanged from those reached in the 2020 PA. However, we recognize that differing
judgments, as explicitly discussed in past CASAC advice, could lead to different conclusions
across the range of levels from 70 to 60 ppb that were described by CASAC members in both of
the past reviews to be supported by the scientific evidence (Frey, 2014; Cox, 2020).

In summary, the newly available health effects evidence, critically assessed in the 2020
ISA as part of the full body of evidence, reaffirms conclusions on the respiratory effects
recognized for O3 in prior reviews. Further, we observe the general consistency of the more
recent evidence with the evidence that was available in the 2015 review with regard to key
aspects on which the current standard is based. We additionally note the quantitative exposure
and risk estimates for conditions just meeting the current standard that indicate a generally

114 In so doing, the CASAC noted that "[i]n reaching its scientific judgment regarding a recommended range of
levels for a revised ozone primary standard, the CASAC focused on the scientific evidence that identifies the type
and extent of adverse effects on public health."

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similar level of protection for at-risk populations from respiratory effects, as that described in the
2015 review for the now-current standard. We also recognize limitations and uncertainties
associated with the available information, similar to those at the time of the 2015 review.
Collectively, these considerations (including those discussed above) provide the basis for the
preliminary conclusion that the available evidence and exposure/risk information do not call into
question the adequacy of protection provided by the existing standard or the scientific and public
health judgments that informed the 2020 decision to retain the current standard, which was
established in the 2015 review. Accordingly, we conclude it is appropriate in this reconsideration
of the 2020 to consider retaining the current primary standard of 0.070 ppm O3, as the fourth-
highest daily maximum 8-hour concentration averaged across three years, without revision. In
light of this conclusion, we have not identified any potential alternative standards for
consideration. In the event of different policy judgments from those made in the 2015 and 2020
reviews, however, standard levels in the range from 70 ppb to 60 ppb (recognized by the CASAC
in those two reviews to be supported by the scientific evidence) may be appropriate to consider.

3.6 KEY UNCERTAINTIES AND AREAS FOR FUTURE RESEARCH

In this section, we highlight key uncertainties associated with reviewing and establishing
the primary O3 standard, while additionally recognizing that research in these areas may be
informative to the development of more efficient and effective control strategies. The list in this
section includes key uncertainties and data gaps thus far highlighted in this review of the primary
standard. A critical aspect of our consideration of the evidence and the quantitative risk/exposure
estimates is our understanding of O3 effects below the lowest concentrations studied in
controlled human exposure studies, for longer exposures and for different population groups,
particularly including people with asthma. Additional information in several areas would reduce
uncertainty in our interpretation of the available information for purposes of risk characterization
and, accordingly, reduce uncertainty in characterization of 03-related health effects. In this
section, we highlight areas for future health-related research, model development, and data
collection activities to address these uncertainties and limitations in the current scientific
evidence. These areas are similar to those highlighted in past reviews.

Exposure and Risk Assessment Data and Tools:

• An important aspect of risk assessment and characterization to inform decisions regarding
the primary standard is our understanding of the exposure-response relationship for 03-
related health effects in at-risk populations. Additional research is needed to more
comprehensively assess risk of respiratory effects in at-risk individuals exposed to O3 in
the range of 40 to 80 ppb, and lower, for 6.6 hours while engaged in moderate exertion.

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•	Population- or cohort-based information on human exposure and associated health effects
for healthy adults and children and at-risk populations, including people with asthma, to
relevant levels and durations of O3 concentrations in ambient air, including exposure
information in various microenvironments and at varying activity levels, is needed to
better evaluate current and future O3 exposure and lung function risk models. Such
information across extended periods would facilitate evaluation of exposure models for
the O3 season.

•	Collection of time-activity data over longer time periods, and particularly for children
(including under the age of five), is needed to reduce uncertainty in the modeled exposure
distributions that form an important part of the basis for decisions regarding NAAQS for
O3 and other air pollutants. Research addressing energy expenditure and associated
breathing rates in various population groups (including differing SES levels and
ethnicities), and particularly healthy children and children with asthma, in various
locations, across the spectrum of physical activity, including sleep to vigorous exertion, is
needed.

Health Effects Evidence Base:

•	Epidemiologic studies assessing the influence of "long-term" or "short-term" O3
exposures is complicated by a lack of knowledge regarding the exposure history of study
populations. Further, existing studies generally focus on either long-term or short-term
exposure separately, thereby making it difficult to assess whether a single short-term
high-level exposure versus a repeated long-term low-level exposure, or a combination of
both short-term high-level and repeated long-term low-level exposures, influence health
outcomes of the study subjects. Epidemiologic studies that include exposure
measurements across a longer-term assessment period and can simultaneously assess the
impact of these various elements of exposure (i.e., magnitude, frequency, durations, and
pattern) are needed.

•	The extent to which the broad mix of photochemical oxidants as well as other copollutants
in the ambient air (e.g., PM, NO2, SO2, etc.) may play a role in modifying or contributing
to the observed associations between ambient air O3 concentrations and reported health
outcomes continues to be an important research question. A better understanding of the
broader mixture of photochemical oxidants other than O3 in ambient air, the associated
human exposures, and of the extent to which effects of the mixture may differ from those
of O3, would be informative to future NAAQS reviews. Studies that examine and
improve analytical approaches to better understand the role of copollutants, as well as
temperature, in contributing to potential confounding or effect modification in
epidemiologic models would be helpful.

•	Most epidemiologic study designs remain subject to uncertainty due to use of fixed-site
ambient air monitors serving as a surrogate for exposure measurements. The accuracy
with which measurements made at stationary outdoor monitors actually reflect subjects'
exposure is not yet fully understood. The degree to which discrepancies between
stationary monitor measurements and actual pollutant exposures introduces error into
statistical estimates of pollutant effects in epidemiologic studies needs to be investigated.

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•	For health endpoints reported in epidemiologic studies, such as respiratory hospital
admissions, emergency department visits, and premature mortality, a more
comprehensive characterization of the exposure circumstances (including ambient air
concentrations, as well as duration of exposure and activity levels of individuals) eliciting
such effects is needed

•	Further research investigating additional uncertainties and factors that modify
epidemiologic associations, particularly for different population groups would improve
our understanding in these areas.

•	The evidence base, expanded by evidence newly available for the 2020 review, indicates a
likely causal relationship between short-term O3 exposure and metabolic effects. Further
research characterizing perturbations of glucose and insulin homeostasis by O3 in
controlled human exposure studies at exertion and in animal toxicology studies at
concentrations closer to the current standard are needed inform decisions regarding the
primary standard. The collection of population-based information on clinical health
outcomes such as metabolic syndrome, diabetes, etc., as well as intermediate indicators
like insulin resistance is also needed for an array of populations and lifestages. Such
studies would provide an improved understanding of relationships between O3 exposure
and metabolic-related health outcomes.

Air Quality:

•	Advances in photochemical modeling representations of the atmosphere and in high
spatial and temporal resolution estimates of ozone precursor emissions will further reduce
uncertainties in photochemical modeling used in estimating O3 concentrations for
different air quality scenarios.

A more robust ambient monitoring network is needed to better understand ozone concentration
gradients in urban areas. With the recent development of low-cost ozone sensors, this could be
achieved in the near future.

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Adams, WC (2006a). Human pulmonary responses with 30-minute time intervals of exercise and
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Barry, V, Klein, M, Winquist, A, Chang, HH, Mulholland, JA, Talbott, EO, Rager, JR, Tolbert,
PE and Sarnat, SE (2018). Characterization of the concentration-response curve for
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4 RECONSIDERATION OF THE SECONDARY

STANDARD

This chapter presents and evaluates the policy implications of the available scientific and
technical information pertaining to this reconsideration of the 2020 decision on the O3 secondary
standard. Specifically, the chapter presents key aspects of the available evidence of the welfare
effects of O3, as documented in the 2020 ISA, with support from the prior ISA and AQCDs, and
associated public welfare implications, as well as key aspects of quantitative analyses, including
air quality and environmental exposure-related information that has been updated for this
reconsideration using more recent air quality monitoring data, and is presented in detail in
appendices 4D and 4F associated with this chapter. Additionally, a study published subsequent to
the 2020 ISA that was identified by the CASAC in this reconsideration is described in appendix
4A and considered in this chapter (Sheppard, 2022; Lee et al 2022). Together all of this
information provides the foundation for our evaluation of the scientific information regarding
welfare effects of O3 in ambient air and the potential for welfare effects to occur under air quality
conditions associated with the current standard (or any alternatives considered), as well as the
associated public welfare implications. Our evaluation is framed around key policy-relevant
questions derived from the questions included in the IRP (IRP, section 3.2.1) and also takes into
account, as relevant, prior assessments of the evidence and quantitative exposure/risk analyses.
In light of all of these considerations, we will identify key policy-relevant considerations and
summary conclusions regarding the public welfare protection provided by the current standard
for the Administrator's consideration in this reconsideration.

Within this chapter, background information on the current standard, including
considerations in its establishment in the 2015 review, is summarized in section 4.1. The general
approach for considering the available information, including policy-relevant questions identified
to frame our policy evaluation, is summarized in section 4.2. Key aspects of the available welfare
effects evidence and associated public welfare implications and uncertainties are addressed in
section 4.3, and the current air quality and exposure information, with associated uncertainties, is
addressed in section 4.4. Section 4.5 summarizes the key evidence- and air quality or exposure-
based considerations identified in our evaluation, and also presents associated preliminary
conclusions of this analysis. Key remaining uncertainties and areas for future research are
identified in section 4.6.

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4.1 BACKGROUND ON THE CURRENT STANDARD

As a result of the O3 NAAQS review completed in 2015, the level of the secondary
standard was revised to 0.070 ppm, in conjunction with retaining the indicator (O3), averaging
time (8 hours) and form (fourth-highest annual daily maximum 8-hour average concentration,
averaged across three years). The establishment of this standard in 2015, and its retention in
2020, is based primarily on consideration of the extensive welfare effects evidence base
compiled from more than fifty years of extensive research on the phytotoxic effects of O3,
conducted both in and outside of the U.S., that documents the impacts of O3 on plants and their
associated ecosystems (U.S. EPA, 1978, 1986, 1996, 2006, 2013). Key considerations in the
2015 decision were the scientific evidence and technical analyses available at that time, as well
as the Administrator's judgments regarding the available welfare effects evidence, the
appropriate degree of public welfare protection for the revised standard, and available air quality
information on seasonal cumulative exposures (in terms of the W126-based exposure index1) that
may be allowed by such a standard (80 FR 65292, October 26, 2015).

The 2020 decision to retain the standard, without revision, additionally took into account
updates to the evidence base since the 2015 review, and associated conclusions regarding welfare
effects; updated and expanded quantitative analyses of air quality data, including the frequency
of cumulative exposures of potential concern and of elevated hourly concentrations in areas with
air quality meeting the standard; and also the August 2019 decision of the D.C. Circuit
remanding the 2015 secondary standard to the EPA for further justification or reconsideration, as
mentioned earlier in Section 1.3 {Murray Energy Corp. v. EPA, 936 F.3d 597 [D.C. Cir. 2019]).
In the August 2019 decision, the court held that EPA had not adequately explained its decision to
focus on a 3-year average for consideration of the cumulative exposure, in terms of W126,
identified as providing requisite public welfare protection, or its decision to not identify a
specific level of air quality related to visible foliar injury. The EPA's decision not to use a
seasonal W126 index as the form and averaging time of the secondary standard was also
challenged, but the court did not reach a decision on that issue, concluding that it lacked a basis
to assess the EPA's rationale because the EPA had not yet fully explained its focus on a 3-year
average W126 in its consideration of the standard. Accordingly, the 2020 decision included
discussion of these areas to address these aspects of the court's decision.

Among the updates to the welfare effects evidence considered in the 2020 decision was
the welfare effects evidence for two insect-related categories of effects with new determinations

1 The W126 index is a cumulative seasonal metric described as the sigmoidally weighted sum of all hourly O3
concentrations during a specified daily and seasonal time window, with each hourly O3 concentration given a
weight that increases from zero to one with increasing concentration (80 FR 65373-74, October 26, 2015). The
units for W126 index values are ppm-hours (ppm-hrs). More detail is provided in section 4.3.3.1.1 below.

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in the 2020 ISA. Specifically, the 2020 ISA concluded the evidence sufficient to infer likely
causal relationships of O3 with alterations of plant-insect signaling and insect herbivore growth
and reproduction. Uncertainties in the evidence for the effects, however, precluded a full
understanding of the effects, the air quality conditions that might elicit them, and the potential
for impacts in a natural ecosystem. Together this resulted in a lack of clarity in the
characterization of these effects, and a lack of important quantitative information to consider
such effects in the context of reviewing the standard, such as in judging how particular ambient
air concentrations of O3 relate to the degree of impacts on public welfare related to these effects.

With regard to the more well-established vegetation-related effects of O3 in ambient air,
the extensive evidence base considered in the 2015 and 2020 decisions documents an array of
effects, ranging from the organism scale to larger-scale impacts, such as those on populations,
communities, and ecosystems. These categories of effects which the 2013 and 2020 IS As
identified as causally or likely causally related to O3 in ambient air include: reduced vegetation
growth, reproduction, crop yield, productivity and carbon sequestration in terrestrial systems;
alteration of terrestrial community composition, belowground biogeochemical cycles and
ecosystem water cycling; and visible foliar injury (2013 ISA, Appendix 9; 2020 ISA, Appendix
8).2 Across the different types of studies, the strongest quantitative evidence available at the
times of both the 2015 and 2020 decisions for effects from O3 exposure on vegetation comes
from controlled exposure studies of growth effects in a number of species (2013 ISA, p. 1-15).
Of primary importance in considering the appropriate level of protection for the standard, both in
the 2015 decision establishing it and in its 2020 retention, were the studies of O3 exposures that
reduced growth in tree seedlings from which E-R functions of seasonal relative biomass loss
(RBL)3 have been established (80 FR 65385-86, 65389-90, October 26, 2015). Consistent with
advice from the CASAC in both reviews, the Administrators considered the effects of O3 on tree
seedling growth as a surrogate or proxy for the broader array of vegetation-related effects of O3,
ranging from effects on sensitive species to broader ecosystem-level effects (80 FR 65369,
65406, October 26, 2015; 85 FR 87319, 87399, December 31, 2020).

In their consideration of O3 effects on tree seedling growth, the Administrators in both
the 2015 and 2020 decisions ascribed importance to the intended use of the natural resources and

2	The 2020 ISA also newly determined the evidence sufficient to infer likely causal relationships of 03 with

increased tree mortality, although it does not indicate a potential for O3 concentrations that occur in locations that
meet the current standard to cause this effect (85 FR 87319, December 31, 2020; 2020 PA, section 4.3.1).

3	These functions were developed to quantify Ch-related reduced growth in tree seedlings relative to control
treatments (without O3). In this way, RBL is the percentage by which the O3 treatment growth in a growing
season differs from the control seedlings over the same period, and the functions provide a quantitative estimate
of the reduction in a year's growth as a percentage of that expected in the absence of O3 (2013 ISA, section 9.6.2;
2020 PA, Appendix 4A).

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ecosystems potentially affected. For example, the 2015 decision considered the available
evidence and quantitative analyses in the context of an approach for considering and identifying
public welfare objectives for the revised standard (80 FR 65403-65408, October 26, 2015). In
light of the extensive evidence base of O3 effects on vegetation and associated terrestrial
ecosystems, the Administrator, in both decisions, focused on protection against adverse public
welfare effects of Cb-related effects on vegetation, giving particular attention to such effects in
natural ecosystems, such as those in areas with protection designated by Congress, and areas
similarly set aside by states, tribes and public interest groups, with the intention of providing
benefits to the public welfare for current and future generations (80 FR 65405, October 26, 2015;
85 FR 87344, December 31, 2020).

Climate-related effects were also considered in both reviews (2013 ISA, Appendix 10,
Section 10.3; 2020 ISA, Appendix 9, Section 9.2 and 9.3). In 2020, as was the case when the
standard was set in 2015, the evidence documents tropospheric O3 as a greenhouse gas causally
related to radiative forcing, and likely causally related to subsequent effects on variables such as
temperature and precipitation. In 2020, as in 2015, limitations and uncertainties in the evidence
base affected characterization of the extent of any relationships between ground-level O3
concentrations in ambient air in the U.S. and climate-related effects and preclude quantitative
characterization of climate responses to changes in ground-level O3 concentrations in ambient air
at regional or national (vs global) scales. As a result, the EPA recognized the lack of important
quantitative tools with which to consider such effects in its review of the standard. For example,
it was not feasible to relate different patterns of ground-level O3 concentrations at the regional
(or national) scale in the U.S. with specific risks of alterations in temperature, precipitation, and
other climate-related variables. Thus, the available information did not provide a sufficient basis
for use in considering the adequacy of the secondary standard in either review (80 FR 65370,
October 26, 2015; 85 FR 87337-87339, December 31, 2020).

For quantifying effects on tree seedling growth as a surrogate or proxy for a broader array
of vegetation-related effects using the RBL metric, in 2015 and 2020 the evidence base provided
established E-R functions for seedlings of 11 tree species (80 FR 65391-92, October 26, 2015;
2014 PA, Appendix 5C; 85 FR 87307-9, 87313-4, December 31, 2020; 2020 PA, Appendix 4A).
Cumulative O3 exposure was evaluated in terms of the W126 cumulative seasonal exposure
index, an index supported by the evidence in the 2013 and 2020 IS As for this purpose and that
was consistent with advice from the CASAC in both reviews (2013 ISA, section 9.5.3, p. 9-99;
80 FR 65375, October 26, 2015; 2020 ISA, section 8.13; 85 FR 87307-8, December 31, 2020).
In judgments regarding effects that are adverse to the public welfare, the decision setting the
standard in 2015, and that retaining it in 2020, both utilized the RBL as a quantitative tool within
a larger framework of considerations pertaining to the public welfare significance of O3 effects

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(80 FR 65389, October 26, 2015; 73 FR 16496, March 27, 2008; 85 FR 87339-41, December 31,
2020).

Accordingly, in both the 2015 and 2020 decisions, consideration of the appropriate public
welfare protection objective for the secondary standard gave prominence to the estimates of tree
seedling growth impacts (in terms of RBL) for a range of W126 index values, developed from
the E-R functions for 11 tree species (80 FR 65391-92, Table 4, October 26, 2015; 85 FR 87339-
41, December 31, 2020). The Administrators also incorporated into their considerations the
broader evidence base associated with forest tree seedling biomass loss, including other less
quantifiable effects of potentially greater public welfare significance. That is, in drawing on
these RBL estimates, the Administrators noted they were not simply making judgments about a
specific magnitude of growth effect in seedlings that would be acceptable or unacceptable in the
natural environment. Rather, mindful of associated uncertainties, the RBL estimates were used as
a surrogate or proxy for consideration of the broader array of related vegetation-related effects of
potential public welfare significance, which included effects on individual species and extending
to ecosystem-level effects (80 FR 65406, October 26, 2015; 85 FR 87304, December 31, 2020).
This broader array of vegetation-related effects included those for which public welfare
implications are more significant but for which the tools for quantitative estimates were more
uncertain.

In the 2015 decision to revise the standard level to 70 ppb, and also the 2020 decision to
retain that standard, without revision, air quality analyses played an important role in the
Administrator's judgments. Such judgments of the Administrator in setting the standard in 2015
are briefly summarized below. These are followed by a summary of additional key aspects of the
considerations and judgments associated with the decision to retain this standard in 2020.

In using the RBL estimates as a proxy, the Administrator in 2015 focused her attention on
a revised standard that would generally limit cumulative exposures to those for which the median
RBL estimate for seedlings of the 11 species with established E-R functions would be somewhat
below 6% (80 FR 65406-07, October 26, 2015).4 She noted that the median RBL estimate was
6% for a cumulative seasonal W126 exposure index of 19 ppm-hrs (80 FR 65391-92, Table 4,
October 26, 2015). Given the information on median RBL at different W126 exposure levels,
using a 3-year cumulative exposure index for assessing vegetation effects,5 the potential for

4	In her focus on 6%, the Administrator noted the CAS AC view regarding 6%, most particularly the CAS AC's

characterization of this level of effect in the median studied species as "unacceptably high" (Frey, 2014, pp. iii,
13, 14). These comments were provided in the context of CASAC's considering the significance of effects
associated with a range of alternatives for the secondary standard (80 FR 65406, October 26, 2015).

5	Based on a number of considerations, the Administrator recognized greater confidence in judgments related to

public welfare impacts based on a 3-year average metric than a single-year metric, and consequently concluded it

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single-season effects of concern, and CASAC comments on the appropriateness of a lower value
for a 3-year average W126 index, the Administrator judged it appropriate to identify a standard
that would restrict cumulative seasonal exposures to 17 ppm-hrs or lower, in terms of a 3-year
W126 index, in nearly all instances (80 FR 65407, October 26, 2015). Based on such
information, available at that time, to inform consideration of vegetation effects and their
potential adversity to public welfare, the Administrator additionally judged that the RBL
estimates associated with marginally higher exposures in isolated, rare instances were not
indicative of effects that would be adverse to the public welfare, particularly in light of
variability in the array of environmental factors that can influence O3 effects in different systems
and uncertainties associated with estimates of effects associated with this magnitude of
cumulative exposure in the natural environment (80 FR 65407, October 26, 2015).

Using these objectives, the 2015 decision regarding a standard revised from the then-
existing (2008) standard was based on extensive air quality analyses that included the most
recently available data as well as air monitoring data that extended back more than a decade (80
FR 65408, October 26, 2015; Wells, 2015). These analyses evaluated the cumulative seasonal
exposure levels in locations meeting different alternative levels for a standard of the existing
form and averaging time. These analyses supported the Administrator's judgment that a standard
with a revised level in combination with the existing form and averaging time could achieve the
desired level of public welfare protection, considered in terms of cumulative exposure, quantified
as the W126 index (80 FR 65408, October 26, 2015). Based on the extensive air quality analyses
and consideration of the W126 index value associated with a median RBL of 6%, and the W126
index values at monitoring sites that met different levels for a revised standard of the existing
form and averaging time, the Administrator additionally judged that a standard level of 70 ppb
would provide the requisite protection. The Administrator noted that such a standard would be
expected to limit cumulative exposures, in terms of a 3-year average W126 exposure index, to
values at or below 17 ppm-hrs, in nearly all instances, and accordingly, to eliminate or virtually
eliminate cumulative exposures associated with a median RBL of 6% or greater (80 FR 65409,
October 26, 2015).

The 2015 decision also took note of the well-recognized evidence for visible foliar injury
and crop yield effects. However, the RBL information available for seedlings of a set of 11 tree

to be appropriate to use a seasonal W126 index averaged across three years forjudging public welfare protection
afforded by a revised secondary standard. For example, she recognized uncertainties associated with
interpretation of the public welfare significance of effects resulting from a single-year exposure, and that the
public welfare significance of effects associated with multiple years of critical exposures are potentially greater
than those associated with a single year of such exposure. She additionally concluded that use of a 3-year average
metric could address the potential for adverse effects to public welfare that may relate to shorter exposure periods,
including a single year (80 FR 65404, October 26, 2015).

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species was judged to be more useful (particularly in a role as surrogate for the broader array of
vegetation-related effects) in informing judgments regarding the nature and severity of effects
associated with different air quality conditions and associated public welfare significance than
the available information on visible foliar injury and crop yield effects (80 FR 65405-06,

October 26, 2015). With regard to visible foliar injury, while the Administrator recognized the
potential for this effect to affect the public welfare in the context of affecting value ascribed to
natural forests, particularly those afforded special government protection, she also recognized
limitations in the available information that might inform consideration of potential public
welfare impacts related to this vegetation effect noting the significant challenges in judging the
specific extent and severity at which such effects should be considered adverse to public welfare
(80 FR 65407, October 26, 2015).6 Similarly, while 03-related growth effects on agricultural and
commodity crops had been extensively studied and robust E-R functions developed for a number
of species, the Administrator found this information less useful in informing judgments
regarding an appropriate level of public welfare protection (80 FR 65405, October 26, 2015).7

In summary, the 2015 decision focused primarily on the information related to trees and
growth impacts in identifying the public welfare objectives for the revised secondary standard
(80 FR 65409-65410, October 26, 2015). In this context, the Administrator in 2015 judged that
the 70 ppb standard would protect natural forests in Class I and other similarly protected areas
against an array of adverse vegetation effects, most notably including those related to effects on
growth and productivity in sensitive tree species. She additionally judged that the new standard
would be sufficient to protect public welfare from known or anticipated adverse effects. These
judgments by the Administrator at that time appropriately recognized that the CAA does not
require that standards be set at a zero-risk level, but rather at a level that reduces risk sufficiently
so as to protect the public welfare from known or anticipated adverse effects.

In 2020, as in 2015, the Administrator considered the available information regarding the
appropriate O3 exposure metric to employ in assessing adequacy of air quality control in

6	These limitations included the lack of established E-R functions that would allow prediction of visible foliar injury

severity and incidence under varying air quality and environmental conditions, a lack of consistent quantitative
relationships linking visible foliar injury with other Ch-induced vegetation effects, such as growth or related
ecosystem effects, and a lack of established criteria or objectives relating reports of foliar injury with public
welfare impacts (80 FR 65407, October 26, 2015).

7	With respect to commercial production of commodities, the Administrator noted the difficulty in discerning the

extent to which 03-related effects on commercially managed vegetation are adverse from a public welfare
perspective, given that the extensive management of such vegetation (which, as the CAS AC noted, may reduce
yield variability) may also to some degree mitigate potential 03-related effects. Management practices are highly
variable and are designed to achieve optimal yields, taking into consideration various environmental conditions.
Further, changes in yield of commercial crops and commercial commodities, such as timber, may affect producers
and consumers differently, complicating the assessment of overall public welfare effects still further (80 FR
65405, October 26, 2015).

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protecting against RBL. In addition to finding it appropriate to continue to consider the seasonal
W126 index averaged over a 3-year period to estimate median RBL (as was concluded in 2015),
the Administrator in 2020 also judged it appropriate to also consider other metrics including peak
hourly concentrations8 (85 FR 87344, December 2020). With regard to these conclusions, his
considerations included the extent of conceptual similarities of the 3-year average W126 index to
some aspects of the derivation approach for the established E-R functions, the context of RBL as
a proxy (as recognized above), and limitations associated with a reliance solely on W126 index
as a metric to control exposures that might be termed "unusually damaging"9 (85 FR 877339-40,
December 31, 2020).

With regard to the derivation and application of the established E-R functions, the 2020
review recognized several factors to contribute uncertainty and some resulting imprecision or
inexactitude to RBL estimated from single-year seasonal W126 index values (85 FR 49900-01,
August 14, 2020; 2020 PA sections 4.5.1.2 and 4.5.3).10 Additionally recognized was the

8	Both the 2020 and 2013 IS As reference the longstanding recognition of the risk posed to vegetation of peak hourly

O3 concentrations (e.g., " |h | igher concentrations appear to be more important than lower concentrations in
eliciting a response" [ISA, p. 8-180]; "higher hourly concentrations have greater effects on vegetation than lower
concentrations" [2013 ISA, p. 91-4] "studies published since the 2006 O3 AQCD do not change earlier
conclusions, including the importance of peak concentrations, ... in altering plant growth and yield" [2013 ISA,
p. 9-117]). While the evidence does not indicate a particular threshold number of hours at or above 100 ppb (or
another reference point for elevated concentrations), the evidence of greater impacts from higher concentrations
(particularly with increased frequency) and the air quality analyses that document variability in such
concentrations for the same W126 index value led the Administrator to judge such a multipronged approach to be
needed to ensure appropriate consideration of exposures of concern and the associated protection from them
afforded by the secondary standard (85 FR 87340, December 31, 2020).

9	In its discussion regarding the EPA's use of a 3-year average W126 index, the 2019 court decision remanding the

2015 standard back to the EPA referenced advice from the CAS AC in the 2015 review on protection against
"unusually damaging years." Use of this term occurs in the 2014 CASAC letter on the second draft PA (Frey,
2014). Most prominently, the CASAC defined as damage "injury effects that reach sufficient magnitude as to
reduce or impair the intended use or value of the plant to the public, and thus are adverse to public welfare" (Frey,
2014, p. 9). We also note that the context for the CASAC's use of the phrase "unusually damaging years" in the
2015 review is in considering the form and averaging time for a revised secondary standard in terms of a W126
index (Frey, 2014, p. 13), which as discussed below is relatively less controlling of high-concentration years
(whether as a single year index or averaged over three years) than the current secondary standard and its fourth
highest daily maximum 8-hour metric (85 FR 87327, December 31, 2020).

10	The E-R functions were derived mathematically from studies of different exposure durations (varying from
shorter than one to multiple growing seasons) by applying adjustments so that they would yield estimates
normalized to the same period of time (season). Accordingly, the estimates may represent average impact for a
season, and have compatibility with W126 index averaged over multiple growing seasons or years (85 FR 87326,
December 31, 2020; 2020 PA, section 4.5.1.2, Appendix 4A, Attachment 1). The available information also
indicated that the patterns of hourly concentrations (and frequency of peak concentrations, e.g., at/above 100 ppb)
in O3 treatments on which the E-R functions are based differ from the patterns in ambient air meeting the current
standard across the U.S. today (85 FR 87327, December 31, 2020). Additionally noted was the year-to-year
variability of factors other than O3 exposures that affect tree growth in the natural environment (e.g., related to
variability in soil moisture, meteorological, plant-related and other factors), that have the potential to affect O3 E-
R relationships (ISA, Appendix 8, section 3.12; 2013 ISA section 9.4.8.3; PA, sections 4.3 and 4.5). All of these

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qualitative and conceptual nature of our understanding, in many cases, of relationships of O3
effects on plant growth and productivity with larger-scale impacts, such as those on populations,
communities and ecosystems. From these considerations, it was judged that use of a seasonal
RBL averaged over multiple years, such as a 3-year average, is reasonable, and provides a more
stable and well-founded RBL estimate for its use as a proxy to represent the array of vegetation-
related effects identified above. More specifically, the Administrator concluded that the use of an
average seasonal W126 index derived from multiple years (with their representation of
variability in environmental factors) provides an appropriate representation of the evidence and
attention to the identified considerations. In so doing, he found that a sole reliance on single year
W126 estimates for reaching judgments with regard to magnitude of O3 related RBL and
associated judgments of public welfare protection would ascribe a greater specificity and
certainty to such estimates than supported by the evidence. Rather, consistent with the judgment
of the prior Administrator, the Administrator in 2020 found it appropriate, for purposes of
considering public welfare protection from effects for which RBL is used as a proxy, to primarily
consider W126 index in terms of a 3-year average metric (85 FR 87339-87340, December 31,
2020).

With regard to the EPA's use of a 3-year average W126 index to assess protection from
RBL, the 2020 decision additionally took into account the 2019 court remand on this issue,
including the remand's reference to protection against "unusually damaging years." (85 FR
87325-87328, December 31, 2020). Accordingly, the EPA considered air quality analyses of
peak hourly concentrations in the context of considering protection against "unusually damaging
years." With regard to this caution, and in the context of controlling exposure circumstances of
concern (e.g., for growth effects, among others), the EPA considered air quality analyses that
investigated the annual occurrence of elevated hourly O3 concentrations which may contribute to
vegetation exposures of concern (2020 PA, Appendix 2A, section 2A.2; Wells, 2020). These air
quality analyses illustrate limitations of the W126 index (whether in terms of a 3-year average or
a single year) for the purpose of controlling peak concentrations,11 and also the strengths of the
current standard in this regard. The air quality analyses show that the form and averaging time of
the existing standard, in addition to controlling cumulative exposures in terms of W126 (as found
in the 2015 review), is much more effective than the W126 index in limiting peak concentrations

considerations contributed to the finding of a consistency of the use of W126 index averaged over multiple years
with the approach used in deriving the E-R function, and with other factors that may affect growth in the natural
environment (85 FR 87340, December 31, 2020).

11 The W126 index cannot, by virtue of its definition, always differentiate between air quality patterns with high
peak concentrations and those without such concentrations.

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(e.g., hourly O3 concentrations at or above 100 ppb)12 and in limiting number of days with any
such hours (Wells, 2020, e.g., Figures 4, 5, 8, 9 compared to Figures 6, 7, 10 and 11).13 Thus, the
W126 index, by its very definition, and as illustrated by the air quality data analyses, does not
provide specificity with regard to year-to-year variability in elevated hourly O3 concentrations
with the potential to contribute to the "unusually damaging years" that the CASAC had identified
for increased concern in the 2015 review. As a result, the 2020 decision found that a standard
based on a W126 index (either a 3-year or a single-year index) would not be expected to provide
effective control of the peak concentrations that may contribute to "unusually damaging years"
for vegetation.14 Based on all of the above, the 2020 decision concluded that control of such
years is a characteristic of the existing standard (the effectiveness of which is demonstrated by
the air quality analyses), and that that use of a seasonal W126 averaged over a 3-year period,
which is the design value period for the current standard, to estimate median RBL using the
established E-R functions, in combination with a broader consideration of air quality patterns,
such as peak hourly concentrations, is appropriate for considering the public welfare protection
provided by the standard (85 FR 87340-87341, December 31, 2020).

With regard to O3 effects on crop yield for which there is long-standing evidence,
qualitative and quantitative, of the reducing effect of O3 on the yield of many crops and a
potential for public welfare significance, the 2020 decision concluded that the existing standard
provides adequate protection of public welfare related to crop yield loss (85 FR 87342,

December 31, 2020). Key considerations in this conclusion included the established E-R
functions for 10 crops and the estimates of RYL derived from them (2020 ISA, 2020 PA,
Appendix 4A, section 4A.1, Table 4A-5), as well as the existence of a number of complexities
related to the heavy management of many crops to obtain a particular output for commercial
purposes, and related to other factors (85 FR 87341-87342, December 31, 2020). For example,
the Administrator considered the extensive management of agricultural crops that occurs to elicit
optimum yields (e.g., through irrigation and usage of soil amendments, such as fertilizer) to be
relevant in evaluating the extent of RYL estimated from experimental O3 exposures that should
be judged adverse to the public welfare. With regard to the E-R functions for RYL for 10 crops,

12	As described in section 4.3.3 below, the occurrence of high concentrations (including those at or above 100 ppb
[e.g., Smith, 2012; Smith et al., 2012]), as well as cumulative exposures influence the effects of O3 on plants.

13	With regard to the existing standard, historical air quality data extending back to 2000 additionally show the
appreciable reductions in peak concentrations that have been achieved in the U.S. as air quality has improved
under O3 standards of the existing form and averaging time (Wells, 2020, Figures 12 and 13).

14	From these analyses, the Administrator concluded that the form and averaging time of the current standard is
effective in controlling peak hourly concentrations and that a W126 index based standard would be much less
effective in providing the needed protection against years with such elevated and potentially damaging hourly
concentrations.

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the Administrator considered the air quality data with regard to the W126 index levels and
corresponding estimated RYL for the median species. He also took into consideration the
extensive management of agricultural crops, and the complexities associated with identifying
adverse public welfare effects for market-traded goods (where producers and consumers may be
impacted differently). Further, he noted that the secondary standard is not intended to protect
against all known or anticipated 03-related effects, but rather those that are judged to be adverse
to the public welfare. The air quality data indicated that the current standard generally maintains
air quality at a W126 index below 17 ppm-hrs, with few exceptions, and would accordingly limit
the associated estimates of median RYL below 5.1% (based on experimental O3 exposures), a
level which the Administrator judged would not constitute an adverse effect on public welfare.
Therefore, he concluded that the current standard provides adequate protection of public welfare
related to crop yield loss and did not need to be revised to provide additional protection against
this effect (85 FR 87342, December 31, 2020).

With regard to visible foliar injury, the Administrator considered the question of a level
of air quality that would provide protection against visible foliar injury related effects known or
anticipated to cause adverse effects to the public welfare. Based on the evidence and associated
quantitative analyses in this review, summarized in the 2020 PA, the Administrator's judgment
reflected his recognition of less confidence and greater uncertainty in the existence of adverse
public welfare effects with lower O3 exposures (85 FR 87342-87344, December 31, 2020).

While recognizing there to be a paucity of established approaches for interpreting specific levels
of severity and extent of foliar injury in natural areas with regard to impacts on the public
welfare (e.g., related to recreational services), the Administrator recognized that injury to whole
stands of trees of a severity apparent to the casual observer (e.g., when viewed as a whole from a
distance) would reasonably be expected to affect recreational values and thus pose a risk of
adverse effects to the public welfare. He further noted that the available information did not
provide for specific characterization of the incidence and severity that would not be expected to
be apparent to the casual observer, nor for clear identification of the pattern of O3 concentrations
that would provide for such a situation. In recognizing that quantitative analyses and evidence
are lacking that might support a more precise identification of a severity of visible foliar injury
and extent of occurrence that might be judged adverse to the public welfare, the Administrator
considered the USFS system for interpreting visible foliar injury impacts in surveys conducted at
biomonitoring sites (biosites) across the U.S. from 1994 through 2011. At these sites, the USFS
followed a national protocol that includes a scoring system with descriptors for biosite index
(BI)15 scores of differing magnitude for his purposes in this regard. More specifically, he

15 The BI is a measure of the severity of Ch-induced visible foliar injury observed at each biosite (Smith, 2012).

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concluded that findings of BI scores categorized as "moderate to severe" injury by the USFS
scheme would be an indication of visible foliar injury occurrence that, depending on extent and
severity, may raise public welfare concerns. In this framework, the Administrator considered the
2020 PA evaluations of the available information and what that information indicated with
regard to patterns of air quality of concern for such an occurrence, and the extent to which they
are expected to occur in areas that meet the current standard. For example, the incidence of
nonzero BI scores, and particularly of relatively higher scores such as those above 15, classified
as indicative of "moderate to severe "injury in the USFS scheme appear to markedly increase
only with W126 index values above 25 ppm-hrs. He further took note of the multiple published
studies analyzing the USFS data across multiple years and multiple U.S. regions with regard to
metrics intended to quantify influential aspects of O3 air quality, which indicated a potential role
for an additional metric related to the occurrence of days with relatively high hourly
concentrations (e.g., number of days with a 1-hour concentration at or above 100 ppb [2020 PA,
section 4.5.1.2]). In light of this evidence and the 2020 PA analyses of these data, the
Administrator judged that W126 index values at or below 25 ppm-hrs, when in combination with
infrequent occurrences of hourly concentrations at or above 100 ppb, would not be anticipated to
pose risk of visible foliar injury of an extent and severity so as to be adverse to the public welfare
(85 FR 87343, December 31, 2020).

With these conclusions in mind, the Administrator considered the available air quality
analyses (85 FR 87316-18, December 31, 2020; 2020 PA, Appendix 4C, section 4C.3; Appendix
4D; Wells, 2020). Together these analyses indicated that a W126 index above 25 ppm-hrs (either
as a 3-year average or in a single year) is not seen to occur at monitoring locations where the
current standard is met (including in or near Class I areas), and that, in fact, values above 17 or
19 ppm-hrs are rare and that days with any hourly concentrations at or above 100 ppb at
monitoring sites that meet the current standard are uncommon. Based on these findings, the
Administrator concluded that the current standard provides control of air quality conditions that
contribute to increased BI scores and to scores of a magnitude indicative of "moderate to severe"
foliar injury. Further, he noted the 2020 PA finding that the information from the USFS biosite
monitoring program, particularly in locations meeting the current standard or with W126 index
estimates likely to occur under the current standard, does not indicate a significant extent and
degree of injury (e.g., based on analyses of BI scores in the PA, Appendix 4C) or specific
impacts on recreational or related services for areas, such as wilderness areas or national parks,
thus giving credence to the associated 2020 PA conclusion that the evidence indicates that areas
that meet the current standard are unlikely to have BI scores reasonably considered to be impacts
of public welfare significance (85 FR 87344, December 31, 2020).

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Before reaching a final decision on the standard, the Administrator, in returning to his
primary focus on RBL in its role as proxy for the broader array of vegetation-related effects of
O3, further considered the available analyses of both the air quality data newly available in the
2020 review and of historical air quality at sites across the U.S., particularly including those sites
in or near Class I areas, for which the findings were consistent with the air quality analyses
available in the 2015 review.16 That is, in virtually all design value periods between 2000 and
2018 and all locations at which the current standard was met across the 19 years and 17 design
value periods (in more than 99.9% of such observations), the 3-year average W126 metric was at
or below 17 ppm-hrs. Further, in all such design value periods and locations the 3-year average
W126 index was at or below 19 ppm-hrs (85 FR 87344, December 31, 2020).

The Administrator additionally considered the protection provided by the current
standard from the occurrence of O3 exposures within a single year with potentially damaging
consequences, including a significantly increased incidence of areas with visible foliar injury that
might be judged moderate to severe. He gave particular focus to BI scores above 15, termed
"moderate to severe injury" by the USFS categorization scheme (85 FR 87344, December 31,
2020; 2020 PA, sections 4.3.3.2, 4.5.1.2 and Appendix 4C). As discussed above, the incidence of
USFS sites with BI scores above 15 markedly increases with W126 index estimates above 25
ppm-hrs, a magnitude of W126 index indicated by the air quality analysis to be scarce at sites
that meet the current standard, with just a single occurrence across all U.S. sites with design
values meeting the current standard in the 19-year historical dataset dating back to 2000 (2020
PA, section 4.4, and Appendix 4D). Further, in light of the evidence indicating that peak short-
term concentrations (e.g., of durations as short as one hour) may also play a role in the
occurrence of visible foliar injury, the Administrator additionally took note of the air quality
analyses of hourly concentrations (2020 PA, Appendix 2A; Wells 2020). These analyses of data
from the past 20 years show a declining trend in 1-hour daily maximum concentrations mirroring
the declining trend in design values, supporting the 2020 PA conclusion that the form and
averaging time of the current standard provides appreciable control of peak 1-hour
concentrations. Furthermore, these analyses for the period from 2000 to 2018 indicate that sites
meeting the current standard had few days with hourly concentrations at or above 100 ppb. In
light of these findings from the air quality analyses and considerations in the 2020 PA, both with
regard to 3-year average W126 index values at sites meeting the current standard and the rarity
of such values at or above 19 ppm-hrs, and with regard to single-year W126 index values at sites
meeting the current standard, and the rarity of such values above 25 ppm-hrs, as well as with

16 These data are distributed across all nine NOAA climate regions and 50 states, although some geographic areas
within specific regions and states may be more densely covered and represented by monitors than others (2020
PA, Appendix 4D).

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regard to the appreciable control of 1-hour daily maximum concentrations, the Administrator
judged that the current standard provides adequate protection from air quality conditions with the
potential to be adverse to the public welfare (85 FR 87344, December 31, 2020).

In reaching his conclusion on the current secondary O3 standard, the Administrator
recognized, as is the case in NAAQS reviews in general, his decision depended on a variety of
factors, including science policy judgments and public welfare policy judgments, as well as the
available information. In the 2020 decision, the Administrator gave primary attention to the
principal effects of O3 as recognized in the current ISA, the 2013 ISA and past AQCDs, and for
which the evidence is strongest (e.g., growth, reproduction, and related larger-scale effects, as
well as visible foliar injury). With regard to growth and the categories of effects identified above
for which RBL has been identified for use as a proxy, based on all of the identified
considerations, including the discussion of air quality immediately above, the Administrator
judged the current standard to provide adequate protection for air quality conditions with the
potential to be adverse to the public welfare. Further, with regard to visible foliar injury, the
Administrator concluded that the available information on visible foliar injury and with regard to
air quality analyses that may be informative to identification of air quality conditions associated
with appreciably increased incidence and severity of BI scores at USFS biomonitoring sites, and
with particular attention to Class I and other areas afforded special protection, indicated the
current standard to provide adequate protection from visible foliar injury of an extent or severity
that might be anticipated to be adverse to the public welfare.

In summary, the 2020 decision was based on consideration of the public welfare
protection afforded by the secondary O3 standard from identified 03-related welfare effects, and
from their potential to present adverse effects to the public welfare, and also on judgments
regarding what the available evidence, quantitative information, and associated uncertainties and
limitations (such as those identified above) indicate with regard to the protection provided from
the array of O3 welfare effects. As a whole, the decision found that this information did not
indicate the current standard to allow air quality conditions with implications of concern for the
public welfare. Based on all of the identified considerations, as well as consideration of advice
from the CASAC17 and public comment, and including consideration of the available evidence
and quantitative exposure/risk information, the Administrator concluded the current secondary
standard to be requisite to protect the public welfare from known or anticipated adverse effects

17 Among other things, in the 2020 letter communicating the CASAC's comments on the 2019 draft PA, the CASAC
advised EPA that it "finds, in agreement with the EPA, that the available evidence does not reasonably call into
question the adequacy of the current secondary ozone standard and concurs that it should be retained" (Cox, 2020, p.
1). It further stated that the approach described in the draft PA to considering the evidence for welfare effects ' 'is
laid out very clearly, thoroughly discussed and documented, and provided a solid scientific underpinning for the
EPA conclusion leaving the current secondary standard in place'' (85 FR 87318-87319, December 31, 2020).

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of O3 and related photochemical oxidants in ambient air, and thus that the standard should be
retained without revision (85 FR 87345, December 31, 2020).

4.2 GENERAL APPROACH AND KEY ISSUES

As in the case for secondary standard reviews, this reconsideration of the 2020 decision
on the secondary standard is fundamentally based on using the Agency's assessment of the
scientific evidence and associated quantitative analyses to inform the Administrator's judgments
related to the secondary standard. This approach builds on the substantial assessments and
evaluations performed over the course of O3 NAAQS reviews to inform our understanding of the
key-policy relevant issues in this reconsideration of the 2020 decision. As noted above, we are
also considering the court's 2019 decision on the O3 secondary standard, particularly with regard
to issues raised by the court in its remand of the standard (recognized in section 4.1.2 above) as
was also done as part of the 2020 decision on the standard.

The evaluations in the PA, of the scientific assessments in the ISA (building on prior such
assessments) augmented by quantitative air quality and exposure analyses, are intended to inform
the Administrator's public welfare policy judgments and conclusions, including his decisions
regarding secondary O3 standards. The PA considers the potential implications of various aspects
of the scientific evidence, the air quality, exposure or risk-based information, and the associated
uncertainties and limitations. Thus, the approach for this PA involves evaluating the available
scientific and technical information to address a series of key policy-relevant questions using
both evidence- and exposure/risk-based considerations. Together, consideration of the full set of
evidence and information available will inform the answer to the following initial overarching
question:

Do the available scientific evidence and exposure-/risk-based information support or
call into question the adequacy of the public welfare protection afforded by the current
secondary O3 standard?

In reflecting on this question in the remaining sections of this chapter, we consider the
body of scientific evidence assessed in the ISA, and considered as a basis for developing or
interpreting air quality and exposure analyses, including whether it supports or calls into question
the scientific conclusions reached in the 2020 review regarding welfare effects related to
exposure to O3 in ambient air. Information that may be informative to public policy judgments
on the significance or adversity of key effects on the public welfare is also considered.
Additionally, the available exposure and air quality information is considered, including with
regard to the extent to which it may continue to support judgments made in previous reviews.
Further, in considering this question with regard to the secondary O3 standard, we give particular
attention to exposures and risks for effects with the greatest potential for public welfare

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significance. Evaluation of the available scientific evidence and exposure/risk information with
regard to consideration of the current standard and the overarching question above focuses on
key policy-relevant issues by addressing a series of questions on specific topics. For background,
Figure 4-1 summarizes, in general terms, the approach to considering the available information
in the context of policy-relevant questions pertaining to reviews of the secondary standard.

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Does the N
available Information x
call into question
the adequacy of /
current standard? /

(

no | Consider retaining

>, current standard

\

YES

Consider Potential Alternative Standards

> Infcsor, Averaging Time, Form, Level

Potential Alternative Standards for Consideration

Figure 4-1. Overview of general approach for the secondary O3 standard.

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The Agency's approach with regard to the O3 secondary standard is consistent with the
requirements of the provisions of the CAA related to the review of NAAQS and with how the
EPA and the courts have historically interpreted these provisions. As discussed in section 1.2
above, these provisions require the Administrator to establish secondary standards that, in the
Administrator's judgment, are requisite (i.e., neither more nor less stringent than necessary) to
protect the public welfare from known or anticipated adverse effects associated with the presence
of the pollutant in the ambient air. Consistent with the Agency's approach across NAAQS
reviews, the approach of this PA to informing the Administrator's judgments is based on a
recognition that the available evidence generally reflects continuums that include ambient air
exposures for which scientists generally agree that effects are likely to occur through lower
levels at which the likelihood and magnitude of response become increasingly uncertain. The
CAA does not require that standards be set at a zero-risk level, but rather at a level that reduces
risk sufficiently so as to protect the public welfare from known or anticipated adverse effects.

The Agency's decisions on the adequacy of the current secondary standard and, as
appropriate, on any potential alternative standards considered in a review, are largely public
welfare policy judgments made by the Administrator. The four basic elements of the NAAQS
(i.e., indicator, averaging time, form, and level) are considered collectively in evaluating the
protection afforded by the current standard, or by any alternatives considered. Thus, the
Administrator's final decisions draw upon the scientific information and analyses about welfare
effects, environmental exposures and risks, and associated public welfare significance, as well as
judgments about how to consider the range and magnitude of uncertainties that are inherent in
the scientific evidence and analyses.

4.3 WELFARE EFFECTS EVIDENCE

The welfare effects evidence on which this PA for the reconsideration of the 2020
decision on the O3 secondary standard will focus is the evidence described in the 2020 ISA and
prior ISAs or AQCDs. As described in section 1.5 above, the EPA has provisionally considered
more recently available studies that were raised in public comments in the 2020 review (Luben et
al., 2020). The provisional consideration of these studies concluded that, taken in context, the
associated information and findings did not materially change any of the broad scientific
conclusions of the ISA regarding the health and welfare effects of O3 in ambient air or warrant
reopening the air quality criteria for this review. Additionally considered in this PA is a recent
publication by Lee et al (2022).18 Thus, with the exception of consideration of the findings of

18 This study, published subsequent to the 2020 decision is considered in this PA as recommended by the CAS AC
(Sheppard, 2022). As discussed in section 4.3.3.1 and 4.3.4.1, the datasets analyzed in this study are primarily

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Lee et al (2022), the discussion below focuses on the welfare effects evidence assessment, with
associated conclusions, as described in the 2020 ISA.

4.3.1 Nature of Effects

The welfare effects evidence base includes more than fifty years of extensive research on
the phytotoxic effects of O3, conducted both in and outside of the U.S., that documents the
impacts of O3 on plants and their associated ecosystems (1978 AQCD, 1986 AQCD, 1996
AQCD, 2006 AQCD, 2013 ISA, 2020 ISA). As has been long established, O3 can interfere with
carbon gain (photosynthesis) and allocation of carbon within the plant, making fewer
carbohydrates available for plant growth, reproduction, and/or yield (1996 AQCD, pp. 5-28 and
5-29). For seed-bearing plants, reproductive effects can include reduced seed or fruit production
or yield. The strongest evidence for effects from O3 exposure on vegetation was recognized at
the time of the 2015 review to be from controlled exposure studies, which "have clearly shown
that exposure to O3 is causally linked to visible foliar injury, decreased photosynthesis, changes
in reproduction, and decreased growth" in many species of vegetation (2013 ISA, p. 1-15). Such
effects at the plant scale can also be linked to an array of effects at larger spatial scales (and
higher levels of biological organization), with the evidence available in the 2015 review
indicating that "O3 exposures can affect ecosystem productivity, crop yield, water cycling, and
ecosystem community composition" (2013 ISA, p. 1-15, Chapter 9, section 9.4). Beyond its
effects on plants, the evidence in the 2015 review also recognized O3 in the troposphere as a
major greenhouse gas (ranking behind carbon dioxide and methane in importance), with
associated radiative forcing and effects on climate, with accompanying "large uncertainties in the
magnitude of the radiative forcing estimate ... making the impact of tropospheric O3 on climate
more uncertain than the effect of the longer-lived greenhouse gases (2013 ISA, sections 10.3.4
and 10.5.1 [p. 10-30]).

• Does the available evidence alter prior conclusions regarding the nature of welfare
effects attributable to O3 in ambient air? Is there new evidence on welfare effects
beyond those identified in the 2015 review?

The available evidence supports, sharpens, and expands somewhat on the conclusions
reached in the 2015 review (ISA, Appendices 8 and 9). Consistent with the previously available
evidence, the available evidence describes an array of O3 effects on vegetation and related
ecosystem effects, as well as the role of tropospheric O3 in radiative forcing and subsequent

comprised largely of data for which findings or quantitative analyses have been previously published and
assessed in prior AQCDs or ISAs (e.g., 1996 and 2006 AQCD, 2013 and 2020 ISA, Hogsett et al., 1997; Lee and
Hogsett, 1996; Lefohn et al., 1997; Neufeld et al., 2000). The recent publication reanalyzes data by a different
approach, providing another example of exposure-response analyses.

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climate-related effects. The ISA concludes there to be causal relationships between O3 and
visible foliar injury, reduced vegetation growth and reduced plant reproduction,19 as well as
reduced yield and quality of agricultural crops, reduced productivity in terrestrial ecosystems,
alteration of terrestrial community composition20, and alteration of belowground biogeochemical
cycles (ISA, section IS.5). The ISA also concludes there likely to be a causal relationship
between O3 and alteration of ecosystem water cycling, reduced carbon sequestration in terrestrial
ecosystems, and with increased tree mortality (ISA, section IS.5). Additionally, newly available
evidence in the 2020 ISA augments more limited previously available evidence related to insect
interactions with vegetation, contributing to the ISA conclusion that the evidence is sufficient to
infer that there are likely to be causal relationships between O3 exposure and alteration of plant-
insect signaling (ISA, Appendix 8, section 8.7) and of insect herbivore growth and reproduction
(ISA, Appendix 8, section 8.6). Thus, prior conclusions continue to be supported and conclusions
are also reached in the 2020 ISA for a few new areas based on the now expanded evidence.

As in the 2015 review, the strongest evidence and the associated findings of causal or
likely causal relationships with O3 in ambient air, and the quantitative characterizations of
relationships between O3 exposure and occurrence and magnitude of effects are for vegetation
effects. The scales of these effects range from the individual plant scale to the ecosystem scale,
with potential for impacts on the public welfare (as discussed in section 4.3.2 below). The
following summary addresses the identified vegetation-related effects of O3 across these scales.

Visible foliar injury has long been used as a bioindicator of O3 exposures, although it is
not always a reliable indicator of other negative effects on vegetation (ISA, sections IS.5.1.2 and
8.2, and Appendix 8, section 8.2; 2013 ISA, section 9.4.2; 2006 AQCD, 1996 AQCD, 1986
AQCD, 1978 AQCD). More specifically, ozone-induced visible foliar injury symptoms on
certain tree and herbaceous species, such as black cherry, yellow-poplar and common milkweed,
have long been considered diagnostic of exposure to elevated O3 based on the consistent
association established with experimental evidence (ISA, Appendix 8, section 8.2; 2013 ISA, p.
1-10).21 The available evidence, consistent with that in past reviews, indicates that "visible foliar
injury usually occurs when sensitive plants are exposed to elevated ozone concentrations in a
predisposing environment," with a major factor for such an environment being the amount of soil

19	The 2013 ISA did not include a separate causality determination for reduced plant reproduction. Rather, it was
included with the conclusion of a causal relationship of O3 with reduced vegetation growth (ISA, Table IS-12).

20	The 2013 ISA concluded alteration of terrestrial community composition to be likely causally related to 03 based
on the then available information (ISA, Table IS-12).

21	As described in the ISA, "[t]ypical types of visible injury to broadleaf plants include stippling, flecking, surface
bleaching, bifacial necrosis, pigmentation (e.g., bronzing), and chlorosis or premature senescence and [t]ypical
visible injury symptoms for conifers include chlorotic banding, tip burn, flecking, chlorotic mottling, and
premature senescence of needles" (ISA, Appendix 8, p. 8-13).

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moisture available to the plant (ISA, Appendix 8, p. 8-23; 2013 ISA, section 9.4.2). The
significance of O3 injury at the leaf and whole plant levels also depends on an array of factors
that include the amount of total leaf area affected, age of plant, size, developmental stage, and
degree of functional redundancy among the existing leaf area (ISA, Appendix 8, section 8.2;
2013 ISA, section 9.4.2). Such modifying factors contribute to the difficulty in quantitatively
relating visible foliar injury to other vegetation effects (e.g., individual tree growth, or effects at
population or ecosystem levels), such that visible foliar injury "is not always a reliable indicator
of other negative effects on vegetation" (ISA, Appendix 8, section 8.2; 2013 ISA, p. 9-39).22

Effects of O3 on physiology of individual plants at the cellular level, such as through
photosynthesis and carbon allocation, can impact plant growth and reproduction (ISA, section
IS.5.1.2, Appendix 8, sections 8.3 and 8.4; 2013 ISA, p. 9-42). The available studies come from
a variety of different study types that cover an array of different species, effects endpoints, and
exposure methods and durations. In addition to studies on scores of plant species that have found
O3 to reduce plant growth, the evidence accumulated over the past several decades documents O3
alteration of allocation of biomass within the plant and plant reproduction (ISA, Appendix 8,
sections 8.3 and 8.4; 2013 ISA, p. 1-10). The biological mechanisms underlying the effect of O3
on plant reproduction include "both direct negative effects on reproductive tissues and indirect
negative effects that result from decreased photosynthesis and other whole plant physiological
changes" (ISA, section IS.5.1.2). A newly available meta-analysis of more than 100 studies
published between 1968 and 2010 summarizes effects of O3 on multiple measures of
reproduction (ISA, Appendix 8, section 8.4.1).

Studies involving experimental field sites have also reported effects on measures of plant
reproduction, such as effects on seeds (reduced weight, germination, and starch levels) that could
lead to a negative impact on species regeneration in subsequent years, and bud size that might
relate to a delay in spring leaf development (ISA, Appendix 8, section 8.4; 2013 ISA, section
9.4.3; Darbah et al., 2007, Darbah et al., 2008). A more recent laboratory study reported 6-hour
daily O3 exposures of flowering mustard plants to 100 ppb during different developmental stages

22 Similar to the 2013 ISA, the 2020 ISA states the following (ISA, pp. 8-23 to 8-24).

Although visible injury is a valuable indicator of the presence of phytotoxic concentrations of
ozone in ambient air, it is not always a reliable indicator of other negative effects on vegetation
[e.g., growth, reproduction; U.S. EPA (2013)]. The significance of ozone injury at the leaf and
whole-plant levels depends on how much of the total leaf area of the plant has been affected, as
well as the plant's age, size, developmental stage, and degree of functional redundancy among the
existing leaf area (U.S. EPA, 2013). Previous ozone AQCDs have noted the difficulty in relating
visible foliar injury symptoms to other vegetation effects, such as individual plant growth, stand
growth, or ecosystem characteristics (U.S. EPA, 2006, 1996). Thus, it is not presently possible to
determine, with consistency across species and environments, what degree of injury at the leaf
level has significance to the vigor of the whole plant.

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to have mixed effects on reproductive metrics. While flowers exposed early versus later in
development produced shorter fruits, the number of mature seeds per fruit was not significantly
affected by flower developmental stage of exposure (ISA, Appendix 8, section 8.4.1; Black et al.,
2012). Another study assessed seed viability for a flowering plant in laboratory and field
conditions, finding effects on seed viability of O3 exposures (90 and 120 ppb) under laboratory
conditions but less clear effects under more field-like conditions (ISA, Appendix 8, section 8.4.1;
Landesmann et al., 2013).

With regard to agricultural crops, the current evidence base, as in the 2015 review, is
sufficient to infer a causal relationship between O3 exposure and reduced yield and quality (ISA,
section IS.5.1.2). The evidence in the current ISA is augmented by new research in a number of
areas, including studies on soybean, wheat, and other non-soy legumes. The new information
assessed in the ISA remains consistent with the conclusions reached in the 2013 ISA (ISA,
section IS.5.1.2).

In addition to the wealth of evidence of O3 effects on plant growth, dating prior to the
2015 review (e.g., 2006 and 1996 AQCDs),23 the more recent evidence base for O3 effects on
trees includes a number of studies conducted at the Aspen free-air carbon-dioxide and ozone
enrichment (FACE) experiment site in Wisconsin (that operated from 1998 through 2011) and
also available in the 2015 review (ISA, IS.5.1 and Appendix 8, section 8.1.2.1; 2013 ISA, section
9.2.4). These studies, which occurred in a field setting (more similar to natural forest stands than
open-top-chamber studies), reported reduced tree growth when grown in single or three species
stands within 30-m diameter rings and exposed over one or more years to elevated O3
concentrations (hourly concentrations 1.5 times concentrations in ambient air at the site)
compared to unadjusted ambient air concentrations (2013 ISA, section 9.4.3; Kubiske et al.,
2006, Kubiske et al., 2007).24

With regard to tree mortality, the 2013 ISA did not include a determination of causality
(ISA, Appendix 8, section 8.4). While the then-available evidence included studies identifying
ozone as a contributor to tree mortality, which contributed to the 2013 conclusion regarding O3
and alteration of community composition (2013 ISA, section 9.4.7.4), a separate causality
determination regarding O3 and tree mortality was not assessed (ISA, Appendix 8, section 8.4;
2013 ISA, Table 9-19). The evidence assessed in the 2013 ISA (and 2006 AQCD) was largely

23	Among the older evidence base are a set of controlled exposure studies of tree seedlings conducted in the late
1980s through early 1990s at experimental sites in Oregon, Michigan and Tennessee which are discussed further
in section 4.3.3.1.2 below (e.g., 1996 AQCD; Hogsett et al 1997; Lee and Hogsett, 1996; Lee et al., 2022).

24	Seasonal (92-day) W126 index values for unadjusted O3 concentrations over six years of the Aspen FACE
experiments ranged from 2 to 3 ppm-hrs, while the elevated exposure concentrations (reflecting addition of O3 to
ambient air concentrations) ranged from somewhat above 20 to somewhat above 35 ppm-hrs (ISA, Appendix 8,
Figure 8-17).

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observational, including studies that reported declines in conifer forests for which elevated O3
was identified as contributor but in which a variety of environmental factors may have also
played a role (2013 ISA, section 9.4.7.1; 2006 AQCD, sections AX9.6.2.1, AX9.6.2.2,
AX9.6.2.6, AX9.6.4.1 and AX9.6.4.2). Since the 2015 review, three additional studies are now
available (ISA, Appendix 8, Table 8-9). Two of these are analyses of field observations, one of
which is set in the Spanish Pyrenees.25 A second study is a large-scale empirical statistical
analysis of factors potentially contributing to tree mortality in eastern and central U.S. forests
during the 1971-2005 period, which reported O3 (county-level 11-year [1996-2006] average 8
hour metric)26 to be ninth among the 13 potential factors assessed27 and to have a significant
positive correlation with tree mortality (ISA, section IS.5.2, Appendix 8, section 8.4.3; Dietze
and Moorcroft, 2011). A newly available experimental study also reported increased mortality in
two of five aspen genotypes grown in mixed stands under elevated O3 concentrations (ISA,
section IS.5.1.2; Moran and Kubiske, 2013). Coupled with the plant-level evidence of
phytotoxicity discussed above, as well as consideration of community composition effects, this
evidence was concluded to indicate the potential for elevated O3 concentrations to contribute to
tree mortality (ISA, section IS.5.1.2 and Appendix 8, sections 8.4.3 and 8.4.4). Based on the
available evidence, the ISA concludes there is likely to be a causal relationship between O3 and
increased tree mortality (ISA, Table IS-2, Appendix 8, section 8.4.4).

A variety of factors in natural environments can either mitigate or exacerbate predicted
03-plant interactions and are recognized sources of uncertainty and variability. Such factors at
the plant level include multiple genetically influenced determinants of O3 sensitivity, changing
sensitivity to O3 across vegetative growth stages, co-occurring stressors and/or modifying
environmental factors (ISA, Appendix 8, section 8.12).

Ozone-induced effects at the scale of the whole plant have the potential to translate to
effects at the ecosystem scale, such as reduced productivity and carbon storage, and altered
terrestrial community composition, as well as impacts on ecosystem functions, such as

25	The concentration gradient with altitude in the Spanish study, includes - at the highest site - annual average April-
to-September O3 concentrations for the 2004 to 2007 period that range up to 74 ppb (Diaz-de-Quijano et al.,
2016), indicating O3 concentrations likely to exceed the current U.S. secondary standard.

26	As indicated in Figures 2-11 and 2-12, annual fourth highest daily maximum 8-hour O3 concentrations in these
regions were above 80 ppb in the early 2000s and the median design values at national trend sites was nearly 85
ppb.

27	This statistical analysis, which utilized datasets from within the 1971-2005 period, included an examination of the
sensitivity of predicted mortality rate to 13 different covariates. On average across the predictions for 10 groups
of trees (based on functional type and major representative species), the order of mortality rate sensitivity to the
covariates, from highest to lowest, was: sulfate deposition, tree diameter, nitrate deposition, summer temperature,
tree age, elevation, winter temperature, precipitation, O3 concentration, tree basal area, topographic moisture
index, slope and topographic radiation index (Dietze and Moorcroft, 2011).

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belowground biogeochemical cycles and ecosystem water cycling. For example, under the
relevant exposure conditions, Cb-related reduced tree growth and reproduction, as well as
increased mortality, could lead to reduced ecosystem productivity. Recent studies from the
Aspen FACE experiment and modeling simulations indicate that Cb-related negative effects on
ecosystem productivity may be temporary or may be limited in some systems (ISA, Appendix 8,
section 8.8.1). Previously available studies had reported impacts on productivity in some forest
types and locations, such as ponderosa pine in southern California and other forest types in the
mid-Atlantic region (2013 ISA, section 9.4.3.4). Through reductions in sensitive species growth,
and related ecosystem productivity, O3 could lead to reduced ecosystem carbon storage (ISA,
IS.5.1.4; 2013 ISA, section 9.4.3). With regard to forest community composition, available
studies have reported changes in tree communities composed of species with relatively greater
and relatively lesser sensitivity to O3, such as birch and aspen, respectively (ISA, section
IS.5.1.8.1, Appendix 8, section 8.10; 2013 ISA, section 9.4.3; Kubiske et al., 2007). As the ISA
concludes, "[t]he extent to which ozone affects terrestrial productivity will depend on more than
just community composition, but other factors, which both directly influence [net primary
productivity] (i.e., availability of N and water) and modify the effect of ozone on plant growth"
(ISA, Appendix 8, section 8.8.1). Thus, the magnitude of O3 impact on ecosystem productivity,
as on forest composition, can vary among plant communities based on several factors, including
the type of stand or community in which the sensitive species occurs (e.g., single species versus
mixed canopy), the role or position of the species in the stand (e.g., dominant, sub-dominant,
canopy, understory), and the sensitivity of co-occurring species and environmental factors (e.g.,
drought and other factors).

The effects of O3 on plants and plant populations also have implications for other
ecosystem functions. Two such functions, effects with which O3 is concluded to be likely
causally or causally related, are ecosystem water cycling and belowground biogeochemical
cycles, respectively (ISA, Appendix 8, sections 8.11 and 8.9). With regard to the former, the
effects of O3 on plants (e.g., via stomatal control, as well as leaf and root growth and changes in
wood anatomy associated with water transport) can affect ecosystem water cycling through
impacts on root uptake of soil moisture and groundwater as well as transpiration through leaf
stomata to the atmosphere (ISA, Appendix 8, section 8.11.1). These "impacts may in turn affect
the amount of water moving through the soil, running over land or through groundwater and
flowing through streams" (ISA, Appendix 8, section 8.11, p. 8-161). Evidence newly available
for the 2020 ISA is supportive of previously available evidence in this regard (ISA, Appendix 8,
section 8.11.6). This evidence, including that newly available, indicates the extent to which the
effects of O3 on plant leaves and roots (e.g., through effects on chemical composition and
biomass) can impact belowground biogeochemical cycles involving root growth, soil food web

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structure, soil decomposer activities, soil microbial respiration, soil carbon turnover, soil water
cycling and soil nutrient cycling (ISA, Appendix 8, section 8.9).

Additional vegetation- and insect-related effects with implications beyond individual
plants include the effects of O3 on insect herbivore growth and reproduction and plant-insect
signaling (ISA, Table IS-12, Appendix 8, sections 8.6 and 8.7). With regard to insect herbivore
growth and reproduction, the evidence includes multiple effects in an array of insect species,
although without a consistent pattern of response for most endpoints (ISA, Appendix 8, Table 8-
11). As was also the case with the studies available at the time of the 2015 review,28 in the newly
available studies the individual-level responses are highly context- and species-specific and not
all species tested showed a response (ISA, p. IS-64, Table IS-12, section IS.5.1.3 and Appendix
8, section 8.6). Evidence on plant-insect signaling comes from laboratory, greenhouse, open top
chambers (OTC) and FACE experiments (ISA, section IS.5.1.3 and Appendix 8, section 8.7).
The available evidence indicates a role for elevated O3 in altering and degrading emissions of
chemical signals from plants and reducing detection of volatile plant signaling compounds
(VPSCs) by insects, including pollinators. Elevated O3 concentrations degrade some VPSCs
released by plants, potentially affecting ecological processes including pollination and plant
defenses against herbivory. Further, the available studies report elevated O3 conditions to be
associated with plant VPSC emissions that may make a plant either more attractive or more
repellant to herbivorous insects, and to predators and parasitoids that target phytophagous (plant-
eating) insects (ISA, section IS.5.1.3 and Appendix 8, section 8.7).

Ozone welfare effects also extend beyond effects on vegetation and associated biota due
to it being a major greenhouse gas and radiative forcing agent.29 As in the 2015 review, the
available evidence, augmented since the 2013 ISA, continues to support a causal relationship
between the global abundance of O3 in the troposphere and radiative forcing, and a likely causal
relationship between the global abundance of O3 in the troposphere and effects on temperature,
precipitation, and related climate variables30 (ISA, section IS.5.2 and Appendix 9; Myhre et al.,
2013). As was also true at the time of the 2015 review, tropospheric O3 has been ranked third in
importance for global radiative forcing, after carbon dioxide and methane, with the radiative

28	During the 2015 review, the 2013 ISA stated with regard to O3 effects on insects and other wildlife that "there is
no consensus on how these organisms respond to elevated O3 (2013 ISA, section 9.4.9.4, p. 9-98).

29	Radiative forcing is a metric used to quantify the change in balance between radiation coming into and going out
of the atmosphere caused by the presence of a particular substance. The ISA describes it more specifically as "a
perturbation in net radiative flux at the tropopause (or top of the atmosphere) caused by a change in radiatively
active forcing agent(s) after stratospheric temperatures have readjusted to radiative equilibrium (stratospherically
adjusted RF)" (ISA, Appendix 9, section 9.1.3.3).

30	Effects on temperature, precipitation, and related climate variables were referred to as "climate change" or
"effects on climate" in the 2013 ISA (ISA, p. IS-82; 2013 ISA, pp. 1-14, 10-31).

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forcing of O3 since pre-industrial times estimated to be about 25 to 40% of the total warming
effects of anthropogenic carbon dioxide and about 75% of the effects of anthropogenic methane
(ISA, Appendix 9, section 9.1.3.3). Uncertainty in the magnitude of radiative forcing estimated
to be attributed to tropospheric O3 is a contributor to the relatively greater uncertainty associated
with climate effects of tropospheric O3 compared to such effects of the well mixed greenhouse
gases, such as carbon dioxide and methane (ISA, section IS.6.2.2).

Lastly, the evidence regarding tropospheric O3 and UV-B shielding was evaluated in the
2013 ISA and determined to be inadequate to draw a causal conclusion (2013 ISA, section
10.5.2). The current ISA concludes there to be no new evidence since the 2013 ISA relevant to
the question of UV-B shielding by tropospheric O3 (ISA, IS. 1.2.1 and Appendix 9, section
9.1.3.4).

4.3.2 Public Welfare Implications

The public welfare implications of the evidence regarding O3 welfare effects are
dependent on the type and severity of the effects, as well as the extent of the effect at a particular
biological or ecological level of organization. We discuss such factors here in light of judgments
and conclusions made in NAAQS reviews regarding effects on the public welfare.

As provided in section 109(b)(2) of the CAA, the secondary standard is to "specify a
level of air quality the attainment and maintenance of which in the judgment of the
Administrator ... is requisite to protect the public welfare from any known or anticipated adverse
effects associated with the presence of such air pollutant in the ambient air." The secondary
standard is not meant to protect against all known or anticipated 03-related welfare effects, but
rather those that are judged to be adverse to the public welfare, and a bright-line determination of
adversity is not required in judging what is requisite (78 FR 3212, January 15, 2013; 80 FR
65376, October 26, 2015; see also 73 FR 16496, March 27, 2008). Thus, the level of protection
from known or anticipated adverse effects to public welfare that is requisite for the secondary
standard is a public welfare policy judgment made by the Administrator. The Administrator's
judgment regarding the available information and adequacy of protection provided by an existing
standard is generally informed by considerations in prior reviews and associated conclusions.

• Is there newly available information relevant to consideration of the public welfare
implications of 03-related welfare effects?

The categories of effects identified in the CAA to be included among welfare effects are
quite diverse,31 and among these categories, any single category includes many different types of

31 Section 302(h) of the CAA states that language referring to "effects on welfare" in the CAA "includes, but is not
limited to, effects on soils, water, crops, vegetation, manmade materials, animals, wildlife, weather, visibility, and

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effects that are of broadly varying specificity and level of resolution. For example, effects on
vegetation is a category identified in CAA section 302(h), and the ISA recognizes numerous
vegetation-related effects of O3 at the organism, population, community, and ecosystem level, as
summarized in section 4.3.1 above (ISA, Appendix 8). The significance of each type of
vegetation-related effect with regard to potential effects on the public welfare depends on the
type and severity of effects, as well as the extent of such effects on the affected environmental
entity, and on the societal use of the affected entity and the entity's significance to the public
welfare. Such factors have been considered in the context of judgments and conclusions made in
some prior reviews regarding public welfare effects. For example, judgments regarding public
welfare significance in two prior O3 NAAQS decisions gave particular attention to O3 effects in
areas with special federal protections (such as Class I areas), and lands set aside by states, tribes
and public interest groups to provide similar benefits to the public welfare (73 FR 16496, March
27, 2008; 80 FR 65292, October 26, 2015).32 In the 2015 review, the EPA recognized the "clear
public interest in and value of maintaining these areas in a condition that does not impair their
intended use and the fact that many of these lands contain 03-sensitive species" (73 FR 16496,
March 27, 2008).

Judgments regarding effects on the public welfare can depend on the intended use for, or
service (and value) of, the affected vegetation, ecological receptors, ecosystems and resources
and the significance of that use to the public welfare (73 FR 16496, March 27, 2008; 80 FR
65377, October 26, 2015). Uses or services provided by areas that have been afforded special
protection can flow in part or entirely from the vegetation that grows there. Uses or services
provided by areas that have been afforded special protection can flow in part or entirely from the
vegetation that grows there. Ecosystem services range from those directly related to the natural
functioning of the ecosystem to ecosystem uses for human recreation or profit, such as through
the production of lumber or fuel (Costanza et al., 2017; ISA, section IS.5.1). Services of aesthetic
value and outdoor recreation depend, at least in part, on the perceived scenic beauty of the

climate, damage to and deterioration of property, and hazards to transportation, as well as effects on economic
values and on personal comfort and well-being" (CAA section 302(h)).

32 For example, the fundamental purpose of parks in the National Park System "is to conserve the scenery, natural
and historic objects, and wild life in the System units and to provide for the enjoyment of the scenery, natural and
historic objects, and wild life in such manner and by such means as will leave them unimpaired for the enjoyment
of future generations" (54 U.S.C. 100101). Additionally, the Wilderness Act of 1964 defines designated
"wilderness areas" in part as areas "protected and managed so as to preserve [their] natural conditions" and
requires that these areas "shall be administered for the use and enjoyment of the American people in such manner
as will leave them unimpaired for future use and enjoyment as wilderness, and so as to provide for the protection
of these areas, [and] the preservation of their wilderness character ..." (16 U.S.C. 1131 (a) and (c)). Other lands
that benefit the public welfare include national forests which are managed for multiple uses including sustained
yield management in accordance with land management plans (see 16 U.S.C. 1600(l)-(3); 16 U.S.C. 1601(d)(1)).

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environment. Additionally, public surveys have indicated that Americans rank as very important
the existence of resources, the option or availability of the resource and the ability to bequest or
pass it on to future generations (Cordell et al., 2008). The spatial, temporal, and social
dimensions of public welfare impacts are also influenced by the type of service affected. For
example, a national park can provide direct recreational services to the thousands of visitors that
come each year, but also provide an indirect value to the millions who may not visit but receive
satisfaction from knowing it exists and is preserved for the future (80 FR 65377, October 26,
2015).

The different types of effects on vegetation discussed in section 4.3.1 above differ with
regard to aspects important to judging their public welfare significance. For example, in the case
of crop yield loss, such judgments may consider aspects such as the heavy management of
agriculture in the U.S., while judgments for other categories of effects may generally relate to
considerations regarding natural areas, including specifically those areas that are not managed
for harvest. For example, effects on tree growth and reproduction, and also visible foliar injury,
have the potential to be significant to the public welfare through impacts in Class I and other
areas given special protection in their natural/existing state, although they differ in how they
might be significant.

In this context, it may be important to consider that O3 effects on tree growth and
reproduction could, depending on severity, extent, and other factors, lead to effects on a larger
scale including reduced productivity, altered forest and forest community (plant, insect and
microbe) composition, reduced carbon storage and altered ecosystem water cycling (ISA, section
IS.5.1.8.1; 2013 ISA, Figure 9-1, sections 9.4.1.1 and 9.4.1.2). For example, the composition of
plants and other members of terrestrial communities can be affected through O3 effects on
growth and reproductive success of sensitive plant species in the community, with the extent of
compositional changes dependent on factors such as competitive interactions (ISA, section
IS.5.1.8.1; 2013 ISA, sections 9.4.3 and 9.4.3.1). Impacts on some of these characteristics (e.g.,
forest or forest community composition) may be considered of greater public welfare
significance when occurring in Class I or other protected areas, due to value for particular
services that the public places on such areas.

Agriculture and silviculture provide ecosystem services with clear public welfare
benefits. With regard to agriculture-related effects, however, there are complexities in this
consideration related to areas and plant species that are heavily managed to obtain a particular
output (such as commodity crops or commercial timber production). In light of this, the degree to
which O3 impacts on vegetation that could occur in such areas and on such species would impair
the intended use at a level that might be judged adverse to the public welfare has been less clear
(80 FR 65379, October 26, 2015; 73 FR 16497, March 27, 2008). While having sufficient crop

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yields is of high public welfare value, important commodity crops are typically heavily managed
to produce optimum yields. Moreover, based on the economic theory of supply and demand,
increases in crop yields would be expected to result in lower prices for affected crops and their
associated goods, which would primarily benefit consumers. Analyses in past reviews have
described how these competing impacts on producers and consumers complicate consideration of
these effects in terms of potential adversity to the public welfare (2014 WREA, sections 5.3.2
and 5.7).

Other ecosystem services valued by people that can be affected by reduced tree growth,
productivity and associated forest effects include aesthetic value, food, fiber, timber, other forest
products, habitat, recreational opportunities, climate and water regulation, erosion control, air
pollution removal, and desired fire regimes, as summarized in Figure 4-2 (ISA, section IS.5.1;
2013 ISA, sections 9.4.1.1 and 9.4.1.2). In considering such services in past reviews, the Agency
the Agency has given particular attention to effects in natural ecosystems, indicating that a
protective standard, based on consideration of effects in natural ecosystems in areas afforded
special protection, would also "provide a level of protection for other vegetation that is used by
the public and potentially affected by O3 including timber, produce grown for consumption and
horticultural plants used for landscaping" (80 FR 65403, October 26, 2015). For example,
locations potentially vulnerable to 03-related impacts might include forested lands, both public
and private, where trees are grown for timber production. Forests in urbanized areas also provide
a number of services that are important to the public in those areas, such as air pollution removal,
cooling, and beautification. There are also many other tree species, such as various ornamental
and agricultural species (e.g., Christmas trees, fruit and nut trees), that provide ecosystem
services that may be judged important to the public welfare.

With its effect on the physical appearance of plants, visible foliar injury has the potential
to be significant to the public welfare, depending on its severity and spatial extent, by impacting
aesthetic or scenic values and outdoor recreation in Class I and other similarly protected areas
valued by the public.33 To assess evidence of injury to plants in forested areas on national and
regional scales, the U.S. Forest Service (USFS) conducted surveys of the occurrence and severity
of visible foliar injury on sensitive (bioindicator) species at biomonitoring sites across most of

33 For example, although analyses specific to visible foliar injury are of limited availability, there have been analyses
developing estimates of recreation value damages of severe impacts related to other types of forest effects, such
as tree mortality due to bark beetle outbreaks (e.g., Rosenberger et al., 2013). Such analyses estimate reductions
in recreational use when the damage is severe (e.g., reductions in the density of live, robust trees). Such damage
would reasonably be expected to also reflect damage indicative of injury with which a relationship with other
plant effects (e.g., growth and reproduction) would be also expected. Similarly, a couple of studies from the
1970s and 1980s indicated potential for differences in recreational use for areas with stands of pine in which
moderate to severe injury was apparent from 30 or 40 feet (1996 AQCD, section 5.8.3).

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the U.S., beginning in 1994 (in the eastern U.S.) and extending through 2011 (Smith, 2012;
Coulston et al., 2003). At these sites (biosites), a national protocol, including verification and
quality assurance procedures and a scoring system, was implemented. The resultant biosite index
(BI) scores may be described with regard to one of several categories ranging from little or no
foliar injury to severe injury. For example, BI scores of zero to five are described as "little or no
foliar injury," scores above five to 15 as "low" or "light to moderate" foliar injury, scores from
15 to 25 as "moderate foliar injury" and scores above 25 as "severe injury" (Campbell et al.,
2007; Smith et al., 2007; Smith, 2012).34 However, available information does not yet address or
describe the relationships expected to exist between some level of injury severity (e.g., little,
low/light, moderate or severe) and/or spatial extent affected and scenic or aesthetic values. This
gap impedes consideration of the public welfare implications of different injury severities, and
accordingly judgments on the potential for public welfare significance. That notwithstanding,
while minor spotting on a few leaves of a plant may easily be concluded to be of little public
welfare significance, some level of severity and widespread occurrence of visible foliar injury,
particularly if occurring in specially protected areas, where the public can be expected to place
value (e.g., for recreational uses), might reasonably be concluded to impact the public welfare.

The tropospheric Cb-related effects of radiative forcing and subsequent effects on
temperature, precipitation and related climate variables also have important public welfare
implications, although their quantitative evaluation in response to O3 concentrations in the U.S.
is complicated by "[cjurrent limitations in climate modeling tools, variation across models, and
the need for more comprehensive observational data on these effects" (ISA, section IS.6.2.2). An
ecosystem service provided by forested lands is carbon sequestration or storage (ISA, section
IS.5.1.4 and Appendix 8, section 8.8.3; 2013 ISA, section 2.6.2.1 and p. 9-37),35 which has an
extremely valuable role in counteracting the impact of greenhouse gases on radiative forcing and
related climate effects on the public welfare. Accordingly, the service of carbon storage can be of
paramount importance to the public welfare no matter in what location the trees are growing or
what their intended current or future use (e.g., 2013 ISA, section 9.4.1.2). The benefit exists as
long as the trees are growing, regardless of what additional functions and services it provides.

Categories of effects newly identified as likely causally related to O3 in ambient air, such
as alteration of plant-insect signaling and insect herbivore growth and reproduction, also have

34	Authors of studies presenting USFS biomonitoring program data have suggested what might be considered
"assumptions of risk" (e.g., for the forest resource) related to scores in these categories, e.g., none, low, moderate
and high for BI scores of zero to five, five to 15, 15 to 25 and above 25, respectively (e.g., Smith et al., 2003;
Smith et al., 2012). For example, maps of localized moderate to high risk areas may be used to identify areas
where more detailed evaluations are warranted (Smith et al., 2012).

35	While carbon sequestration or storage also occurs for vegetated ecosystems other than forests, it is relatively
larger in forests given the relatively greater biomass for trees compared to some other plants.

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potential public welfare implications, e.g., given the role of the plant-insect signaling process in
pollination and seed dispersal (ISA, section IS.5.1.3). Uncertainties and limitations in the
evidence (e.g., as summarized in sections 4.3.3.3 and 4.3.4 below) preclude an assessment of the
extent and magnitude of O3 effects on these endpoints, which thus also precludes an evaluation
of the potential for associated public welfare implications.

In summary, several considerations are recognized as important to judgments on the
public welfare significance of the array of welfare effects of different O3 exposure conditions.
These include uncertainties and limitations associated with the consideration of the magnitude of
key vegetation effects that might be concluded to be adverse to ecosystems and associated
services. Additionally, the presence of Cb-sensitive tree species may contribute to a vulnerability
of numerous locations to public welfare impacts from O3 related to tree growth, productivity and
carbon storage and their associated ecosystems and services. Other important considerations
include the exposure circumstances that may elicit effects and the potential for the significance
of the effects to vary in specific situations due to differences in sensitivity of the exposed
species, the severity and associated significance of the observed or predicted 03-induced effect,
the role that the species plays in the ecosystem, the intended use of the affected species and its
associated ecosystem and services, the presence of other co-occurring predisposing or mitigating
factors, and associated uncertainties and limitations.

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4.3.3 Exposures Associated with Effects

The types of effects identified in section 4.3.1 above vary widely with regard to the
extent and level of detail of the available information that describes the O3 exposure
circumstances that may elicit them. The information on exposure metric and E-R relationships
for effects related to vegetation growth is long-standing, having been first described in the 1997
review, while such information is much less established for visible foliar injury. The evidence
base for other categories of effects is also lacking in information that might support
characterization of potential impacts of changes in O3 concentrations. The discussion in this
section is organized in recognition of this variation. We focus first on growth and yield effects,
the category of effects for which the information on exposure metric and E-R relationships is
most advanced (section 4.3.3.1). Section 4.3.3.2 discusses the information regarding exposure
metrics and relationships between exposure and the occurrence and severity of visible foliar
injury. The availability of such information for other categories of effects is addressed in section
4.3.3.3.

4.3.3.1 Growth-related Effects

4.3.3.1.1 Exposure Metrics

The longstanding body of vegetation effects evidence includes a wealth of information on
aspects of O3 exposure that influence effects on plant growth and yield, and that has been
described in the scientific assessments across the last several decades (1996 AQCD; 2006
AQCD; 2013 ISA; 2020 ISA). A variety of factors have been investigated, including
"concentration, time of day, respite time, frequency of peak occurrence, plant phenology,
predisposition, etc." (2013 ISA, section 9.5.2). The importance of the duration of the exposure
and the relatively greater importance of higher concentrations over lower concentrations have
been consistently well documented (2013 ISA, section 9.5.3). For example, key conclusions of
the 1996 AQCD, that have been confirmed in the 2006 AQCD, 2013 ISA and 2020 ISA include
that "Ozone effects in plants are cumulative" and "Higher O3 concentrations appear to be more
important than lower concentrations in eliciting a response" (2006 AQCD, p. E-27; 2013 ISA, p.
2-44; 2020 ISA, p. 8-180) These AQCDs and IS As described several mathematical approaches
for a single metric or index that would, to some extent, reflect both conclusions.

The consideration of these different exposure metrics has primarily focused on their
ability to summarize ambient air concentrations of O3 in a way that best correlates with effects
on vegetation, particularly growth-related effects. Metrics based on mean concentrations over
several hours (e.g., a seasonal average 12-hour concentration), have generally been considered to
be less robust as a metric relating exposure to growth effects (2020 ISA, p. 8-181). The
approaches that cumulate exposures over some specified period while weighting higher

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concentrations more than lower had been evaluated for their predictiveness of growth responses
in a set of crop and tree species assessed in experimental O3 exposure studies for which hourly
O3 concentrations were available for analysis (2013 ISA, sections 9.5.2 and 9.5.3; ISA,

Appendix 8, section 8.2.2.2).

Along with the non-threshold concentration weighted W126 index, two other cumulative
indices that have received greatest attention across the past several O3 NAAQS reviews have
been the threshold weighted indices, AOT6O36 and SUM06 (ISA, section IS.3.2).37 Accordingly,
some studies of O3 vegetation effects have reported exposures in terms of these metrics. Based
on extensive review of the published literature on different types of such E-R metrics, and
comparisons between metrics, and in the context of a single metric, the EPA has generally
focused on cumulative, concentration-weighted indices of exposure that reflect some
consideration of both concern for cumulative effects of O3 exposure and for the greater
importance of higher concentrations than lower concentrations in vegetation effects (1996
AQCD; 2006 AQCD; 2013 ISA).38 For the datasets analyzed, quantifying exposure using such
indices has been found to improve the explanatory power of E-R models with regard to
magnitude of growth or yield response associated with O3 exposures that have been studied over
that of indices based only on mean and maximum concentrations (2013 ISA, section 2.6.6.1, p.
2-44).39

The datasets most frequently discussed in O3 NAAQS reviews in this regard are two
datasets initially compiled two decades ago (referenced above and described further in section
4.3.3.1.2 below), one for growth effects on seedlings of a set of 11 tree species and the second
for quality and yield effects for a set of 10 crops (e.g., Lee and Hogsett, 1996, Hogsett et al.,
1997; 1996 AQCD, section 5.6; 2006 AQCD; 2013 ISA; 2020 ISA). These datasets, which

36	The AOT60 index is the seasonal sum of the difference between an hourly concentration above 60 ppb, minus 60
ppb (2006 AQCD, p. AX9-161). More recently, some studies have also reported O3 exposures in terms of
AOT40, which is conceptually similar but with 40 substituted for 60 in its derivation (ISA, Appendix 8, section
8.13.1).

37	The SUM06 index is the seasonal sum of hourly concentrations at or above 0.06 ppm during a specified daily time
window (2006 AQCD, p. AX9-161; 2013 ISA, section 9.5.2). This may sometimes be referred to as SUM60, e.g.,
when concentrations are in terms of ppb. There are also variations on this metric that utilize alternative reference
points above which hourly concentrations are summed. For example, SUM08 is the seasonal sum of hourly
concentrations at or above 0.08 ppm and SUM00 is the seasonal sum of all hourly concentrations.

38	The Agency has focused its analyses in the last several reviews on metrics that characterize cumulative exposures
over a season or seasons: SUM06 in the 1997 review (61 FR 65716, December 13, 1996; 62 FR 38856, July 18,
1997) and W126 in both the 2008 and 2015 reviews (72 FR 37818, July 11, 2007; 73 FR 16436, March 27, 2008;
80 FR 65373-65374, October 26, 2015). This approach to characterizing O3 exposure concentrations with regard
to potential vegetation effects, particularly growth, has been supported by CASAC in the past reviews
(Henderson, 2006; Samet, 2010; Frey, 2014; Cox, 2020).

39	As described in section 4.3.3.2 below, the W126 index and other similar cumulative exposure indices do not
completely describe the relationship of O3 to visible foliar injury in national surveys.

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include growth and yield response information across a range of multiple seasonal cumulative
exposures, were used to develop quantitative E-R functions for reduced growth (termed relative
biomass loss or RBL) in seedlings of the tree species and E-R functions for RYL for a set of
common crops (Lee and Hogsett, 1996; 2020 ISA, Appendix 8, section 8.13.2; 2013 ISA, section
9.6.2). A recent publication has added to the work of Lee and Hogsett (1996) through additional
analyses of the previously analyzed datasets and analyses of datasets for other experiments
conducted in the same period of the late 1980s through early 1990s (Lee et al., 2022).

The EPA's conclusions regarding cumulative exposure levels of O3 associated with
vegetation-related effects at the time of the 2015 review were based primarily on the Lee and
Hogsett (1996) E-R functions for the W126 index, which is a cumulative, seasonal40
concentration-weighted index (80 FR 65404, October 26, 2015; ISA, section IS.3.2, Appendix 8,
section 8.13). This metric is a non-threshold approach described as the sigmoidally weighted
sum of all hourly O3 concentrations observed during a specified daily and seasonal time window,
where each hourly O3 concentration is given a weight that increases from zero to one with
increasing concentration (2013 ISA, p. 9-101). The recent analyses by Lee et al. (2022) utilize
this metric, while also providing insights regarding an additional role for elevated hourly
concentrations.

Alternative methods for characterizing O3 exposure to predict various plant responses
have, in recent years, included flux models (models that are based on the amount of O3 that
enters the leaf). However, as was the case in the 2015 review, there remain a variety of
complications, limitations and uncertainties associated with this approach. For example, "[w]hile
some efforts have been made in the U.S. to calculate ozone flux into leaves and canopies, little
information has been published relating these fluxes to effects on vegetation" (ISA, section
IS.3.2). Further, as flux of O3 into the plant under different conditions of O3 in ambient air is
affected by several factors including temperature, vapor pressure deficit, light, soil moisture, and
plant growth stage, use of this approach to quantify the vegetation impact of O3 would require
information on these various types of factors (ISA, section IS.3.2). In addition to these data
requirements, each species has different amounts of internal detoxification potential that may
protect species to differing degrees. The lack of detailed species- and site-specific data required
for flux modeling in the U.S. and the lack of understanding of detoxification processes continues
to make this technique less viable for use in risk assessments in the U.S. (ISA, section IS.3.2).

Among the studies newly available since the 2015 review, no new indices for jointly
representing multiple aspects of exposure conditions that can affect vegetation growth or other

40 In describing the form as "seasonal," the EPA is referring generally to an index focused on a time period of a
duration that may relate to that of a growing season for 03-sensitive vegetation, not to the seasons of the year
(spring, summer, fall, winter).

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physiological process parameters have been identified. In the literature available since the 2013
ISA, SUM06, AOTx (e.g., AOT60) and W126 remain the indices that are most commonly
discussed (ISA, Appendix 8, section 8.13.1). The 2020 ISA notes that "[cumulative indices of
exposure that differentially weight hourly concentrations [which would include the W126 index]
have been found to be best suited to characterize vegetation exposure to ozone with regard to
reductions in vegetation growth and yield" (ISA, section ES.3). Accordingly, in this
reconsideration of the 2020 decision, as in the 2015 and 2020 reviews, we use the seasonal
W126-based cumulative, concentration-weighted metric in interpreting quantitative exposure
analyses, particularly related to growth effects of cumulative O3 exposures (as summarized in
sections 4.3.3.2 and 4.4 below).

The first step in calculating the seasonal W126 index for a specific year is to sum the
weighted hourly O3 concentrations in ambient air during daylight hours (defined as 8:00 a.m. to
8:00 p.m. local standard time) within each calendar month, resulting in monthly index values.
The monthly W126 index values are calculated from hourly O3 concentrations as follows.41

Monthly W126 = Zd-iZft-s	—	

J	t-iri—o i+4403*exp (-126*Cdh)

where,

N is the number of days in the month

d is the day of the month (d = 1, 2, ..., N)

h is the hour of the day (h = 0, 1, ..., 23)

Cdh is the hourly O3 concentration observed on day hour h, in parts per million

The W126 index value for a specific year is the maximum sum of the monthly index values for
three consecutive months within a calendar year (i.e., January to March, February to April, ...
October to December). Three-year average W126 index values are calculated by taking the
average of seasonal W126 index values for three consecutive years (e.g., as described in
Appendix 4D, section 4D.2.2).

4.3.3.1.2 Relationships Between Cumulative Concentration-weighted Exposure
Levels and Effects

Across the array of 03-related welfare effects, consistent and systematically evaluated
information on E-R relationships across multiple exposure levels is limited. Most prominent is
the information on E-R relationships for growth effects on tree seedlings and crops derived by
Lee and Hogsett (1996),42 which has been available for the past several reviews. The information
on which these functions are based comes primarily from the U.S. EPA's National Crop Loss

41	In situations where data are missing, an adjustment is factored into the monthly index (as described in Appendix
4D, section 4D.2.2).

42	The E-R functions estimate 03-related reduction in a year's tree seedling growth or crop yield as a percentage of
that expected in the absence of O3 (Appendix 4A; ISA, Appendix 8, section 8.13.2).

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Assessment Network (NCLAN)43 project for crops and the NHEERL-WED project for tree
seedlings, projects implemented primarily to define E-R relationships for major agricultural
crops and tree species, thus advancing understanding of responses to O3 exposures (ISA,
Appendix 8, section 8.13.2). These projects and related studies included a series of experiments
that used OTCs to investigate tree seedling growth response and crop yield over a growing
season under a variety of O3 exposures and growing conditions (2013 ISA, section 9.6.2; Lee and
Hogsett, 1996; Lee et al., 2022). These experiments assessed O3 effects on tree seedling growth
and crop yield for a variety of O3 treatments and growing conditions. The higher exposure levels
in these datasets generally included numerous hours at or above 100 ppb (Lefohn et al., 1997;
Appendix 4A, Tables 4A-7 and 4A-8). Importantly, the information on exposure includes hourly
concentrations across the season (or longer) exposure period which allowed for derivation of
various seasonal metrics that were analyzed for association with reduced yield or growth. In the
initial analyses of these data, exposure was characterized in terms of several metrics, including
seasonal SUM06 and W126 indices (Lee and Hogsett, 1996; 1997 Staff Paper, sections IV.D.2
and IV.D.3; 2007 Staff Paper, section 7.6), while use of these functions in the 2015 review
focused on their implementation in terms of seasonal W126 index (2013 ISA, section 9.6; 80 FR
65391-92, October 26, 2015). 44

With regard to crops, E-R functions derived by Lee and Hogsett (1996) are available for
10 crops: barley, field corn, cotton, kidney bean, lettuce, peanut, potato, grain sorghum, soybean,
and winter wheat (Figure 4-3; Appendix 4A; ISA, Appendix 8, section 8.13.2). Since the 2015
review, new evidence is available for seven soybean cultivars that confirms the reliability of the
soybean E-R functions developed from NCLAN data and indicates that they extend in
applicability to recent cultivars (ISA, Appendix 8, section 8.13.2).

43	The NCLAN program, which was undertaken in the early to mid-1980s, assessed multiple U.S. crops, locations,
and O3 exposure levels, using consistent methods, to provide the largest, most uniform database on the effects of
O3 on agricultural crop yields (1996 AQCD, 2006 AQCD, 2013 ISA, sections 9.2, 9.4, and 9.6; ISA, Appendix 8,
section 8.13.2).

44	This underlying database for the exposure is a key characteristic that sets these studies (and their associated E-R
analyses) apart from other available studies.

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o

CO

o

•	Barley

•	Field Corn

•	Cotton
Kidney Bean
Lettuce

_l

>-
IY.

o
o

CD
O

O

C\J
O

0

10	20	30	40

W126 (ppm-hrs)

50

Figure 4-3. Established RYL functions for 10 crops derived by Lee and Hogsett (1996).

The 11 tree species for which E-R functions for tree seedling RBL in response to O3
exposure were derived by Lee and Hogsett (1996) are black cherry, Douglas fir, loblolly pine,
ponderosa pine, quaking aspen, red alder, red maple, sugar maple, tulip poplar, Virginia pine,
and white pine (Figure 4-4; Appendix 4A; 2020 ISA, Appendix 8, section 8.13.2; 2013 ISA,
section 9.6).45 While these 11 species represent only a small fraction of the total number of
native tree species in the contiguous U.S., this small subset includes eastern and western species,
deciduous and coniferous species, and species that grow in a variety of ecosystems and represent
a range of tolerance to O3 (Appendix 4B; 2020 ISA, Appendix 8, section 8.13.2; 2013 ISA,
section 9.6.2). The established E-R functions for most of the 11 species were derived using data
from multiple studies or experiments, many of which employed open top chambers, an
established experimental approach, involving a wide range of exposure and/or growing

45 A quantitative analysis of E-R information for an additional species was considered in the 2014 WREA. But the
underlying study, rather than being an OTC controlled exposure study, involves exposure to ambient air along an
existing gradient of O3 concentrations in the New York City metropolitan area, such that O3 and climate
conditions were not controlled (2013 ISA, section 9.6.3.3). Based on comments from the CASAC on the WREA
cautioning against placing too much emphasis on these data (e.g., saying that the eastern cottonwood response
data from a single study "receive too much emphasis," explaining that these "results are from a gradient study
that did not control for ozone and climatic conditions and show extreme sensitivity to ozone compared to other
studies" and that" [although they are important results, they are not as strong as those from other experiments
that developed E-R functions based on controlled ozone exposure") (Frey, 2014, p. 10), the EPA did not include
the E-R function for eastern cottonwood among the set of tree seedling E-R functions given focus in the WREA,
or relied on in decision-making for the 2015 review (80 FR 65292, October 26, 2015.)

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conditions. For example, many of the experimental treatments for exposures to elevated O3 on
which the established E-R functions for the 11 tree seedling species are based involved W126
index levels extending greater than 80 ppm-hrs (for 12-hour 92-day W126 index) and had many
(tens to hundreds) of hours of O3 concentrations above 100 ppb (Appendix 4 A, Tables 4A-7 and
4A-8). 46 47

From the available data, separate E-R functions were developed for each combination of
species and experiment48 (2013 ISA, section 9.6.1; Lee and Hogsett, 1996). For the 11 species,
there are 51 separate "experiment-specific" E-R functions (Appendix 4A, section 4A.1.1; ISA,
section 8.1.2.1.2). For six of the 11 species, the species-specific function is based on just one or
two experimental datasets (e.g., black cherry, sugar maple and red maple), while for other
species there were as many as 11 datasets supporting 11 experiment-specific E-R functions (e.g.,
ponderosa pine)49 To account for potential for a delayed response, some datasets are for growth
measurements taken on harvests in the spring of the year after a prior year growing season
exposure and others are for growth measurements taken immediately after the exposure. For each
species, a curve was fit to the median of RBL estimates derived from the individual experiment-
specific E-R functions for a set of W126 index values. The resultant curves for the 11 species are
the species-specific composite E-R functions (Appendix 4A).

The experiment-specific E-R functions described the growth response to the O3 exposure
in terms of 12-hr W126 index for the duration of the experiment. The exposure durations varied
from periods of 82 to 140 days in a single year to periods of 180 to 555 days occurring across
two years (Lee and Hogsett, 1996; Appendix 4A, Table 4A-7). The experimental datasets for
more than half the 11 species include exposures occurring across two years.50 Using the

46	Among the experiments on which the E-R functions are based, N100 values for exposure levels most common at
U.S. sites that meet the current standard (e.g., W126 index less than 25 ppm-hrs for a single season) range above
10, to more than 40. Across all treatment levels in these experiments, N100 ranged up above 500 (Appendix 4A,
Table 4A-7).

47	Similarly, the experimental exposures in studies supporting some of the established E-R functions for 10 crop
species also include many hours with hourly O3 concentrations at or above 100 ppb (Lefohn and Foley, 1992).

48	Use of the term, experiment, refers to each separate dataset of 03 treatment in terms of W126 index for the
treatment period and subsequently assessed seedling responses. Where growth response was assessed at two
different harvest times (e.g., a 2nd harvest in the spring that received the same growing season exposure as the
response documented for seedlings in the 1st harvest immediately following the growing season), each of those
sets of responses, paired with the set of prior O3 treatments, is considered an experimental dataset. As an initial
step in deriving species-specific E-R functions each of those experimental response datasets were used to derive
separate E-R functions (Appendix 4A, Attachment 1).

49	For quaking aspen, across all experiments for both wild type and clone seedlings, there were 14 datasets yielding
14 experiment-specific E-R functions for RBL (Appendix 4A, Table 4A-1).

50	For a species with a 2-year experiment (83 and 97 treatment days in two consecutive years), the Lee and Hogsett
(1996) species-specific composite 92 day-W126 function is derived from two experiment-specific functions: (1)

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experiment-specific functions, RBL is estimated for six 92-day W126 index values from 10 to
60 ppm-hrs.51 The median for each W126 index value was used to derive the composite median
function for each species. The 11 species-specific composite median functions (and the
experiment-specific functions) derived by Lee and Hogsett (1996) are presented in Appendix 4A
(see section 4A.1.1) and shown graphically in Figure 4-4.

The species-specific composite E-R functions developed from the experiment-specific
functions indicate a wide variation in growth sensitivity of the studied tree species at the seedling
stage (Figure 4-4). Some of this variability across species may relate to variability in the number
of experiment-specific functions supporting each species' composite median as the species for
which the functions indicate the greatest sensitivity are based on only 1 or 2 experiment-specific
functions (Appendix 4A, section 4A.1.1). A stochastic analysis performed for the 2014 WREA
and summarized in Appendix 4A provides a sense of the variability and uncertainty associated
with the estimated E-R relationships among and within species52 (Appendix 4A, section 4A. 1.1,
Figure 4A-13).

the first associating the 1st year response with the 1st year 83-day exposure; and (2) the second associating the 2-
year response with the 2-year 180-day exposure.

51	Underlying this step is a simplifying assumption of uniform W126 distribution across the exposure periods and of
a linear relationship between duration of cumulative exposure in terms of W126 index and plant growth response.
Some functions for experiments that extended over two seasons were derived by distributing responses observed
at the end of two seasons of varying exposures equally across the two seasons (e.g., essentially applying the
average to both seasons). A detailed description of the step is provided in Appendix 4A, section 4A.1 and the
Attachment.

52	The multiple functions derived for each species are derived from separate datasets, some of which have the same
exposure during the growing season but have growth response based on measurements of seedlings harvested in
the spring subsequent to the growing season exposure, as well as measurements from a harvest immediately after
exposure (Lee and Hogsett, 1996). In light of this factor and others contributing to differences among the
experiment-specific functions, this analysis provides a sense of both uncertainty in experimental design and
environmental and seedling response variability.

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DO

o

m
cr

to
o

ฆ*r
d

OJ

d

Red Maple

•	Sugar Maple

•	Red Alder
Tulip Poplar
Ponderosa Pine

•	White Pine

•	Loblolly Pine
Virginia Pine

•	Aspen

•	Black Cherry
Douglas Fir

W126 (ppm-hrs)

Figure 4-4. RBL functions for seedlings of 11 tree species derived by Lee and Hogsett
(1996).

Since the 2020 ISA, the tree experiment dataset analyzed by Lee and Hogsett (1996) has
been expanded. Additional analyses of both previously and newly available experimental
datasets have been performed by a different approach that also yields species-specific E-R
functions for RBL (Lee et al., 2022). The newly available datasets include additional
experiments for three species among the Lee and Hogsett (1996) eleven, and also experiments
for six additional species (Appendix 4A, Table 4A-8). The analyses by Lee et al (2022) derived
parameters for functions to estimate RBL from W126 index based on linear or Wei bull models
parameterized to describe tree seedling biomass (as log total dry weight) for each species at the
chamber mean level as a function of 92-day W126 index. The Weibull model is then used to
derive the function for RBL (termed "PRBL" [predicted RBL] in Lee et al al., 2022), as further
described in Appendix 4A.53

The approaches of the two analyses differ in a number of aspects. As summarized above,
the Lee and Hogsett (1996) analysis (1) derived experiment-specific functions describing the
responses for each set of () < exposures, in terms of the cumulative W126 index over the
treatment days (e.g., 55 days or 550 days); (2) predicted RBL at a set of 92-day W126 index

" While the models for all species included the basic Weibull model parameters that are then used to parameterize
the RBL function, there were differences among some species' models regarding the inclusion of additional
parameters. As one example, for several studies, a covariate (log of initial plant volume) was included to account
for chamber-to-chamber variation in plant size. As described by the authors, "[d]ata were combined across studies
and harvests for each tree species and analyzed using the three- or four-parameter Weibull model with or without
random coefficients" (Lee et al., 2022).

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values (e.g., 10, 20 ... 60 ppm-hrs) from the experiment-specific datasets; and (3) then derived a
species-specific composite function based on the median species response from the experiment-
specific function predictions (see Appendix 4A, Attachment 1). In contrast to that approach, Lee
et al. (2022) applied a statistical model to exposure and response datasets for each species.
Before applying the model, they scaled the W126 index for single-year exposures to 92 days
(through application of a factor of 92 divided by number of treatment days), and for multiyear
exposures they paired the scaled 92-day W126 index for the last year of exposure with the
responses to the multiple years (assessed in the harvest at end of last exposure). The resultant
functions are illustrated in Figure 4-5.



	Red Maple





- Sugar Maple





Red Alder





Tulip Poplar





Ponderosa Pine





	Eastern White Pine





	Virginia Pine





	Quaking Aspen





	Black Cherry





	Douglas Fir





	Amen can Sycamore





Winged Sumac





Sweetgum





Chestnut Oak





Table Mountain Pine





Yellow Buckeye





' " --- --

0	10	20	30	40	50

W126 Index (ppm-hrs)

Figure 4-5. RBL functions for seedlings of 16 tree species (Lee et al., 2022).

As might be expected, the two approaches yield different functions (details provided in
Appendix 4A, sections 4A.1.1 and 4A.2.2). The overall pattern across the studied species,
however, is not appreciably different, as is illustrated by consideration of RBL estimates for
W126 index values below 20 ppm-hrs. For example, for a W126 index of 15 ppm-hrs, RBL
estimates from both analyses are above 5% for five species, and above 25% for one of the five.
The RBL estimates at 15 ppm-hrs for three of the other four species are between five and 10%
via both sets of functions. For the fifth species (tulip poplar), the RBL estimate from Lee and
Hogset t (1996) falls between five and 10% while the estimate from Lee et al (2022) is between
15 and 20 %. The difference in the functions and associated estimates for this species appear to
relate to differences in the analysis approaches as data from the same set of experiments are
analyzed in both cases. Further details are provided in Appendix 4A on the datasets and analyses

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for the two studies, including for the 10 species common to both analyses (Appendix 4A, Figure
4A-16).

In addition to statistically analyzing the association of growth reduction with O3 exposure
in terms of W126 index and reporting RBL E-R functions for 16 species, the study by Lee et al
(2022) reported findings on two aspects of the analysesthat are informative to issues considered
in reviewing the secondary O3 standard. The first set of findings concerns consideration of tree
seedling growth response to controlled conditions in which cumulative O3 exposure was
influenced by different prevalences of high and repeated hourly concentrations. More
specifically, analyses described an effect of differences in the hourly concentration pattern,
which included differences in the number of hours at or above 100 ppb (N100), on response to
O3 exposure with similar W126 index values. For both species analyzed (quaking aspen and
ponderosa pine), the total biomass response was significantly lower for the treatment with similar
W126 index values with lower versus higher N100 (Lee et al., 2022). Specifically, statistical
modeling concluded significant differences in models describing responses for the treatments
with higher vs lower N100 for similar magnitude of W126 index. That is, the analyses indicate
that high hourly concentrations can exert an impact on growth additional to what might be
related to the cumulative exposure quantified by the W126 index.

The second set of findings concerned differences between tree seedling growth response
to a single-year exposure and the response to a 2-year exposure. The authors found that three of
the four species assessed (Douglas fir, eastern white pine and tulip poplar) did not exhibit a
greater response for two years of O3 exposure than for a single year exposure. The fourth,
ponderosa pine, exhibited a greater reduction in growth after two years exposure than after a
single year, but the effect was less than additive; i.e., the study reported a lesser reduction in the
second year than the first (Lee et al., 2022).

Since the initial set of tree seedling experiments were completed in the early 1990s,
several additional studies focused on aspen have been published based on the Aspen FACE
experiment in a planted forest in Wisconsin (ISA, Appendix 8, section 8.13.2). Like the prior
OTC studies, these studies also describe effects of O3 on growth. Biomass growth loss
predictions using the Lee and Hogsett (1996) function for aspen were evaluated in the 2013 and
2020 ISAs based on a recent study for aspen (2013 ISA, section 9.6.2; ISA, Appendix 8, section
8.13.2). Studies newly available for the 2020 ISA that investigated growth effects of O3
exposures are also generally consistent with the existing evidence base, and largely involved
particular aspects of the effect rather than expanding the conditions under which plant species,
particularly trees, have been assessed (ISA, section IS.5.1.2). These publications include a
compilation of previously available studies on plant biomass response to O3 (in terms of
AOT40); the compilation reports linear regressions conducted on the associated varying datasets

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(ISA, Appendix 8, section 8.13.2). Based on these regressions, this study describes distributions
of sensitivity to O3 effects on biomass across many tree and grassland species, including 17
species native to the U.S. and 65 introduced species (ISA, Appendix 8, section 8.13.2; van
Goethem et al., 2013). Additional information is needed to describe O3 E-R relationships more
completely for these species in the U.S.54 As was noted in the 2013 ISA, "[i]n order to support
quantitative modeling of exposure-response relationships, data should preferably include more
than three levels of exposure, and some control of potential confounding or interacting factors
should be present in order to model the relationship with sufficient accuracy" (2013 ISA, p. 9-
118). The 2013 ISA further discussed the differences across available studies, recognizing that
the majority of studies contrast only two (or sometimes three with the addition of a carbon
filtration) O3 exposure levels. While such studies can be important for verifying more extensive
studies, they "do not provide exposure-response information that is highly relevant to reviewing
air quality standards" (2013 ISA, p. 9-118).

4.3.3.2 Visible Foliar Injury

The evidence "continues to show a consistent association between visible injury and
ozone exposure," while also recognizing the role of modifying factors such as soil moisture and
time of day (ISA, section IS.5.1.1). The ISA, in concluding that the newly available information
is consistent with conclusions of the 2013 ISA, also summarizes several recently available
studies that continue to document that O3 elicits visible foliar injury in many plant species,
including a synthesis of previously published studies that categorizes studied species (and their
associated taxonomic classifications) as to whether or not 03-related foliar injury has been
reported. Although this recent publication identifies many species in which visible foliar injury
has been documented to occur in the presence of elevated O3,55 it does not provide quantitative
information regarding specific exposure conditions or analyses of E-R relationships (ISA,
Appendix 8, section 8.3). Additionally, one recent study is identified as reporting visible foliar
injury in a non-native, yet established, and invasive tree species in a location with O3
concentrations corresponding to a seasonal W126 index of 11.6 ppm-hrs (ISA, Appendix 8,
sections 8.2 and 8.2.1). The annual fourth highest 8-hour daily maximum concentration for the
study year and location of this study (monitoring site 42-027-9991) is 76 ppb. The design value

54	The studies compiled in this publication included at least 21 days exposure above 40 ppb 03 (expressed as AOT40
[seasonal sum of the difference between an hourly concentration above 40 ppb and 40 ppb]) and had a maximum
hourly concentration that was no higher than 100 ppb (van Goethem et al., 2013). The publication does not report
study-specific exposure durations, details of biomass response measurements or hourly O3 concentrations, making
it less useful for describing E-R relationships that might support estimation of specific impacts associated with air
quality conditions meeting the current standard (e.g., 2013 ISA, p. 9-118).

55	The publication identifies 245 species across 28 plant genera, many native to the U.S., in which Ch-related visible
foliar injury has been reported (ISA, Appendix 8, section 8.3).

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for the 3-year design period encompassing the year and location of this study exceeds 70 ppb
(monitoring site 42-027-9991 for 2011-2013 design period), indicating that the air quality
associated with the exposure would not have met the current secondary standard.56

As in the past, the available evidence, while documenting that elevated O3 conditions in
ambient air generally result in visible foliar injury in sensitive species (when in a predisposing
environment)57, it does not include a quantitative description of the relationship of incidence or
severity of visible foliar injury in sensitive species in natural areas of the U.S. with specific
metrics of O3 exposure. Several studies of the extensive USFS field-based dataset of visible
foliar injury incidence in forests across the U.S.58 illustrate the limitations of current
understanding of this relationship. For example, a study that was available in the 2015 review
presents a trend analysis of these data for sites located in 24 states of the northeast and north
central U.S. for the 16-year period from 1994 through 2009 that provides some insight into the
influence of changes in air quality and soil moisture on visible foliar injury and the difficulty
inherent in predicting foliar injury response under different air quality and soil moisture
scenarios (Smith, 2012, Smith et al., 2012; ISA, Appendix 8, section 8.2). This study, like prior
analyses of such data, shows the dependence of foliar injury incidence and severity on local site
conditions for soil moisture availability and O3 exposure. For example, while the authors
characterize the ambient air O3 concentrations to be the "driving force" behind incidence of
injury and its severity, they state that "site moisture conditions are also a very strong influence
on the biomonitoring data" (Smith et al., 2003). In general, the USFS data analyses have found
foliar injury prevalence and severity to be higher during seasons and sites that have experienced
the highest O3 than during other periods (e.g., Campbell et al., 2007; Smith, 2012).

4.3.3.2.1 Exposure Metrics

Although studies of the incidence of visible foliar injury in national forests, wildlife
refuges, and similar areas have often used cumulative indices (e.g., SUM06) to investigate
variations in incidence of foliar injury, studies also suggest an additional role for metrics focused

56	Ozone design values fortius period are available at: https://www.epa.gov/air-trends/air-quality-design-values. The
year 2011 is the first year for which data are available and adequate for use in deriving a design value at this
monitoring site.

57	As noted in the 2013 and 2020 ISAs, visible foliar injury usually occurs when sensitive plants are exposed to
elevated ozone concentrations in a predisposing environment, with a major modifying factor being the amount of
soil moisture available to a plant. Accordingly, dry periods are concluded to decrease the incidence and severity
of ozone-induced visible foliar injury, such that the incidence of visible foliar injury is not always higher in years
and areas with higher ozone, especially with co-occurring drought (ISA, Appendix 8, p. 8-23; Smith, 2012; Smith
et al., 2003).

58	These data were collected as part of the U.S. Forest Service Forest Health Monitoring/Forest Inventory and
Analysis (USFS FHM/FIA) biomonitoring network program (2013 ISA, section 9.4.2.1; Campbell et al., 2007,
Smith etal., 2012).

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on peak concentrations (ISA; 2013 ISA; 2006 AQCD; Hildebrand et al., 1996; Smith, 2012).
Other studies have indicated this uncertainty regarding a most influential metric(s), by
recognizing a research need. For example, a study of six years of USFS biosite data for three
western states found that the biosites with the highest cumulative O3 exposure (SUM06 at or
above 25 ppm-hrs) had the highest percentage of biosites with injury and the highest mean
biosite index, with little discernable difference among the lower exposure categories; this study
also identified "better linkage between air levels and visible injury" as an O3 research need
(Campbell et al., 2007). More recent studies of the complete 16 years of data in 24 northeast and
north central states have suggested that a cumulative exposure index alone may not completely
describe the Cb-related risk of this effect (Smith et al., 2012; Smith, 2012). For example, Smith
(2012) observed there to be a declining trend in the 16-year dataset, "especially after 2002 when
peak ozone concentrations declined across the entire region" thus suggesting a role for peak
concentrations.

Some studies of visible foliar injury incidence data have investigated the role of peak
concentrations quantified by an O3 exposure index that is a count of hourly concentrations (e.g.,
in a year or growing season) above a threshold 1-hour concentration of 100 ppb, N100 (e.g.,
Smith, 2012; Smith et al., 2012). For example, analyses of injury patterns over 16 years at USFS
biosites in 24 states in the Northeast and North Central regions, in the context of the SUM06
index and N100 metrics (although not in statistical combination), suggested that there may be a
threshold exposure needed for injury to occur,59 and that the number of hours of elevated O3
concentrations during the growing season (such as what is captured by a metric like N100) may
be more important than cumulative exposure in determining the occurrence of foliar injury
(Smith, 2012).60 This finding is consistent with statistical analyses of seven years of visible foliar
injury data from a wildlife refuge in the mid-Atlantic (Davis and Orendovici, 2006). The latter
study investigated the fit of multiple models that included various metrics of cumulative O3 (e.g.,
SUM06, SUMO, SUM08), alone and in combination with some other variables (Davis and
Orendovici, 2006). Among the statistical models investigated, the model with the best fit to the

59	Authors of the study observed that "injury is minimized when seasonal ozone concentrations, especially peak
(N100) O3 concentrations, drop below a certain threshold as in 2004 through 2009" (Smith et al., 2012).

60	Although the ISA and past assessments have not described extensive evaluations of specific peak concentration
metrics such as the N100 (that might assist in identifying one best suited for such purposes), in summarizing this
study in the last review, the ISA observed that "[o]verall, there was a declining trend in the incidence of foliar
injury as peak O3 concentrations declined" (2013 ISA, p. 9-40).

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visible foliar injury incidence data was found to be one that included N100 and W126 indices, as
well as drought index (Davis and Orendovici, 2006).61

The established significant role of higher or peak hourly O3 concentrations, as well as
pattern of their occurrence, in plant responses to O3 exposure has also been noted in prior ISAs
or AQCDs. The evidence has included studies that use indices to summarize the incidence of
injury on bioindicator species present at specific monitored sites, as well as experimental studies
that assess the occurrence of foliar injury in response to varying O3 concentrations. In identifying
support with regard to foliar injury as the response, the 2013 ISA and 2006 AQCD both cite
studies that support the "important role that peak concentrations, as well as the pattern of
occurrence, plays in plant response to O3" (2013 ISA, p. 9-105; 2006 AQCD, p. AX9-169). For
example, a study of European white birch saplings reported that peak concentrations and the
duration of the exposure event were important determinants of foliar injury (2013 ISA, section
9.5.3.1; Oksanen and Holopainen, 2001). This study also evaluated tree growth, which was
found to be more related to cumulative exposure (2013 ISA, p. 9-105).62 A second study that was
cited by both assessments that focused on aspen, reported that "the variable peak exposures were
important in causing injury, and that the different exposure treatments, although having the same
SUM06, resulted in very different patterns of foliar injury (2013 ISA, p. 9-105; 2006 AQCD, p.
AX9-169; Yun and Laurence, 1999). As noted in the 2006 AQCD, the cumulative exposure
indices (e.g., SUM06, W126) were "originally developed and tested using only growth/yield
data, not foliar injury" and "[t]his distinction is critical in comparing the efficacy of one index to
another" (2006 AQCD, p. AX9-173). It is also recognized that where cumulative indices are
highly correlated with the frequency or occurrence of higher hourly average concentrations, they
could be good predictors of such effects (2006 AQCD, section AX9.4.4.3).

Dose modeling or flux models, discussed in section 4.3.3.1.1 above, have also been
considered for quantifying O3 dose that may be related to plant injury. Among the newly
available evidence is a study examining relationships between short-term flux and leaf injury on
cotton plants that described a sensitivity parameter that might characterize the influence on the
flux-injury relationship of diel and seasonal variability in plant defenses (among other factors)
and suggested additional research might provide for such a sensitivity parameter to "function
well in combination with a sigmoidal weighting of flux, analogous to the W126 weighting of

61	The models evaluated included several with cumulative exposure indices alone. These included SUM60 (i.e.,
SUM06 in ppb), SUMO, and SUM80 (SUM08 in ppb), but not W126. They did include a model with W126 that
did not also include N100. Across all of these models evaluated, the model with the best fit to the data was found
to be the one that included N100 and W126, along with the drought index (Davis and Orendovici, 2006).

62	The study authors concluded that "high peak concentrations were important for visible injuries and stomatal
conductance, but less important for determining growth responses" (Oksanen and Holopainen, 2001).

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concentration", and perhaps an additional parameter (Grantz et al., 2013, p. 1710; ISA, Appendix
8, section 8.13.1). However, the ISA recognizes there is "much unknown" with regard to the
relationship between O3 uptake and leaf injury, and relationships with detoxification processes
(ISA, Appendix 8, section 8.13.1 and p. 8-184). These uncertainties have made this technique
less viable for assessments in the U.S., precluding use of a flux-based approach at this time (ISA,
Appendix 8, section 8.13.1 and p. 8-184).

A study (by Wang et al. [2012], newly described in the 2020 ISA) involved a statistical
modeling analysis on a subset of the years of data that were described in Smith (2012). This
analysis, which involved 5,940 data records from 1997 through 2007 from the 24 northeast and
north central states, tested a number of models for their ability to predict the presence of visible
foliar injury (a nonzero biosite score), regardless of severity, and generally found that the type of
O3 exposure metric (e.g., SUM06 versus N 100) made only a small difference, although the
models that included both a cumulative index (SUM06) and N100 had a just slightly better fit
(Wang et al., 2012). Based on their investigation of 15 different models, using differing
combinations of several types of potential predictors, the study authors concluded that they were
not able to identify environmental conditions under which they "could reliably expect plants to
be damaged" (Wang et al., 2012). This is indicative of the current state of knowledge, in which
there remains a lack of established quantitative functions describing E-R relationships that would
allow prediction of visible foliar injury severity and incidence under varying air quality and
environmental conditions.

4.3.3.2.2 Exposure Levels Associated with Effects

The available information related to O3 exposures associated with visible foliar injury of
varying severity also includes the dataset developed by the EPA in the 2015 review from USFS
BI scores, collected during the years 2006 through 2010 at locations in 37 states (Appendix 4C).
In developing this dataset, the BI scores were combined with estimates of soil moisture63 and
estimates of seasonal cumulative O3 exposure in terms of W126 index64 (Smith and Murphy,
2015; Appendix 4C). This dataset includes more than 5,000 records of which more than 80

63	Soil moisture categories (dry, wet or normal) were assigned to each biosite record based on the NOAA Palmer Z
drought index values obtained from the NCDC website for the April-through-August periods, averaged for the
relevant year; details are provided in Appendix 4C, section 4C.2. There are inherent uncertainties in this
assignment, including the substantial spatial variation in soil moisture and large size of NOAA climate divisions
(hundreds of miles). Uncertainties and limitations in the dataset are summarized in Appendix 4C, section 4C.5).

64	The W126 index values assigned to the biosite locations are estimates developed for 12 kilometer (km) by 12 km
cells in a national-scale spatial grid for each year. The grid cell estimates were derived from applying a spatial
interpolation technique to annual W126 values derived from O3 measurements at ambient air monitoring locations
for the years corresponding to the biosite surveys (details in Appendix 4C, sections 4.C.2 and 4C.5).

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percent have a BI score of zero (indicating a lack of visible foliar injury).65 While the estimated
W126 index assigned to records in this dataset (described in Appendix 4C) ranges from zero to
somewhat above 50 ppm-hrs, more than a third of all the records (and also of records with BI
scores above zero or five)66 are at sites with W126 index estimates below 7 ppm-hrs and only 8%
of the records have W126 index values above 15 ppm-hrs. In an extension of analyses developed
in the 2015 review, the presentation in the Appendix 4C67 describes the BI scores for the records
in the dataset in relation to the W126 index estimate for each record, using "bins" of increasing
W126 index values. The presentation utilizes the BI score breakpoints in the scheme used by the
USFS to categorize severity. This presentation indicates that, across the W126 bins, there is
variation in both the incidence of particular magnitude BI scores and in the average score per
bin. In general, however, the greatest incidence of records with BI scores above zero, five, or
higher - and the highest average BI score (as noted below) - occurs with the highest W126 bin
(i.e., the bin for W126 index estimates greater than 25 ppm-hrs), as seen in Figure 4-6 for records
in the normal soil moisture category68 (see also Appendix 4C, Table 4C-6).

The average BI score per W126 index bin is also variable, although for records
categorized as normal soil moisture, the average BI score in the highest W126 bin is noticeably
greater than for lower W126 bin scores (Figure 4-6). For example, the average BI score for the
normal soil moisture category is 7.9 among records with W126 index estimates greater than 25
ppm-hrs, compared to 1.6 among records for W126 index estimates between 19 and 25 ppm-hrs.
For records categorized as wet soil moisture, the sample size for the W126 bins above 13 ppm-
hrs is quite small (including only 18 of the 1,189 records in that soil moisture category),
precluding meaningful interpretation.69

While for BI scores above zero, the data may indicate a suggestion of increased incidence
among records in the W126 bins just below the highest (e.g., for the dry or normal soil moisture

65	In the scheme used by the USFS to categorize severity of biosite scores the lowest category encompasses BI
scores from zero to just below 5; scores of this magnitude are described as "little or no foliar injury" (Smith et al.,
2012). The next highest category encompasses scores from five to just below 15 and is described as "light to
moderate foliar injury," BI scores of 15 up to 25 are described as "moderate" and above 25 is described as
"severe" (Smith, 2012; Smith et al., 2012)..

66	One third (33%) of scores above 15 are at sites with W126 below 7 ppm-hrs (Appendix 4C, Table 4C-3).

67	Beyond the presentation of a statistical analysis developed in the last review (Appendix 4C, section 4C.4.1), the
PA presentations are primarily descriptive (as compared to statistical) in recognition of the limitations and
uncertainties of the dataset (Appendix 4C, section 4C.5).

68	The number of records per W126 bin in Figure 4-6 ranges from a low of 15 in the ">19-25" bin to 158 in the "<7"
bin (Appendix 4C, Table 4C-4).

69	In the full database for the wet soil moisture category, there are only 18 records at sites with a W126 index value
above 13 ppm-hrs, with 9 or fewer (less than 1%) in each of them (Appendix 4C, Table 4C-3). Across the W126
bins in which at least 1% of the wet soil moisture records are represented, differences of incidence or average
score of lower bins from the highest bin is less than a factor of two (Appendix 4C, section 4C.4.2).

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categories), for BI scores above 5, there is little or no difference across the W126 bins except for
the highest bin, which is for W126 above 25 ppm-hrs (Appendix 4C, Table 4C-6). For example,
among records in the normal soil category, the proportion of records with BI above five
fluctuates between 5% and 13% across all but the highest W126 bin (>25 ppm-hrs) for which the
proportion is 41% (Appendix 4C, Table 4C-6). The same pattern is observed for BI scores above
15 at sites with normal and dry soil moisture conditions, albeit with lower incidences. For
example, the incidence of normal soil moisture records with BI score above 15 in the bin for
W126 index values above 25 ppm-hrs was 20% but fluctuates between 1% and 4% in the bin
with W126 index values at or below 25 ppm-hrs (Appendix 4C, Table 4C-6).



100



90



80



70

m

60

O



O

m

50

_

40



30



20



10



0

>7-9 >9-11 >11-13 >13-15 >15-17 >17-19 >19-25 >25

Figure 4-6.

<7

Key: The boxes denote the 25th, 50th and 75th percentiles, the x's the arithmetic mean, and the whiskers
denote the value equal to the 75th percentile plus 1.5 times the interquartile range (75th minus 25th percentile).
Circles show scores higher than that.

Distribution of nonzero BI scores at USFS biosites (normal soil moisture)
grouped by assigned W126 index estimates.

Overall, the dataset described in Appendix 4C generally indicates the risk of injury, and
particularly injury considered at least light, moderate or greater injury, to be higher at the highest
W126 index values, with appreciable variability in the data for the lower bins. This appears to be
consistent with the conclusions of the detailed quantitative analysis studies, summarized above,
that the pattern is stronger at higher O3 concentrations. A number of factors may contribute to the
observed variability in BI scores and lack of a clear pattern with W126 index bin; among others,
these may include uncertainties in assignment of W126 estimates and soil moisture categories to
biosite locations, variability in biological response among the sensitive species monitored, and
the potential role of other aspects of O3 air quality not captured by the W126 index. Thus, the

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dataset has limitations affecting associated conclusions, and uncertainty remains regarding the
tools for and the appropriate metric (or metrics) for quantifying influence of O3 exposures, as
well as perhaps for quantifying soil moisture conditions, with regard to their influence on extent
and/or severity of injury in sensitive species in natural areas, as quantified via BI scores (Davis
and Orendovici, 2006; Smith et al., 2012; Wang et al., 2012). Accordingly, the limitations
recognized in the past remain in our ability to quantitatively estimate incidence and severity of
visible foliar injury likely to occur in areas across the U.S. under different air quality conditions
over a year, or over a multiyear period (Appendix 4C, section 4C.5).

4.3.3.3 Other Effects

With regard to radiative forcing and subsequent climate effects associated with the global
tropospheric abundance of O3, the available evidence does not provide more detailed quantitative
information regarding O3 concentrations at the national scale than was available in the 2015
review (ISA, Appendix 9). Rather, it is noted that "the heterogeneous distribution of ozone in the
troposphere complicates the direct attribution of spatial patterns of temperature change to ozone
induced [radiative forcing]" and there are "ozone climate feedbacks that further alter the
relationship between ozone [radiative forcing] and temperature (and other climate variables) in
complex ways" (ISA, Appendix 9, section 9.3.1, p. 9-19). Further, "precisely quantifying the
change in surface temperature (and other climate variables) due to tropospheric ozone changes
requires complex climate simulations that include all relevant feedbacks and interactions" (ISA,
section 9.3.3, p. 9-22). Yet, there are limitations in current climate modeling capabilities for O3;
an important one is representation of important urban- or regional-scale physical and chemical
processes, such as O3 enhancement in high-temperature urban situations or O3 chemistry in city
centers where NOx is abundant. Such limitations impede our ability to quantify the impact of
incremental changes in ground-level O3 concentrations in the U.S. on radiative forcing and
subsequent climate effects.

With regard to tree mortality, the evidence available in the last several reviews included
field studies of pollution gradients that concluded O3 damage to be an important contributor to
tree mortality although "several confounding factors such as drought, insect outbreak and forest
management" were identified as potential contributors (2013 ISA, p. 9-81, section 9.4.7.1).
Among the newly available studies, there is only limited experimental evidence that isolates the
effect of O3 on tree mortality70 and might be informative regarding O3 concentrations of interest

70 Of the three new studies on tree mortality described in the ISA is another field study of a pollution gradient that,
like such studies in prior reviews, recognizes O3 exposures as one of several contributing environmental and
anthropogenic stressors (ISA, p. 8-55).

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in the review, and evidence is lacking regarding exposure conditions closer to those occurring
under the current standard and any contribution to tree mortality.

With regard to alteration of herbivore growth and reproduction, although "there are
multiple studies demonstrating ozone effects on fecundity and growth in insects that feed on
ozone-exposed vegetation", "no consistent directionality of response is observed across studies
and uncertainties remain in regard to different plant consumption methods across species and the
exposure conditions associated with particular severities of effects" (ISA, pp. ES-18, IS-64, IS91
and Appendix 8, section 8.6.3). Such limitations and uncertainties in the evidence base for this
category of effects preclude broader characterization, as well as quantitative analysis related to
air quality conditions meeting the O3 standard. As characterized in the ISA, uncertainties remain
in the evidence; these relate to the different plant consumption methods across species and the
exposure conditions associated with particular responses, as well as variation in study designs
and endpoints used to assess O3 response (ISA, IS.6.2.1 and Appendix 8, section 8.6). Thus,
while the evidence describes changes in nutrient content and leaf chemistry following O3
exposure (ISA, p. IS-73), the effect of these changes on herbivores consuming the leaves is not
well characterized or clear.

The evidence for a second newly identified category of effects, alteration of plant-insect
signaling, draws on new research yielding clear evidence of O3 modification of VPSCs and
behavioral responses of insects to these modified chemical signals (ISA, section IS.6.2.1). While
the evidence documents effects on plant production of signaling chemicals and on the
atmospheric persistence of signaling chemicals, as well as on the behaviors of signal-responsive
insects, it is limited with regard to characterization of mechanisms and the consequences of any
modification of VPSCs by O3 (ISA, section IS.6.2.1). Further, the evidence includes a relatively
small number of plant species and plant-insect associations71 and is limited to short, controlled
exposures, posing limitations for our purposes of considering the potential for associated impacts
to be elicited by air quality conditions that meet the current standard (ISA, section IS.6.2.1 and
Appendix 8, section 8.7).

For categories of vegetation-related effects that were recognized in past reviews, other
than growth and visible foliar injury (e.g., reduced plant reproduction, reduced productivity in
terrestrial ecosystems, alteration of terrestrial community composition and alteration of below-
ground biogeochemical cycles), the newly available evidence includes a variety of studies that
quantify exposures of varying duration in various countries using a variety of metrics (ISA,
Appendix 8, sections 8.4, 8.8 and 8.10). The ISA additionally describes publications that

71 The available studies vary with regard to the experimental exposure circumstances in which the different types of
effects have been reported; most of the studies have been carried out in laboratory conditions rather than in
natural environments (ISA, section IS.6.2.1).

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summarize previously published studies in several ways. For example, a meta-analysis of
reproduction studies categorized the reported O3 exposures into bins of differing magnitude,
grouping differing concentration metrics and exposure durations together, and performed
statistical analyses to reach conclusions regarding the presence of an Cb-related effect (ISA,
Appendix 8, section 8.4.1). While such studies continue to support conclusions of the ecological
hazards of O3, they do not improve capabilities for characterizing the likelihood of such effects
under patterns of environmental O3 concentrations occurring with air quality conditions that meet
the current standard (e.g., factors such as variation in exposure assessments and limitations in
response information preclude detailed analysis for such conditions).

As at the time of the 2015 review, growth impacts, most specifically as evaluated by RBL
for tree seedlings and RYL for crops, remain the type of vegetation-related effects for which we
have the best understanding of exposure conditions likely to elicit them. Accordingly, as was the
case in the 2015 review, the quantitative analyses of exposures occurring under air quality that
meets the current standard (summarized in section 4.4 below) is focused primarily on the W126
index, given its established relationship with growth effects.

4.3.4 Key Uncertainties

The type of uncertainties for each category of effects generally tends to vary in relation to
the maturity of the associated evidence base from those associated with overarching
characterizations of the effects to those associated with quantification of the cause-and-effect
relationships. For example, given the longstanding nature of the evidence for many of the
vegetation effects identified in the ISA as causally or likely causally related to O3 in ambient air,
the key uncertainties and limitations in our understanding of these effects relate largely to the
implications or specific aspects of the evidence, as well as to current understanding of the
quantitative relationships between O3 concentrations in the environment and the occurrence and
severity (or relative magnitude) of such effects or understanding of key influences on these
relationships. For more newly identified categories of effects, the evidence may be less
extensive, thus precluding consideration of such details.

• What are important uncertainties in the evidence? To what extent have important
uncertainties in the evidence identified in the past been reduced and/or have new
uncertainties been recognized?

Among the categories of effects identified in past reviews, key uncertainties remain in the
evidence, as summarized in the sections below.

4.3.4.1 Plant Growth Effects

The category of O3 welfare effects for which current understanding of quantitative
relationships is strongest is reduced plant growth. As a result, this category was the focus of

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decision-making on the standard in the 2015 review, with RBL in tree seedlings playing the role
of surrogate (or proxy) for the broader array of vegetation-related effects that range from the
individual plant level to ecosystem services. Limitations in the evidence base and associated
uncertainties recognized then remain today and include a number of uncertainties that affect
characterization of the magnitude of cumulative exposure conditions that might be expected to
elicit growth reductions in U.S. forests. These limitations and uncertainties relate both to aspects
concerning the extent and precision of the E-R evidence for the O3 concentration patterns and
associated cumulative seasonal exposures common in areas of the U.S. that meet the current
standard, and to broader interpretation of RBL estimates with regard to longer term and
population and ecosystem scale impacts.

Given the longstanding and robust evidence base for O3 effects on vegetation, key
uncertainties with regard to O3 effects on plant growth are not with regard to whether O3
detrimentally affects plant physiology and impairs growth. Decades of research demonstrates
that it does (1986 AQCD, 1996 AQCD, 2006 AQCD, 2013 ISA; 2020 ISA). Rather key
uncertainties in consideration of the O3 secondary standard are with regard to the specific aspects
of the air quality conditions under which this occurs and the magnitude of the response, as well
as important factors affecting the response. While recognizing these uncertainties which relate to
application of the E-R functions and interpretation of resulting RBL estimates, we also take note
of the robust experimental data that underly both the Lee and Hogsett (1997) and Lee et al
(2022) analyses, which are drawn from experiments conducted at multiple sites across the U.S.
using similar technology and protocols. Key uncertainties in RBL estimates for recent O3 air
quality stem from limitations and imprecision in tools available for assessing the magnitude of
03-related growth impacts under air quality conditions that meet the current standard (which
differ in various ways from many of the 03 treatments on which E-R functions are based).

There is uncertainty in the shape of species-specific E-R relationships and magnitude of
growth impacts on seedlings in air quality conditions that meet the current standard.72 While
nearly all experiments include a treatment that may relate to this, nearly all experiments
additionally include just as many or more treatments, both in terms of W126 index and N100,
that differ markedly from air quality conditions common in areas meeting the current standard in
that they exhibit higher O3 exposures, in terms of W126 index and/or N100 (Appendix 4A,
Tables 4A-7 and 4A-8). For example, with regard to W126 index, the majority of the
experiments have W126 values exceeding 25 ppm-hrs at the highest treatment levels, with some
ranging into the hundreds of ppm-hrs. Similarly, as illustrated in Figure 4-7, in the bulk of the

72 As described in section 4.4.2 below, air quality conditions that meet the current standard are generally associated
with cumulative seasonal exposures lower than 20 ppm-hrs, in terms of W126 index (3-month, 12-hr), and with
quite low N100 values for a year (i.e., always below 10).

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treatments for nearly all species for which RBL E-R functions have been derived, N100 is above
10 (Appendix 4A, Tables 4A-7 and 4A-8).73 The extent to which these higher exposures are
influencing the shape of the E-R curve and associated predicted RBL at lower exposures is
unknown from the available studies. It has been observed, however, for the species evaluated
(ponderosa pine and quaking aspen), that an hourly O3 pattern that included a much higher N100
but the same W126 index yielded a greater growth impact than a pattern that had a lower N100
(see section 4.3.3.1.2 above; Lee et al., 2022).74 This suggests that a portion of the growth
impacts observed in many of the experimental treatments for a given W126 index may arise from
unusually high hourly concentrations rather than from a comparable W126 index that might
occur with lower peaks, thus influencing the shape of the resultant E-R curve.

73	Among published studies of the datasets for the eleven E-R functions, the findings for at least one species (black
cherry) reported statistical significance only for biomass effects observed for the highest O3 exposure of 26 and
28 ppm-hrs (92-day, 12-hour W126 index) in the two underlying experiments, and 100 or 106 hours (across full
exposure period) with an O3 concentration at or above 100 ppb (Appendix 4A, Table 4A-7, black cherry).

74	With regard to peak concentrations, even for the experimental treatments with W126 index levels of a magnitude
common at U.S. sites that meet the current standard (e.g., less than 20 ppm-hrs), the values for N100 extend up
above 10, to more than 40 in one instance (Appendix 4A, Table 4A-7, black cherry and aspen). Across the full set
of treatments, including those newly available in Lee et al. (2022), values for N100 extend into the hundreds, up
above 500, in a single treatment over 121 days. As discussed in section 4.4.1 below, such hourly concentrations
are not common for U.S. sites that meet the current standard, at which N100 is virtually always less than 10 (and
generally less than 5 [see Figure 4-10 below]).

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Figure 4-7. Distribution of N100 values during treatment periods of experiments for each
species (Appendix 4A, Tables 4A-7 and 4A-8).

Uncertainty is also associated with our understanding of the extent to which RBL
estimates for a single year exposure pertain to subsequent years in multiyear exposures. There is
limited availability of studies of seasonal growth effects on trees across multiple years
(particularly more than two) that have also reported detailed ().ซ concentration data throughout
the exposure. However, as reported by Lee et al. (2022), tree seedling data for experiments of
multiple year exposures do not consistently demonstrate additional response in a second year of
exposure. In those analyses, which associated the 2-year exposure response with the single-year
W126 index for the most recent year, the 2-year response for three of four species analyzed was
not significantly greater than the response after the first year. For the fourth species, while the 2-
year response was greater than the single-year response, the effect was not additive; that is, the

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response at the end of two years was less than twice the response after the first year (Lee et al.,
2022).

The lack of significant second-year response (as observed in statistical analyses of Lee et
al [2022]) is illustrated for eastern white pine by its experiment-specific RBL functions derived
by Lee and Hogsett (1996) based on the single (1st) year exposure and on the 2-year exposure,
for which both are adjusted to 92 days. In that derivation approach for multiyear exposures, the
92-day functions are derived using a type of scaling, the underlying assumption of which is akin
to 'averaging' of W126 index values across exposure days (including across both years of a 2-
year exposure). The resultant functions indicate a lesser response (for a similar 92-day W126
index) from the 2-year exposure data than the first year of exposure, as illustrated in Figure 4-8

92-day W126 (ppm-hrs)

Figure 4-8. Composite (solid line) and experiment-specific (dotted line) RBL functions for
eastern white pine {Pinus strobus) from Lee and Hogsett (1996).

A separately published study of multiyear growth effects for aspen (for an O3 treatment
compared to ambient air O3 exposure) was summarized and assessed in the 2020 and 2013 IS As
with regard the extent to which it confirmed Cb-related biomass impacts estimated using the
established E-R functions for aspen (King et al., 2005; 2013 ISA, section 9.6.3.2; 2020 ISA,
Appendix 8, section 8.13.2). The 2013 ISA applied the E-R functions to O3 exposure (quantified
as cumulative average seasonal W126 index) at each of six consecutive years and compared the
estimated aboveground biomass to estimates based on data reported for each year by the study
(2013 ISA, section 9.6.3.2). The conclusions reached were that the experimental observations,
within predicted confidence limits, are "very close" to estimates based on the established E-R
function for aspen, and that "the function based on one year of growth was shown to be
applicable to subsequent years" (2013 ISA, p. 9-135; 2020 ISA, Appendix 8, p. 8-186). A similar

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assessment in the 2020 ISA that applied the E-R functions to O3 exposure, quantified
individually after a 92-day season in each of six consecutive years similarly also concluded that
predictions based on the E-R functions generally agreed with the observations, given a generally
similar pattern and magnitude of cumulative response (with some variation). The finding of a
general agreement for either multiyear average or single year W126 estimates provides a sense of
uncertainty associated with the relative influences of individual seasonal exposures and longer-
term exposures, as represented by a cumulative average for this species (Appendix 4A, section
4A.3.1; 2013 ISA, Figure 9-20; 2020 ISA, Appendix 8, Figure 8-17).

The extent to which the above-described variation in multiyear responses across
experiments involving different air quality and different species reflect differences in air quality
or in species-specific responses is unclear. It does, however, indicate the uncertainty, and
accordingly a lack of precision, associated with the use of RBL estimates to characterize the
quantitative impacts of multiple years of seasonal O3 exposure, including its year-to-year
variability, on tree growth and annual biomass accumulation. More specifically, the evidence
does not provide clarity with regard to the extent to which tree biomass would be expected to
appreciably differ at the end of multiyear exposures for which the overall average exposure is the
same, yet for which the individual year exposures vary in different ways (e.g., as analyzed in
Appendix 4D).75

We additionally note the uncertainty in the RBL estimates associated with the
normalization to 92 days, and the differences in approaches for this of the two studies for which
E-R functions for W126 index and tree seedling RBL were derived (summarized in Section
4.3.3.1.2 above). Across these varied datasets, the controlled exposure periods vary in treatment
duration within a year and across years (e.g., from exposure periods of 82 to 140 days in a single
year to periods of 180 to 555 days distributed across two years and a period of 215 days
distributed across three years) and whether the measurements analyzed in deriving the E-R
functions were those made immediately following an exposure period or in the subsequent
spring. As summarized in section 4.3.3.1.2 above, the species-specific E-R functions from Lee
and Hogsett (1996) were derived first for the exposure duration of the experiment, and then
adjusted or normalized to 3-month periods based on assumptions regarding relationships
between duration, cumulative exposure in terms of W126 index and plant growth response (Lee
and Hogsett, 1996, section 1.3; Appendix 4A, Attachment 1). For example, while the functions
are defined as describing a seasonal response, for a species with a 2-year experiment (with 180

75 Variation in annual W126 index values is described in Appendix 4D, indicating for the period, 2016-2018, that the
amount by which annual W126 index values at a site differ from the 3-year average varies, but generally falls
below 10 ppm-hrs across all sites and generally below 5 ppm-hrs at sites with design values at or below 70 ppb
(Appendix 4D, Figure 4D-7).

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treatment days), the species-specific composite 92-day W126 function is associating the
responses observed at the end of two seasons with a single 92-day exposure period, through
distributing response to varying exposures equally across the two seasons (essentially applying
the average to both seasons). The analyses of Lee et al (2022) adjusted experimental W126 index
values for a year of exposure by a factor equal to the number of treatment days divided by 92 and
then assessed associations of each year's biomass measurements with the 92-day W126 index
values. For multiple year experiments, the last year's W126 index (adjusted to 92 days) was
paired with the biomass measurement at the end of the last exposure period. This variation in O3
treatment durations and assumptions inherent in the adjustments and analyses contribute
uncertainty and a level of imprecision to RBL estimates derived through application of the
resultant functions.76

Another area of important uncertainties relates to the extent to which the E-R functions
for reduced growth in tree seedlings are also descriptive of such relationships during later
lifestages, for which there is a paucity of established E-R relationships. Although such
information is limited with regard to mature trees, the analyses in the 2013 and 2020 IS As
(summarized above) indicated that reported growth response of young aspen over six years was
similar to the reported growth response of seedlings (ISA, Appendix 8, section 8.13.2; 2013 ISA,
section 9.6.3.2). Evidence is lacking, however, on the shape of such relationships for older,
mature trees, or the extent to which these relationships in seedlings might also reflect responses
in older, mature trees.

Additionally, there are uncertainties with regard to the extent to which various factors in
natural environments can either mitigate or exacerbate predicted 03-plant interactions and
contribute variability in vegetation-related effects, including reduced growth. Such factors
include multiple genetically influenced determinants of O3 sensitivity, changing sensitivity to O3
across vegetative growth stages, co-occurring stressors and/or modifying environmental factors.
Such factors contribute uncertainties to interpretations of potential impacts in a season as well as
over multiyear periods. With regard to the latter, there is variability in ambient air O3
concentrations from year to year, as well as year-to-year variability in environmental factors,
including rainfall and other meteorological factors that affect plant growth and reproduction,

76 There is also large variation among the species regarding the number of experimental datasets supporting each E-
R function and among the species and experiments in the duration of the controlled exposures assessed. For
example, the E-R function for aspen (representing a mixture of wild type and four specific clones) is based on
functions for 13 experimental datasets (for six different exposure studies), while the E-R functions for the red
maple and Virginia pine were each derived from a single experimental study (of 55 days for red maple and 159
days for Virginia pine) (Appendix 4A, section 4A.1, Table 4A-7; 1996 AQCD, Table 5-28; Lee and Hogsett,
1996). Similarly, there is large variation in the number of individual seedlings within species' E-R datasets as
well. For example, the American Sycamore dataset represents only 81 individuals, with 9 plants per chamber and
9 OTCs, while ponderosa pine has hundreds of individuals in the complete dataset (Lee at al. 2022, Table 1).

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such as through changes in soil moisture. We also note that the experimental data underlying the
E-R functions were collected at three locations in three different climate regions, as well as
across multiple years. While the experimental design provides control for some variables (e.g.,
watering), geographic differences may also allow for unspecified environmental variables
(temperature, humidity, daylight hours, etc) to influence changes in growth rate differently
between sites.77 These variabilities contribute uncertainties to estimates of the occurrence and
magnitude of Cb-related effects in any year, and to such estimates over multiyear periods, as well
as related effects in associated communities and ecosystems. All the factors identified here
contribute uncertainty and an associated imprecision or inexactitude to estimates for trees in
natural areas derived from the E-R functions and W126 index values in a single year/season.

We also note, as recognized in the 2015 review (and that preceding the 2020 decision),
uncertainties in the extent to which the tree species for which there are established E-R functions
encompass the range of O3 sensitive species in the U.S., and also the extent to which they
represent U.S. vegetation as a whole. With the analyses by Lee et al (2022), the number of
species is expanded up to 17 from the 11 in Lee and Hogsett (1996). Included among these
species are both deciduous and coniferous trees, with a wide range of sensitivities and/or
tolerance to O3, and species native to every NOAA climate region across the U.S., and in most
cases, resident across multiple states and regions. While recognizing this uncertainty, the
available information does not lead us to assume any difference in the range of sensitivity
indicated by the species with E-R functions.78

There are also uncertainties associated with our consideration of the magnitude of tree
growth effects, quantified as RBL, that might cause or contribute to adverse effects for trees,
forests, forested ecosystems, or the public welfare. These are related to various uncertainties or
limitations in the evidence base, including those associated with relating magnitude of tree
seedling growth reduction to larger-scale forest ecosystem impacts. Additionally, several factors
can also influence the degree to which Cb-induced growth effects in a sensitive species affect
forest and forest community composition and other ecosystem service flows (e.g., productivity,
belowground biogeochemical cycles, and terrestrial ecosystem water cycling) from forested
ecosystems. These include (1) the type of stand or community in which the sensitive species is
found (i.e., single species versus mixed canopy); (2) the role or position the species has in the

77	The sugar maple dataset, which includes experiments conducted in 1990 both in Oregon and Michigan, may
reflect some of these factors.

78	The CAS AC in the 2015 review recognized this uncertainty, expressing the view that it should be anticipated that
there are highly sensitive vegetation species for which we do not have E-R functions and others that are
insensitive (Frey, 2014, p. 15), and concluding it to be more appropriate to assume that the sensitivity of species
without E-R functions might be similar to the range of sensitivity for those species with E-R functions (Frey,
2014, p. 11).

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stand (i.e., dominant, sub-dominant, canopy, understory); (3) the O3 sensitivity of the other co-
occurring species (O3 sensitive or tolerant); and (4) environmental factors, such as soil moisture
and others. The lack of such established relationships with O3 complicates consideration of the
extent to which different estimates of impacts on tree seedling growth would indicate
significance to the public welfare. Further, efforts to estimate O3 effects on carbon sequestration
are handicapped by the large uncertainties involved in attempting to quantify the additional
carbon uptake by plants as a result of avoided 03-related growth reductions. Such analyses
require complex modeling of biological and ecological processes with their associated sources of
uncertainty.

With regard to crop yield effects, as at the time of the 2015 review, we recognize the
potential for greater uncertainty in estimating the impacts of O3 exposure on agricultural crop
production than that associated with O3 impacts on vegetation in natural forests. This relates to
uncertainty in the extent to which agricultural management methods influence potential for O3-
related effects and accordingly, the applicability of the established E-R functions for RYL in
current agricultural areas. Further, a number of the uncertainties recognized above with regard to
the tree seedling RBL also pertain to crop RYL estimates. Additionally, as changes in yield of
commercial crops and commercial commodities may affect producers and consumers differently,
consideration of these effects in terms of potential adversity to the public welfare impacts is
limited.

4.3.4.2 Visible Foliar Injury

With regard to visible foliar injury, for which longstanding evidence documents a causal
role for O3, important uncertainties and limitations fall into two categories. The first category
relates to our understanding of the key aspects of O3 concentrations — and other key variables
(e.g., soil moisture) — that have a direct bearing on the severity and incidence of vegetation
injury, while the second concerns the impacts on aesthetic and recreational values of various
severities and incidences of injury. With regard to the former, there is a lack of detailed
understanding of specific patterns of O3 concentrations over a growing season and the key
aspects of those patterns (e.g., incidence of concentrations of particular magnitude) that
contribute to an increased incidence and severity of injury occurrence in the U.S. For example,
"the incidence of visible foliar injury is not always higher in years and areas with higher ozone,
especially with co-occurring drought" (ISA, Appendix 8, p. 8-24). Accordingly, there are no
established, quantitative E-R functions that document visible foliar injury severity and incidence
under varying air quality and environmental conditions (e.g., soil moisture). As discussed in
section 4.3.3.2 above, the available studies that have investigated the role of different variables,
including different metrics for characterizing O3 concentrations over a growing season, do not

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provide a basis for a single metric that would characterize the potential for different patterns of
O3 concentrations to contribute to different incidences and severity of foliar injury in U.S.
forests. Further, while several studies of the USFS biosite dataset indicate a role for two metrics
— one reflecting cumulative, concentration-weighted exposures and a second that reflects peak
concentrations, statistical analyses of a number of models containing various metrics and
combinations of metrics have not been able to identify environmental conditions under which
visible foliar injury could be reliably expected (Smith, 2012; Wang et al., 2012). The second
category of uncertainties and limitations concerns the information that would support associated
judgments on the public welfare significance of different patterns of and severity of foliar injury,
such as the extent to which such effects in areas valued by the public for different uses may be
considered adverse to public welfare. In considering this issue, we note that some level of
severity of injury to a tree stand would be obvious to the casual observer (e.g., when viewing a
stand covering a hillside from a distance), and some level of severity of injury (e.g., leaf and
crown damage that appreciably affects overall plant physiology) would also be expected to affect
plant growth and reproduction. The extent to which recreational values are affected by lesser
levels of injury severity and incidence is not clear from the available information. Thus,
limitations and uncertainties in the available information, such as those described above,
complicate our ability to comprehensively estimate the potential for visible foliar injury, its
severity or extent of occurrence for specific air quality conditions, and associated public welfare
implications, thus affecting a precise identification of air quality conditions that might be
expected to provide a specific level of protection for this effect.

4.3.4.3 Other Effects

During the 2015 review, the 2013 ISA did not assess the evidence of O3 exposure and
tree mortality with regard to its support for inference of a causal relationship. Evidence available
in the last several reviews included field studies of pollution gradients that concluded O3 damage
to be an important contributor to tree mortality although several confounding factors such as
drought, insect outbreak and forest management were identified as potential contributors (2013
ISA, section 9.4.7.1). Since the 2015 review, three additional studies have been identified, as
summarized in section 4.3.1 above, contributing to the ISA conclusion of sufficient evidence to
infer a likely causal relationship for O3 with tree mortality (ISA, Appendix 8, section 8.4). As
noted in the ISA, there is only limited evidence from experimental studies that isolate the effect
of O3 on tree mortality, with the recently available Aspen FACE study of aspen survival
involving cumulative seasonal exposures above 30 ppm-hrs during the first half of the 11-year
study period (ISA, Appendix 8, Tables 8-8 and 8-9). Evidence is lacking regarding exposure

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conditions closer to those occurring under the current standard and any contribution to tree
mortality.

In the case of the two newly identified categories of effects, the key uncertainties relate to
comprehensive characterization of the effects. For example, with regard to alteration of herbivore
growth and reproduction, although "there are multiple studies demonstrating ozone effects on
fecundity and growth in insects that feed on ozone-exposed vegetation", "no consistent
directionality of response is observed across studies and uncertainties remain in regard to
different plant consumption methods across species and the exposure conditions associated with
particular severities of effects" (ISA, pp. ES-18, IS-64, IS91 and Appendix 8, section 8.6.3).

Such limitations and uncertainties in the evidence base for this category of effects preclude
broader characterization, as well as quantitative analysis related to air quality conditions meeting
the O3 standard. As characterized in the ISA, uncertainties remain in the evidence; these relate to
the different plant consumption methods across species and the exposure conditions associated
with particular responses, as well as variation in study designs and endpoints used to assess O3
response (ISA, IS.6.2.1 and Appendix 8, section 8.6). Thus, while the evidence describes
changes in nutrient content and leaf chemistry following O3 exposure, the effect of these changes
on herbivores consuming the leaves is not well characterized or clear (ISA, p. IS-73).

The evidence for a second newly identified category of effects, alteration of plant-insect
signaling, draws on new research that has provided clear evidence of O3 modification of VPSCs
and behavioral responses of insects to these modified chemical signals. Most of these studies,
however, have been carried out in laboratory conditions rather than in natural environments, and
involve a relatively small number of plant species and plant-insect associations. While the
evidence documents effects on plant production of signaling chemicals and on the atmospheric
persistence of signaling chemicals, as well as on the behaviors of signal-responsive insects, it is
limited with regard to characterization of mechanisms and the consequences of any modification
of VPSCs by O3 (ISA, section IS.6.2.1). Further, the available studies vary with regard to the
experimental exposure circumstances in which the different types of effects have been reported
(most of the studies have been carried out in laboratory conditions rather than in natural
environments), and many of the studies involve quite short controlled exposures (hours to days)
to elevated concentrations, posing limitations for our purposes of considering the potential for
impacts associated with the studied effects to be elicited by air quality conditions that meet the
current standard (ISA, section IS.6.2.1 and Appendix 8, section 8.7).

With regard to radiative forcing and climate effects, "uncertainty in the magnitude of
radiative forcing estimated to be attributed to tropospheric ozone is a contributor to the relatively
greater uncertainty associated with climate effects of tropospheric ozone compared to such
effects of the well mixed greenhouse gases (e.g., carbon dioxide and methane)" (ISA, section

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IS.6.2.2). With regard to O3 effects on temperature, "the heterogeneous distribution of ozone in
the troposphere complicates the direct attribution of spatial patterns of temperature change to
ozone induced RF" and the existence of O3 climate feedbacks "further alter the relationship
between ozone RF and temperature (and other climate variables) in complex ways" (ISA,
Appendix 9, section 9.3.1). Thus, various uncertainties "render the precise magnitude of the
overall effect of tropospheric ozone on climate more uncertain than that of the well-mixed
GHGs" (ISA, Appendix 9, section 9.3.3). Further, "[cjurrent limitations in climate modeling
tools, variation across models, and the need for more comprehensive observational data on these
effects represent sources of uncertainty in quantifying the precise magnitude of climate responses
to ozone changes, particularly at regional scales" (ISA, Appendix 9, section 9.3.3).

4.4 EXPOSURE AND AIR QUALITY INFORMATION

In general, decision-making in the 2015 review placed greatest weight on estimates of
cumulative exposures to vegetation based on ambient air monitoring data and consideration of
those estimates in light of E-R functions for Cb-related reduction in tree seedling growth
(summarized in section 4.3.3 above). These analyses supported the consideration of the potential
for O3 effects on tree growth and productivity, as well as its associated impacts on a range of
ecosystem services, including forest ecosystem productivity and community composition (80 FR
65292, October 26, 2015). These analyses were recognized as involving relatively reduced
uncertainty (compared to the national or regional-scale modeling performed in the 2015 review)
for the purposes of informing a characterization of cumulative O3 exposure (in terms of the
W126 index) associated with air quality just meeting the existing standard (IRP, section 5.2.2).
The lesser uncertainty of these air quality monitoring-based analyses contributed to their being
more informative in the 2015 review and to their being updated in the 2020 PA. A second set of
air quality analyses was also considered in the 2020 decision; these analyses investigated the
occurrence of peak concentrations at sites for which the O3 concentrations meet different design
values or contribute to different cumulative exposure levels in terms of the W126 index (Wells,
2020). Both sets of analyses have been updated for this reconsideration of the 2020 decision
using more recently available air quality data now available (Appendices 4D and 4F).

The first set of analyses are air quality and exposure analyses presented in Appendix 4D.
They are an update of the analyses considered in the 2015 decision establishing the current
standard, and in the 2020 decision to retain that standard. This set of analyses, in 2015 and 2020,
as well as the current updated analyses presented here, evaluate W126-based cumulative
exposure estimates at all U.S. monitoring locations, nationwide, and at the subset of sites in or
near Class I areas, during 3-year periods that met the then-current standard and potential
alternatives (80 FR 65485-86, Table 3, October 26, 2015; Wells, 2015; 2020 PA, section 4.4).

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For the 2015 and 2020 decisions, W126 index values79 occurring in locations with air quality
meeting the then-current standard (or potential alternatives) were considered in the context of the
magnitude of W126 exposure index associated with an estimate of 6% RBL in tree seedlings for
the median tree species among the 11 species for which E-R relationships had been established
(80 FR 65391-92, Table 4, October 26, 2015; 2020 PA, section 4.4; Lee and Hogsett, 1996).

That magnitude of W126 index is 19 ppm-hrs (80 FR 65391-65392). This set of analyses also
includes an evaluation of relationships between W126 index values and design values80 based on
the form and averaging time of the current secondary standard (Appendix 4D).

The second set of analyses (initially performed for consideration in the 2020 decision and
updated here) focus on the occurrence of peak concentrations, investigating the occurrence of
peak concentrations at sites for which the O3 concentrations meet different design values or
contribute to different cumulative exposure levels in terms of the W126 index. The metrics used
for these analyses are the number of hours in a year for which the O3 concentration was at or
above 100 ppb (N100), and the number of days in a year in which there was at least one hour
with an O3 concentration at or above 100 ppb (D100). The value of 100 ppb is used here as it has
been in some studies focused on O3 effects on vegetation (and discussed in section 4.3.3 2
above), simply as an indicator of elevated or peak hourly O3 concentrations (e.g., Lefohn et al.,
1997, Smith, 2012; Davis and Orendovici, 2006; Kohut, 2007). Other values that have also been
considered in this way in other studies are 95 ppb and 110 ppb (2013 ISA, section 9.5.3.1). These
analyses provided additional information for the 2020 review beyond that provided by the first
set of analyses that focused only on W126 index.

Both sets of analyses described here have been performed with the expanded set of air
monitoring data now available,81 which includes 1,578 monitoring sites with sufficient data for
derivation of design values (Appendix 4D, section 4D.2.2; Appendix 4F). Both sets of analyses
include a component based on data for the most recent periods, and a second component
considering data across the full historical period back to 2000, which is now expanded from that
previously available.82 The most recent data analyzed are those for the design value period from

79	Based on judgments in the last review, the W126 metric analyzed and considered in the 2015 decision was the 3-
year average of consecutive year seasonal W126 index values (derived as described in section 4.3.3.1 above).

80	As described in earlier chapters, a design value is a statistic that describes the air quality status of a given area
relative to the level of the standard, taking the averaging time and form into account. For example, a design value
of 75 would have indicated O3 concentrations that just met the prior standard in a specific 3-yr period.

81	In addition to being expanded with regard to air quality data for more recent time periods than previously
available, the current dataset also includes a small amount of newly available older data for some monitoring sites
that are now available in the AQS.

82	In the 2015 review, the dataset analyzed included data from 2000 through 2013 (Wells, 2015), and in the dataset
analyzed for the 2020 PA included data from 2000 through 2018 (2020 PA).

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2018 to 2020. The first set of analyses include a focus on all sites in the U.S., as well as on the
subset of sites in or near Class I areas is described in detail in Appendix 4D. The second set of
analyses, which investigate the occurrence of peak concentrations at sites varying by design
value and W126 index, are described in detail in Appendix 4F

For all monitoring sites with valid design values for the recent period of 2018 through
2020, Figure 4-9 presents the 3-year average seasonal W126 index and also denotes whether
each site meets the current standard. Similarly, Figures 4-10 and 4-11 present N100 and D100
values, respectively, for these sites. Consideration of all three figures indicates that the
monitoring sites with design values above the level of the current standard (denoted by triangles)
have the higher W126 index values and also the higher values of N100 and D100 (compared to
monitoring sites meeting the current standard). It can also be seen that there are some sites that
have relatively lower W126 index values, e.g., less than or equal to 13 ppm-hrs in the Northwest,
Northeast and Midwest, while recording N100 or D100 values of more than 5 (including some
values above 10 and 5, respectively. The sections below summarize more completely the
findings of all the air quality analyses involving these three metrics.

O 8 -13 ppm-hrs (241 sites) ฉ 16-17 ppm-hrs (21 sites) A 4th Max Value > 70 ppb
Figure 4-9. W126 index (2018-2020 average) at monitoring sites with valid design values.

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•	0 (814 sites)	01.1- 5.0 (94 sites) • > 10.0 (22 sites)

•	0.1-1.0 (154 sites) ฉ 5.1 -10.0 (21 sites) A 4th Max Metric > 70 ppb

Figure 4-10. N100 values (2018-2020 average) at monitoring sites with valid design values.

• 0 (814 sites)	ฉ 1.1 - 2.0 (44 sites) • > 5.0 (21 sites)

ฉ 0.1-1.0 (202 sites) ฉ 2.1 - 5.0 (24 sites) A 4th Max Metric > 70 ppb

Figure 4-11. D100 values (2018-2020) at monitoring sites with valid design values.

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4.4.1 Influence of Form and Averaging Time of Current Standard on W126 Index and

Peak Concentration Metrics

In revising the standard in 2015 to the now-current standard, the Administrator concluded
that, with revision of the standard level, the existing form and averaging time provided the
control needed to achieve the cumulative seasonal exposure circumstances identified for the
secondary standard (80 FR 65408, October 26, 2015). The focus on cumulative seasonal
exposure primarily reflected the evidence on E-R relationships for plant growth. The 2015
conclusion was based on the air quality data analyzed at that time (80 FR 65408, October 26,
2015). Analyses of the now expanded set of air monitoring data, which includes 1,578
monitoring sites with sufficient data for derivation of design values (Appendix 4D, section
4D.2.2), document similar findings as from the analysis of data from 2000-2013 described in the
2015 review, and the 2020 analysis of 2000-2018 data. The current (updated) analyses, which
now span 21 years and 19 3-year periods, are described in detail in Appendix 4D.

These analyses document the positive nonlinear relationship that is observed between
cumulative seasonal exposure, quantified using the W126 index, and design values, based on the
form and averaging time of the current standard. This is shown for both the average W126 index
across the 3-year design value period (Figure 4-12, left) and for annual index values within the
period (Figure 4-12, right). For both annual and 3-year average index values, it is clear that
cumulative seasonal exposures, assessed in terms of W126 index, are lower at monitoring sites
with lower design values. This is seen both for design values above the level of the current
standard (70 ppb), where the slope is steeper (due to the sigmoidal weighting of higher
concentrations by the W126 index function), as well as for lower design values that meet the
current standard (Figure 4-12; Appendix 4D). These presentations also indicate some regional
differences. For example, as shown in Figure 4-9 and Figure 4-12 for the 2018-2020 period, sites
meeting the current standard in the regions outside of the West and Southwest regions, all 3-year
average W126 index values (and virtually all annual values) are at or below 13 ppm-hrs. Ozone
concentrations, and W126 index values, are generally higher in the West and Southwest regions
(Figure 4-9). However, the positive relationship between the W126 index and the design value is
evident in all regions (Figure 4-12).

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analyzed in terms of averages across the 3-year design value period (left) and annual values (right).

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An additional analysis, which was also performed in the 2015 review with the then-
available data, assesses the relationship between long-term changes in design value and long-
term changes in the W126 index (presented in detail in Appendix 4D, section 4D.3.2.3). Ozone
monitoring data have well documented reductions in O3 design values in response to national
programs to control O3 precursors (see section 2.4.2 above). The current analysis explores the
extent to which the W126 index has responded to these declines by focusing on the relationship
between changes (at each monitoring site) in the 3-year design value (termed "4th max" in
Appendix 4D, Figure 4-13 and Figure 4-13) across the 19 design value periods from 2000-2002
to 2018-2020 and changes in the W126 index over the same period.83 This analysis, performed
using either the 3-year average W126 index or annual values, shows there to be a positive, linear
relationship between the changes in the W126 index and the changes in the design value at
monitoring sites across the U.S. (Figure 4-13). This means that a change in the design value at a
monitoring site was generally accompanied by a similar change in the W126 index (e.g., a
reduction in design value accompanied by a reduction in W126 index). Nationally, the W126
index (in terms of 3-year average) decreased by approximately 0.59 ppm-hrs per ppb decrease in
design value over the full period from 2000 to 2020. This relationship varies across the NOAA
climate regions, with the greatest change in the W126 index per unit change in design value in
the Southwest and West regions. Thus, the regions which had the highest W126 index values at
sites meeting the current standard (Figure 4-12) also showed the greatest improvement in the
W126 index per unit decrease in their design values over the past 21 years (Figure 4-13;
Appendix 4D, Table 4D-12 and Figure 4D-11). This indicates that going forward as design
values are reduced in areas that are presently not meeting the current standard, the W126 index
in those areas would also be expected to decline (Appendix 4D, section 4D.3.2.3 and 4D.4).

Thus, the air quality analyses indicate control by the form and averaging time of the
current standard of W126 index exposures, both in terms of 3-year average and single-year
values. The overall trend showing reductions in the W126 index concurrent with reductions in
the design value metric for the current standard is positive whether the W126 index is expressed
in terms of the average across the 3-year design value period or the annual value (Appendix 4D,
section 4D.3.2.3). This similarity is consistent with the relationship between the W126 index and
the design value metric for the current standard summarized above, which shows a strong
positive relationship between those metrics (Figure 4-13; Appendix 4D, section 4D.3.1.2).

83 At each site, the trend in values of a metric (W126 or 4th max), in terms of a per-year change in metric value, is
calculated using the Theil-Sen estimator, a type of linear regression method that chooses the median slope among
all lines through pairs of sample points. For example, if applying this method to a dataset with metric values for
four consecutive years (e.g., W 126i, W1262, W1263, W1264), the trend would be the median of the different per-
year changes observed in the six possible pairs of values ([W1264- W1263]/l, [W1263- W1262]/l, [W1262-
W126i]/1, [W1264- W1262]/2, [W1263- W126i]/2, [W1264- W126i]/3).

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• Central

o EastNorthCentral
ฉ NorthEast
o Northwest

ฉ	South

o SouthEast
o Southwest

•	West

•	WestNorthCentral

-2	-1

Trend in 4th Max Metric Value (ppb/yr)

•	Central	o SouthEast

o	EastNorthCentral	ฉ Southwest

ฉ	NorthEast	• West

o	Northwest	• WestNorthCentral

o	South

-2	-1

Trend in 4th Max Metric Value (ppb/yr)

Figure 4-13. Relationship between trends in the W126 index and trends in design values across a 21-year period (2000-2020)
at U.S. monitoring sites. W126 is analyzed in terms of averages across 3-year design value periods (left) and
annual values (right).

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1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

In considering the control of the current form and averaging time on vegetation exposures
of potential concern, we additionally take note of the evidence discussed in section 4.3.3.2 above
regarding the potential for days with particularly high O3 concentrations to play a contributing
role in vegetation effects. While the occurrence and severity of visible foliar injury indicates
some relationship with cumulative concentration-weighted indices such as SUM06 and W126,
the evidence also indicates a contributing role for occurrences of peak concentrations. We note
that the current standard's form and averaging time, by their very definition, limit such
occurrences. For example, the peak 8-hour average concentrations are lower at sites with lower
design values, as illustrated by the declining trends in annual fourth highest MDA8
concentrations that accompany the declining trend in design values described in chapter 2 (e.g.,
Figure 2-11). Additionally, peak hourly concentrations are also lower with lower design values.
As shown in Figure 4-14, the 99th through 25th percentile daily maximum 1-hour concentrations
(MDA1) are lower with lower design values. This is true both for the most recent three design
value periods and the three periods in 2000 through 2004. Additionally Figure 4-14 shows that
for sites with design values below the level of the standard (i.e., at or below 70 ppb) the 99th
percentile of daily maximum 1-hour ozone concentrations is less than 80 ppb. Further analyses
summarized in Appendix 2A document many fewer hourly concentrations at or above 100 ppb at
sites that meet the current standard compared to sites that do not. For example, the average
number of hours at or above 100 ppb per site in a 3-year period was well below one for sites
meeting the current standard compared to approximately 10 occurrences per site for sites not
meeting the current standard (Appendix 2A, Table 2A-2). This pattern also holds for hourly
concentrations at or above 120 or 160 ppb and is true for the recent air quality as well as past air
quality (Appendix 2A, Tables 2A-2 through 2A-4).

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1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

a

n

o

E 80

<60

61-70

71-84

> 84

8-hour 03 Desian Value (cpb)

Figure 4-14. Distributions of MDA1 concentrations for the three design value periods in
2000-2004 (red) and 2016-2020 (blue), binned by the design value at each
monitoring site. Boxes represent the 25th, 50th and 75th percentiles; whiskers
represent the 1st and 99th percentiles; and circles are outlier values.

An additional investigation into the extent of control the current standard exerts on peak
concentrations is described in the set of analyses presented in Appendix 4F. This investigation
tallied the number of hours at or above 100 ppb (N100), and the number of days with an hour at
or above 100 ppb (D100), at sites meeting different criteria with regard to seasonal W126 index,
in a single year and as an average across three years, and also at sites with varying design values.
The strong control of these peak concentration metrics exerted by the current standard is
illustrated in Figure 4-15 by the low values common at sites meeting the current standard (design
value of 70 ppb or lower). The parallel presentation for varying values of W126 index suggests
that this metric has generally less potential for control of such peaks (Figure 4-15). For example,
the distributions for N100 and D100 observed for monitoring sites meeting the current standard
are more compressed and have lower maximum values than any of the W126 bins, with the
lowest bins (for W126 index values at or below 7 ppm-hrs) being most similar (Figure 4-15).

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<60 61-70 71-84 >84
Design Value (ppb)

<60

61-70
Design Value (ppb)

71-84 >84

200-

150 -

100

50-

60-

50-

40-

TO
>
O

30-

20-

10-

Annual W126
3-year W126

4- -?	f-

<7

8-13	14-19

W126 Index (ppm-hrs)

> 19

Annual W126
3-year W126

<7

8-13	14-19

W126 Index (ppm-hrs)

> 19

Figure 4-15. Distributions of N100 (top panels) and D100 (bottom panels) values at

monitoring sites differing by design values (left panels) and W126 index values
(right panels) based on 2018-2020 monitoring data. The boxes represent the
25th, 50th and 75th percentiles and the whiskers extend to the 1st and 99th.

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In considering the prevalence of peak concentrations occurring at monitoring sites, it can
be seen that O3 concentrations at or above 100 ppb occur at lower prevalence at sites that meet
the current standard than at sites that meet a range of W126 index values. As shown in Table 4-1,
during the highest year for the different N100 or D100 thresholds, the percentage of sites
exceeding those thresholds is greater for the sites restricted to meet the different annual W126
levels, with the exception of 7 ppm-hrs, than it is for sites meeting the current standard (design
values [3-year 4th Max] at or below 70 ppb) for which the percentages are similar to those for the
sites meeting a W126 of 7 ppm-hrs. This observation can also be made for the average
percentages across the 3-year period. Further, in looking at the three most recent 3-year periods
(extending from 2016 through 2020), a similar finding holds (Table 4-2).

Table 4-1. Percent of monitoring sites during the 2018 to 2020 period with 4th max or
W126 metrics at or below various thresholds that have N100 or D100 values
above various thresholds.



Total
Number of
Sites

Num
N100 > 0

ber of sites v
N100 > 5

/here:
N100 >10

Nut
D100 > 0

Tiber of sites w
D100 > 2

lere:
D100 > 5



A verage percent of sites exceeding N100 or D100 threshold per year*

3-year 4th Max < 70

877

6%

0.4%

<0.1%

6%

0.3%

0%

Annual W126< 25

1134-1144

11%

1.7%

0.5%

11%

1.7%

0.3%

Annual W126 <19

1091-1129

10%

1.3%

0.3%

10%

1.3%

0.2%

Annual W126 <17

1067-1117

9.3%

1.3%

0.2%

9.3%

1.3%

0.2%

Annual W126< 15

1031-1091

9%

1.2%

0.2%

9%

1.2%

0.1%

Annual W126 <7

626-860

5.3%

0.4%

0%

5.3%

0.4%

0%

Annual 4th Max < 70

802-1000

3.7%

0%

0%

3.7%

0%

0%



Percent of sites exceeding N100 or D100 threshold in maximum year of the three

3-year 4th Max < 70



9%

0.6%

0.1%

9%

0.5%

0%

Annual W126< 25

See above

15%

2%

0.6%

15%

2%

0.4%

Annual W126 <19

13%

2%

0.4%

13%

28%

0.3%

Annual W126 <17

13%

2%

0.3%

13%

2%

0.3%

Annual W126< 15

13%

2%

0.3%

13%

2%

0.3%

Annual W126< 7

8%

1%

0%

8%

1%

0%

Annual 4th Max < 70



4%

0%

0%

4%

0%

0%

* For the annual metrics, the entries for each N100 or D100 column may be for different years in the 3-year period. Thus the
"Total Number of Sites" column presents the range in number of sites that meet the annual 4th Max or W126 thresholds in
each of the three years (as presented in Table 4F-2, Appendix 4F).

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Table 4-2. Average percent of monitoring sites per year during 2016-2020 with 4th max or
W126 metrics at or below various thresholds that have N100 or D100 values
above various thresholds.



Total
Number
of Sites

Perceri
N100 > 0

t of sites wher
N100 > 5

e:

N100 >10

Perc
D100 > 0

ent of sites wl
D100 > 2

lere:
D100 > 5





Average percent of sites exceeding N100 or D100 threshold per year (2016- 2020)

3-year 4th Max < 70



5.1%

0.3%

0.01%

5.1%

0.2%

0%

Annual W126<25



11.0%

1.7%

0.5%

11.0%

1.8%

0.4%

Annual W126<19

10.0%

1.4%

0.3%

10.0%

1.4%

0.2%

Annual W126<17

9.5%

1.2%

0.2%

9.5%

1.2%

0.1%

Annual W126<15

9.1%

1.2%

0.2%

9.1%

1.1%

0.1%

Annual W126<7

5.1%

0.4%

0%

5.1%

0.3%

0%

Annual 4th Max < 70



3.3%

0.02%

0%

3.3%

0.3%

0%

Drawn from Appendix 4F, Table 4F-3.

These air quality analyses illustrate limitations of the W126 index for purposes of
controlling peak concentrations, and also the strengths of the current standard in this regard.
Although the W126 index derivation provides relatively greater weighting to higher (vs lower)
concentrations, the W126 index cannot, by virtue of its definition, always differentiate between
air quality patterns with high peak concentrations and those without such concentrations, as
discussed more fully in section 4.5.1.1 below. This is demonstrated in the air quality analyses
referenced above which indicate that the form and averaging time of the existing standard is
much more effective than the W126 index in limiting peak concentrations (e.g., hourly O3
concentrations at or above 100 ppb) and in limiting number of days with any such hours (e.g.,
Appendix 4F, Figures 4F-4, 4F-5, 4F-8, 4F-9 compared to Figures 4F-6, 4F-7, 4F-10 and 4F-11).
A similar finding is evidenced in the historical data extending back to 2000. These data show the
appreciable reductions in peak concentrations that have been achieved in the U.S. as air quality
has improved under O3 standards of the existing form and averaging time (Appendix 4F, Figures
4F-12 and 4F-13). From the analyses, it can be seen that the form and averaging time of the
current standard is effective in controlling peak hourly concentrations and that a W126 index-
based standard would be much less effective in providing the needed protection against years
with such elevated and potentially damaging hourly concentrations.

In summary, monitoring sites with lower O3 concentrations as measured by the design
value metric (based on the current form and averaging time of the secondary standard) have
lower cumulative seasonal exposures, as quantified by the W126 index, and also lower short-
term peak concentrations, thus indicating a level of control exerted by the current standard on

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these other metrics. As the form and averaging time of the secondary standard have not changed
since 1997, the decreasing trends in W126 index and in hourly and 8-hour daily maximum
concentrations over time also support the finding that a change in level for a standard of the
current form and averaging time (i.e., from 80 ppb in 1997 to 75 ppb in 2008 to 70 ppb in 2015)
contributes to reductions in cumulative seasonal exposures in terms of W126 index (and also
reductions in hourly peak concentrations). In other words, as design values (for the 8-hour daily
maximum standard) have declined, presumably associated with implementation of revised
standards, this has been accompanied by reductions in cumulative seasonal exposures in terms of
W126 index, as well as reductions in short-term peak concentrations. Further, the analyses
focused on N100 and D100 metrics provide additional evidence of the degree to which the
current standard controls peak concentrations, and also indicate a likely lesser effectiveness of a
standard based on the W126 index metric in providing such control.84 Altogether, the analyses
summarized here demonstrate the form and averaging time of the current standards to be
effective in controlling cumulative, concentration-weighted exposures as well as peak hourly
concentrations (e.g., concentrations at/above 100 ppb), two metrics that have been found to be
important to O3 effects on vegetation (as discussed in section 4.3 above).

4.4.2 Environmental Exposures in Terms of W126 Index

Given the evidence indicating the W126 index to be strongly related to growth effects
and its use in the E-R functions for tree seedling RBL, exposure in the analyses described here is
quantified using the W126 metric (Figure 4-16). These analyses are intended to inform
conclusions regarding the magnitude of cumulative, concentration-weighted exposures, in terms
of W126 index, likely to occur in areas that meet the current standard. In light of the importance
placed on Class I areas in past secondary standard reviews and the greater public welfare
significance of O3 related impacts in such areas, as discussed in section 4.3.2 above, a separate
evaluation is conducted on cumulative O3 exposure at monitoring sites in or near Class I areas85,
in addition to that at all monitoring sites nationwide. The potential for impacts of interest is
assessed through considering the magnitude of estimated exposure in light of current information
and, in comparison to levels given particular focus in the 2015 decision on the current standard
(80 FR 65292; October 26, 2015).86

84	Evidence for the latter includes the observed occurrence of some of the highest N100 and D100 values in the
northeastern U.S. where the W126 index values are at or below 13 ppmh-hrs (Figures 4-9 through 4-11).

85	Included are monitors sited within Class I areas or the closest monitoring site within 15 km of the area boundary.

86	The W126 index values were rounded to the nearest unit ppm-hr for these comparisons to a specific whole-
number W126 level (Appendix 4D, section 4D.2).

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s ซ

2
<

Figure 4-16. Analytical approach for characterizing vegetation exposure with W126 index.

The updated analyses discussed here and described in greater detail in Appendix 4D
include assessment of all monitoring sites nationally and also a focused evaluation in Class I
areas for which such monitoring data are available. The analyses include air quality monitoring
data for the most recent 3-year period (2018 to 2020) for which data were available when the
analyses were performed, and also all 3-year periods going back as far as the 2000-2002 period.
Design values (3-year average annual fourth-highest 8-hour daily maximum concentration, also
termed "4th max metric" in this analysis) and W126 index values (in terms of the 3-year average)
were calculated at each site where sufficient data were available.8 ' Across the nineteen 3-year
periods from 2000-2002 to 2018-2020, the number of monitoring sites with sufficient data for
calculation of valid design values and W126 index values ranged from a low of 992 in 2000-
2002 to a high of 1,118 in 2015-2017. As specific monitoring sites differed somewhat across the
21 years, there were 1,578 sites with sufficient data for calculation of valid design values and
W126 index values for at least one 3-year period between 2000 and 2020, and 510 sites had such
data for all nineteen 3-year periods. The sections below discuss key aspects of these analyses and
what they indicate with regard to protection from vegetation-related effects of potential public
welfare significance.

The analyses of cumulative seasonal exposures include a focus on the W126 index in
terms of the average seasonal index across the 3-year design value period, with additional
analyses also characterizing the annual W126 index. Among the analyses performed is an
evaluation of the variability of annual W126 index values across the 3-year period (Appendix

87 Data adequacy requirements and methods for these calculations are described in Appendix 4D, section 4D.2.

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4D, section 4D.3.1.2). This evaluation was performed for all monitoring sites in the most recent
3-year period, 2018 to 2020. This analysis indicates the extent to which single-year values within
the 3-year period deviate from the average for the period. Across the 877 sites (Appendix 4D,
Table 4D-1) meeting the current standard (design value at or below 70 ppb), 99% of single-year
W126 values in this subset differ from the 3-year average by no more than 5 ppm-hrs, and 78%
by no more than 2 ppm-hrs (Appendix 4D, Figure 4D-7).

The following discussion is framed by a key policy-relevant question based on those
identified in the IRP. The question considers all areas nationally, with particular focus on air
quality data for Class I areas.

• What are the nature and magnitude of vegetation exposures associated with
conditions meeting the current standard at sites across the U.S., particularly in
specially protected areas, such as Class I areas, and what do they indicate regarding
the potential for C>3-related vegetation impacts?

To address this question, we considered both recent air quality (2018-2020) and air
quality since 2000. These air quality analyses of cumulative seasonal exposures associated with
conditions meeting the current standard nationally provide conclusions generally similar to those
based on the data available at the time of the 2015 review when the current standard was set,
when the most recent data available for analysis were 2011 to 2013 (Wells, 2015). Cumulative
exposures vary across the U.S, with the highest W126 index values for sites that met the current
standard being located exclusively in the Southwest and West climate regions (Figure 4-9). In all
other NOAA climate regions, average W126 index values (for the 3-year period, 2018-2020) at
sites meeting the current standard are generally at or below 13 ppm-hrs (Figure 4-9). In the
Southwest and West, W126 index values at all sites meeting the current standard are at or below
17 ppm-hrs in the most recent 3-year period (Figure 4-9) and virtually all sites meeting the
current standard are at or below 17 ppm-hr across all of the nineteen 3-year periods in the full
dataset evaluated88 (Table 4-3). Additionally, the historical dataset includes no occurrences of a
3-year average W126 index above 19 ppm-hrs at sites meeting the current standard, and just a
small number of occurrences (limited to eight [less than 0.08% of values], all but one from a
period prior to 2011) of a W126 index above 17 ppm-hrs, with the highest just equaling 19 ppm-
hrs (Table 4-3; Appendix 4D, section 4D.3.2.1). Additionally, across the full historical dataset,

88 On over 99.9 percent of occasions across all sites with valid design values at or below 70 ppb during the 2000 to
2020 period, the W126 metric (seasonal W126, averaged over three years) was at or below 17 ppm-hrs (Table 4-
3). All but one of the eight occasions when it was above 17 ppm-hrs (the highest was 19 ppm-hrs) occurred in the
Southwest region during a period before 2011. The eighth occasion occurred at a site in the West region when the
3-year average W126 index value was 18 ppm-hrs. On more than 97 percent of occasions in the full dataset with
valid design values at or below 70 ppb, the 3-year average W126 index was at or below 13 ppm-hrs (Appendix
4D, section4D.3.2).

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the magnitude and variation in annual W126 index values declines appreciably for sites meeting
the current standard compared to those that do not (Appendix 4D, Figure 4D-15). For well over
99% of monitoring sites and periods when the standard is met (4th max metric at/below 70 ppb)
across this full period, the annual W126 index values are less than 19 ppm-hrs (Appendix 4D,
4D.5).

Given the recognition of more significant public welfare implications of effects in
protected areas, such as Class I areas (as discussed in section 4.3.2 above), we give particular
attention to Class I areas (Appendix 4D, section 4D.3.2.4). In so doing, we consider the updated
air quality analysis presented in Appendix 4D for 65 Class I areas. The findings for these sites,
which are distributed across all nine NOAA climate regions in the contiguous U.S., as well as
Alaska and Hawaii, mirror all U.S. sites. Among the Class I area sites meeting the current
standard (i.e., having a design value at or below 70 ppb) in the most recent period of 2018 to
2020, there are none with a W126 index (averaged over design value period) above 17 ppm-hrs
(Table 4-3). The historical dataset includes just seven occurrences (all dating from the 2000-2010
period) of a Class I area site meeting the current standard and having a 3-year average W126
index above 17 ppm-hrs, and no such occurrences above 19 ppm-hrs (Table 4-3). Additionally,
across the full 21-year dataset for 56 Class I areas with monitors meeting the current standard
during at least one or as many as nineteen 3-year periods since 2000, there are no more than 15
occurrences of a single-year W126 index above 19 ppm-hrs, and the majority occurred during
the earlier years of the period (Appendix 4D, section 4D.3.2.4, Tables 4D-14 and 4D-16). For
example, the highest values were equal to 23 ppm-hrs, all occurring before 2012 (Appendix 4D,
4D-16).

Across the complete dataset (2000-2020), the W126 index, averaged over a 3-year
period, at sites with design values above 70 ppb (i.e., that would not meet the current standard),
ranges up to approximately 60 ppm-hrs (Appendix 4D, Table 4D-17). Focusing on the most
recent period, among all sites across the U.S. that do not meet the current standard in the 2018 to
2020 period, more than a quarter have average W126 index values above 19 ppm-hrs and more
than a third exceed 17 ppm-hrs (Table 4-3).89 A similar situation exists for Class I area sites
(Table 4-3). Thus, as at the time of the 2015 decision, the available quantitative information
continues to indicate appreciable control of seasonal W126 index-based cumulative exposure at
all sites with air quality meeting the current standard.

89 As described above and in detail in Appendix 4D, W126 index values were rounded to the nearest unit ppm-hr for
comparisons to a specific whole-number W126 level.

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Table 4-3. Distribution of 3-yr average seasonal W126 index for sites in Class I areas and
across U.S. that meet the current standard and for those that do not.

3-year periods

Number of Occurrences or Site-DVs A

In Class I Areas

Across All Monitoring Sites (urban and rural)

Total

W126 (ppm-hrs)
>19 | >17 | <17

Total

W126 (ppm-hrs)
>19 | >17 | <17



At sites that meet the current standard (design value at or below 70 ppb)

2018-2020

47

0

0 47

877

0 0 877

All from 2000 to 2020

589

0

7 582

10,039

0 8 10,031



At sites that exceed the current standard (design value above 70 ppb)

2018-2020

10

7

8 2

213

58 77 136

All from 2000 to 2020

391

174

219 172

11,142

2,424 3,317 7,825

AThe counts presented here are drawn from Appendix D, Tables 4D-2, 4D-4, 4D-5, 4D-6, 4D-9, 4D-10, and 4D-14 through 17.

In summary, as discussed in section 4.3.3 above, the evidence available leads us to
similar conclusions regarding exposure levels associated with effects as in the 2015 review.
Based largely on this evidence in combination with the use of RBL as a surrogate or proxy for all
vegetation-related effects, the value of 17 ppm-hrs, as an average W126 index (over three years)
was generally identified as a target level for protection in the 2015 decision (80 FR 65393;
October 26, 2015). The available information continues to indicate that average cumulative
seasonal exposure levels at virtually all sites and 3-year periods with air quality meeting the
current standard fall at or below this level of 17 ppm-hrs. Additionally, at sites meeting the
current standard, single-year W126 index values are less than 19 ppm-hrs well over 99% of the
time (Appendix 4D, sections 4D.3.2.1 and 4D.5). In Class I area sites that meet the current
standard for the most recent 3-year period, the average W126 index is below 17 ppm-hrs
(Appendix 4D, Table 4D-16). Further, across the full 21-year dataset, with the exception of
seven values that occurred prior to 2011, Class I area W126 index values (averages for each 3-
year period) were no higher than 17 ppm-hrs during periods that met the current standard. This
contrasts with the occurrence of much higher seasonal W126 index values in sites when the
current standard was not met. For example, out of the 10 Class I area sites with design values
above 70 ppb during the most recent period, seven had a W126 index (based on 3-year average)
above 19 ppm-hrs (ranging up to 47 ppm-hrs) and eight sites had a W126 index above 17 ppm-
hrs (Table 4-3; Appendix 4D, Table 4D-17). This same pattern is exhibited at all sites in the full
dataset, as shown in Table 4-3, including both urban and rural sites.

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4.4.3 Limitations and Uncertainties

• What are the important uncertainties associated with any exposure estimates and
associated characterization of potential for public welfare effects?

The analyses described above in sections 4.1 and 4.2 are based primarily on the hourly air
monitoring dataset that is available at O3 monitoring sites nationwide. While there are inherent
limitations in any air monitoring network, the monitors for O3 are distributed across the U.S.,
covering all NOAA regions and all states (e.g., Figure 4-9).

That distribution notwithstanding, there is uncertainty about whether areas that are not
monitored would show the same patterns of exposure as areas with monitors. There are
limitations in the distributions of the monitors, such that some geographical areas are more
densely covered than others. For example, only about 40% of all Federal Class I Areas have or
have had O3 monitors within 15 km with valid design values, thus allowing inclusion in the Class
I area analysis. Even so, the dataset includes sites in 27 states distributed across all nine NOAA
climatic regions across the contiguous U.S, as well as Hawaii and Alaska. Some NOAA regions
have far fewer numbers of Class I areas with monitors than others. For instance, the Central,
Northeast, East North Central, and South regions all have three or fewer Class I areas in the
dataset. However, these areas also have appreciably fewer Class I areas in general when
compared to the Southwest, Southeast, West, and West North Central regions, which are more
well represented in the dataset. The West and Southwest regions are identified as having the
largest number of Class I areas, and they have approximately a third of those areas represented
with monitors, which include locations where W126 index values are generally higher, thus
playing a prominent role in the analysis. We also recognize a limitation that accompanies any
analysis, i.e., that it is based on information available at this time. Thus, it may or may not reflect
conditions far out into the future as air quality and patterns of O3 concentrations in ambient air
continue to change in response to changing circumstances, such as changes in precursor
emissions to meet the current standard across the U.S. That said, we note that for the air quality
analyses (e.g., involving W126 index) that were also conducted in the 2015 review, the findings
are largely consistent.

In considering the estimates of exposure represented by the W126 index, we note a
limitation in this index in its ability to distinguish among air quality conditions with differing
prevalence of peak concentrations (e.g., hourly concentrations at or above 100 ppb). As indicated
in the analyses in Appendix 4F, summarized above in section 4.1.1, two different locations or
years may have appreciably different patterns of hourly concentrations but the same W126 index
value. The extent to which these concentrations influence vegetation responses (e.g., as discussed
in section 4.3.3.1), contributes an uncertainty to applications of the tree seedling E-R functions
(as recognized by Lefohn et al., 1997).

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Further, we note the discussion in section 4.4.1 above of how changes in O3 patterns in
the past have affected the relationship between W126 index and the averaging time and form of
the current standard, as represented by design values (section 4.4.1, and Appendix 4D, section
4D.3.2.3). This analysis finds a positive, linear relationship between trends in design values and
trends in the W126 index (both in terms of single-year W126 index and averages over 3-year
design value period), as was also the case for similar analyses conducted for the data available at
the time of the 2015 review (Wells, 2015). While this relationship varies across NOAA regions,
the regions showing the greatest potential for exceeding W126 index values of interest (e.g., with
3-year average values above 17 and/or 19 ppm-hrs) also showed the greatest improvement in the
W126 index per unit decrease in design value over the historical period assessed (Appendix 4D,
section 4D.3.2.3). Thus, the available data and this analysis appear to indicate that as design
values are reduced to meet the current standard in areas that presently do not, W126 values in
those areas would also be expected to decline (Appendix 4D, section 4D.4).

4.5 KEY CONSIDERATIONS REGARDING THE CURRENT
SECONDARY STANDARD

In considering what the available evidence and exposure/risk information indicate with
regard to the current secondary O3 standard, the overarching question we address is:

• Does the available scientific evidence and air quality and exposure analyses support
or call into question the adequacy of the protection afforded by the current
secondary O3 standard?

To assist us in interpreting the available scientific evidence and the results of recent
quantitative analyses to address this question, we have focused on a series of more specific
questions. In considering the scientific and technical information, we consider both the
information available at the time of the 2015 review and information newly available since then
which has been critically analyzed and characterized in the current ISA, the 2013 ISA and prior
AQCDs. In this context, an important consideration is whether the newly available information
alters the EPA's overall prior conclusions regarding welfare effects associated with
photochemical oxidants, including O3, in ambient air. We also consider the available quantitative
information regarding environmental exposures, characterized by the pertinent metric, likely to
occur in areas of the U.S. where the standard is met. Additionally, we consider the significance
of these exposures with regard to the estimates for 03-related vegetation effects, their potential
severity, and any associated public welfare implications.

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4.5.1 Evidence and Exposure/Risk-based Considerations

In considering first the available evidence with regard to the overarching question posed
above regarding the protection provided by the current standard from welfare effects, we address
a series of more specific questions that focus on policy-relevant aspects of the evidence. These
questions relate to three main areas of consideration: (1) the available evidence on welfare
effects associated with exposure to photochemical oxidants, and particularly O3 (section 4.5.1.1);
(2) the risk management framework or approach for reaching conclusions on the adequacy of
protection provided by the secondary standard (section 4.5.1.2); and (3) findings from the air
quality and exposure analyses pertaining to public welfare protection under the current standard
(section 4.5.1.3).

4.5.1.1 Welfare Effects Evidence

• Is there newly available evidence that indicates the importance of photochemical
oxidants other than O3 with regard to abundance in ambient air, and potential for
welfare effects?

No newly available evidence has been identified regarding the importance of
photochemical oxidants other than O3 with regard to abundance in ambient air, and potential for
welfare effects. As summarized in section 2.1 above, O3 is one of a group of photochemical
oxidants formed by atmospheric photochemical reactions of hydrocarbons with nitrogen oxides
in the presence of sunlight, with O3 being the only photochemical oxidant other than nitrogen
dioxide that is routinely monitored in ambient air (ISA, Appendix 1, section 1.1).90 Data for
other photochemical oxidants are generally derived from a few special field studies, such that
national scale data for these other oxidants are scarce (ISA, Appendix 1, section 1.1; 2013 ISA,
sections 3.1 and 3.6). Moreover, few studies of the welfare effects of other photochemical
oxidants beyond O3 have been identified by literature searches conducted for the 2013 ISA and
prior AQCDs (ISA; Appendix 1, section 1.1). Close agreement between past ozone
measurements and the photochemical oxidant measurements upon which the early NAAQS (for
photochemical oxidants including O3) was based indicated the very minor contribution of other
oxidant species in comparison to O3 (U.S. DHEW, 1970). As stated in the current ISA, "the
primary literature evaluating the health and ecological effects of photochemical oxidants
includes ozone almost exclusively as an indicator of photochemical oxidants" (ISA, section
IS. 1.1). Thus, as was the case for previous reviews, the evidence base for welfare effects of

90 Consideration of welfare effects associated with nitrogen oxides in ambient air is addressed in the review of the
secondary NAAQS for ecological effects of oxides of nitrogen, oxides of sulfur and particulate matter (U.S. EPA,
2018).

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photochemical oxidants does not indicate an importance of any other photochemical oxidants.
For these reasons, discussion of photochemical oxidants in this document focuses on O3.

• Does the available evidence alter prior conclusions regarding the nature of welfare
effects attributable to O3 in ambient air?

The current evidence documented in the 2020 ISA, including that newly available,
supports, sharpens, and expands somewhat on the conclusions reached in the 2013 ISA (in the
2015 review) (ISA, sections IS. 1.3.2 and IS.5 and Appendices 8 and 9). A wealth of scientific
evidence, spanning more than six decades, demonstrates effects on vegetation and ecosystems of
O3 in ambient air (ISA, section IS.6.2.1; 2013 ISA, 2006 AQCD, 1997 AQCD, 1986 AQCD;
U.S. DHEW, 1970). Accordingly, consistent with the evidence in the 2015 review, the available
evidence describes an array of O3 effects on vegetation and related ecosystem effects. The
evidence also describes climate effects of tropospheric O3, through a role in radiative forcing and
subsequent effects on temperature, precipitation, and related climate variables. Evidence newly
available in the 2020 ISA strengthens previous conclusions, provides further mechanistic insights
and augments current understanding of varying effects of O3 among species, communities, and
ecosystems (ISA, section IS.6.2.1). The current evidence, including a wealth of longstanding
evidence, supports conclusions reached in the 2015 review of causal relationships between O3
and visible foliar injury, reduced yield and quality of agricultural crops, reduced vegetation
growth and plant reproduction,91 reduced productivity in terrestrial ecosystems, and alteration of
belowground biogeochemical cycles. The current evidence, including that previously available,
also supports conclusions reached in the 2015 review of likely causal relationships between O3
and reduced carbon sequestration in terrestrial systems, and alteration of terrestrial ecosystem
water cycling (ISA, section IS.1.3.2). Additionally, as in the 2015 review, the current ISA
determines there to be a causal relationship between tropospheric O3 and radiative forcing and a
likely causal relationship between tropospheric O3 and temperature, precipitation, and related
climate variables (ISA, section IS. 1.3.3). Further, the current evidence has led to an updated
conclusion on the relationship of O3 with alteration of terrestrial community composition to
causal (ISA, sections IS.1.3.2). Lastly, the current ISA concludes the current evidence sufficient
to infer likely causal relationships of O3 with three additional categories of effects (ISA, sections
IS.1.3.2). While previous recognition of O3 as a contributor to tree mortality in a number of field
studies was a factor in the 2013 conclusion regarding composition, it has been separately
assessed in the current ISA, with the conclusion that the evidence is sufficient to infer a likely

91 As noted in section 4.3.1 above, the 2020 ISA includes a causality determination specific to reduced plant

reproduction, while this category of effects was considered in combination with reduced plant growth in the 2015
review (ISA, Table IS. 13).

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causal relationship with O3. Additionally, evidence newly available since the last ISA on two
additional plant-related effects augments more limited previously available evidence related to
insect interactions with vegetation, contributing to additional conclusions that the body of
evidence is sufficient to infer likely causal relationships between O3 and alterations of plant-
insect signaling and insect herbivore growth and reproduction (ISA, Appendix 8, sections 8.6
and 8.7).92

As in the 2015 review, the strongest evidence and the associated findings of causal or
likely causal relationships with O3 in ambient air, and quantitative characterizations of
relationships between O3 exposure and occurrence and magnitude of effects, are for vegetation-
related effects, and particularly those identified in the 2015 review. The evidence base for the
newly identified category of increased tree mortality includes previously available evidence
largely comprised of field observations from locations and periods of O3 concentrations higher
than are common today and three more recently available publications assessing O3 exposures
not expected under conditions meeting the current standard. Among the three more recent
publications, one assessed survival of aspen clones across an 11-year period under O3 exposures
that included single-year seasonal W126 index values ranging above 30 ppm-hrs during the first
four years, and the other two were analyses based on field observations during periods when O3
concentrations were such that they would not be expected to meet the current standard, as
summarized in section 4.3.1 above (ISA, Appendix 8, section 8.4.3).

The information available regarding the newly identified categories of plant-insect
signaling and insect herbivore growth and reproduction does not provide for a clear
understanding of the specific environmental effects that may occur in the natural environment
under specific exposure conditions (as discussed in sections 4.3.1, 4.3.3.2 and 4.3.4 above). For
example, while the evidence base for effects on herbivore growth and reproduction is expanded
since the 2013 ISA, "there is no clear trend in the directionality of response for most metrics,"
such that some show an increased effect and some show reductions (ISA, p. IS-64; section
IS.5.1.3 and section 8.6). More specifically "no consistent directionality of response is observed
across the literature, and uncertainties remain in regard to different plant consumption methods
across species and the exposure conditions associated with particular severities of effects" (ISA,
p. IS-91). Additionally, while the available evidence documents effects of O3 on some plant
VPSCs (e.g., changing the floral scent composition and reducing dispersion), and indicates
reduced pollinator attraction, decreased plant host detection and altered plant-host preference in
some insect species in the presence of elevated O3 concentrations, characterization of such

92 As in the 2015 review, the 2020 ISA again concludes that the evidence is inadequate to determine if a causal
relationship exists between changes in tropospheric ozone concentrations and UV-B effects (ISA, Appendix 9,
section 9.1.3.4; 2013 ISA, section 10.5.2).

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effects is still "an emerging area of research with information available on a relatively small
number of insect species and plant-insect associations," and with gaps remaining in the
consequences of modification of signaling compounds by O3 in natural environments (ISA, p.
IS-91 and section IS.6.2.1). Accordingly, we focus on other vegetation effects described above,
rather than these two newly identified categories.

With regard to tropospheric O3 and effects on climate, we recognize the strength of the
ISA conclusion that tropospheric O3 is a greenhouse gas at the global scale, with associated
effects on climate (ISA, section 9.1.3.3). Accordingly, as indicated by the ISA causal
determinations, O3 abundance in the troposphere contributes to radiative forcing and likely also
to subsequent climate effects. There is appreciable uncertainty, however, associated with
understanding quantitative relationships involving regional O3 concentrations near the earth's
surface and climate effects of tropospheric O3 on a global scale As recognized in the ISA (and
summarized in sections 4.3.3.3 and 4.3.4 above), there are limitations in our modeling tools and
associated uncertainties in interpretations related to capabilities for quantitatively estimating
effects of regional-scale lower tropospheric O3 concentrations on climate. Thus, while additional
characterizations of tropospheric O3 and climate have been completed since the 2015 review,
uncertainties and limitations in the evidence that were also recognized in the 2015 review
remain. As summarized in sections 4.3.3.3 and 4.3.4 above, these affect our ability to make a
quantitative characterization of the potential magnitude of climate response to changes in O3
concentrations in ambient air, particularly at regional (vs global) scales, and thus our ability to
assess the impact of changes in ambient air O3 concentrations in regions of the U.S. on global
radiative forcing or temperature, precipitation, and related climate variables. Consequently, the
evidence in this area is not informative to our consideration of the adequacy of public welfare
protection of the current standard.

• To what extent does the available evidence provide E-R information (e.g.,

quantitative E-R relationships) for 03-related effects that can inform judgments on
the likelihood of occurrence of such effects in areas with air quality that meets the
current standard? Does the available evidence provide new or altered such
information since the 2015 review?

In considering what the available information indicates with regard to exposures
associated with welfare effects and particularly in the context of what is indicated for exposures
associated with air quality conditions that meet the current standard, we focus particularly on the
availability of quantitatively characterized E-R relationships for key effects. While the ISA
describes additional studies of welfare effects associated with O3 exposures since the 2015
review, the established E-R functions for tree seedling growth for 11 species and crop yield for
10 crops that have been available in the last several reviews continue to be the most robust

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descriptions of E-R relationships for welfare effects recognized in the ISA. These E-R functions
are based on response information across multiple levels of cumulative seasonal exposure
estimated from extensive records of hourly O3 concentrations across the exposure periods (Lee
and Hogsett, 1996). Further, the species-specific functions were derived as the composite
(median) of intermediate functions derived for each experimental dataset for a species (Lee and
Hogsett, 1996).

A study of one of the same species (aspen), conducted since the Lee and Hogsett (1996)
E-R function derivation, provides generally supporting information for the quaking aspen E-R
function from that study (ISA, Appendix 8, section 8.13.2; 2013 ISA, sections 9.6.3.1 and
9.6.3.2). Other evidence newly available in the 2020 ISA does not include new studies that
assessed reductions in tree growth or crop yield responses across multiple O3 exposures and for
which sufficient data are available for analyses of the shape of the E-R relationship across the
range of cumulative exposure levels (e.g., in terms of W126 index) relevant to conditions
associated with the current standard. For example, among the newly available studies are several
that summarize previously available studies or draw from them, such as for linear regression
analyses.93 However, as discussed in section 4.3.3.2 above, these do not provide robust E-R
functions or cumulative seasonal exposure levels associated with important vegetation effects
that define the associated exposure circumstances in a consistent manner, limiting their
usefulness for our purposes here with regard to considering the potential for occurrence of
welfare effects in air quality conditions that meet the current standard.

Since the 2020 ISA, the study by Lee et al. (2022) presents analyses of both datasets
previously analyzed with regard to RBL E-R and some datasets not yet analyzed for that
purpose. These analyses yield species-specific E-R functions, including for 10 of the species for
which E-R functions are available from Lee and Hogsett (1996), and six species that were not
part of the original Lee and Hogsett (1996) dataset. As summarized in section 4.3.3.1.2, the
approach employed by Lee et al (2022) differs from Lee and Hogsett (1996) in a number of
aspects. Together, the two sets of analyses provide E-R functions for 92-day W126 index and
RBL for seedlings of 17 tree species, with two different functions for 10 of the 17. Findings of
Lee et al (2022) also speak to two areas of uncertainty associated with understanding the

93 For example, among the newly available publications cited in the ISA is a publication on tree and grassland
species that compiles EC10 values (estimated concentration at which 10% lower biomass [compared to zero 03] is
predicted) derived using linear regression of previously published data on plant growth response and O3
concentration quantified as AOT40. The data were from studies of various experimental designs, that involved
various durations ranging up from 21 days, and involving various concentrations no higher than 100 ppb as a
daily maximum hourly concentration. These studies do not provide more detailed analyses of consistent,
comparable E-R information across a relevant range of seasonal exposure levels, accompanied by detailed records
of O3 concentrations, that would support derivation of robust E-R functions for purposes discussed here (ISA,
Appendix 8, section 8.10.1.2).

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likelihood of occurrence of reduced tree growth in areas with air quality that meets the current
standard, specifically related to influence of peak concentrations independent of cumulative
exposure quantified as W126 index and to the magnitude of response from multiyear exposure.
These areas are discussed in addressing subsequent policy-relevant questions further below.

With regard to visible foliar injury, as in the 2015 review, we lack established E-R
relationships that would quantitatively describe relationships between visible foliar injury
(occurrence and incidence, as well as injury severity) and O3 exposure, as well as factors
influential in those relationships, such as soil moisture conditions. As discussed in section
4.3.3.2 above, the available evidence continues to include both experimental studies that
document foliar injury in specific plants in response to O3 exposures, and quantitative analyses
of the relationship between environmental O3 exposures and occurrence of foliar injury. The
analyses involving environmental conditions, while often using cumulative exposure metrics to
quantify O3 exposures (e.g., the W126 and SUM06 indices), have additionally reported there to
also be a role for a metric that quantifies the frequency or incidence of "high" O3 days, such as in
terms of N100 (2013 ISA, p. 9-10; Smith, 2012; Wang et al., 2012). However, such analyses
have not resulted in the establishment of specific air quality metrics and associated quantitative
functions for describing the influence of ambient air O3 on incidence and severity of visible
foliar injury.

Multiple studies have involved quantitative analysis of data collected as part of the USFS
biosite biomonitoring program (e.g., Smith, 2012). These analyses continue to indicate the
limitations in capabilities for predicting the exposure circumstances under which visible foliar
injury would be expected to occur, as well as the circumstances contributing to increased injury
severity (Smith, 2012; Wang et al., 2012). As noted in section 4.3.3.2 above, expanded
summaries of the dataset compiled in the 2015 review from several years of USFS biosite
records do not clearly and consistently describe the shape of a relationship between incidence of
foliar injury or severity (based on individual site scores) and W126 index estimates (as a sole
representative of exposure). Overall, however, the dataset indicates that the proportion of records
having different levels of severity score is generally highest in the group of records for sites with
the highest W126 index (e.g., greater than 25 ppm-hrs for the normal and dry soil moisture
categories). Thus, the available evidence indicates increased occurrence and severity at the
highest category of exposures in the dataset (above 25 ppm-hrs in terms of a W126 index),
although does not provide for identification of air quality conditions, in terms of O3
concentrations associated with the relatively lower environmental exposures most common in the
USFS dataset that would correspond to a specific magnitude of injury incidence or severity
scores across locations.

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Thus, based on considering the available information for the array of O3 welfare effects,
we recognize growth effects as the category of O3 welfare effects for which quantitative E-R
information is most robust. For purposes of considering O3 exposure levels associated with
growth-related impacts, we recognize the E-R functions for estimated RBL associated with 92-
day W126 index for 11 tree species that were available in the 2015, 2020 and prior reviews, as
well as the recently available study by Lee et al. (2022) that includes functions for an additional
six species (as well as additional functions for 10 of the previous set of 11). With regard to
visible foliar injury, the available information continues to be limited with regard to estimating
occurrence and severity (e.g., as quantified by BI score) across a range of air quality conditions
quantified by W126 index, such that a clear shape for a relationship between these variables is
not evident with the available data. Thus, the available information provides for only limited and
somewhat qualitative conclusions related to potential occurrence and/or severity under different
air quality conditions. The quantitative information for other effects is still more limited, as
recognized in sections 4.3.3 and 4.3.4 above. In summary, the newly available evidence
(including since the 2020 ISA), provides some additional information related to aspects of
estimating RBL as a function of W126 index (e.g., regarding the role of peak concentrations and
regarding multiyear exposures) that informs consideration of the risk of growth-related welfare
impacts for differing patterns of O3 concentrations in the U.S. The newly available evidence does
not, however, appreciably address key limitations or uncertainties as would be needed to expand
capabilities for estimating the occurrence and extent of welfare impacts for other effects that
might be result from differing patterns of O3 concentrations in the U.S.

• Does the evidence continue to support a cumulative, seasonal exposure index, such as
the W126 function, as a biologically relevant and appropriate metric for assessment
of vegetation-related effects of O3 in ambient air?

As in the 2015 review, the available evidence continues to support a cumulative, seasonal
exposure index as a biologically relevant and appropriate metric for assessment of the evidence
of exposure/risk information for vegetation, most particularly for growth-related effects. The
most commonly used such metrics are the SUM06, AOT40 (or AOT60) and W126 indices (ISA,
section IS.3.2).94 The evidence for growth-related effects continues to support important roles for
cumulative exposure and for weighting higher concentrations over lower concentrations. Thus,
among the various such indices considered in the literature, the cumulative, concentration-

94 While the evidence includes some studies reporting Ch-reduced soybean yield and perennial plant biomass loss
using AOT40 (as well as W126) as the exposure metric, no newly available analyses are available that compare
AOT40 to W126 in terms of the strength of association with such responses. Nor are studies available that
provide analyses of E-R relationships for AOT with reduced growth or RBL with such extensiveness as the
analyses supporting the established E-R functions for W126 with RBL and RYL.

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weighted metric, defined by the W126 function, continues to be best supported for purposes of
relating O3 air quality to growth-related effects.

We additionally note that while in its approach to emphasizing higher concentrations, the
W126 index assigns greater weights to higher hourly concentrations, it cannot, given its
definition as an index that sums three months of weighted hourly concentrations into one, single
value, always differentiate between air quality patterns with frequent high peak concentrations
and those without such concentrations.95 While the metric describes the pattern of varying
growth response observed across the broad range of cumulative exposures examined in the tree
seedling E-R studies (see Appendix 4A), given the way it is calculated the W126 index can
conceal peak concentrations that can be of concern. More specifically, one season or location
could have few, or even no, hourly concentrations above 100 ppb96 and the second could have
many such concentrations; yet (due to greater prevalence of more mid-range concentrations, e.g.,
contributing to a generally higher average hourly concentration in the second) each of the two
seasons or locations could have the identical W126 index (e.g., equal to 25 or 15 or 10 ppm-hrs,
or some other value), as discussed in section 4.4.1 above.

The extent to which such a difference in N100 between exposure treatments with a
comparable W126 index affects tree seedling growth is illustrated in the findings of Lee et al.
(2022) (Appendix 4A, Section 4A.3.1). As summarized in section 4.3.3.1.2 above. Lee et al.
(2022) found, for the two species analyzed, a lower reduction in tree seedling growth for
treatments involving similar W126 index but a pattern of peak concentrations in which N100 was
lower versus higher. This indicates that the use of the W126 index with E-R functions to predict
growth impacts is most well supported for exposures with similar patterns of peak hourly
concentrations to the experiments that generated the functions. Under other circumstances,
specifically when peak values are higher or lower, a W126 index alone may either fail to capture
important dimensions of O3 exposure affecting plant growth or may yield an overprediction of
such effects. Related to this finding, we note that N100 values in many of the experimental

95	This is illustrated by the following two hypothetical examples. In the first example, two air quality monitors have
a similar pattern of generally lower average hourly concentrations but differ in the occurrence of higher
concentrations (e.g., hourly concentrations at or above 100 ppb). The W126 index describing these two monitors
would differ. In the second example, one monitor has appreciably more hourly concentrations above 100 ppb
compared to a second monitor; but the second monitor has higher average hourly concentrations than the first. In
the second example, the two monitors may have the same W126 index, even though the air quality patterns
observed at those monitors are quite different, particularly with regard to the higher concentrations, which have
been recognized to be important in eliciting responses (as noted above).

96	As noted in section 4.4 above, the value of 100 ppb is used here as it has been in some studies focused on O3
effects on vegetation, simply as an indicator of elevated or peak hourly O3 concentrations (e.g., Lefohn et al.,
1997, Smith, 2012; Davis and Orendovici, 2006; Kohut, 2007). Values of 95 ppb and 110 ppb have also been
considered in this way (2013 ISA, section 9.5.3.1).

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datasets on which the tree seedling E-R functions are based are much higher than those common
in U.S. areas meeting the current standard (e.g., Appendix 4A, Tables 4A-7 and 4A-8).

Accordingly, in our consideration of the potential for vegetation-related effects to occur
under air quality conditions associated with the current standard, while we continue to focus on
the W126 index as an appropriate metric for assessing potential risk, given the availability of E-
R functions for growth impacts as a function of W126 index, we also take note of the important
role of the frequency of particularly high concentrations. As indicated by the findings of Lee et
al. (2022), W126 index alone does not completely describe aspects of O3 exposure that elicit
effects on growth, and as discussed in section 4.3.3.2 above, this may also be the case for other
effects, particularly, visible foliar injury. As discussed in section 4.3.3.2 above, the evidence
indicates an important role for peak concentrations (e.g., that might be characterized by metrics
such as N100) in influencing the occurrence and severity of visible foliar injury. Thus, while we
continue to recognize the W126 index as an appropriate and biologically relevant focus for
assessing air quality conditions with regard to potential effects on vegetation growth and related
effects, we recognize the need to also account for the influence of the pattern and magnitude of
peak concentrations.

4.5.1.2 General Approach for Considering Public Welfare Protection

The general approach and risk management framework applied in 2015 for making
judgements and reaching conclusions regarding the adequacy of public welfare protection
provided by the newly established secondary standard is summarized in section 4.1 above. In
light of the available evidence and air quality information, we discuss here key considerations in
judging public welfare protection provided by the O3 secondary standard in the context of a
series of questions.

• Does the newly available information continue to support the use of tree seedling
RBL as a proxy for the broad array of vegetation-related effects?

As summarized in section 4.3 above, the available evidence is largely consistent with that
available in the 2015 review and does not call into question conceptual relationships between
plant growth impacts and the broader array of vegetation effects. Rather, the ISA describes (or
relies on) conceptual relationships in considering causality determinations for ecosystem-scale
effects such as altered terrestrial community composition and reduced productivity, as well as
reduced carbon sequestration, in terrestrial ecosystems (ISA, Appendix 8, sections 8.8 and 8.10).
Thus, the evidence continues to support the use of tree seedling RBL as a proxy for a broad array
of vegetation-related effects, most particularly those conceptually related to growth.

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Beyond these relationships of plant-level effects and ecosystem-level effects,97 RBL can
be appropriately described as a scientifically valid surrogate of a variety of welfare effects based
on consideration of ecosystem services and the potential for adverse impacts on public welfare,
as well as conceptual relationships between vegetation growth-related effects (including carbon
allocation) and ecosystem-scale effects. In consideration of advice from the CASAC on this
point in the 2015 review, the Admininstrator judged it appropriate to use RBL in this way in
establishing the current standard in 2015, and the judgment was repeated by the Administrator in
2020 (85 FR 87339, December 31, 2020).98 The available evidence continues to provide support
to this public welfare policy judgment. Beyond tree seedling growth (on which RBL is
specifically based), two other vegetation effect categories with extensive evidence bases are crop
yield and visible foliar injury; both types of effects, their evidence bases and key considerations
with regard to protection afforded by the current standard (which go beyond a RBL target for
tree seedlings) are separately addressed in section 4.5.1.3 below.

• To what extent does the available information alter our understanding of an
appropriate magnitude of RBL, in its role as a surrogate or proxy, reasonably
expected to be of public welfare significance?

The available information does not differ from that available in the 2015 review with
regard to a magnitude of RBL in the median species appropriately considered a reference for the
Administrator's judgments concerning potential vegetation-related impacts to the public welfare.
A cross-species median of 6% based on RBL estimates derived from the established species-
specific E-R functions continues to be supported as an appropriate reference point in the context
of RBL's role as a surrogate or proxy of a larger array of vegetation effects, as recommended by
the CASAC in the 2015 review (Frey, 2014).. In this context, the Administrator judged when
establishing the current standard in 2015 that isolated rare instances of cumulative exposures that
correspond to 6%, as the median of the available E-R functions, were not indicative of adverse

97	As summarized in the ISA, O3 can mediate changes in plant carbon budgets (affecting carbon allocation to leaves,
stems, roots and other biomass pools) contributing to growth impacts, and altering ecosystem properties such as
productivity, carbon sequestration and biogeochemical cycling. In this way, O3 mediated changes in carbon
allocation can "scale up"to population, community and ecosystem-level effects including changes in soil
biogeochemical cycling, increased tree mortality, shifts in community composition, changes in species
interactions, declines in ecosystem productivity and carbon sequestration and alteration of ecosystem water
cycling (ISA, section 8.1.3).

98	That is, in drawing on these RBL estimates, the Administrators noted they were not simply making judgments
about a specific magnitude of growth effect in seedlings that would be acceptable or unacceptable in the natural
environment. Rather, mindful of associated uncertainties, the Administrators judged it appropriate to use RBL
estimates as a surrogate or proxy for consideration of the broader array of related vegetation-related effects of
potential public welfare significance, which included effects on individual species and extending to ecosystem-
level effects (80 FR 65406, October 26, 2015; 85 FR 87304, December 31, 2020).

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effects to the public welfare (80 FR 65409, October 26, 2015). The 2020 decision also relied
upon these judgments.

We note two considerations related to the Administrators' judgments to focus on a
median estimate (of tree seedling RBL across the tree species for which E-R functions were
available) in the context of their decisions on a secondary standard that provides the requisite
protection of the public welfare. First, a focus on a central tendency estimate is a generally
accepted approach for accounting for uncertainty and variability in a dataset (such as discussed
in section 4.3.4.1 above).99 A second aspect of the Administrators' focus on the median in the
2015 and 2020 decisions relates to the array of species for which we have E-R functions for RBL
and the associated advice from the CASAC regarding consideration of unstudied species. Both
aspects were considered by the Administrators in making their public welfare policy judgments
in the context of RBL as a proxy for the broad array of growth-related effects.

With regard to the use of 6% (median tree seedling RBL estimate across species) as a
useful and reasonable reference point in judgments of public welfare protection for growth-
related effects, we note that the available evidence continues to indicate conceptual relationships
between reduced growth and the broader array of vegetation-related effects (as discussed above).
Quantitative representations of such relationships have been used to study potential impacts of
tree growth effects on such larger-scale effects as community composition and productivity with
the results indicating the array of complexities involved (e.g., ISA, Appendix 8, section 8.8.4).
Given their purpose in exploring complex ecological relationships and their responses to
environmental variables, as well as limitations of the information available for such work, these
analyses commonly utilize somewhat general representations. This work indicates how
established the existence of such relationships is, while also identifying complexities inherent in
quantitative aspects of such relationships and interpretation of estimated responses. Thus, the
currently available evidence, as characterized in the 2020 ISA, is little changed from the 2015
review with regard to informing identification of an RBL reference point reflecting ecosystem-
scale effects with public welfare impacts elicited through such linkages.

• For tree seedling RBL, what does the available information indicate regarding W126
index levels that may be associated with the magnitude of RBL, in its role as
surrogate or proxy, reasonably considered of public welfare significance?

Building from the prior discussion and its focus on a cross-species 6% median RBL, in
the Administrator's consideration of RBL a surrogate or proxy for the array of growth-related
effects to inform his judgments on public welfare protection, the discussion here considers the

99 In the 2015 review, the CASAC expressed a similar view stating that it favored using a measure of central
tendency of the data, more specifically "the median across species with all species treated equally" (Frey 2014).

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currently available information with regard to W126 index values that might be associated with
such a magnitude of RBL. Based on the Lee and Hogsett (1996) established E-R functions for
tree seedling growth reductions in 11 species considered in the 2015 and 2020 decisions, the tree
seedling RBL for the median tree species is 5.3% for a W126 index of 17 ppm-hrs, rising to
5.7% for 18 ppm-hrs, 6.0% for 19 ppm-hrs, as summarized in Table 4-4 below (Appendix 4A,
Table 4A-4). These RBL estimates are unchanged from what was indicated by the evidence in
the 2015 review and were used by the Administrators in the 2015 and 2020 decisions in their
consideration of RBL as a surrogate or proxy for the broader array of vegetation-related effects
(as summarized in section 4.1 above).

In this PA, we also consider the analyses by Lee et al (2022), available since the 2020
decision, which derived E-R functions for tree seedling growth reductions (in terms of RBL) in
16 species, including 10 of the 11 species analyzed by Lee and Hogsett (1996). As noted in
section 4.3.4 above, with these analyses, the number of species is increased from the 11 in Lee
and Hogsett (1996). As was true for the 11 species for which E-R functions were previously
established, among the 17 species now represented across the two studies are both deciduous and
coniferous trees, with a wide range of sensitivities and/or tolerance to O3, and species native to
every NOAA climate region across the U.S. and in most cases are resident across multiple states
and regions. If one were to focus only on E-R functions derived for 16 species by Lee et al
(2022), the median tree seedling RBL for a W126 index of 17 ppm-hrs is 3.5% and 4.0% for 19
ppm-hrs (Table 4-4). The W126 index at which the cross-species median is 6.0% is somewhat
above 25 ppm-hrs (Appendix 4A, Table 4A-10), although we note this omits one of the 17
species.

Further, as described in section 4.3.3.1.2 above, in addition to expanding the dataset
analyzed, the analyses of Lee et al. (2022) implemented an approach that differs in a number of
aspects from that employed by Lee and Hogsett (1996). In considering these approaches, we find
that each of the two approaches has strengths and limitations, with neither reasonably judged to
be more appropriate in this context than the other. Accordingly, rather than options that would
replace one set of E-R functions with another, we have adopted an approach for utilizing them in
combination. We have done so in a manner intended to be consistent with the focus of the
Administrators in 2015 and 2020 on the median across the estimates for all species for which E-
R functions were available. Thus, we have drawn from both analyses for all 17 species. For
species for which a function is only available from one of the studies, we have used that
function. For species for which both analyses provided an E-R function, they could be applied to
W126 index values of interest and an average of the two RBL estimates obtained. Based on the
resulting estimates for each of the 17 species, a median was derived for each W126 index value
of interest. Based on this approach, the median RBL across the species-specific estimates for a

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W126 index of 17 ppm-hrs is 2.9%, rising to 3.3% for 19 ppm-hrs, 5.4% at 23 ppm-hrs and 7.6%
for 25 ppm-hrs, as summarized in Table 4-4 below (Appendix 4A, Table 4A-11). As is evident
from the detailed tables in Appendix 4A, a median estimate of 6.0% is associated with a W126
index between 23 and 24 ppm-hrs (Appendix 4A, Table 4A-11).

Table 4-4. Median of species-specific RBL estimates for a specified W126 index based on
Lee and Hogsett (1996) and Lee et al (2022).

Source of E-R functions

Median Rl
17

3L across
19

species for
(ppm-hrs
21

a specified
)

23

A/126 index
25

Number

of
Species

Lee and Hogsett (1996)

5.3%

6.0%

6.8%

7.6%

10.4%

11

Lee et al (2022)

3.5%

4.0%

4.4%

4.8%

5.5%

16

Both A

2.9%

3.3%

3.9%

5.4%

7.6%

17

A The averages of the 10 common species were calculated by taking the average of the 1996 and 2022 individual
species RBL at each W126, and then finding the median of those new averages. The pattern of RBL across
W126 index values, which may seem counter-intuitive, reflects different shaped E-R functions of species with
RBLs near the median. The species contributing the median RBL switches between 21 and 23 ppm-hrs.

• What does the available information indicate with regard to the roles of seasonal
cumulative and peak exposures on O3 vegetation effects, and accordingly regarding
the uses of cumulative and peak exposure metrics in assessing air quality conditions
that may pose risk of harm to vegetation?

As summarized in section 4.3.3, longstanding conclusions regarding O3 effects on
vegetation recognize both the cumulative effect of O3 on plants and the importance of higher
concentrations in eliciting responses (1996 and 2006 AQCDs; 2013 and 2020 IS As). As a result,
there has been substantial research into identification of an air quality exposure-related metric
that might address both aspects of potentially harmful O3 conditions, e.g., AOT06, SUM06, and
also, the W126 index, a non-threshold approach described as the sigmoidally weighted sum of
hourly O3 concentrations (2013 ISA, p. 9-101). These indices (designed to address both
cumulative effects and the importance of higher concentrations) have been analyzed with regard
to the extent to which they may describe the growth response of plants (e.g., crops and tree
seedlings) in studies assessing multiple exposure levels and have been found to improve the
explanatory power of E-R models over those based only on mean (e.g., seasonal mean of 7-hour
daily means) or only on peak exposure values (e.g., seasonal maximum of maximum daily 7-
hour and/or 1-hour averages) (2020 ISA, p. IS-79; 2013 ISA, p. 2-44; 2006 AQCD 1996
AQCD).

The explanatory strength of these cumulative, concentration-weighted approaches with
regard to plant response to O3 indicates the influence of the various dimensions of exposure (e.g.,
concentration, duration, frequency) on plant response. With regard to the role of concentrations,
the 2020 and 2013 IS As and past AQCDs generally recognize higher O3 concentrations to be

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associated with relatively greater risk of vegetation damage, in terms growth-related effects
(and/or visible foliar injury, which is discussed more specifically in response to a question
below) and emphasize the risk posed to vegetation from higher hourly average O3
concentrations.100 With regard to duration and cumulative effects, analyses of the controlled
exposure datasets also supported conclusions in the 1996 and 2006 AQCDs (retained in more
recent ISAs) that a model focused only on a peak-concentration based metric (found to be an
improvement over earlier use of a long-term average to summarize exposure), without
consideration of duration was less descriptive of response (e.g., 1996 AQCD, Volume II, section
5.5.1.1). Accordingly, metrics that cumulated concentrations, e.g., through summing, as is the
case for those identified above, were developed, with preference to those that emphasized higher
concentrations (1996 and 2006 AQCDs; 2020 ISA, IS 5.1.9).

As recognized across several past reviews, such cumulative, concentration-weighted
approaches, including the continuously weighted W126 index function, were used to describe
variation in response documented in controlled exposure studies or crops and tree seedlings for
which extensive hourly O3 datasets are available. In these studies, as discussed in section 4.3.4
above, the O3 treatments were accompanied by an appreciable prevalence of high concentrations,
including N100 values in the tens to 100s (e.g., Figure 4-7 above; Appendix 4A, Table 4A-7 and
Table 4A-8; Lefohn et al 1997; Lefohn and Foley, 1992). While these were part of the patterns of
O3 concentrations to which the plants were exposed, the currently available evidence indicates
that exposure circumstances with similar W126 index values, yet with lower N100 values, would
be expected to pose lower risk of vegetation effects. In an example highlighted in the 2006
AQCD and 2013 ISA, a study by Yun and Lawrence (1999) used exposure regimes constructed
from 10 U.S. cities to demonstrate that in regimes with similar values of cumulative,
concentration-weighted metrics, differences in the magnitude and occurrence of peak
concentrations were influential with regard to injury in tree seedlings (2006 AQCD, p. AX9-176;
2013 ISA, section 9.5.3.1; Yun and Lawrence, 1999).101 The recently available analyses reported
by Lee et al. (2022) also found lower growth reductions for similar W126 index exposure that

iฐฐ por exampie as stated in the 2020 and 2013 ISAs, "[h|igher concentrations appear to be more important than
lower concentrations in eliciting a response" [ISA, p. 8-180]; "higher hourly concentrations have greater effects
on vegetation than lower concentrations" [2013 ISA, p. 91-4]; "studies published since the 2006 O3 AQCD do not
change earlier conclusions, including the importance of peak concentrations, ... in altering plant growth and
yield" [2013 ISA, p. 9-117]).

101 The 2013 ISA, in examining trends (1970s through 1990s) in an areas of the San Bernardino Mountains in
California, noted the reductions in ponderosa pine growth impacts occurring with reductions in SUM06,
maximum peak concentration and hourly concentrations over 95 ppb. In observing that there had been little
change in mid-range O3 concentrations over the same period, the 2013 ISA noted the lesser role indicated for the
mid-range concentration ranges compared to the higher values (2013 ISA, p. 9-106).

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had a pattern of peak concentrations that included lower N100 values, as summarized in section
4.3.3.1.2 above.

In light of the information summarized here, we take particular note of the fact that the
seasonal cumulative metrics cannot always differentiate between air quality patterns that include
particularly high peak concentrations and those without or with relatively fewer such
concentrations. For example, while the W126 index preferentially weights higher hourly
concentrations, given its definition as an index that sums three months of weighted hourly
concentrations into a single value, it can estimate the same value for very different incidence of
elevated O3 concentrations, as illustrated by several treatment levels in experiments analyzed by
Lee et al. (2022) (Appendix 4A, Table 4A-8). Similarly, at two sites in the natural environment
with the same W126 index value, the air quality patterns may differ such that one site may have
appreciably more hourly concentrations at or above 100 ppb compared to the other site, as
illustrated by the analyses of available air quality data summarized in section 4.4.1 (e.g.,
Appendix 4F, Figure 4F-10). Focusing on data for the most recent five years (2016 through
2020), the distribution of N100 or D100 values at monitoring sites meeting different W126 index
values also shows this variability, which contrasts with the much lesser variability in N100 and
D100 values for sites meeting the current standard (see Figure 4-15, W126 index bins at/below
19 ppm-hrs compared to design value bins for 70 ppb or lower). It can be seen that (1) there is
little difference in D100 at sites with W126 index ranging from 8 to 19 ppm-hrs (single-year or
3-year average index); and (2) the form and averaging time of the existing standard is much more
effective than the W126 index in limiting the number of hours with O3 concentrations at or above
100 ppb (N100) and in limiting the number of days with any such hours.102

In summary, we recognize that focusing solely on W126 index for considering the public
welfare protection provided by the current standard would not be considering all the relevant
scientific information. Further, given the damaging potential for repeated elevated hourly
concentrations (e.g., at or above 100 ppb), as discussed in sections 4.3.3 and 4.5.1.1 above (ISA,

102 As one example contained in Table 4-1 above, across all sites that met the current standard during the recent
period (2018-2020), few sites had more than 5 hours at or above 100 ppb in a year (0.6% in the highest year,
Appendix 4F, Table 4F-2). Among the sites with any such hours, all had fewer than five days in any one year
with any such concentrations (Table 4-1, Appendix 4F, Figure 4F-5). In comparison, across all sites with an
annual W126 index below 15 ppm-hrs, 2% of them had more than 5 hours with a concentration at or above 100
ppb, and this included sites with as many as eight days with such a concentration (Table 4-1, Appendix 4F, Figure
4F-1 l).We note that we are not intending to ascribe specific significance to five days with an hour at or above
100 ppb or ten such hours, per se. Rather, these are used simply as reference points to facilitate comparison and
to illustrate the point that such high concentrations, which based on toxicological principles, pose greater risk to
biota than lower concentrations, are not necessarily limited at sites meeting particular W126 index values.

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p. 8-180; 2013 ISA, section 9.5.3.1)103, such a sole focus would not give adequate attention to
ensuring protection against "unusually damaging years." Thus, we find that focusing solely on
the W126 index would not ensure protection from potentially damaging air quality, such as that
associated with exposure patterns marked by repeated occurrences of elevated concentrations.
Accordingly, we conclude it is important to consider both a cumulative exposure metric, such as
W126 index, and a peak exposure metric in assessing air quality with regard to the potential for
specific exposure conditions that might be harmful to vegetation.104

• What does the available information indicate regarding the use of W126 index in a
single year or averaged over three years in considering growth related cumulative
seasonal exposure protection objectives for the secondary standard?

In setting the current standard in 2015, as described in section 4.1 above, the decision
focused on control of seasonal cumulative exposures in terms of a 3-year average W126 index
based on consideration of several factors.105 We again consider here the extent to which the
available evidence supports the 3-year average W126 index as a reasonable metric for assessing
the level of protection provided by the current standard from cumulative seasonal exposures
related to RBL, or whether an alternate approach is more appropriate for consideration of RBL
estimates based on the available E-R functions.

We first consider the evidence and information underlying the available E-R functions for
tree seedlings (Lee and Hogsett, 1996; Lee et al., 2022) and the extent to which they can be said
to better describe or predict growth reductions specific to single season O3 exposures, as
compared to growth reductions generally reflecting an average seasonal exposure. With regard to
the tree seedling E-R functions themselves, we note there are aspects of the datasets and
methodology on which the E-R functions are based which provide support for the latter, average,
approach. As summarized in section 4.3.4 above, the E-R functions were derived from studies of
durations that varied from shorter than 92 days to as many as 140 days in a single year, up to 555
days distributed across two years, and up to 215 days over three years or growing seasons. To

103	The section of the 2013 ISA titled "Role of Concentration," summarizes the experimental evidence base on
which the significant role of peak O3 concentrations was established (2013 ISA, section 9.5.3.1).

104	With regard to air quality occurring under the current standard, we note analyses presented in section 4.4 above
that show the current standard to provide control of both cumulative exposures and of peak concentrations
indicating the potential to address both aspects of potentially harmful O3 conditions noted here.

105	These factors include consideration of the strengths and limitations of the evidence and of the information on
which to base judgments regarding adversity of effects on the public welfare (80 FR 65390, October 26, 2015).
Also recognized was year-to-year variability, not just in O3 concentrations, but also in environmental factors,
including rainfall and other meteorological factors, that influence the occurrence and magnitude of 03-related
effects in any year (e.g., through changes in soil moisture), contributing uncertainties to projections of the
potential for harm to public welfare based on a single year, particularly at the exposure levels of interest (80 FR
65404, October 26, 2015).

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utilize all of these varying experimental datasets in E-R functions that would describe growth
response for a common exposure circumstance, adjustments were made with the intention of
producing functions reflecting the response associated with 12-hour daily exposure over a 92-day
period (Appendix 4A, pp. Attachment 1 and Section 4A.4.1). Inherent in the adjustment
approaches is an assumption that the growth impacts relate generally to the cumulative O3
exposure across the full time period (which may include multiple growing seasons), i.e., with
little additional influence related to any seasonal or year-to-year differences in the exposures.
Consequently, given this step in their derivation approach, the E-R functions cannot provide
precise estimates of response from a single year's seasonal exposure (e.g., vs averages over a
period longer than 92 days or one that spans multiple growing seasons). Thus, the use of a
multiyear (e.g. 3-year) average in assessing RBL using the established tree seedling E-R
functions is reasonably described as compatible with the normalization step taken to derive
functions for a seasonal 92-day period from the underlying data with its varying exposure
durations.

The available evidence from multiyear O3 studies similarly indicates a lack of precision
for estimates based on the E-R functions for 92-day W126 index. For example, as summarized in
section 4.3.4 above, the 2013 and 2020 ISAs evaluated the extent to which the E-R function from
Lee and Hogsett (1996) for quaking aspen described observations from a study that tracked
exposures across six years (King et al., 2005; 2013 ISA, section 9.6.3.2, Table 9-15, Figure 9-20;
ISA, Appendix 8, section 8.13.2 and Figure 8-17).106 107 The evaluation in the 2020 ISA applied
the E-R functions to the single-year W126 index for each year rather than the cumulative
multiyear average (2020 ISA, Appendix 8, Figure 8-17), with this approach indicating a
somewhat less tight fit to the experimental observations (2020 ISA, Appendix 8, p. 8-192).108
Both ISAs reach similar conclusions regarding general support for the E-R functions across a

106	Although not emphasized or explained in detail in the 2013 ISA, the W126 index estimates used to generate the
predicted growth response were cumulative averages. For example, the growth impact estimate for year 1 used
the W126 index for year 1; the estimate for year 2 used the average of W126 index in year 1 and W126 index in
year 2; the estimate for year 3 used the average of W126 index in years 1,2 and 3; and so on.

107	One finding of this evaluation was that "the function based on one year of growth was shown to be applicable to
subsequent years" (2013 ISA, p. 9-135).

108	Based on information drawn from Figure 8-17 in the 2020 ISA, the correlation metric (r2) for the percent
difference (estimated vs observed biomass) and year of growth can be estimated to be approximately 0.7, while
using values reported in Table 9-15 of the 2013 ISA (which are plotted in Figure 9-20), the r2 for predicted O3
impact versus observed impact is 0.99 and for the percent difference versus year is approximately 0.85.

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multiyear study of trees in naturalistic settings (ISA, Appendix 8, section 8.13.3 and p. 8-192;
2013 ISA, p. 9-135).109

In further considering the evidence and information and its support for use of a single or
multiple year W126 index, we consider the concept of cumulative multiyear exposures and
associated impacts. In particular, we ask the question of whether applying the E-R functions to a
W126 index averaged over multiple years would over- or under-estimate cumulative exposure
response, whereas use of a single seasonal exposure metric would not. Multiyear studies
reporting results for each year of the study are the most informative to the question of plant
annual and cumulative responses to individual years (high and low) over multiple-year periods.
However, as summarized in section 4.3.4 above, the evidence is still limited with regard to
studies of O3 effects that report seasonal observations across multiyear periods and that also
include detailed hourly O3 concentration records (to allow for derivation of cumulative exposure
index values). There is some recent evidence relevant to this question, e.g., that allows for some
evaluation of the predictability of growth impacts from single-year versus multiple-year average
exposure estimates. This evidence, described in Section 4.3.3 above, indicated variability among
species with regard to the extent to which a multiyear response differed from a single year.
Specifically, Lee et al. (2022) found that most species assessed did not exhibit a greater response
for two years of O3 exposure than a single year. One species exhibited a greater reduction in
growth after two years exposure than a single year, but the effect was less than additive. These
responses would suggest an over-estimation of cumulative exposure response using a single year
W126.

We additionally note aspects of the evidence that reflect variability in organism response
under different experimental conditions and the extent to which this variability is represented in
the available data, which might also indicate an appropriateness of assessing environmental
conditions using a mean across seasons (in recognition of the existence of such year-to-year
variability in conditions and responses). For example, among the species for which there are
more than two or three experimental datasets comprising the support for the species' E-R
function in Lee and Hogsett (1996) (e.g., 14 experimental datasets for aspen [seven for which the
E-R function for wild aspen has been derived and seven supporting a function for aspen clones]
and 11 for ponderosa pine), the data illustrate appreciable variability in response across
experiments (Appendix 4A, Figures 4A-6 and 4A-10). Contributions to this variability may come

109 For the 2013 ISA, the conclusions reached were that the agreement between the set of predictions and the Aspen
FACE observations were "very close" (2013 ISA, p. 9-135). The results indicate that when considering O3
impacts across multiple years, a multiyear average index yields predictions close to observed measurements
(2013 ISA, section 9.6.3.2 and Figure 9-20; Appendix 4A, sections 4A.3.2 and 4A.5). For the 2020 ISA, the
conclusion reached was that results from the aspen study were "exceptionally close" to predictions from the Lee
and Hogsett (1996) E-R model (ISA, p. 8-192).

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from several factors, including variability in seasonal response related to variability in non-03
related environmental influences on growth, such as rainfall, temperature and other
meteorological variables, as well as biological variability across individual seedlings. Stochastic
analysis of the experimental-specific E-R functions of Lee and Hogsett (1996) illustrate this
variability and its influence on species median RBL (Appendix 4A, Figure 4A-13). An additional
variability could also be due to influential aspects of the O3 air quality on plant growth that are
not completely captured by the W126 index, e.g., different patterns of hourly concentrations that
yield the same W126 index (see section 4.3.4 and below). Such variability in the data underlying
these E-R functions may further support an average (e.g., 3-year average) over interpretation
with a single year precision.

An additional aspect of considering the evidence and information, is how well the data
underlying the E-R functions represent and reflect conditions that are currently being
experienced in the U.S., and most importantly, conditions that reflect current air quality patterns
when meeting the current standard. Accordingly, we note the appreciable differences between
the prevalence of hourly concentrations at or above 100 ppb in exposures on which the E-R
functions are based and those common in ambient air.110 As discussed in section 4.3.4 above, the
O3 tree seedling treatments for 92-day W126 index levels below approximately 20 ppm-hrs had
N100 counts ranging up above 40. Across the treatments, N100 values range up above 500
(Appendix 4A, Table 4A-7 and Table 4A-8). We find it reasonable to interpret this information,
and its contribution to uncertainty in the application of the underlying E-R functions, as
supporting a less precise interpretation, such as an average across multiple seasons. We
additionally note that this information also highlights the potential significance of higher peak
concentrations in terms of estimated effects of concern on vegetation.

Thus, while the E-R functions are based on strong evidence of cumulative seasonal O3
exposure reducing tree growth, and while they provide for quantitative characterization of the
extent of such effects across cumulative seasonal O3 exposure levels of appreciable magnitude,
there is uncertainty associated with the resulting RBL predictions that might be described as an
imprecision or inexactitude. The evidence does not indicate single-year seasonal exposure in
combination with the established E-R functions to be a better predictor of RBL than a seasonal

110 As noted by Lefohn et al (1997), many of the experimental O3 treatments on which the tree seedling E-R
functions are based had hundreds of hours of O3 concentrations above 100 ppb, far more than were common in
(unadjusted) ambient air in the 1990s (Lefohn et al., 1997, Appendix 2A, section 2A.2, Appendix4 F). The
situation is still more different for current air quality. In the most recent 2018-2020 design value period, the mean
number of observations per site at or above 100 ppb was well below one. In contrast, across most of the O3
treatments in the experiments comprising the E-R function database, well below half had an N100 value less than
20 hours through the exposure period (Appendix 4A, Table 4A-7). Similarly, the O3 treatments in studies
supporting the E-R functions for 10 crops also include many hourly O3 concentrations at or above 100 ppb
(Lefohn and Foley, 1992).

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exposure based on a multiyear average. Accordingly, it is reasonable to conclude that the
evidence provides support for use of a multiyear average in assessing the level of protection
provided by the current standard from cumulative seasonal exposures related to RBL of concern
based on the established E-R functions.111 The multiyear, specifically 3-year, average metric also
appears to be reasonable for use in the context of the use of RBL as a proxy to represent an array
of vegetation-related effects. Thus, upon consideration of all of the factors raised above, we find
the use of a multiyear average, and more specifically a 3-year average, W126 index in assessing
protection for RBL based on the established tree seedling E-R functions to be reasonable. We
also note, as discussed in response to the prior question, the importance of also considering an
additional aspect of O3 air quality, specifically the occurrence of elevated hourly concentrations
that influence vegetation exposures of potential concern, in reaching conclusions about the
adequacy of the current standard.

• What does the available information indicate for considering potential public welfare

protection from 03-related visible foliar injury?

In establishing the current secondary standard in 2015 and its underlying public welfare
protection objectives, as summarized in section 4.1, above, the Administrator focused primarily
on RBL in tree seedlings as a proxy or surrogate for the full array of vegetation related effects of
O3 in ambient air, from sensitive species to broader ecosystem-level effects. At that time, the
Administrator also concluded the information regarding visible foliar injury to also provide
support for strengthening the standard at that time, taking note of the available analyses of USFS
biosite data (80 FR 65407-65408, October 26, 2015). She also concluded, however, that, due to
associated uncertainties and complexities, the evidence was not conducive to use for identifying
a quantitative public welfare protection objective focused specifically on visible foliar injury. In
reaching this conclusion, she recognized significant challenges in judging the specific extent and
severity at which such effects should be considered adverse to public welfare, in light of the
variability in the occurrence of visible foliar injury and the lack of clear quantitative relationships
for prediction of visible foliar injury severity and incidence or extent under varying air quality
and environmental conditions, as well as the lack of established criteria or objectives that might
inform consideration of potential public welfare impacts related to this vegetation effect (80 FR
65407, October 26, 2015).

As an initial matter, we note that, as recognized in the 2015 review, some level of visible
foliar injury can impact public welfare and thus might reasonably be judged adverse to public

111 Three years (versus two or four years) was selected based on its compatibility with the multiyear duration used in
the form for the NAAQS to account for year-to-year variability in air quality (and to provide stability in
associated air quality programs).

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welfare.112 As summarized in section 4.3.2 above, depending on its spatial extent and severity,
there are many locations in which visible foliar injury can adversely affect the public welfare.
For example, significant, readily perceivable (or obvious) and widespread injury in national
parks and wilderness areas can adversely impact the perceived scenic beauty of these areas,
impacting the aesthetic experience for both outdoor enthusiasts and the occasional park visitor.113
Thus, as aesthetic value and outdoor recreation depend, at least in part, on the perceived scenic
beauty of the environment, judgments related to the extent of public welfare impacts of visible
foliar injury depend on the severity and extent of the injury, as well as the location where the
effects occur and the associated intended use. Beyond the limitations associated with the
evidence for descriptive quantitative relationships for O3 concentrations and visible foliar injury
(as summarized in sections 4.3.3.2 and 4.3.4 above), there is little information clearly relating
differing severity and prevalence of injury to conditions in natural areas that would reasonably be
concluded to impact public use and enjoyment in a way that might suggest adversity to the public
welfare. The available information does not yet address or describe the relationships expected to
exist between some level of severity and/or extent of location affected and scenic or aesthetic
values (e.g., reflective of visitor enjoyment and likelihood of frequenting such areas). However,
while minor spotting on a few leaves of a plant may easily be concluded to be of little public
welfare significance, it might reasonably be expected that in cases of widespread and relatively
more severe injury during the growing season (particularly when sustained across multiple years
and accompanied by obvious impacts on the plant canopy), Cb-induced visible foliar injury could
adversely impact the public welfare in scenic and/or recreational areas, particularly in parks and
other areas with special protection, such as Class I areas.

In the face of the paucity of established approaches that might be informative to the
Administrator in judging severity and extent of visible foliar injury in a natural area that may be

112	As stated in the Federal Register notice for the 2015 decision: "[depending on the extent and severity, O3-
induced visible foliar injury might be expected to have the potential to impact the public welfare in scenic and/or
recreational areas during the growing season, particularly in areas with special protection, such as Class I areas.
(80 FR 65379, October 26, 2015); "[t]he Administrator also recognizes the potential for this effect to affect the
public welfare in the context of affecting values pertaining to natural forests, particularly those afforded special
government protection (80 FR 65407, October 26, 2015). The CASAC in the 2015 review also stated that visible
foliar injury "can impact public welfare" (Frey, 2014, p. 10).

113	In the discussion of the need for revision of the 1997 secondary standard, the 2008 decision noted that "[i]n
considering what constitutes a vegetation effect that is adverse from a public welfare perspective, ... the
Administrator has taken note of a number of actions taken by Congress to establish public lands that are set aside
for specific uses that are intended to provide benefits to the public welfare, including lands that are to be protected
so as to conserve the scenic value and the natural vegetation and wildlife within such areas, and to leave them
unimpaired for the enjoyment of future generations" (73 FR 16496, March 27, 2008). This passage of the Federal
Register notice announcing the 2008 decision clarified that "[s]uch public lands that are protected areas of
national interest include national parks and forests, wildlife refuges, and wilderness areas" (73 FR 16496, March
27, 2008).

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appropriate to consider of public welfare significance, we take note of the USFS scheme,
summarized in section 4.3.2 above, for categorizing areas based on BI scores (e.g., Smith, 2012).
In this scheme, BI scores may be described with regard to one of several categories ranging from
little or no foliar injury to severe injury (e.g., Smith et al., 2003; Campbell et al., 2007; Smith et
al., 2007; Smith, 2012). However, the available information does not yet address or describe the
relationships expected to exist between some level of severity of foliar injury (e.g., little or
severe) and/or a spatial extent affected and scenic or aesthetic values. This gap impedes
consideration of the public welfare implications of different injury severities, and accordingly,
judgments on the potential for public welfare significance.

With regard to the USFS BI program, we further note that authors of studies presenting
USFS biomonitoring program data have suggested what might be "assumptions of risk" (e.g., for
the forest resource) related to scores in these categories, e.g., as described in section 4.3.2 above.
One suggestion has been that maps of localized moderate to high-risk areas may be used to
identify areas (for scores of 15 or higher) where more detailed evaluations are warranted (Smith
et al., 2012). While these are not explicitly related to consideration of the public values described
above (e.g., with regard to public aesthetic or recreational value), the description of the BI score
categories as well as these corresponding judgments related to risk for the forest resource may
both be informative for the Administrator's purposes. For example, it might be reasonable to
conclude that a small discoloring on a single leaf of a plant that might yield a quite low, nonzero
BI score in the USFS system is not adverse to the public welfare. On the other hand, BI scores
corresponding to a high risk to the resource may reasonably be concluded to indicate the need for
attention and, perhaps a public welfare adversity potential. Thus, while the available evidence
does not include characterization of USFS biosite scores with regard to public perception and
potential impacts on public enjoyment, we find that they may be useful for the Administrator's
purposes in considering the potential public welfare significance of different severities and
extents of visible foliar injury, as scored by BI. That notwithstanding, limitations remain in our
tools for characterizing the air quality conditions at sites that elicit scores of a particular severity
level, thus continuing to challenge our ability to precisely identify conditions that might provide
particular levels of public welfare protection for this effect.

In considering the available information regarding a relationship between W126 index
and the severity of visible foliar injury, we consider the presentation of USFS biosite data in
Appendix 4C, summarized in section 4.3.3.2.2 above. While recognizing limitations in the
dataset114 and considering the records for the normal or dry soil moisture categories, for which

114 For example, the majority of these data are records with W126 index estimates at or below 9 ppm-hrs, and fewer
than 10% of the records have W126 estimates above 15 ppm-hrs. Additionally, the BI scores are quite variable

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there is somewhat better representation of W126 index levels above 13 ppm-hrs,115 we note the
lack of a clear trend in the percentage of USFS records recording visible foliar injury (of any
severity level) W126 index estimates below 17 ppm-hrs. Focusing on the magnitude of BI score,
we note that among records in the normal soil category, BI scores are noticeably increased in the
highest W126 index bin (above 25 ppm-hrs) compared to the others. The percentages of records
in the greater than 25 ppm-hrs bin that have BI scores above 15 ("moderate" and "severe" injury)
and above 5 ("light," "moderate" and "severe" injury) are more than three times greater than
percentages for these score levels in any of the lower W126 bins. Additionally, the average BI of
7.9 in the greater-than-25-ppm-hrs bin is more than three times the average BI for the next
highest W126 index bin. The average BI in the next two lower W126 bins (which vary inversely
with W126 index) are just slightly higher than average Bis for the rest of the bins, and the
average BI for all bins at or below 25 ppm-hrs are well below 5. Among records in the dry soil
moisture category, the two highest W126 bins (which together include the W126 index estimates
above 19 ppm-hrs) exhibit percentages of records with BI above 15 or above 5 that are
appreciably greater than that for the lower W126 bins. With regard to average scores across all
dry soil moisture records, average BI for all W126 index bins is below 5, although the three
highest W126 index bins (above 17 ppm-hrs) are markedly greater than the lower bins (e.g.,
average Bis greater than versus less than 1).

Thus, the strongest conclusions that can be reached from the USFS dataset described in
Appendix 4C are that the incidence of sites with more severe injury (e.g., BI score above 15 or 5)
is also lower at sites with W126 index values below 25 ppm-hrs than at sites with higher W126
index values and that clear trends in such incidence related to increasing W126 index levels are
not evident across the bins for lower W126 index estimates (all of which are below 5%). As
discussed in section 4.3.3.2 above, variability in the data across sites, and uncertainty, with
regard to the role of peak O3 concentrations as an influence on occurrence of visible foliar injury
separate from cumulative W126 index, lead to the conclusion that the available information does
not support precise conclusions as to the severity and extent of such injury associated with the
lower values of W126 index most common at USFS sites during the time of the dataset (2006-
2010). Notwithstanding this, records categorized as normal soil moisture indicate there to be an
appreciable difference in severity of injury between records with W126 index estimates above 25
ppm-hrs and those with estimates at or below 25 ppm-hrs (e.g., Appendix 4C, Figures 4C-5 and
4C-6 and Table 4C-5). The records categorized as dry soil moisture do not indicate such a clear

across the full dataset, with even the bin for the lowest W126 index estimates (below 7 ppm-hrs) including BI
scores well above 15 (Appendix 4C, section 4C.4.2).

115 In the case of records in the wet soil moisture category, nearly 90% of the records are for W126 estimates at or
below 9 ppm-hrs, limiting interpretations for higher W126 bins (Appendix 4C, Table 4C.4 and section 4C.6).

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pattern. The records categorized as wet soil moisture are too limited (and variable) for W126
index estimates above 13 ppm-hrs to support a conclusion (Appendix 4C). Thus, we conclude,
based primarily on the BI scores records categorized as having normal soil moisture, that under
conditions that maintain W126 index values below 25 ppm-hrs a reduced severity (average BI
score below 5) and incidence of visible foliar injury, as quantified by biosite index scores, would
be expected. The observation of a lack of clear relationship between levels of a cumulative
seasonal index and BI scores until reaching a higher value is conceptually similar to findings of
the study by Campbell et al. (2007), identified in the 2013 ISA that focused on visible foliar
injury in west coast states. This study observed that both percentage of USFS biosites with injury
and the average BI were higher for sites with average cumulative O3 concentrations above 25
ppm-hrs in terms of SUM06 as compared to groups of sites with lower average cumulative
exposure levels, with little difference apparent between the two lower exposure groups (80 FR
65395, October 26, 2015; Smith and Murphy, 2015; Campbell et al., 2007, Figures 27 and 28
and p. 30).116

Such findings of variability in scores at lower values of a cumulative seasonal index and
a lack of clear relationship with exposure may relate to patterns of peak concentrations at sites
with similar cumulative seasonal index values. As discussed in section 4.3.3.2 above, several
studies of the USFS data have concluded that inclusion of a metric for quantifying peak
concentrations, in combination with one for cumulative seasonal exposures, may yield a more
predictive description of the relationship between O3 air quality and the occurrence of visible
foliar injury. Similarly, a county-scale analysis of USFS biosite data in the 2007 Staff Paper
(from earlier years than those analyzed in the 2015 review) indicated a somewhat smaller
incidence of biosites with nonzero BI scores in counties with air quality meeting a fourth-high
metric of 74 ppb as compared to larger groups that also included sites with air quality meeting a
fourth-high metric up to 84 ppb (U.S. EPA 2007, pp. 7-63 to 7-64; 80 FR 65395, October 26,
2015). Given the control of the averaging time and form of the current standard on peak
concentrations (as discussed in section 4.4.1 above), this observation is consistent with a role for
peak concentrations in eliciting visible foliar injury. Although given that lower design values for
the current standard also yield lower W126 index values, the relative influence of peak
concentrations and cumulative seasonal exposures cannot be distinguished. With regard to the
control of the current standard on peak concentrations, however, we note the conceptual
similarity to the finding of the most recent and extensive USFS data analysis that reductions in

116 In considering their findings, the authors expressed the view that "[although the number of sites or species with
injury is informative, the average biosite injury index (which takes into account both severity and amount of
injury on multiple species at a site) provides a more meaningful measure of injury" for their assessment at a
statewide scale (Campbell et al., 2007).

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peak 1-hour concentrations have influenced the declining trend in visible foliar injury since 2002
(Smith, 2012).

In consideration of all of the above, we recognize the appreciable limitations of the
available information touched on above with regard to providing a foundation for judgments on
public welfare protection objectives specific to visible foliar injury. In light of such limitations
and in light of the above discussion, we recognize that while the evidence continues to show a
consistent association between the occurrence of visible injury and ozone, "visible foliar injury is
not always a reliable indicator of other negative effects on vegetation" (ISA, Appendix 8, section
8.2), and we do not have a precise understanding of the appropriate metrics for quantifying O3 air
quality conditions for the purposes of informing the Administrator's consideration of this
endpoint. Based on studies and analyses of the USFS biosite data, the conditions associated with
visible foliar injury in locations with sensitive species appear to relate to peak concentration
(e.g., hours above a concentration such as 100 ppb) as well as sustained exposure to higher
concentrations over the growing season, such that cumulative exposure metrics may not well or
completely describe or predict the occurrence and severity of injury. Thus, in making judgments
regarding air quality conditions of concern and those providing protection with regard to impacts
associated with incidence and severity of visible foliar injury, we find it appropriate to consider
both cumulative concentration-weighted seasonal exposures and the occurrence of peak
concentrations. In this context, we note the control of these metrics achieved by the form and
averaging time of the current standard, as discussed in section 4.4 above. Lastly, we take note of
the USFS BI scheme as potentially useful to informing the Administrator's consideration of the
potential public welfare significance of differing magnitudes of BI scores.

• What does the available information indicate for considering potential public welfare
protection from 03-related climate effects?

In considering the available information for the effects of the global abundance of O3 in
the troposphere on radiative forcing, and temperature, precipitation and related climate variables,
we note as an initial matter that, as summarized in section 4.3.3 above, there are limitations and
uncertainties in the associated evidence bases with regard to assessing potential for occurrence of
climate-related effects as a result of varying ground-level O3 concentrations in ambient air of
locations in the U.S. Specifically, such limitations and uncertainties affect our ability to
characterize the extent of any relationships between O3 concentrations in ambient air in the U.S.
and climate-related effects, thus precluding a quantitative characterization of climate responses
to changes in ground-level O3 concentrations in ambient air at regional (vs global) scales that
might inform considerations related to the current standard. While the evidence supports a causal
relationship between the global abundance of O3 in the troposphere and radiative forcing, and a
likely causal relationship between the global abundance of O3 in the troposphere and effects on

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temperature, precipitation, and related climate variables (ISA, section IS.5.2 and Appendix 9;
Myhre et al., 2013), the non-uniform distribution of O3 (spatially and temporally) makes the
development of quantitative relationships between the magnitude of such effects and differing
ground-level O3 concentrations in the U.S. challenging (ISA, Appendix 9). Additionally, "the
heterogeneous distribution of ozone in the troposphere complicates the direct attribution of
spatial patterns of temperature change to ozone induced [radiative forcing]" and there are "ozone
climate feedbacks that further alter the relationship between ozone [radiative forcing] and
temperature (and other climate variables) in complex ways" (ISA, Appendix 9, section 9.3.1, p.
9-19). Thus, various uncertainties "render the precise magnitude of the overall effect of
tropospheric ozone on climate more uncertain than that of the well-mixed GHGs" and "[c]urrent
limitations in climate modeling tools, variation across models, and the need for more
comprehensive observational data on these effects represent sources of uncertainty in quantifying
the precise magnitude of climate responses to ozone changes, particularly at regional scales"
(ISA, section IS.6.2.2, Appendix 9, section 9.3.3, p. 9-22).

As one example, current limitations in modeling tools include "uncertainties associated
with simulating trends in upper tropospheric ozone concentrations" (ISA, section 9.3.1, p. 9-19),
and uncertainties such as "the magnitude of [radiative forcing] estimated to be attributed to
tropospheric ozone" (ISA, section 9.3.3, p. 9-22). Further, "precisely quantifying the change in
surface temperature (and other climate variables) due to tropospheric ozone changes requires
complex climate simulations that include all relevant feedbacks and interactions" (ISA, section
9.3.3, p. 9-22). An important specific limitation in current climate modeling capabilities for O3 is
representation of important urban- or regional-scale physical and chemical processes, such as O3
enhancement in high-temperature urban situations or O3 chemistry in city centers where NOx is
abundant. Because of such limitations in the available information, we lack the ability to quantify
or judge the impact of incremental changes in ground-level O3 concentrations in the U.S. on
radiative forcing and subsequent climate effects, thus precluding a consideration of potential
public welfare protection provided by the existing O3 standard from 03-related climate effects.117

4.5.1.3 Public Welfare Implications of Air Quality under the Current Standard

Our consideration of the available scientific evidence in this reconsideration, as at the
time of the 2015 review, is informed by results from a quantitative analysis of air quality and

117 While these complexities inhibit our ability to analyze and quantitatively climate-related effects of 03, such as
radiative forcing, we note that our consideration of O3 growth-related impacts on trees inherently encompasses
consideration of the potential for O3 to reduce carbon sequestration in terrestrial ecosystems (e.g., through
reduced tree biomass as a result of reduced growth). That is, limiting the extent of 03-related effects on growth
would be expected to also limit reductions in carbon sequestration, a process that can reduce the tropospheric
abundance of CO2, the greenhouse gas ranked highest in importance (section 4.3.3.3 above; ISA, section 9.1.1).

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associated exposure. An overarching consideration is whether this information calls into question
the adequacy of protection provided by the current standard. As in our consideration of the
evidence above, we have organized the discussion regarding the information related to exposures
and potential risk around a key question to assist us in considering the quantitative analyses of air
quality at U.S. locations nationwide, particularly including those in Class I areas. We first
consider analyses particular to cumulative O3 exposures, in terms of the W126 index, given the
established E-R relationships with growth-related effects, and specifically RBL as the identified
proxy or surrogate for the full array of such effects.

To understand the cumulative O3 exposures likely occurring under the current standard
nationally, including in Class I areas, we consider the air quality analyses summarized in section
4.4 above. Nationwide in the most recent 3-year period (2018-2020), seasonal W126 index
values are at or below 17 ppm-hrs, as assessed by the 3-year average, when the current standard
is met (Table 4-3). With very few exceptions, this is also true across the full historical period.
Further, such exposures are generally well below 17 ppm-hrs across most of the U.S.
Additionally, the overall pattern for single-year seasonal W126 index values at monitors meeting
the current standard in the most recent period is generally similar, with few sites (about a dozen
of the 877 sites nationwide) having a single-year W126 index above 19 ppm-hrs (and under two
dozen above 17 ppm-hrs).118 The frequency of such higher single-year W126 index values at
Class I area monitors is also low during periods when the current standard is met. During the
most recent three years, the 3-year average seasonal W126 index is at or below 17 ppm-hrs at all
Class I area monitors meeting the current standard, just two single-year W126 index values are
above 17 ppm-hrs and none are above 19 ppm-hrs (Appendix 4D, Table 4D-16).119

This information indicating that likely W126-based exposure levels are generally at or
below 17 ppm-hrs, combined with a cross-species median tree seedling RBL based on the
available E-R functions for 11 to 17 tree species, indicates that based on monitoring data for
locations meeting the current standard during the most recent design period, the median species
RBL, based on the 3-year average W126, would be at or below values ranging from 5.3% to
2.9%, with very few exceptions (in areas that are not near or within Class I areas). This range of
species median RBL reflects consideration, as discussed in section 4.5.1.1 and Table 4-4 above,
of the established 11 E-R functions from Lee and Hogsett (1996), the newly available 17 E-R
functions from Lee et al. (2022), and the combination of the two that relies on average of

118	These highest W126 index values occur in the Southwest and West regions in which there are nearly 150 monitor
locations meeting the current standard (Figure 4-9; Appendix 4D, Table 4D-1).

119	Across the full 21-year dataset for Class I area monitors meeting the current standard (57 monitors with at least
one such period), there are 15 design value periods with single-year W126 index values above 19 ppm-hrs, all of
which are prior to the 2013-2015 period (Appendix 4D, section 4D.3.2.4).

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estimates for the common species. Looking at the monitoring data over a longer time period
(2000-2018) confirms this general pattern for the bulk of the data, with some infrequent higher
occurrences, such that virtually all RBL estimates would be below 6%.120 Further, given the
variability and uncertainty associated with the data underlying the E-R functions (as discussed in
sections 4.3.4 and 4.5.1.2 above), the few higher single-year occurrences are reasonably
considered to be of less significance than would such occurrences of 3-year average values.

With regard to visible foliar injury, as discussed earlier, the evidence is somewhat limited
and unclear with regard to the metric and quantitative approach that well describes a relationship
between incidence or severity of injury in U.S. forests across a broad range of air quality
conditions. However, we note several key findings of the evidence and quantitative analyses.
First, the increased incidence of BI scores associated with injury considered greater than "a
little" by the USFS scheme appears most consistently with higher W126 estimates, with greatest
incidence for the highest exposure level (W126 index above 25 ppm-hrs), a magnitude not seen
to occur in Class I area monitoring sites, or in virtually any sites nationwide, that meet the
current standard (Appendix 4C, section 4C.3). Further, we note a decline in frequency of peak
hourly concentrations, including those at/above 100 ppb, at U.S. monitoring sites over the past
15 years. The analyses of hourly concentrations summarized in section 4.4.1 above also
demonstrate substantial control of peak 1-hour concentrations by the current standard. While we
lack an established metric or combination of metrics that well describes the relationship between
extent and severity of visible foliar injury occurrence across a broad range of O3 concentration
patterns from those more common in the past to those in areas recently meeting today's standard,
the current information indicates air quality conditions of concern for this endpoint to generally
include cumulative seasonal exposures, in terms of seasonal single-year W126 index, at/above 25
ppm-hrs, in addition to appreciable occurrence of peak hourly concentrations at/above 100 ppb.
Based on this information, the available air quality information indicates that the exposure
conditions occurring at sites with air quality meeting the current standard are not those that might
reasonably be concluded to elicit the occurrence of significant foliar injury (with regard to
severity and extent). In summary, the air quality patterns that occur under the existing standard
each year and on average across three years are limited with regard to both magnitude of
cumulative exposure and number of high hourly O3 concentrations.

120 Although potential for effects on crop yield was not given particular emphasis in the 2015 review (for reasons
similar to those summarized earlier), we additionally note that combining the exposure levels summarized for
areas across the U.S. where the current standard is met with the E-R functions established for 10 crop species
indicates a median RYL across crops to be at or below 5.1%, on average, with very few exceptions. Further,
estimates based on W126 index at the great majority of the areas are below 5%.

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• Are such exposures (in terms of W126 index) that occur in areas that meet the

current standard indicative of welfare effects reasonably judged important from a

public welfare perspective? What are important associated uncertainties?

Given the findings summarized in section 4.4 above regarding W126 index values in
areas where the current standard is met, we reflect on the potential public welfare significance of
vegetation-related effects that may be associated with such exposures. This consideration is
important to judgments regarding the secondary standard, which is not meant to protect against
all known or anticipated Cb-related welfare effects, but rather those that are judged to be adverse
to the public welfare (as noted in section 4.3.2 above). Accordingly, for the purposes of
informing those judgments, we consider here the exposures that occur under conditions that meet
the current standard, the associated potential for effects and the potential public welfare
implications.

As an initial matter, we recognize the increased significance to the public welfare of
effects in areas that have been accorded special protection, such as Class I areas. In this context,
we note some general similarities of the exposure estimates in Class I areas for periods when the
current standard was met to such estimates at monitoring sites in other areas, as documented in
the larger air quality data analysis. Across both datasets, and extending back 21 years, the
cumulative exposure estimates, averaged over the design value period, for these air quality
conditions were virtually all at or below 17 ppm-hrs, with most of the W126 index values below
13 ppm-hrs (Appendix 4D, Table 4D-10), which correspond to median RBL estimates of 3.8%-
2.7% or less (based on the three approaches for considering the E-R functions of Lee and
Hogsett [1996] and Lee et al. [2022] described in 4.5.1.2 and detailed in Appendix 4A, section
4A.4). We additionally note that single-year W126 index values in Class I areas over the 21-year
dataset evaluated were generally at or below 19 ppm-hrs, particularly in the more recent years
(Appendix 4D, section 4D.3.2.4). Regarding the potential for effects associated with commonly
occurring exposures, we consider first the categories of effects for which the quantitative
information related to exposure and associated effects is most well developed. In this
reconsideration, as in the 2015 review, these are effects on plant growth. Based on the median of
RBL estimates derived from the established E-R functions for 11 tree species seedlings, W126
index values at or below 17 ppm-hrs correspond to median species tree seedling RBL estimates
at or below 5.3% to 2.9% (section 4.5.1.2 above and Appendix 4A, section 4A.4). Judgments in
the 2015 review (in the context of the framework considered in section 4.5.1.2 above) concluded
isolated rare occurrences of exposures for which median RBL estimates might be at or just above
6% to not be indicative of conditions adverse to the public welfare, particularly considering the
variability in the array of environmental factors that can influence O3 effects in different systems,
and the uncertainties associated with estimates of effects in the natural environment.

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In the 2015 review, the Administrator focused on cumulative exposure estimates derived
as the average W126 index over the 3-year design value period, concluding variations of single-
year W126 index from the average to be of little significance. This focus generally reflected the
judgment that estimates based on the average adequately, and appropriately, reflected the
precision of the current understanding of Cb-related growth reductions, given the various
limitations and uncertainties in such predictions. Additional analyses have been explored since
the 2015 review to further examine this issue, as summarized in section 4.5.1.2 above. The
current air quality data indicate single-year W126 index values generally to vary by less than 5
ppm-hrs from the 3-year average when the 3-year average is below 20 ppm-hrs (which is the
case for locations meeting the current standard). With such variation, year-to-year differences in
tree growth responding to each year's seasonal exposure from estimated response based on the 3-
year average of those seasonal exposures would, given the offsetting impacts of seasonal
exposures above and below the average, reasonably be expected to generally be small over tree
lifetimes. Additionally, we have also further considered the experimental data underlying the E-
R functions for estimating RBL, particularly those pertaining to cumulative exposures on the
order of 17 ppm-hrs and informing estimates of multiyear impacts. We note limitations in the
evidence base in these regards, as discussed further in section 4.5.1.2 above, that contribute to
imprecision or inexactitude to estimates of growth impacts associated with multiyear exposures
in this range. Further, the information available since 2015 does not appreciably address these
limitations and uncertainties to improve the certainty or precision in RBL estimates for such
exposures.

With regard to visible foliar injury, as discussed in sections 4.3.3.2 and 4.5.1.2 above, a
quantitative description of the relationship between O3 concentrations and visible foliar injury
extent or incidence, as well as severity, that would support estimation of injury under varying air
quality and environmental conditions (e.g., moisture), most particularly for locations that meet
the current standard is not yet established. In light of the potential role of peak O3 concentrations
(e.g., hourly concentrations at or above 100 ppb) as an influence on visible foliar injury
occurrence and severity (that may not be fully captured by a focus on cumulative seasonal O3
indices), we take note of analyses of peak concentrations summarized in section 4.4.1. These
indicate that the magnitude of daily maximum 1-hour concentrations has declined appreciably
since 2000. For example, the median annual 2nd highest MDA1 concentration across U.S. trend
monitoring sites declined by 27% from 2002 to 2013 (Figure 2-17 above), and the 99th percentile
MDA1 for all sites meeting the current standard in 2020 is below 80 ppb (Figure 4-14). The
analysis in Appendix 2A of three recent design value periods (covering 2016 through 2020) and
three periods more than ten years prior (covering 2000 through 2004) show that the mean
number of observations per site at or above 100 ppb was well below one (0.22) for sites meeting

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the current standards compared to well above one (10.04) for sites not meeting the current
standard. Further, the number of days with an hour at or above 100 ppb is below five at all sites
meeting the current standard, and the vast majority are well below five (Figure 4-11 and Figure
4-15, Appendix 2A, section 2A.2). These data and analyses indicate that the current standard
provides appreciable control of peak 1-hour concentrations, and thus, to the extent that such peak
concentrations play a role in the occurrence and severity of visible foliar injury, the current
standard also provides appreciable control.

In considering protection for visible foliar injury impacts provided by the standard, we
note, as discussed in section 4.3.2 above, that the public welfare implications associated with
visible foliar injury (when considered as an effect separate from effects on plant physiology)
relate largely to effects on scenic and aesthetic values. The available information does not yet
address or describe the relationships expected to exist for some level of visible foliar injury
severity (below that at which broader physiological effects on plant growth and survival might
also be expected) and/or extent of location or site injury (e.g., BI) scores with values held by the
public and associated impacts on public uses of the locations.121 As discussed in section 4.3.2
above, this gap limits our ability to identify air quality conditions that might be expected to
provide a specific level of protection from public welfare effects of this endpoint (e.g., separate
from effects that might relate to plant growth and reproduction under conditions where foliar
injury may also be severe).122 Thus, key considerations of this endpoint in past reviews have
related to qualitative consideration of potential impacts related to the plant's aesthetic value in
protected forested areas and the somewhat general, nonspecific judgment that a more restrictive
standard is likely to provide increased protection. Nevertheless, while minor spotting on a few
leaves of a plant may easily be concluded to be of little public welfare significance, it is
reasonable to conclude that cases of widespread and relatively severe injury during the growing
season (particularly when sustained across multiple years and accompanied by obvious impacts
on the plant canopy) would likely impact the public welfare in scenic and/or recreational areas,
particularly in areas with special protection, such as Class I areas. In this context, we note the
potential usefulness of the USFS scheme for the purposes of informing the Administrator's
judgments with regard to public welfare significance of such effects.

In light of the discussions here and in sections 4.3.3.2 and 4.5.1.2 (with consideration of
presentations in Appendix 4C and air quality analyses in Appendices 2A, 4D and 4F) we find

121	Information with some broadly conceptual similarity to this has been used forjudging public welfare implications
of visibility effects of PM in setting the PM secondary standard (78 FR 3086, January 15, 2012).

122	Further, no criteria have been established regarding a level or prevalence of visible foliar injury considered to be
adverse to the affected vegetation as the current evidence does not provide for determination of a degree of leaf
injury that would have significance to the vigor of the whole plant (ISA, Appendix 8, p. 8-24).

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that the available information does not indicate that a situation of widespread and relatively
severe visible foliar injury is likely associated with air quality that meets the current standard.
More specifically, the air quality data for areas meeting the standard do not indicate conditions
associated with BI scores reasonably considered of concern in the context described above
(concerning potential for public welfare significance). For example, we note that the air quality
analyses indicate that virtually all seasonal W126 index values at locations meeting the current
standard are below 25 ppm-hr. Further, the average number of observations of 1-hour
concentrations at or above 100 ppb per site and design value period are well below one during
periods when the current standard is met. Thus, while the current evidence is limited for the
purposes of identifying public welfare protection objectives related to visible foliar injury in
terms of specific air quality metrics, the current information indicates that the occurrence of
injury categorized as more severe than "little" by the USFS categorization (i.e., a BI score above
5 or above 15) would be expected to be infrequent in areas that meet the current standard. Based
on the USFS dataset presentations as well as the air quality analyses of W126 index values and
frequency of 1-hour observations at or above 100 ppb, the prevalence of injury scores
categorized as severe, which, depending on spatial extent, might contribute to impacts of public
welfare significance do not appear likely to occur under air quality conditions that meet the
current standard.

With regard to other vegetation-related effects, including those at the ecosystem scale,
such as alteration in community composition or reduced productivity in terrestrial ecosystems, as
recognized in section 4.5.1.1, the available evidence is not clear with regard to the risk of such
impacts (and their magnitude or severity) associated with the environmental O3 exposures
estimated to occur under air quality conditions meeting the current standard (e.g., W126 index
generally at or below 17 ppm-hrs). In considering effects on crop yield, the air quality analyses at
monitoring locations that meet the current standard indicate estimates of RYL for such
conditions to be at and below 5.1%, based on the median estimate derived from the established
E-R functions for 10 crops (Appendix 4A, Tables 4A-5 and 4A-6). We additionally recognize
there to be complexities involved in interpreting the significance of such small estimates in light
of the factors identified in section 4.3.2 above. These include the extensive management of crops
in agricultural areas that may to some degree mitigate potential Cb-related effects, as well as the
use of variable management practices to achieve optimal yields, while taking into consideration
various environmental conditions. We also recognize that changes in yield of commercial crops
and commercial commodities may affect producers and consumers differently, further
complicating consideration of these effects in terms of potential adversity to the public welfare
impacts. In light of these factors complicating conclusions regarding crop yield impacts, in
combination with the relatively low RYL estimates associated with W126 index values occurring

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in areas meeting the current standard, as well as the relative scarcity of peak hourly
concentrations at or above 100 ppb, a situation which differs from the extensive occurrences
associated with the exposure treatments on which the established E-R functions for the 10 crop
species are based (e.g., Lefohn and Foley, 1992), the current information does not indicate
exposures occurring in areas meeting the current standard to be of public welfare significance
with regard to crop yield.

4.5.2 Preliminary Conclusions

This section describes preliminary conclusions for the Administrator's consideration with
regard to the current secondary O3 standard. These preliminary conclusions are based on
consideration of the assessment and integrative synthesis of the evidence (as summarized in the
ISA, and the 2013 ISA and AQCDs from prior reviews), and the information on quantitative
exposure and air quality analyses summarized above. Taking into consideration the discussions
above in this chapter, this section addresses the following overarching policy question.

• Do the scientific evidence and air quality and exposure analyses support or call into
question the adequacy of the protection afforded by the current secondary O3
standard?

In considering this question, we first recognize what the CAA specifies with regard to
protection to be provided by the secondary standard. Under section 109(b)(2) of the CAA, a
secondary standard must "specify a level of air quality the attainment and maintenance of which,
in the judgment of the Administrator, based on such criteria, is requisite to protect the public
welfare from any known or anticipated adverse effects associated with the presence of [the]
pollutant in the ambient air." Accordingly, as noted in section 4.3.2 above, the secondary
standard is meant to protect against Cb-related welfare effects that are judged to be adverse to the
public welfare (78 FR 8312, January 15, 2013; see also 73 FR 16496, March 27, 2008). Thus,
our consideration of the available information regarding welfare effects of O3 is in this context,
while recognizing that the level of protection from known or anticipated adverse effects to public
welfare that is requisite for the secondary standard is a public welfare policy judgment made by
the Administrator.

The general approach in a review of a secondary NAAQS, and accordingly in PAs,
involves, first, evaluation of the currently available information with regard to key considerations
for assessing risk of or protection against the effects of the criteria pollutant of focus, such as
discussed in section 3.4 above. In this evaluation, the PA considers the welfare effects of the
pollutant, associated public welfare implications, and also the quantitative information, such as
regarding exposure-response relationships, and associated tools or metrics, as well as associated
limitations and uncertainties. The quantitative tools (e.g., metrics for effects and metrics for

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summarizing exposures) allow for identification and assessment of exposures of concern and,
correspondingly, of exposures appropriate for focus in assessing protection afforded by the
existing standard, and as appropriate, in assessing potential alternatives. The latter part of the
general approach in a review and a PA is then consideration of the extent to which the existing
standard provides air quality that would be expected to achieve such protection and, as
appropriate, potential alternative options (standard or standards) that could be expected to
achieve this desired air quality. This consideration goes beyond a focus on the key exposure
metrics and concentrations of potential concern to whether the form, averaging time and level of
the standard (or suite of standards), together, provide the requisite protection.

In NAAQS reviews in general, the extent to which the protection provided by the current
secondary O3 standard is judged to be adequate depends on a variety of factors, including science
policy judgments and public welfare policy judgments. These factors include public welfare
policy judgments concerning the appropriate benchmarks on which to place weight, as well as
judgments on the public welfare significance of the effects that have been observed at the
exposures evaluated in the welfare effects evidence. The factors relevant to judging the adequacy
of the standard also include the interpretation of, and decisions as to the weight to place on,
different aspects of the quantitative analyses of air quality and cumulative O3 exposure and any
associated uncertainties. Additionally, to the extent multiple policy options are identified that
would be expected to achieve a desired level of protection, decisions on the approach to adopt
falls within the scope of the Administrator's judgment. Thus, we recognize that the
Administrator's conclusions regarding the adequacy of the current standard will depend in part
on public welfare policy judgments, on science policy judgments regarding aspects of the
evidence and exposure/risk estimates, and on judgments about the level of public welfare
protection that is requisite under the Clean Air Act.

As an initial matter, we recognize the continued support in the current evidence for O3 as
the indicator for photochemical oxidants (as summarized in section 4.5.1.1 above). We note that
no newly available evidence has been identified since the 2015 decision regarding the
importance of photochemical oxidants other than O3 with regard to abundance in ambient air,
and potential for welfare effects, and that, as stated in the current ISA, "the primary literature
evaluating the health and ecological effects of photochemical oxidants includes ozone almost
exclusively as an indicator of photochemical oxidants" (ISA, section IS. 1.1). Thus, we recognize
that, as was the case for the 2015 and prior reviews, the evidence base for welfare effects of
photochemical oxidants does not indicate an importance of any other photochemical oxidants.
Thus, we conclude that the evidence continues to support O3 as the indicator for the secondary
NAAQS for photochemical oxidants.

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Our response to the overarching question above takes into consideration the discussions
that address the specific policy-relevant questions in prior sections of this document and the
approach described in section 4.2. We consider the evidence and the extent to which it alters key
conclusions supporting the current standard. We also consider the quantitative analyses,
including associated limitations and uncertainties, and what they may indicate regarding level of
protection provided by the current standard from adverse effects. We additionally consider the
key aspects of the evidence and air quality/exposure information emphasized in establishing the
current standard, and the associated public welfare policy judgments and judgments about
inherent uncertainties that are integral to decisions on the adequacy of the current secondary O3
standard. Together these considerations contribute to our preliminary conclusion as to whether
the available scientific evidence and air quality and exposure analyses support or call into
question the adequacy of the protection afforded by the current secondary O3 standard.

In considering the available evidence, we recognize the longstanding evidence base of the
vegetation-related effects of O3, augmented in some aspects since the 2015 review. Consistent
with the evidence in the 2015 review, the existing evidence describes an array of effects on
vegetation and related ecosystem effects causally or likely causally related to O3 in ambient air,
as well as the causal relationship of tropospheric O3 with radiative forcing and subsequent likely
causally related effects on temperature, precipitation, and related climate variables. As was the
case in the 2015 review, a category of effects for which the evidence supports quantitative
description of relationships between air quality conditions and response is plant growth or yield.
The evidence base continues to indicate growth-related effects as sensitive welfare effects, with
the potential for ecosystem-scale ramifications. For this category of effects, there are established
and newly available E-R functions that relate cumulative seasonal exposure of varying
magnitudes to various incremental reductions in expected tree seedling growth (in terms of RBL)
and in expected crop yield (in terms of RYL). Many decades of research also recognize visible
foliar injury as an effect of O3, although uncertainties continue to hamper efforts to quantitatively
characterize the relationship of the extent of its occurrence and relative severity with O3
exposures. The evidence for these categories of vegetation-related O3 effects is discussed further
below. But before focusing further on these key vegetation-related effects, we address two
endpoints newly identified in the 2020 ISA, as well as tropospheric O3 effects related to climate.

With regard to categories of effects newly identified in the 2020 ISA as likely causally
related to O3 in ambient air, such as alteration of plant-insect signaling and insect herbivore
growth and reproduction, we recognize that uncertainties limit our consideration of the
protection that might be provided by the current standard against these effects. Depending on a
number of factors, such effects may have a potential for adverse effects to the public welfare,
e.g., given the role of plant-insect signaling in such important ecological processes as pollination

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and seed dispersal, as well as natural plant defenses against predation and parasitism (as
discussed in section 4.3.2 above. Uncertainties in the evidence, however, preclude a sufficient
understanding to support a focus on such effects in considering protection provided by the
current standard. Areas of uncertainty and limitations in the evidence include key aspects of such
effects, the air quality conditions that might elicit them (and the magnitude or severity), the
potential for impacts in a natural ecosystem and, consequently, the potential for such impacts
under air quality conditions associated with meeting the current standard, as discussed in section
4.5.1.1 above. Thus, we do not find the evidence to provide sufficient information to support
judgments related to how particular patterns of O3 concentrations in ambient air may relate to the
occurrence of such effects in natural systems or, accordingly, to any related impacts to the public
welfare.

We next recognize the strong evidence documenting tropospheric O3 as a greenhouse gas
causally related to radiative forcing, and likely causally related to subsequent effects on variables
such as temperature and precipitation. In so doing, however, we take note of the limitations and
uncertainties in the evidence base that affect our ability to characterize the extent of any
relationships between O3 concentrations in ambient air in the U.S. and climate-related effects,
thus precluding a quantitative characterization of climate responses to changes in O3
concentrations in ambient air at regional (vs global) scales (as summarized in sections 4.3.3.3
and 4.3.4 above).123 As a result, we recognize the lack of important quantitative tools with which
to consider such effects in the context of protection provided by the current secondary O3
standard, such that it is not feasible to relate different patterns of O3 concentrations at the
regional (or national) scale in the U.S. with specific risks of alterations in temperature,
precipitation and other climate-related variables. We find these significant limitations and
uncertainties together to contribute to an insufficiency in the available information for the
purposes of supporting the Administrator's judgments particular to a secondary O3 NAAQS and
protection of the public welfare from adverse effects linked to O3 influence on radiative forcing,
and related climate effects.124 Thus, as is the case for the two newly identified categories of
insect-related effects discussed above, we conclude that the available evidence does not support a
focus on radiative forcing and related climate effects in considering the extent to which the

123	With regard to radiative forcing and effects on temperature, precipitation, and related climate variables, while
additional characterizations have been completed since the 2015 review, uncertainties and limitations in the
evidence that were also recognized at that time remain.

124	Notwithstanding consideration of these effects, we note that a focus on the protection offered by the standard
against vegetation-related effects is expected to also have positive implications for climate change protection
through the protection of terrestrial ecosystem carbon storage.

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available evidence supports or calls into question the adequacy of protection afforded by the
current secondary standard.

Turning next to consideration of visible foliar injury, the available information has been
examined and analyzed as to what it indicates and supports with regard to adequacy of protection
provided by the current standard (e.g., as discussed in section 4.5.1 above). Visible foliar injury
is an effect for which an association with O3 in ambient air is well documented. The public
welfare significance of visible foliar injury of vegetation in areas not closely managed for
harvest, particularly specially protected natural areas, has generally been considered in the
context of potential effects on aesthetic and recreational values, such as the aesthetic value of
scenic vistas in protected natural areas such as national parks and wilderness areas (e.g., 73 FR
16496, March 27, 2008). Accordingly, depending on its severity and spatial extent, as well as the
location(s) and the associated intended use, its effects on the physical appearance of the plant
have the potential to be significant to the public welfare. For example, while limited occurrences
(e.g., of a particular severity or prevalence) may easily be concluded to be of little public welfare
significance, cases of widespread and relatively severe injury during the growing season
(particularly when sustained across multiple years and accompanied by obvious impacts on the
plant canopy) might reasonably be expected to have the potential to adversely impact the public
welfare in scenic and/or recreational areas, particularly in areas with special protection, such as
Class I areas.

In considering existing approaches for categorizing the severity of injury in natural areas,
we take note of the system developed by the USFS for its monitoring program125 to categorize BI
scores of visible foliar injury at biosites (sites with Cb-sensitive vegetation assessed for visible
foliar injury) in natural vegetated areas by severity levels (described in section 4.3.2 above). We
recognize, however, that quantitative analyses and evidence are lacking that might support a
precise conclusion - and associated judgment - as to a magnitude of BI score coupled with an
extent of occurrence that might be specifically identified as adverse to the public welfare. That
notwithstanding, we additionally note that the scale of the USFS biosite monitoring program's
objectives, which focus on natural settings in the U.S. and forests as opposed to individual
plants, may be informative to the Administrator with regard to his judgments concerning the
public welfare protection afforded by the current standard for such effects.

In considering the availability of established approaches that might be employed for
considering degrees of public welfare impacts related to the occurrence of visible foliar injury of
differing severity and extent (e.g., as summarized in sections 4.3.3.2 and 4.5.1.1 above), we note

125 During the period from 1994 (beginning in eastern U.S.) through 2011, the USFS conducted surveys of the
occurrence and severity of visible foliar injury on sensitive species at sites across most of the U.S. following a
national protocol (Smith, 2012).

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the paucity of established approaches for interpreting specific levels of severity and extent of
foliar injury in protected forests with regard to impacts on public welfare effects (e.g., related to
recreational services).126 In this context, we recognize a potential usefulness of the USFS system,
including its descriptors for BI scores of differing magnitudes intended for that Agency's
consideration in identifying areas of potential impact to forest resources. As described in section
4.3.2 above, very low BI scores (at or below 5) are described by the USFS scheme as "little or no
foliar injury" (Smith et al., 2007; Smith et al., 2012),127 and BI scores above 15 are categorized
as moderate to severe (and scores above 25 as severe). The lower categories of BI scores are
described by the USFS descriptions as indicative of injury of generally lesser risk to the natural
area, which we would suggest may also indicate lesser risk to public enjoyment. Accordingly, to
the extent that the USFS ranking system is of value to the Administrator's judgments in this
context, it may be reasonable to conclude that occurrence of BI scores categorized as "moderate
to severe" injury by the USFS scheme would be an indication of visible foliar injury occurrence
that, depending on extent and severity, may be indicative of conditions of public welfare
significance. Thus, this framework may be informative to the Administrator's consideration of
the evidence and analyses summarized in the sections above and what they indicate with regard
to patterns of air quality of concern for such an occurrence, and the extent to which they are
expected to occur in areas that meet the current standard.

We additionally consider the USFS biosite monitoring program studies of the occurrence,
extent, and severity of visible foliar injury in indicator species in defined plots or biosites in
natural areas across the U.S. Some of these studies, particularly those examining such data across
multiple years and multiple regions of the U.S., have reported that variation in cumulative O3
exposure, in terms of metrics such as SUM06 or W126 index, does not completely explain the
patterns of occurrence and severity of injury observed. Although the availability of detailed
analyses that have explored multiple exposure metrics and other influential variables is limited,
multiple studies have indicated a potential role for an additional metric, one related to the
occurrence of days with relatively high concentrations (e.g., number of days with a 1-hour
concentration at or above 100 ppb), as summarized in section 4.5.1.2 above. Also noteworthy are
the publications related to the USFS biosite monitoring program that provide extensive evidence
of trends across the past nearly 20 years that indicate reductions in severity of visible foliar
injury that parallel reductions in peak concentrations that have been suggested to be influential in

126	This contrasts with another welfare effect, visibility, for which there is evidence relating to levels of visibility
found to be acceptable by the public that was considered in judging the public welfare protection provided by the
particulate matter secondary standard (78 FR 3226-3228, January 15, 2013).

127	Studies that consider such data for purposes of identifying areas of potential impact to the forest resource suggest
this category corresponds to "none" with regard to "assumption of risk" (Smith et al., 2007; Smith et al., 2012).

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the severity of visible foliar injury. For example, observations of such reductions in the incidence
of the higher BI scores over the 16-year period of the program (1994 through 2010), especially
after 2002, have led to researcher conclusions of a "declining risk of probable impact" on the
monitored forests over this period (e.g., Smith, 2012). These reductions parallel the O3
concentration trend information nationwide that show clear reductions in cumulative seasonal
exposures, as well as in peak O3 concentrations, both in terms of 8-hour and hourly
concentrations (e.g., Figures 2-11 and 2-17, and as summarized in section 4.4.1 above). That is,
the extensive air quality evidence of trends across the past nearly 20 years indicate reductions in
peak concentrations that some studies have suggested to be influential in the severity of visible
foliar injury, as discussed in section 4.5.1 above.

In considering the available information that might inform the Administrator's judgments
regarding visible foliar injury, we note a paucity of established approaches to inform the
Administrator's judgment of a magnitude, severity or extent of visible foliar injury related effects
appropriately concluded to be known or anticipated to cause adverse effects to the public
welfare. However, some general conclusions or observations may be supported. For example,
based on the available evidence and associated quantitative analyses, we have less confidence
and greater uncertainty in the existence of adverse public welfare effects with lower O3
exposures. More specifically, as discussed in the prior sections, the available information
suggests that O3 air quality associated with W126 index values below 25 ppm-hrs (in a single
year), particularly when in combination with infrequent occurrences of hourly concentrations at
or above 100 ppb, is not likely to pose a risk of visible foliar injury in natural areas of an extent
and severity that might reasonably be considered to be of public welfare significance.

Support for this conclusion is seen in the air quality analyses that inform our
understanding of the occurrence and magnitude of cumulative seasonal exposures, in terms of
W126 index, and peak concentrations, in terms of the N100 and D100 metrics, in areas that meet
the current standard. These analyses indicate that virtually all W126 index values in a single year
are below 25 ppm-hrs at all monitoring locations (including in or near Class I areas) where the
current standard is met, and that, in fact, such values above 19 ppm-hrs are rare, as summarized
in section 4.4.2 above (Appendix 4D, sections 4D.3.1.24 and 4D.3.2.4). Thus, the analyses of air
quality since 2000 for areas that meet the current standard do not indicate the occurrence of
cumulative seasonal exposure, in terms of W126 index, of a magnitude that might be expected,
based on the available information (e.g., based on analyses of BI scores considered in sections
4.5.1.2 and 4.5.1.3 above), to contribute to a significant extent and degree of injury or specific
impacts on recreational or related services for areas, such as wilderness areas or national parks.
Further, we take note of the uncommonness of days with any hours at or above 100 ppb at
monitoring sites that meet the current standard, as well as the minimal number of hours on any

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such days (as summarized in section 4.4.1). Based on these considerations, it would appear that
the current standard provides control of air quality conditions that contribute to increased BI
scores and to scores of a magnitude indicative of "moderate to severe" foliar injury. Thus, we
conclude that the evidence indicates that areas that meet the current standard are unlikely to have
BI scores reasonably considered to pose a risk of impacts of public welfare significance.
Accordingly, based on all of the considerations raised here, and in the sections above, we find it
reasonable to conclude that the available evidence and quantitative exposure information for
visible foliar injury do not call into question the adequacy of protection provided by the current
standard.

We turn now to consideration of the other vegetation-related effects, the evidence for
which as a whole is extensive, spans several decades, and supports the Agency's conclusions of
causal or likely to be causal relationship for O3 in ambient air with an array of effect categories
(as noted above). As an initial matter, we note the new ISA determination that the current
evidence is sufficient to infer likely causal relationships of O3 with increased tree mortality,
while also noting that the evidence does not indicate a potential for O3 concentrations that occur
in locations that meet the current standard to cause increased tree mortality, as summarized in
section 4.3.1 above.

With regard to the more sensitive effect of vegetation growth and conceptually related
effects with a focus on RBL (described in section 4.5.1.2 above), we recognize that public
welfare policy judgments play an important role in decisions regarding a secondary standard, just
as public health policy judgments have important roles in primary standard decisions. One type
of public welfare policy judgment focuses on how to consider the nature and magnitude of the
array of uncertainties that are inherent in the scientific evidence and analyses. These judgments
are traditionally made with a recognition that current understanding of the relationships between
the presence of a pollutant in ambient air and associated welfare effects is based on a broad body
of information encompassing not only more established aspects of the evidence but also aspects
in which there may be substantial uncertainty. This may be true even of the most robust aspect of
the evidence base. In the case of the available evidence base, as an example, we recognize
increased uncertainty, and associated imprecision, at lower cumulative exposures in application
of the available E-R functions, and in the current understanding of aspects of relationships of
such estimated effects with larger-scale impacts, such as those on populations, communities, and
ecosystems, as summarized in sections 4.5.1.3 and 4.3.4 above. Further, we recognize
uncertainties in the details and quantitative aspects of relationships between plant-level effects
such as growth and reproduction, and ecosystem impacts, the occurrence of which are influenced
by many other ecosystem characteristics and processes. These examples illustrate the role of
public welfare policy judgments, both with regard to the Administrator's consideration of the

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extent of protection that is requisite and concerning the weighing of uncertainties and limitations
of the underlying evidence base and associated quantitative analyses.

As summarized in section 4.1 above, the decisions that established the current standard in
2015, and retained it in 2020, involved a series of judgments contributing to the standard's
foundation with regard to growth-related effects. The first of these judgments relates to
consideration of the O3 effect of reduced growth (quantified using the metric, RBL) as a proxy
for an array of other vegetation-related effects to the public welfare. The category of effects for
which the evidence is most certain with regard to quantitative functions describing relationships
between O3 in ambient air and response continues to be reduced plant growth or yield. The
evidence base includes E-R functions for species of tree seedlings and for crops that relate
cumulative seasonal exposure of varying magnitudes to various incremental reductions in
expected tree seedling growth (in terms of RBL) and in expected crop yield. While functions for
11 species and 10 crops have been recognized across multiple O3 NAAQS reviews, a more
recently available analysis has presented additional functions for a set of 16 species, 10 of which
are among the initial 11 species. The extent to which these 17 species are indicative of the range
of O3 sensitivity of tree species across the U.S. is unknown. In this regard, however, we note the
representation of deciduous and coniferous trees native to climate regions across the U.S., and
with a wide range of sensitivities or tolerances to O3. We additionally take note of the
consideration of this type of uncertainty by the CAS AC in the 2015 review, based on which it
concluded it to be more appropriate to assume that the sensitivity of species without E-R
functions might be similar to the range of sensitivity for those species with E-R functions (Frey,
2014, p. 11).

A related judgment is the policy decision by the Administrator to focus on the median
RBL estimate across the tree species for which E-R functions are available. As discussed in
section 4.5.1.2 above, this judgment reflects a recognition of the central tendency as an
established approach for representing a dataset with inherent variability and uncertainty and of
the array of O3 sensitivities that might be expected by tree species in the U.S. It also reflects the
context of the median RBL as a proxy for consideration of the array of growth-related effects
more broadly, and associated uncertainties related to any prediction of such broader effects.

In addition to uncertainties, as recognized in section 4.3.4.1 above, associated with
estimates derived from these functions for seasonal exposure of tree seedlings (or crops), we also
note that related to the extent to which they may reflect or inform our understanding of growth
impacts in mature trees. While recognizing these and other uncertainties, the median of RBL
estimates for the 11 species, for which E-R functions were previously available, were used in the
2015 and 2020 decisions as a surrogate for comparable information on other species and
lifestages, as well as a proxy or surrogate for other vegetation-related effects, including larger-

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scale effects. This use of the RBL estimates for the studied species, established in the 2015
review in consideration of advice from the CASAC at that time, continues to appear to be a
reasonable judgment in this reconsideration of the 2020 decision. More specifically, the currently
available information continues to support (and does not call into question) the consideration of
RBL as a useful and evidence-based approach for consideration of the extent of protection from
the broad array of vegetation-related effects associated with O3 in ambient air. As discussed in
section 4.5.1.2 above, these categories of effects include reduced vegetation growth,
reproduction, productivity, and carbon sequestration in terrestrial systems, and also alteration of
terrestrial community composition, belowground biogeochemical cycles, and ecosystem water
cycling. The current evidence base and available information (qualitative and quantitative), as in
the 2015 review, continue to support consideration of the potential for Cb-related vegetation
impacts in terms of the RBL estimates from available E-R functions as a quantitative tool within
a larger framework of considerations pertaining to the public welfare significance of O3 effects.
Such consideration would include effects that are associated with effects on vegetation, and
particularly those that conceptually relate to growth, and that are causally or likely causally
related to O3 in ambient air, yet for which there are greater uncertainties affecting estimates of
impacts on public welfare. This approach to weighing the available information in reaching
judgments regarding the secondary standard additionally takes into account uncertainties
regarding the magnitude of growth impact that might be expected in mature trees, and of related,
broader, ecosystem-level effects for which the available tools for quantitative estimates are more
uncertain and those for which the policy foundation for consideration of public welfare impacts
is less well established. (80 FR 65389, October 26, 2015). The currently available evidence,
while somewhat expanded since the 2015 review, does not indicate an alternative to this use of
RBL; nor is an alternative approach evident.

In considering tree growth effects, we take note of the other public welfare policy
judgments inherent in the Administrators' decisions in establishing the current standard in 2015,
and in retaining it in 2020. In addition to adoption of the median tree seedling RBL estimate for
the studied species as a surrogate for the broad array of vegetation related effects that extend to
the ecosystem scale, the decisions in 2015 and 2020 both incorporated the judgment that
cumulative seasonal exposure (in terms of the average W126 index across the 3-year design
period for the standard) associated with a median RBL somewhat below 6% is an appropriate
focus for considering target levels of protection for the secondary standard.

Decisions on the adequacy of secondary NAAQS require judgments on the extent to
which particular welfare effects (e.g., with regard to type, magnitude/severity, or extent) are
important from a public welfare perspective. In the case of O3, such a judgment includes
consideration of the public welfare significance of small magnitude estimates of RBL in tree

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seedlings and associated unquantified potential for larger-scale related effects. In establishing the
current standard in 2015 with a focus on RBL as a proxy or surrogate for the broad array of
vegetation effects, the Administrator took note of the 2014 CASAC characterization of 6% tree
seedling RBL (as the median across studied tree species). As described in section 4.1 above, the
rationale provided by the CASAC with this characterization was primarily conceptual and
qualitative, rather than quantitative. The conceptual characterization recognized linkages
between effects at the plant scale and broader ecosystem impacts, with the CASAC
recommending that the Administrator consider RBL as a surrogate or proxy for the broader
impacts that could be elicited by O3. In the 2015 decision, the Administrator took note of this
CASAC advice regarding use of RBL as a proxy and set the standard with an underlying
objective of limiting cumulative exposures (in terms of W126 index, averaged over three years)
"in nearly all instances to those for which the median RBL estimate would be somewhat lower
than 6%" (80 FR 65407, October 26, 2015).128 The information available in this reconsideration
of the 2020 decision does not appear to call into question such judgments, indicating them to
continue to appear reasonable.

In considering what the available information indicates regarding the level of protection
for growth-related effects provided by the current standard, we recognize the importance of
considering the extent of both cumulative seasonal O3 exposures and of elevated hourly
concentrations, as discussed in section 4.5.1.2 above. These aspects of O3 air quality can
contribute to damaging conditions for vegetation. Thus, in considering the extent of protection
provided by the current standard, in addition to considering seasonal W126 index to estimate
median RBL using the available E-R functions, we also consider metrics that convey information
regarding peak hourly concentrations. While we recognize that the evidence does not indicate a
particular threshold number of hours at or above 100 ppb (or another reference point for elevated
concentrations), we take particular note of the evidence of greater impacts from higher
concentrations (particularly with increased frequency) and of the air quality analyses that
document variability in such concentrations for the same W126 index value. In light of these
factors, a multipronged approach is reasonably concluded to be appropriate for considering
exposures of concern and the protection from them that may be afforded by the secondary
standard.

128 The 2015 decision additionally noted that "the Administrator does not judge RBL estimates associated with
marginal higher exposures [at or above 19 ppm-hrs] in isolated, rare instances to be indicative of adverse effects
to the public welfare" (80 FR 65407, October 26, 2015). In its review of the draft PA in 2019, the CASAC at that
time indicated its support of these recommendations from the CASAC in the 2015 review and of the associated
judgments by EPA in establishing the standard in 2015.

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The air quality analyses summarized in section 4.4 above describe the air quality
conditions that occur under the current standard and also the conditions in areas where the
standard is not met. We consider what is indicated regarding protection overall and protection
against "unusually damaging years" (an issue raised in the court remand of the 2015 decision on
the secondary standard). With regard to this issue, we take note of the air quality analyses
summarized in section 4.4.1, as also considered in section 4.5.1.2 above, that investigate the
annual occurrence of elevated hourly O3 concentrations which may contribute to vegetation
exposures of concern (Appendix 2A, section 2A.2; Appendix 4F).129 These air quality analyses
illustrate limitations of the W126 index for purposes of controlling peak concentrations, and also
the strengths of the current standard in this regard, showing that the form and averaging time of
the existing standard is much more effective than the W126 index in limiting peak concentrations
(e.g., hourly O3 concentrations at or above 100 ppb) and in limiting number of days with any
such hours. As noted in prior sections, the W126 index, by virtue of its definition, does not
provide specificity with regard to year-to-year variability in elevated hourly O3 concentrations
with the potential to contribute to the increased risk of vegetation effects, and the air quality
analyses illustrate this limitation. These analyses additionally document the control exerted by
the current standard, through all of its elements, on both cumulative seasonal O3 exposures and
peak hourly concentrations.

In considering cumulative seasonal O3 exposures occurring in areas that meet the current
standard with regard to growth-related effects represented by RBL (as discussed more fully
earlier, including in section 4.5.1.2), we focus, as was done in the 2015 decision establishing the
standard (and the 2020 decision retaining it), on a seasonal W126 index, averaged across three
years. We do so based on consideration of the extent of conceptual similarities of the 3-year
average W126 index with some aspects of the approach for deriving the tree species E-R
functions for a common 92-day, 12-hour/day context, the role of tree seedling RBL as a proxy
(as recognized above) and other factors. With regard to the E-R functions used to describe the
relationship of RBL with O3 in terms of a seasonal (92-day, 12-hours/day) W126 index, we
recognize that the functions were derived mathematically from studies of different exposure
durations (varying from shorter than one to multiple growing seasons) by applying adjustments
so that they would yield estimates "standardized" to the same period of time (92 days), such that
the estimates may conceptually or generally represent an average for a season's exposure. We

129 The ISA references the longstanding recognition of the risk posed to vegetation of peak hourly O3 concentrations
(e.g., " |h | igher concentrations appear to be more important than lower concentrations in eliciting a response"
[ISA, p. 8-180]; "higher hourly concentrations have greater effects on vegetation than lower concentrations"
[2013 ISA, p. 91-4] "studies published since the 2006 O3 AQCD do not change earlier conclusions, including the
importance of peak concentrations, ... in altering plant growth and yield" [2013 ISA, p. 9-117]).

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note the compatibility of W126 index averaged over multiple growing seasons or years with
these adjustments (in the E-R derivation). We also note the availability of some evidence,
although limited, from analyses available in this reconsideration of a potential for lesser impacts
in latter year exposures compared to initial year exposures (as summarized in sections 4.3.3.1.2
and 4.3.4.1), and the findings of the 2013 and 2020 ISAs that reach similar conclusions with
regard to general similarity of E-R predictions and observations for aspen when the predictions
are based on either single-year or multiyear average W126 index. We additionally note that the
exposure levels represented in the data underlying the E-R functions are somewhat dominated by
relatively higher cumulative exposure levels not observed with air quality meeting the current
standard (e.g., with W126 index levels ranging above 20 to greater than 80 ppm-hrs), indicating
additional uncertainty for applications of the E-R functions to the lower levels more relevant to
the current standard. We lastly note the differing patterns of hourly concentrations of the
elevated exposure levels (particularly with regard to peak hourly concentrations, such as those
at/above 100 ppb) in the datasets from which the E-R functions from the patterns in ambient air
meeting the current standard across the U.S. today, as summarized in section 4.5.1.2 above. With
these considerations regarding the E-R functions and their underlying datasets in mind, we also
take note of year-to-year variability of factors other than O3 exposures that affect tree growth in
the natural environment (e.g., related to variability in soil moisture, meteorological, plant-related
and other factors), that have the potential to affect O3 E-R relationships, as noted in sections 4.3
and 4.5 above (ISA, Appendix 8, section 3.12; 2013 ISA section 9.4.8.3). Thus, the use of the
W126 index averaged over multiple years has a compatibility with the approach used in deriving
the E-R functions, and reflects consideration of other aspects of the E-R function datasets and
other factors that may affect growth in the natural environment.

We additionally recognize the qualitative and conceptual nature of our understanding, in
many cases, of relationships of O3 effects on plant growth and productivity with larger-scale
impacts, such as those on populations, communities and ecosystems. Based on these
considerations, use of a seasonal RBL averaged over multiple years, such as a 3-year average,
appears to be a reasonable approach, and provides a stable and well-founded RBL estimate for its
purposes as a proxy to represent the array of vegetation-related effects identified above. In light
of these considerations, we conclude there is support in the available information for use of an
average seasonal W126 index derived from multiple years (with their representation of
variability in environmental factors), and that the use of such averaging may provide an
appropriate representation of the evidence and attention to considerations summarized above.
Thus, we conclude that application of the multipronged approach referenced above would assess
anticipated exposures and protection afforded by the current secondary standard using a seasonal
W126 index averaged over a 3-year period, which is the design value period for the current

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standard, to estimate median RBL via the established E-R functions, in combination with a
broader consideration of air quality patterns, such as peak hourly concentrations.

We next consider the quantitative analyses available in this review with regard to the
control of air quality conditions that might pose risks to the public welfare by the current
standard. In so doing, we also consider the W126 index values associated with a cross-species
median tree seedling RBL below 6%. As noted above, at the time the current standard was set in
2015, the W126 index value corresponding to a median RBL of 6% was 19 ppm-hrs (based on
the E-R functions for 11 species recognized in multiple past reviews). In this reconsideration, we
have additionally considered, at the recommendation of the CASAC, a newly available study,
released since the 2020 ISA. The new study derives E-R functions for 16 species, including six
additional to the prior study, using an approach different than that employed by the previously
available study. The more recent analyses incorporate different methodology and considerations
from the prior study, with neither approach clearly indicated to provide estimates more
appropriate for representing RBL in the context here. Accordingly, as summarized in section
4.5.1.2 above, consideration of RBL estimates from each of the two studies and from a combined
consideration that provides estimates for all 17 species yields median estimates associated with
6.0% to range from 19 ppm-hrs up to somewhat above 25 ppm-hrs. Thus, air quality summarized
by a W126 index below 19 ppm-hrs, and even somewhat higher, may, based on the additional
study, be concluded to yield a cross-species median RBL below 6.0%.

In this context, we note the findings from the analysis of recent air quality at sites across
the U.S., including in or near 65 Class I areas, and also analyses of historical air quality. Findings
from the analysis of the air quality data from the most recent period and from the larger analysis
of historical air quality data extending back to 2000 are consistent with the air quality analysis
findings that were part of the basis for the current standard. That is, in virtually all design value
periods and all locations at which the current standard was met (more than 99.9% of the
observations), the 3-year average W126 metric was at or below 17 ppm-hrs, the target identified
by the Administrator in establishing the current standard (and in retaining it in 2020) and, in all
such design value periods and locations, the W126 metric was at or below 19 ppm-hrs, as was
also the case for the earlier and smaller dataset (80 FR 65404-65410, October 26, 2015).
Additionally, across the full 21-year dataset for 56 Class I areas with monitors meeting the
current standard during at least one or as many as nineteen 3-year periods since 2000, there are
no more than 15 occurrences of a single-year W126 index above 19 ppm-hrs, the majority
occurring during the earlier years of the period (Appendix 4D, section 4D.3.2.4, Tables 4D-14
and 4D-16). For example, the highest values were equal to 23 ppm-hrs, all occurring before
2012. Additionally, as emphasized in earlier sections, the current standard better controls for
peak concentrations (at or above 100 ppm-hrs), which may pose risks of vegetation effects, than

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would be expected by either a single-year or three-year average W126.130 Based on the evidence
and air quality analyses described in sections 4.3 and 4.4 above, as well as considerations
summarized in section 4.5.1 above, the occurrences of 3-year average W126 index values
allowed by the current standard in Class I areas, including such infrequent single-year deviations
of the magnitude recognized here, above the average, can reasonably be concluded not to raise
concerns of adverse effects on the public welfare.

With regard to O3 effects on crop yield, we take note of the long-standing evidence,
qualitative and quantitative, of the reducing effect of O3 on the yield of many crops, as
summarized in the ISA and characterized in detail in past reviews (e.g., 2013 ISA, 2006 AQCD,
1997 AQCD, 2014 WREA). We also note the established E-R functions for 10 crops and the
estimates of RYL derived from them (Appendix 4A, section 4A.1, Table 4A-5), and the potential
public welfare significance of reductions in crop yield, as summarized in section 4.3.2 above. We
additionally recognize, however, that not every effect on crop yield will be judged adverse to
public welfare. In the case of crops in particular there are a number of complexities related to the
heavy management of many crops to obtain a particular output for commercial purposes, and
related to other factors, that are relevant to consider in evaluating potential Cb-related public
welfare impacts, as summarized in sections 4.3.2 and 4.5.1.3). For example, the extensive
management of agricultural crops that occurs to elicit optimum yields (e.g., through irrigation
and usage of soil amendments, such as fertilizer) is relevant to judgments concerning evaluation
of the extent of RYL estimated from experimental O3 exposures reasonably considered to be
adverse to the public welfare. Such considerations include opportunities in crop management for
market objectives, as well as complications in judging relative adversity that relate to market
responses and their effects on producers and consumers in evaluating the potential impact on
public welfare of estimated crop yield losses.

In light of such complexities, uncertainties, and limitations, we have considered how
RYL estimates relate to RBL estimates identified above for evaluating protection provided by
the current standard. In this context, we note that W126 index values (3-year average) were at or
below 17 ppm-hrs in virtually all monitoring sites with air quality meeting the current standard.
Based on the established E-R functions for RYL in 10 crop species, the median RYL estimate
corresponding to 17 ppm-hrs is 5.1%. In considering single-year index values, as discussed in
section 4.4.2 above, the vast majority are similarly low (with well over 99% less than 19 ppm-hrs
[Appendix 4D]). We additionally take note of the role of elevated hourly concentrations in
effects on vegetation growth and yield. In this context we also note the extensive management of

130 The historical dataset also shows the appreciable reductions in peak concentrations (via either the N100 or D100
metric) that have been achieved in the U.S. as air quality has improved under O3 standards of the existing form
and averaging time (Appendix 4F, Figures 4F-13 and 4F-14).

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agricultural crops, and the complexities associated with identifying adverse public welfare
effects for market-traded goods (where producers and consumers may be impacted differently).
We also recognize that the current standard generally maintains air quality at a W126 index
below 17 ppm-hrs, with few exceptions, and accordingly would limit the estimated RYL (based
on experimental O3 exposures) to this degree. In light of all of these factors, we do not find the
available information to call into question the adequacy of protection afforded by the current
standard for crop yield-related effects.

Thus, consideration of the available information, as discussed above, leads us to conclude
that the combined consideration of the body of evidence and the quantitative air quality and
exposure analyses, including associated uncertainties, do not call into question the adequacy of
the protection provided by the current secondary standard. Rather, this information provides
support for the current standard, and thus supports consideration of retaining the current
standard, without revision.

More specifically, we first conclude that the evidence continues to support O3 as the
indicator for the secondary NAAQS for photochemical oxidants. Second, we recognize that the
evidence supports a standard that protects against cumulative growth impacts, such as those
characterized by the W126 index, as well as against high, peak hourly concentrations that are
associated with visible foliar injury, as well as reduced tree growth. With regard to W126 index,
in assessing the exposures of concern and the associated metrics, as discussed above, we have
focused on a median RBL below 6% associated with aa 3-year average W126 index. Based on a
median for the E-R functions available at the time of the 2020 decision, 19 ppm-hrs was the
W126 index associated with a median RBL of 6.0%. In consideration of the somewhat larger set
of E-R functions now available, a median RBL of 6.0% is reasonable estimated to be associated
with a W126 index between 23 and 24 ppm-hrs. In consideration of visible foliar injury and
crops (based on the available evidence), a reasonable exposure of concern may be identified as
25 ppm-hrs in a single year. Moreover, the evidence indicates that, in addition to limiting W126
index to values such as these, attention to peak hourly concentrations is also appropriate for these
endpoints. In considering these exposures of concern, we note that, as shown by the air quality
analyses summarized in section 4.3, the form, averaging time and level of the current standard
provides both that control of peak hourly concentrations, and also control of cumulative
exposures in terms of W126 index. This includes providing air quality for which virtually all 3-
year average W126 index values are at or below 17 ppm-hrs, with extremely rare instances as
high as 19 ppm-hrs. Similar patterns of control are observed for single-year W126 index, which
are below 19 ppm-hrs well over 99% of the time (Appendix 4D). These patterns of cumulative
exposure are observed in areas that meet the current standard in combination with annual N100
values at or below 10.

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Further, we note that metrics used in assessing exposures of concern or characterizing
risk, for logical, reasonable, and technically sound reasons, often differ from the metric of the
standard which is used to control air quality to the extent needed to provide the desired degree of
protection.131 That is, exposure metrics are used to assess the likely occurrence and/or frequency
and extent of effects under different air quality conditions, while the air quality standards are
intended to control air quality to the extent requisite to protect from the occurrence of public
health or welfare effects judged to be adverse. In this reconsideration, we continue to conclude,
as in the 2020 and 2015 reviews, that, for the reasons summarized previously and described in
the ISA, the W126 index is an appropriate metric for assessing exposures of concern for
vegetation, characterizing risk to public welfare, and, in combination with consideration of the
prevalence of elevated hourly concentrations, evaluating what air quality conditions might
provide the desired degree of public welfare protection. We note, however, that the secondary
standard does not need to be established using that same metric. In light of this discussion, we
recognize that the Administrator's decisions regarding secondary standards, in general, are
largely public welfare judgments, as described above. We further note that different public
welfare policy judgments (e.g., from those in both 2020 and 2015) could lead to different
conclusions regarding the extent to which the current standard provides the requisite protection
of the public welfare. Such public welfare judgments include those related to the appropriate
level of protection that should be afforded to protect against vegetation-related effects of public
welfare significance, as well as with regard to the appropriate weight to be given to differing
aspects of the evidence and air quality information, and how to consider their associated
uncertainties and limitations. For example, different judgments might give greater weight to
more uncertain aspects of the evidence or reflect a differing view with regard to public welfare
significance. Such judgments are left to the discretion of the Administrator.

In reaching these conclusions, we have also considered the continued attention given by
the CASAC to the W126 index as a potentially suitable metric for a secondary standard. As
discussed in this and other sections above, there are aspects of O3 air quality not controlled by a
cumulative index such as the W126 index, and that contribute risk of vegetation effects. These
air quality aspects include occurrences of elevated hourly O3 concentrations which have

131 The CAA does not require that the secondary O3 standard be established in a specific form. Section 109(b)2
provides only that any secondary NAAQS "shall specify a level of air quality the attainment and maintenance of
which in the judgment of the Administrator, based on [the air quality] criteria, is requisite to protect the public
welfare from any known or anticipated adverse effects associated with the presence of such air pollutant in the
ambient air. ... [Secondary standards may be revised in the same manner as promulgated.'' The EPA has
repeatedly interpreted this provision to leave it considerable discretion to determine whether a particular form is
appropriate, in combination with the other aspects of the standard (averaging time, level and indicator), for
specifying the air quality that provides the requisite protection, and to determine whether, once a standard has
been established in a particular form, that form must be revised.

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demonstrated a role in effects such as reduced growth and visible foliar injury. We note the
inability of the W126 index to distinguish between O3 air quality with and without repeated peak
hourly concentrations, such as those at or above 100 ppb. This is illustrated, for example, by the
fact that some of the experimental exposures on which the RBL E-R functions are based reflect
W126 index values that may currently occur in areas of the U.S. that meet the current standard
and yet the experimental exposures include tens of hours at/above 100 ppb (which have been
found to contribute to greater RBL for the same W126 index, as discussed in sections 4.3.3.1.2
and 4.3.4.1) while more than a handful of such hours are rare in areas meeting the standard.

Thus, we conclude that it cannot be expected that a W126 index-based standard, alone, will
always control peak hourly concentrations. In order to achieve such control, in addition to
control of cumulative exposures, to protect against vegetation effects, we conclude that if a
secondary standard in the form of the W126 index were to be considered by the Administrator, it
should also be accompanied by an additional standard more focused on control of high hourly
concentrations.

We additionally recognize that decisions on the approach to take in achieving the desired
air quality and public welfare protection (e.g., through a single standard that controls multiple air
quality parameters to provide the requisite protection or through a suite of standards that together
provide similar control and protection) also fall within the scope of the Administrator's
judgment. As discussed above, the form and averaging time of the current standard provides a
pattern of air quality that both controls hourly O3 concentrations that may contribute to damaging
conditions and controls cumulative exposures in terms of W126 index to an extent consistent
with identified targets. This includes 3-year average W126 index values virtually always at or
below 17 ppm-hrs and rarely as high as 19 ppm-hrs, and similar patterns for single-year W126
index, with rare occurrence of somewhat higher values that do not exceed 25 ppm-hrs in urban
areas, in combination with annual N100 at or below 10. However, if the Administrator judges it
more appropriate to consider an alternative option to the existing standard to achieve the desired
air quality, such an option could be a combination of two standards: (1) a W126 index-based
standard for which a range of levels supported by the evidence might extend from 17 ppm-hrs up
to somewhat below 24 or 25 ppm-hrs, based on consideration of the current information for
visible foliar injury and CYL, as discussed above, well as consideration of median RBL (in its
role as a surrogate or proxy) across the range of species for which E-R functions are available;
and (2) a standard that controls hourly, peak concentrations, such as an average of upper
percentile annual N100 values, and for which a precise range of levels might be expected to
achieve a level of peak concentration control comparable to that achieved by the existing
standard.

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In summary, the evidence characterized in the 2020 ISA is consistent with that available
in the 2015 review for the principal effects for which the evidence is strongest (e.g., plant
growth, reproduction, and related larger-scale effects, as well as visible foliar injury) and for key
aspects of the current standard. The evidence regarding RBL, CYL and visible foliar injury, and
air quality data for areas meeting the current standard, do not appear to call into question the
adequacy of public welfare protection afforded by the standard. With regard to visible foliar
injury, the currently available evidence for forested locations across the U.S., such as studies of
USFS biosites, does not indicate an incidence of significant visible foliar injury that might
reasonably be concluded to be adverse to the public welfare under air quality conditions meeting
the current standard. For the insect-related effects that the ISA newly concludes likely to be
causally related to O3, the new information does not support an understanding of the potential for
the occurrence of such effects in areas that meet the current standard to an extent that they might
reasonably be judged significant to public welfare. Thus, we do not find the current information
for these newly identified categories to call into question the adequacy of the current standard.
Similarly, key uncertainties recognized in the 2015 review remain in the evidence for O3
contribution to radiative forcing or effects on temperature, precipitation and related climate
variables, including specifically uncertainties that limit quantitative evaluations that might
inform consideration of these effects (as discussed above). Based on all of the above
considerations, we conclude that the currently available evidence and quantitative exposure/risk
information does not call into question the protection afforded by the current secondary standard,
such that it is appropriate to consider retaining the current standard without revision. We also
conclude with regard to potential alternative policy options to achieve a similar level of
protection that to the extent a W126 index based standard is considered, it would appropriately
be considered in combination with a standard formulated to provide control for peak hourly
concentrations.

4.6 KEY UNCERTAINTIES AND AREAS FOR FUTURE RESEARCH

In this section, we highlight key uncertainties associated with reviewing and establishing
the secondary O3 standard and additionally recognize that research in these areas may
additionally be informative to the development of more efficient and effective control strategies.
The list in this section includes key uncertainties and data gaps thus far highlighted in this review
of the secondary standard. Additional information in several areas would reduce uncertainty in
our interpretation of the available information and, accordingly, reduce uncertainty in our
characterization of 03-related welfare effects. For example, the items listed below generally
include uncertainties associated with the extrapolation to plant species and environments outside
of specific experimental or field study conditions and the assessment of ecosystem-scale impacts,

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such as structure and function. Additional E-R studies in different species or for responses other
than reduced growth over multiple exposure conditions over growing seasons, that include
details on exposure circumstances (e.g., hourly concentrations throughout the exposure), and
exposure history, etc. would improve on and potentially expand characterizations of the potential
for and magnitude of the identified vegetation effects under different seasonal exposures.
Accordingly, in this section, we highlight areas for future welfare effects research, model
development, and data collection activities to address these uncertainties and limitations in the
current scientific evidence. These areas are similar to those highlighted in past reviews.

•	While national visible foliar injury surveys have provided an extensive dataset on the
incidence of such effects at sites across the country that experienced differing cumulative
seasonal O3 exposures and soil moisture conditions, there remain uncertainties in the
current understanding of the relationship between seasonal O3 exposures (and other
influential factors, such as relative soil moisture) and the incidence and relative severity
of visible foliar injury. Further research investigating the role of peak concentrations, in
addition to cumulative seasonal exposures (particularly for W126 index values below 25
ppm ) is also needed to improve consideration of the occurrence and variability of higher
hourly O3 concentrations associated with vegetation effects. Research to better
characterize the relationship between O3, soil moisture and foliar injury and specifically a
quantifiable relationship between these (and any other influential) factors. Additionally,
research would assist in interpreting connections between 03-related foliar injury and
other physiological effects and ecosystem services. For example, research is needed on
the extent and severity of visible foliar injury that might impact ecosystem services (e.g.,
tourism), and the extent of impact it might have.

•	Additional controlled exposure studies of effects, such as biomass impacts, that include
multiple exposure levels within the lower range of exposures associated with ambient air
quality conditions common today, extend over multiple years, and include the collection
of detailed O3 concentration data over the exposure would reduce uncertainty in estimates
of effects across multiple-year periods and at the O3 exposures common today. Also
needed is evaluation of such datasets with regard to the role of peak concentrations in
combination with that of cumulative seasonal exposures (e.g., as quantified by metrics
such as the W126 and SUM06 indices).

•	Evidence newly available since the 2015 review includes studies on insect-plant
interactions that have established some statistically significant effects, but the evidence is
still limited with regard to discerning a pattern of responses in growth, reproduction, or
mortality, and a directionality of responses for most effects. More research is needed to
investigate the degree of response and directionalities of these relationships, and to
investigate potential effects on pollination. The evidence is also limited with regard to the
species represented (i.e., currently confined to three insect orders).

•	Some evidence provides for linkages of effects on tree seedlings with larger trees and
similarities in results between exposure techniques. Uncertainties remain in this area as
well as uncertainties in extrapolating from O3 effects on young trees (e.g., seedlings
through a few years of age) to mature trees and from trees grown in the open versus
those within the forest canopy.

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Uncertainties that remain in extrapolating individual plant response spatially or to higher
levels of biological organization, including ecosystems, could be informed by research
that explores and better quantifies the nature of the relationship between O3, plant
response and multiple biotic and abiotic stressors, including those associated with the
affected ecosystem services (e.g., hydrology, productivity, carbon sequestration).

Other uncertainties are associated with estimates of the effects of O3 on the ecosystem
processes of water, carbon, and nutrient cycling, particularly at the stand and community
levels. These below- and above-ground processes include interactions of roots with the
soil or microorganisms, effects of O3 on structural or functional components of soil food
webs and potential impacts on plant species diversity, changes in the water use of
sensitive trees, and if the sensitive tree species is dominant, potential changes to the
hydrologic cycle at the watershed and landscape level. Research on competitive
interactions under different O3 exposures and any associated impacts on biodiversity or
genetic diversity would improve current understanding.

Uncertainties related to characterizing the potential public welfare significance of O3-
induced effects and impacts to associated ecosystem services could also be informed by
research. Research relating effects such as those on plant reproduction and propagation to
effects on production of non-timber forest products, and research to characterize public
preferences including valuation related to non-use and recreation for foliar injury, could
also help inform consideration of the public welfare significance of these effects.

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APPENDICES

APPENDIX 2k. ADDITIONAL DETAILS ON DATA ANALYSIS PRESENTED IN PA
SECTION 2.4

APPENDIX 2B. ADDITIONAL DETAILS ON BACKGROUND OZONE MODELING AND
ANALYSIS

APPENDIX 2C. FIGURES FROM 2020 OZONE ISA REGARDING OZONE PRECURSOR
EMISSIONS

APPENDIX 3A. DETAILS ON CONTROLLED HUMAN EXPOSURE STUDIES

APPENDIX 3B. AIR QUALITY INFORMATION FOR LOCATIONS OF EPIDEMIOLOGIC
STUDIES OF RESPIRATORY EFFECTS

APPENDIX 3C. AIR QUALITY DATA USED IN POPULATION EXPOSURE AND RISK
ANALYSES

APPENDIX 3D. EXPOSURE AND RISK ANALYSIS FOR THE OZONE NAAQS REVIEW

APPENDIX 4A. EXPOSURE-RESPONSE FUNCTIONS FOR TREE SEEDLINGS AND
CROPS

APPENDIX 4B. U.S. DISTRIBUTION OF 11 TREE SPECIES

APPENDIX 4C. VISIBLE FOLIAR INJURY SCORES AT U.S. FOREST SERVICE
BIOSITES (2006-2010)

APPENDIX 4D. ANALYSIS OF THE W126 Os EXPOSURE INDEX AT U.S. AMBIENT
AIR MONITORING SITES

APPENDIX 4E. OZONE WELFARE EFFECTS AND RELATED ECOSYSTEM SERVICES
AND PUBLIC WELFARE ASPECTS

APPENDIX 4F ADDITIONAL ANALYSIS OF OZONE METRICS RELATED TO
CONSIDERATION OF THE SECONDARY STANDARD

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APPENDIX 2A

ADDITIONAL DETAILS ON DATA ANALYSIS
PRESENTED IN SECTION 2.4

TABLE OF CONTENTS

2A. 1 Analyses of 8-Hour Concentrations	2A-2

2A.2 Analyses of 1-Hour Concentrations	2A-3

TABLE OF FIGURES

Figure 2A-1. Boxplots comparing the distribution of MDA1 concentrations for 2000-2004
(red) to the distribution of MDA1 concentrations for 2016-2020 (blue), binned
by the 8-hour design value at each monitoring site. The boxes represent the 25th,
50th and 75th percentiles and the whiskers represent the 1st and 99th percentiles.
Outlier values are represented by circles	2A-5

Figure 2A-2. Map showing the average number of days with MDA1 >100 ppb,

2000-2004	2A-7

Figure 2A-3. Map showing the average number of days with MDA1 >100 ppb,

2016-2020	2A-7

Figure 2A-4. Number of days in 2018-2020 at each monitoring site with a MDA1

concentration greater than or equal to 100 ppb and an 8-hour design value less
than 98 ppb. Sites with higher design values had more days, up to a maximum
of 164 (at a site in southern CA)	2A-8

TABLE OF TABLES

Table 2A-1. Summary of criteria describing the sites for which 8-hour metrics are presented

in section 2.4 of main document	2A-3

Table 2A-2. Summary statistics for MDA1 concentrations at sites with differing design

values for 2018-2020	2A-4

Table 2A-3. Summary statistics for MDA1 concentrations at differing design values for

2000-2004	2A-6

Table 2A-4. Summary statistics for MDA1 concentrations at differing design values for

2016-2020	2A-6

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2A.1 ANALYSES OF 8-HOUR CONCENTRATIONS

The analyses presented in section 2.4 of the main document are based on hourly O3
concentration data from the EPA's Air Quality System (AQS) database (retrieved on August 12,
2021) for the years 2000 to 2020 for the sites meeting data completeness criteria as summarized
in Table 2A-1 below. The daily maximum 8-hour (hr) average (MDA8) values, annual fourth
highest MDA8 values, and design values (DVs) for the current standards were calculated
according to Appendix U to 40 CFR Part 50. Those steps are generally as follows.

8-hr average concentrations are derived as the average of concentrations during eight
consecutive hours for the:

o 8-hr periods which have at least six hourly concentrations;1 and
o 8-hr periods which have fewer than six hourly concentrations and the sum of
concentrations divided by eight, after truncation of the digits after the third
decimal place, is greater than 0.070 parts per million (ppm)

The digits for the resultant 8-hr average concentration are truncated after the third
decimal place.

MDA8 concentrations are derived as the highest of the consecutive 8-hr averages
beginning with the 8-hr period from 7am to 3pm and ending with the period from
11pm to 7am the following day for those days with:

o 8-hr concentrations for at least 13 of the 17 8-hr periods that begin with the

7am-to-3pm period and end with the 1 lpm-to-7am (next day) period, or
o 8-hr concentrations for fewer than 13 of the 17 8-hr periods if the maximum
8-hr concentration, after truncation of the digits after the third decimal place,
is greater than 0.070 ppm.

Design Values in ppm are derived as average of the annual 4th highest MDA8
concentrations in three consecutive years, with digits after the third decimal place
truncated.

o Design values greater than 0.070 ppm are always considered valid,
o Design values less than or equal to 0.070 ppm must have MDA8 values for at
least 90% of the days in the ozone monitoring season3, on average over the 3-
year period, with a minimum of 75% of those days in any individual year.

1	When there are at least six hours with a concentration reported, the 8-hr average is the average calculated using the

number of hours with concentrations in the denominator.

2	When there are fewer than six hours with a concentration reported, the 8-hr average is the average calculated using

eight in the denominator and substituting zero for the missing hourly concentrations.

3	Ozone monitoring seasons are defined for each State in Table D-2 of Appendix D to 40 CFR Part 58.

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Table 2A-1. Summary of criteria describing the sites for which 8-hour metrics are
presented in section 2.4 of main document.

Presentation of 8-hour
metrics in section 2.4

Time
Period

Data included

Figure 2-8, DVs

2018-2020

Design values are presented for all sites with valid design values,
which are sites having at least 75% data completeness in each of the
three years and at least 90% completeness on average across the
three years (per Appendix U)

Figure 2-9, DVs

2000-2020

Figure 2-10, Trends

1980-2020

Annual fourth highest MDA8 values are based on all sites with at least
75% annual data completeness for at least 31 of the 41 years, with no
more than two consecutive years having less than 75% complete data
(n = 188 sites)

Figure 2-11, Trends

2000-2020

Annual fourth highest MDA8 values are based on all sites with at least
75% annual data completeness for at least 16 of the 21 years, with no
more than two consecutive years having less than 75% complete data
(n = 822 sites)

Design values are presented for sites with valid DVs for at least 15 of
the 19 3-year periods, with no more than two consecutive periods
having invalid DVs (n = 658 sites)

Figure 2-12, Trends

2000-2020

Figure 2-13, Diurnal
Patterns

2015-2017

All hourly concentrations are presented for 2015-2017 for these four
monitoring sites

Figure 2-14, Seasonal
Pattern

2015-2017

All valid MDA8 values are presented for 2015-2017 for these four
monitoring sites

2A.2 ANALYSES OF 1-HOUR CONCENTRATIONS

Figure 2-15 of Chapter 2 presents hourly concentrations available in AQS (at the time of
the data query on August 12, 2021) from any site with such data during the 2018-2020 period.
The daily maximum 1-hr (MDA1) values presented in section 2.4.5 and (summary statistics
shown in Table 2A-2 below) were calculated according to Appendix H to 40 CFR Part 50 for all
sites with valid 2018-2020 design values for the current 8-hour standards. Generally, MDA1
values are derived (as the maximum 1-hr concentration during a day) for days for which at least
18 hourly concentrations are available in AQS or for which at least one hourly concentration
greater than 0.12 ppm has been reported in AQS. For this most recent design value period, the
mean number of observations per site at or above 100 parts per billion (ppb) was well below one
(0.22) for sites meeting the current standards compared to well above one (10.53) for sites not
meeting the current standards.

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Table 2A-2. Summary statistics for MDA1 concentrations at sites with differing design
values for 2018-2020.

Statistic

Design Value (ppb)

31-60

61-70

71-84

85-114

Number of observations (obs)

261,302

554,712

164,988

27,958

Number of sites

287

590

170

26

25th percentile concentration (ppb)

34

36

40

44

Median concentration (ppb)

40

44

48

57

Mean concentration (ppb)

40.7

44.5

49.7

61.2

75th percentile concentration (ppb)

48

52

59

75

95th percentile concentration (ppb)

58

65

76

101

99th percentile concentration (ppb)

67

76

90

121

# of obs (# of sites) > 240 ppb

0(0)

0(0)

0(0)

0(0)

# of obs (# of sites) > 200 ppb

0(0)

0(0)

0(0)

0(0)

# of obs (# of sites) > 160 ppb

0(0)

0(0)

4(4)

14(6)

# of obs (# of sites) > 120 ppb

2(2)

22 (17)

46 (29)

328 (21)

# of obs (# of sites) > 100 ppb

15(12)

180 (112)

526 (127)

1,538 (26)

Mean # of obs > 100 ppb per siteA

0.05

0.31

3.09

59.15

A This is the number of obs at or above 100 ppb divided by the number of sites in this bin (column). For the two lowest bins
combined (i.e., all sites with a design value < 70 ppb), the mean is 0.22 obs > 100 ppb per site, and for the two highest bins
combined (i.e., all sites with a design value > 70 ppb), the mean is 10.53 obs > 100 ppb per site.

The figures and tables presented below contain additional analyses based on the MDA1
concentrations for years 2000-2004 and 2016-2020. Figure 2A-1 compares the distribution of
MDA1 concentrations for each 8-hour design value bin between the earlier (2000-2004; red
boxes) and latter (2016-2020; blue boxes) periods. The comparison shows a slight upward shift
in the mid-range concentrations for the highest (> 85 ppb) and lowest (< 60 ppb) DV bins, while
the two middle bins show little change. The range between the 1st and 99th percentiles as
represented by the whiskers shrinks slightly between the earlier and latter periods in all four bins.
Finally, the very highest concentrations (shown as dots above the top whisker) are reduced in the
two highest DV bins. This is also reflected in Table 2A-3 and Table 2A-4, which show summary
statistics similar to Table 2A-2 for the 2000-2004 and 2016-2020 periods, respectively. These
tables show, as might be expected, that sites with higher design values have a larger number of
days with MDA1 values at or above 100 ppb than sites with lower design values. This statistic is
over 35 times higher for sites not meeting the current standard compared to sites meeting the
current standard in 2000-2004, and over 45 times higher in 2016-2020. Across the three design
value periods in 2016 to 2020, sites not meeting the current standards have on average over 9
observations at or above 100 ppb per 3-year period, while the average for sites meeting the
current standards is about 0.2.

Figure 2A-2 and Figure 2A-3 show maps of the average number of days where the
MDA1 concentrations were greater than or equal to 100 ppb (also known as the D100 metric, see

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Appendix 4F) for the 2000-2004 and 2016-2020 periods, respectively. These maps show that
nearly all sites in the U.S. have seen a large reduction in the number of days with high MDA1
concentrations since the beginning of the century. This is also reflected in the final rows of Table
2A-3 and Table 2A-4, which indicate a decrease of 83% in the total number MDA1 values
greater than or equal to 100 ppb between 2000-2004 and 2016-2020.

_Q
Q-
Q-

O

"-t—J

TO

c

ro
Q

<60

61-70

71-84

> 84

8-hour 03 Design Value (ppb)

Figure 2A-1. Boxplots comparing the distribution of M DA 1 concentrations for 2000-2004
(red) to the distribution of MDA1 concentrations for 2016-2020 (blue),
binned by the 8-hour design value at each monitoring site. The boxes
represent the 25th, 50th and 75th percentiles and the whiskers represent the 1st and
99th percentiles. Outlier values are represented by circles.

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1	Table 2A-3. Summary statistics for MDA1 concentrations at differing design values for

2	2000-2004.

Statistic

Design Value (ppb)

35-60

61-70

71-84

85-131

Number of observations (obs)

117,848

288,396

1,312,716

912,178

Number of design values (DVs)A

130

313

1,518

1,151

25th percentile concentration (ppb)

29

35

37

39

Median concentration (ppb)

36

44

48

52

Mean concentration (ppb)

36.5

44.3

49.3

54.8

75th percentile concentration (ppb)

44

53

60

68

95th percentile concentration (ppb)

56

68

79

95

99th percentile concentration (ppb)

68

79

94

116

# of obs (# of DVsA)>240 ppb

0(0)

0(0)

0(0)

0(0)

# of obs (# of DVsA)>200 ppb

0(0)

0(0)

0(0)

4(4)

# of obs (# of DVsA)> 160 ppb

0(0)

0(0)

15(12)

252 (100)

# of obs (# of DVsA)> 120 ppb

0(0)

8(6)

623 (339)

7,203 (940)

# of obs (# of DVsA)> 100 ppb

26 (16)

161 (87)

7,078(1,277)

32,133 (1,151)

Mean # of obs > 100 ppb per DVB

0.20

0.51

4.66

27.92

A Since this table covers three design value periods, individual sites may be counted up to three times.

B This is the number of obs at or above 100 ppb divided by the number of site-DVs in this bin (column). For the two lowest bins
combined (i.e., sites with a design value < 70 ppb), the mean is 0.40 obs > 100 ppb per site, and for the two highest bins
combined (i.e., sites with a design value > 70 ppb), the mean is 14.69 obs > 100 ppb per site.

3

4	Table 2A-4. Summary statistics for MDA1 concentrations at differing design values for

5	2016-2020.



Design Value (ppb)

Statistic

29-60

61-70

71-84

85-114

Number of observations (obs)

582,220

1,824,438

558,927

99,742

Number of design values (DVs)A

637

1,969

579

93

25th percentile concentration (ppb)

33

37

39

45

Median concentration (ppb)

40

44

48

57

Mean concentration (ppb)

40.6

44.8

49.2

60.6

75th percentile concentration (ppb)

48

53

59

74

95th percentile concentration (ppb)

58

65

76

99

99th percentile concentration (ppb)

66

75

89

118

# of obs (# of DVsA)>240 ppb

0(0)

0(0)

0(0)

0(0)

# of obs (# of DVsA)>200 ppb

0(0)

0(0)

0(0)

0(0)

# of obs (# of DVsA)> 160 ppb

0(0)

1(1)

4(4)

15(7)

# of obs (# of DVsA)> 120 ppb

8(6)

51 (42)

101 (77)

904 (69)

# of obs (# of DVsA)> 100 ppb

41 (32)

486 (335)

1,591 (423)

4,761 (93)

Mean # of obs > 100 ppb per DVB

0.06

0.25

2.75

51.19

A Since this table covers three design value periods, individual sites may be counted up to three times.



B This is the number of obs at or above 100 ppb divided by the number of site-DVs in this bin (column). For the two lowest bins

combined (i.e., sites with a design value <
combined (i.e., sites with a design value >

70 ppb), the mean is 0.20 obs > 100 ppb per site, and for the two highest bins
70 ppb), the mean is 9.45 obs > 100 ppb per site.

6

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Average Number of Days with MDA1 s 100 ppb, 2000 - 2004
2	*0	o 0.1-1.0 o 1.1-3.0 o 3.1 -10.0 •> 10.0

2 Figure 2A-2. Map showing the average number of days with M DA 1 > 100 ppb, 2000-2004.

Average Number of Days with MDA1 > 100 ppb, 2016 - 2020

3	*0	o 0.1-1.0 o 1.1-3.0 o 3.1 - 10.0 •> 10.0

4	Figure 2A-3. Map showing the average number of days with M DA 1 > 100 ppb, 2016-2020.

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Figure 2A-4 below shows the number of days in 2018-2020 with an MDA1 concentration
at or above 100 ppb and 8-hour design values (similar to Figure 2-16), for all sites with a 2018-
2020 design value less than 102 ppb. All sites meeting the current standard had seven or fewer
(i.e., two or fewer per year) MDA1 values at or above 100 ppb, and all but eight sites meeting
the current standard had three or fewer (i.e., one or fewer per year) MDA1 values at or above
100 ppb.

80-

70-

ฃ 60-

O

o

Al

50-

40-

I 30-

M—

0

	1	


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APPENDIX 2B

ADDITIONAL DETAILS ON BACKGROUND OZONE
MODELING AND ANALYSIS

TABLE OF CONTENTS

2B. 1 Photochemical Modeling Methodology	2B-2

2B. 1.1 Modeling Platform Overview	2B-4

2B.1.2 Emissions Overview	2B-5

2B 1.2.1 Natural Emission Inventory	2B-3

2B1.2.2 Anthropogenic Emission Inventory	2B-4

2B.2 Evaluation	2B-8

2B.3 International Contributions	2B-40

References 	2B-44

TABLE OF FIGURES

Figure 2B-1. NOAA U.S. climate regions	2B-9

Figure 2B-2. (a) Normalized Mean Bias (%) and (b) Mean Bias (ppb) of maximum daily
average 8-hr ozone (MDA8) by NOAA climate region (y-axis) and by season
(x-axis) at AQS monitoring sites	2B-17

Figure 2B-3. NMB (a) and MB (b) of MDA8 O3 greater than or equal to 60 ppb from the
12km resolution CONUS simulation by NOAA climate region (y-axis) and
by season (x-axis) at AQS monitoring sites	2B-17

Figure 2B-4. Density scatter plots of observed versus predicted MDA8 O3 from the 12km

resolution CONUS simulation for the Northeast region by season	2B-18

Figure 2B-5. Density scatter plots of observed versus predicted MDA8 O3 from the 12km

resolution CONUS simulation for the Central region by season	2B-19

Figure 2B-6. Density scatter plots of observed versus predicted MDA8 O3 from the 12km

resolution CONUS simulation for the EastNorthCentral region by season.... 2B-20

Figure 2B-7. Density scatter plots of observed versus predicted MDA8 O3 from the 12km

resolution CONUS simulation for the Southeast region by season	2B-21

Figure 2B-8. Density scatter plots of observed versus predicted MDA8 O3 from the 12km

resolution CONUS simulation for the South region by season	2B-22

Figure 2B-9. Density scatter plots of observed versus predicted MDA8 O3 from the 12km

resolution CONUS simulation for the Southwest region by season	2B-23

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Figure 2B-10
Figure 2B-11
Figure 2B-12
Figure 2B-13

Figure 2B-14

Figure 2B-15

Figure 2B-16

Figure 2B-17
Figure 2B-18

Figure 2B-19

Figure 2B-20

Figure 2B-21

Figure 2B-22

Figure 2B-23

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Density scatter plots of observed versus predicted MDA8 O3 from the 12km
resolution CONUS simulation for the WestNorthCentral region by season. . 2B-24

Density scatter plots of observed versus predicted MDA8 O3 from the 12km
resolution CONUS simulation for the Northwest region by season	2B-25

Density scatter plots of observed versus predicted MDA8 O3 from the 12km
resolution CONUS simulation for the West region by season	2B-26

Mean Bias (ppb) from the 12km resolution CONUS simulation of MDA8 O3
greater than or equal to 60 ppb over the period May through September 2016
at AQS and CASTNET monitoring sites in the continental U.S. modeling
domain	2B-27

Mean Error (ppb) from the 12km resolution CONUS simulation of MDA8 O3
greater than or equal to 60 ppb over the period May through September 2016 at
AQS and CASTNET monitoring sites in the continental U.S. modeling domain.
	2B-27

NMB (%) from the 12km resolution CONUS simulation of MDA8 O3 greater
than or equal to 60 ppb over the period May through September 2016 at AQS
and CASTNET monitoring sites in the continental U.S. modeling domain... 2B-28

NME (%) from the 12km resolution CONUS simulation of MDA8 O3 greater
than or equal to 60 ppb over the period May through September 2016 at AQS
and CASTNET monitoring sites in the continental U.S. modeling domain... 2B-28

WOUDC sonde locations and sampling frequency used in evaluation of
hemispheric model simulation	2B-29

WOUDC sonde releases averaged by release location over 2016; observations
(left), predictions from the hemispheric CMAQ simulation (middle), ratio
(right). Observations are ordered with increasing latitude (South to North).. 2B-30

WOUDC sonde releases averaged by day with a 20-point moving average;
observations (left), predictions from the hemispheric CMAQ simulation
(middle), ratio (right)	2B-31

WOUDC sonde releases averaged by release location over March, April, May
in 2016; observations (left), predictions from the hemispheric CMAQ simulation
(middle), ratio (right)	2B-32

WOUDC sonde releases averaged by release location over June, July, August in
2016; observations (left), predictions from the hemispheric CMAQ simulation
(middle), ratio (right)	2B-33

OMI O3 (OMPROFOZ v003, left) compared to simulated (hemispheric CMAQ
simulation, center), and ratios (right) of vertical column densities for January
(top) and April (bottom)	2B-34

OMI O3 (OMPROFOZ v003, left) compared to simulated (hemispheric CMAQ
simulation, center), and ratios (right) of vertical column densities for July (top),
and October (bottom)	2B-35

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Figure 2B-24. OMI Nitrogen Dioxide (0MN02D HR v003, left) compared to simulated

(hemispheric CMAQ simulation, center), and ratios (right) of vertical column
densities for January (top) and April (bottom)	2B-36

Figure 2B-25. OMI Nitrogen Dioxide (0MN02D HR v003, left) compared to simulated

(hemispheric CMAQ simulation, center), and ratios (right) of vertical column
densities for July (top) and and October (bottom)	2B-37

Figure 2B-26. OMI Formaldehyde (OMHCHO v003, left) compared to simulated (hemispheric
CMAQ simulation, center), and ratios (right) of vertical column densities for
January (top) and April (bottom)	2B-38

Figure 2B-27. OMI Formaldehyde (OMHCHO v003, left) compared to simulated (hemispheric
CMAQ simulation, center), and ratios (right) of vertical column densities for
July (top), and October (bottom)	2B-39

Figure 2B-28. Total predicted MDA8 O3 and contributions (see legend) over time in the West

(top), and all East (bottom) averaged over all grid cells and days in the U.S. 2B-41

Figure 2B-29. International contribution (black line) to predicted MDA8 O3 and components
(see legend) over time in the West (top), and all East (bottom) averaged over
all grid cells and days in the U.S	2B-42

Figure 2B-30. International contribution (black line) to predicted MDA8 O3 and components
(see legend) over time averaged over all grid cells in the West at high elevation
(top), near-border sites (middle), and Low/Interior sites (bottom)	2B-43

TABLE OF TABLES

Table 2B-1. Summary of 12km resolution CONUS CMAQ 2016 model performance

statistics for MDA8 O3 by NOAA climate region, by season and monitoring
Network	2B-15

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This appendix for the background ozone (O3) modeling and analysis, which presents the
analysis that was also presented in Appendix 2B of the 2020 PA (and is virtually identical to that
appendix), includes a description of the methodology for photochemical modeling, an evaluation
of the modeling, and a more detailed analysis of the predicted contributions from international
anthropogenic emissions. The methodology section includes a description of the modeling
platform and emissions. The evaluation section includes comparisons against surface, sondes and
satellite measurements. The international component analysis separately estimates O3 impacts
from China, India, Canada/Mexico, and global shipping at the hemispheric scale.

2B.1 PHOTOCHEMICAL MODELING METHODOLOGY

2B.1.1 Modeling Platform Overview

A multiscale modeling system is applied at both hemispheric and regional scales with
consistent methodologies for emissions inputs, meteorological inputs, model chemistry, and
photochemical models. Consistency across spatial scales reduces the number of assumptions that
have to be made in integrating predictions from the global and the regional modeling. However,
methodological consistency does not address sources of uncertainty associated with individual
inputs used by the modeling system.

The modeling system uses one emission model, one meteorological model, and one
chemical transport model. The meteorological model is the Weather Research and Forecasting
model (WRF v3.8). The emissions model is the Sparse Matrix Operating Kernel for Emissions
(SMOKE v4.5). The chemical transport model is the Community Multiscale Air Quality model
(CMAQ) version 5.2.1 with the Carbon Bond mechanism (CB6r3) and the non-volatile aerosol
option (AE6). Each of these models is applied at hemispheric and regional scales. The regional
meteorology components of the modeling system are described in more detail in section 3C.4.1.4
of Appendix 3C, while emissions inputs are summarized here.

The models identified above are configured differently for the hemispheric and regional
scales as appropriate for the intended purpose. The hemispheric scale model uses a polar
stereographic projection at 108 kilometer (km) resolution to completely and continuously cover
the Northern Hemisphere. At the regional scale, the model employs a Lambert conic conformal
projection at 36 km resolution to cover North America and at 12 km resolution to cover the
lower 48 contiguous states. The hemispheric scale allows for long-range free tropospheric
transport with 44 layers between the surface and 50 hPa (-20 km asl). The 36 km and 12 km
regional modeling has 35 vertical layers between the surface and 50 hPa. The hemispheric
modeling system was initiated on May 1, 2015 and run continuously through December 31,
2016. The regional model was initialized using the hemispheric result on December 21, 2015 and
run continuously through December 31, 2016.

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2B.1.2 Emissions Overview

The emissions inventories are summarized here and more information is available in the
Emissions Technical Support Documents (U.S. EPA, 2019a, U.S. EPA, 2019b) and in Appendix
3C. The emissions model inputs are discussed separately for natural and anthropogenic
emissions. The stratospheric fluxes (section 2.5.1.1 of main document) are not discussed here
because, although they are a source of ozone, they are not emissions. The regional inventories
over North America are based on the Inventory Collaborative 2016 emissions modeling platform
(ihttp://views.cira.colostate.edu/wiki/wiki/9169), which was developed through the summer of
2019. Three versions of the 2016 inventory developed: "alpha" (also known as the 2016v7.1
platform) - which consisted of data closely related to the 2014 National Emissions Inventory
(NEI) version 2 and 2016-specific data for some sectors; "beta" (also known as the 2016v7.2
platform) - which incorporated data from state and local agencies and adjustments to better
represent the year 2016; and "version 1" (also known as the 2016v7.3 platform) - which has the
completed representation of 2016 and some elements from the 2017 NEI. For any regional
inventories, this analysis used the 2016 "alpha release" (specifically the modeling case
abbreviated 2016fe) that is publicly available from https://www.epa.gov/air-emissions-
modeling/2016-alpha-platform. Any changes in the 2016 "beta" or "version 1" platforms are not
included in this modeling and therefore are not captured in the subsequent analysis.

2B.1.2.1 Natural Emission Inventory

The natural emission inventory databases cover all the sources discussed in section 2.5.1
except the International Anthropogenics. The databases that are available depend upon the scale.
At the global scale, lightning NOx emissions are based on monthly climatological data; biogenic
VOC emissions have hourly and day-specific (MEGAN v2.1, Guenther et al., 2012) temporal
scales; soil NOx also has hourly and day-specific temporal scales (Berkeley Dalhousie Soil NOx
Parameterization, as implemented by Hudman et al., 2012); and fire emissions are based on day-
specific data (FINN vl.5, Wiedinmyer et al., 2011). Over our regional domain, regional
inventories supersede the biogenic VOCs, soil NOx, and fire emissions using estimates
consistent with the 2016 collaborative emissions modeling platform (https://www.epa.gov/air-
emissions-modeling/2016-alpha-platform). The regional biogenic VOCs and soil NOx are
derived from the Biogenic Emission Inventory System (BEIS v3.61). Of the natural inventories,
only fires are expected to change significantly in future versions of the 2016 emissions platform.
The biogenic VOC and NOx changes will be minor due to small changes to the land use data
input to BEIS3.

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Emissions of NOx are of particular importance to this study and the natural inventory is
summarized here. The total natural NOx emissions4 in this platform is 56 megatons NOx
(reported as equivalent NO2 mass) which is approximately 15.5 TgN. The contributors in order
of magnitude are lightning (55%), soil (33%), and wildfires (12%). Lightning is treated as a
climatological monthly mean contribution, while soils and wildfires are day-specific. It is
important to note that outside North America, prescribed fires are not identified distinctly from
wildfires. Therefore, all wildland fires outside North America are treated as natural. Though not
directly comparable, the lightning and soil magnitudes are consistent with the ranges reported by
(Lamarque et al., 2012). Consistent with previous regional modeling platforms, the lightning
emissions are not included in the emissions inputs to the regional modeling platform. At the
regional scale, the representation of lightning as a monthly mean rate would add lightning on
days where it may not have occurred. At the hemispheric scale, omitting lightning would remove
an important contribution to the well-mixed background O3.

2B.1.2.2 Anthropogenic Emission Inventory

Anthropogenic emissions inputs include both domestic and international sources. The
domestic inventory includes a high-level of detail that is consistent with previous EPA emissions
platforms such as those used to model the year 2011 (https://www.epa.gov/air-emissions-
modeling/201 l-version-6-air-emissions-modeling-platforms). For the hemispheric emissions
modeling platform, there are over thirty anthropogenic sector of emission files. The traditional
regional platform covers North America including the U.S. sectors, Canadian sectors, and
Mexican sectors. In addition to the typical regional platform sectors, there are nine sectors based
on the Hemispheric Transport of Air Pollution Version 2 (EDGAR-HTAPv2) inventory and 15
sectors that represent emissions in China which together comprise the anthropogenic emissions
outside of North America. The international emission inventories are synthesized from the
EDGAR-HTAP v2 harmonized emission inventory and country specific databases where updates
were likely to be influential. Previous assessments like HTAP (2010, Phase 1) and HTAP (Phase
2) have shown that the anthropogenic portion of USB is most sensitive to emissions in Mexico,
Canada, and China. For Mexico and Canada, the hemispheric platform relies on the same
country-specific databases as the regional platform. For China, as mentioned above, the
hemispheric platform uses a new country specific database. The sources are detailed further
below.

The EDGAR-HTAP v2 inventories were projected to represent the year 2014. Projection
factors were calculated from the Community Emissions Data System (CEDS) inventory at a

4 We refer to wildfires and soil NOx as natural for the purposes of this section even though both may be impacted to
various degrees by human activity.

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country-sector level. This allowed our inventory to evolve without the risks associated with
transitioning to a new inventory system. Especially because EDGAR-HTAP v2 is superseded for
critical counties, this was the optimal approach. Details of scaling factor development are
described in Section 2.1.5 of the 2016v7.1 Hemispheric Modeling Platform Technical Support
Document (U.S. EPA, 2019a).

Emissions estimates over Mexico are a combination of emissions supplied by the
Mexican government and emissions developed by the EPA. For the 2016 platform, emissions for
point, nonpoint, and nonroad sources were developed based on projections of Secretariat of
Environment and Natural Resources (SEMARNAT)-supplied data for the year 2008. For the
onroad mobile sources, the EPA developed year-specific inventories for 2014 and 2017 by
applying the MOVES-Mexico model and interpolating to the year 2016. More details are
available in the 2016v7.1 emissions platform TSD (U.S. EPA, 2019b).

Emissions for Canada were supplied by Canadian agencies and reprocessed by the EPA
for the domains and model years used in this analysis. Environment and Climate Change Canada
(ECCC) supplied data for four broad inventory sectors (point, on-road mobile, fugitive dust, and
area and non-road mobile sources, the latter including commercial marine vessels). The ECCC
emissions were interpolated to 2016 based on inventories from the years 2013 and 2025.

The China emission inventory was developed at Tsinghua University (THU) and
documented in Zhao et al., 2018 (see supplement). This inventory was extensively compared to
the EDGAR-HTAP v2 and EDGAR v4.3 inventories before use. The largest differences for NOx
in 2016 occurred in individual emissions sectors rather than inventory totals. The SO2 emissions
were more different than NOx emissions between the two inventories because the THU
inventory applies controls to the metal industry that have been adopted by China. The difference
between emissions, primarily NOx emissions, causes small decrease in the spring time surface
O3 over the U.S. compared to using EDGAR-HTAP v2. Comparisons of this update are
summarized by Henderson et al.(2019).

Emissions for the United States representing the year 2016 were developed using the
2014 National Emissions Inventory version 2 (2014NEIv2) as the starting point, although
emissions for some data categories were updated to better represent the year 2016. The point
source emission inventories for the platform are partially updated to represent 2016. Because
2016 is not a year for which a full NEI is compiled, states are only required to submit emissions
for their larger point sources. For units without 2016-specific emissions, the emissions were
carried forward from the 2014 NEIv2. For electric generating units, 2016-specific Continuous
Emissions Monitoring System (CEMS) data are used where the data can be matched to units in
the NEI. Point and nonpoint oil and gas emissions were projected from 2014 to 2016 using
factors based on historic production levels.

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Other sectors are briefly summarized here and the reader is directed to the TSD for more
details (U.S. EPA, 2019a). Agricultural and wildland (including prescribed) fire emissions were
developed for the year 2016 using methods similar to those used to develop the 2014 NEI, except
that the input data relied on nationally-available data sets and did not benefit from state-
submitted data as are used for NEI year emissions. The assignment of wildland fires to wild or
prescribed is a complex process that is documented in the regional platform emissions TSD (U.S.
EPA, 2019b). Most area source sectors for this platform use unadjusted 2014 NEIv2 emissions
estimates except for commercial marine vehicles (CMV), fertilizer emissions, oil and gas
emissions, and onroad and nonroad mobile source emissions. For CMV, SO2 emissions were
updated to reflect new rules for the North American Emission Control Area (regulation 13.6.1
and appendix VII of MARPOL Annex VI) on sulfur emissions that took effect in the year 2015.
For fertilizer ammonia emissions, a 2016-specific emissions inventory is used in this platform,
while animal ammonia emissions were the same as those in 2014 NEIv2. Onroad and nonroad
emissions were developed based on MOVES2014a outputs for the year 2016, and the activity
data used to compute the onroad emissions were projected from 2014 to 2016 based on distinct
state-specific factors for urban and rural roads. Emissions from 2014 NEIv2 were used directly
for residential wood combustion, fugitive dust, and other nonpoint sources, although
meteorological-based adjustments for dust sources and temporal allocation for residential wood
and agricultural ammonia sources were based on 2016 meteorology. Additional details on the
development of the U.S., Canada, and Mexico emissions are provided in the 2016v7.1 (U. S.
EPA, 2019b).

2B.2 EVALUATION

An operational model performance evaluation for O3 was conducted for the 2016fe
simulation (as referred to in Section 2.5.2.2) using monitoring data, ozone sonde data, and
satellite data in order to estimate the ability of the CMAQv5.2.1 modeling system to replicate the
2016 base year O3 concentrations for the 12 km continental U.S. domain and the 108 km
Northern Hemispheric domain. The purpose of this evaluation is to examine the ability of the
2016 air quality modeling platform to represent the magnitude and spatial and temporal
variability of measured (i.e., observed) O3 concentrations within the modeling domain. The
model evaluation for O3 focuses on comparisons of model-predicted 8-hour daily maximum
concentrations (MDA8) to the corresponding concentrations from monitoring data (for 2016)
collected at monitoring sites in the AQS. The evaluation divided these data into two datasets, one
limited to only CASTNET sites (described in section 2.3.1), and the second comprised of all
other sites. We refer to this second dataset as "AQS."

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Included in the evaluation are statistical measures of model performance based upon
model-predicted versus observed MDA8 O3 concentrations that were paired in space and time.
Statistics were generated for each of the nine National Oceanic and Atmospheric Administration
(NOAA) climate regions of the 12-km U.S. modeling domain (Figure 2B-1). The regions include
the Northeast, Central, EastNorthCentral, Southeast, South, Southwest, WestNorthCentral,
Northwest and West as were originally identified in Karl and Koss (1984). Note that most
monitoring sites in the West region are located in California, therefore statistics for the West will
be mostly representative of California O3 model performance.

s Each monitoring site had to have 75% of MDA8 values within any seasonal subset to be included in that subset.
Thus individual monitors may be included in one evaluation of season, but not another.

H NorthWest	ฆ WestNorthCentral ~ EastNorthCentral ฆ Central	s NorthEast

ฆ West	~ Southwest	~ South	~ SouthEast

Source: http://www.ncdc.noaa.g0v/monitohng-references/maps/us-climate-regions.php#referer1ces
Figure 2B-1. NOAA U.S. climate regions.

For MDA8 O3, model performance statistics were calculated for each climate region by
season and for the May through September O3 season of 2016. Seasons were defined as: winter
(December-January-February), spring (March-April-May), summer (June-July-August), and fall
(September-October-November). Observational data were excluded from the analysis and model
evaluations for sites that did not meet a 75% completeness criterion.5 In addition to the
performance stati stics, several graphical presentations of model performance were prepared for
MDA8 O3 concentrations. These graphical presentations include:

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(1)	density scatter plots of observations obtained from the AQS system excluding CASTNET
(hereafter AQS) and predicted MDA8 O3 concentrations for May through September;

(2)	regional maps that show the mean bias and error as well as normalized mean bias and
error calculated for MDA8 > 60 ppb for May through September at individual AQS and
CASTNET monitoring sites;

(3)	tile plots that show normalized mean bias (%) and mean bias (ppb) of MDA8 and MDA8
> 60 ppb by NOAA climate region (y-axis) and by season (x-axis) at AQS monitoring
sites;

(4)	O3 sonde evaluations comparing vertically resolved ozone model predictions to ozone
sondes measurements from the World Ozone and Ultraviolet Data Centre (woudc.org).

(5)	satellite evaluation comparing simulated tropospheric vertical column densities of O3,
nitrogen dioxide, and formaldehyde to OMI retrievals.

The Atmospheric Model Evaluation Tool (AMET) was used to calculate the model
performance statistics used in this evaluation (Gilliam et al., 2005). For this evaluation of the O3
predictions in the 2016fe CMAQ modeling platform, we have selected the mean bias, mean
error, normalized mean bias, and normalized mean error to characterize model performance,
statistics which are consistent with the recommendations in Simon et al. (2012) and the
photochemical modeling guidance (U.S. EPA, 2018).

Mean bias (MB) is used as average of the difference (predicted - observed) divided by
the total number of replicates (n). Mean bias is defined as:

MB = -ฃ1 (P — O) , where P = predicted and O = observed concentrations for every site

and day included in the evaluation.

Mean error (ME) calculates the absolute value of the difference (predicted - observed)
divided by the total number of replicates (n). Mean error is defined as:

ME = -Ei IP-OI

n

Normalized mean bias (NMB) is used as a normalization to facilitate a range of
concentration magnitudes. This statistic averages the difference (predicted - observed) over the
sum of observed values. NMB is a useful model performance indicator because it avoids
overinflating the observed range of values, especially at low concentrations. Normalized mean
bias is defined as:

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H(p-o)

NMB = -J—-	*100, where P = predicted concentrations and O = observed

t(0)

1

Normalized mean error (NME) is also similar to NMB, where the performance statistic is
used as a normalization of the mean error. NME calculates the absolute value of the difference
(model - observed) over the sum of observed values. Normalized mean error is defined as

i\p-o\

NME = ^	*100

n

i(o)

i

As described in more detail below, the model performance statistics indicate that the
MDA8 O3 concentrations predicted by the 2016 CMAQ modeling platform closely reflect the
corresponding monitoring data-based MDA8 O3 concentrations in space and time in each region
of the U.S. modeling domain. The acceptability of model performance was judged for the 2016
CMAQ O3 performance results considering the range of performance found in recent regional O3
model applications (NRC, 2002; Phillips et al., 2008; Simon et al., 2012; U.S. EPA, 2009; U.S.
EPA, 2018). These other modeling studies represent a wide range of modeling analyses that
cover various models, model configurations, domains, years and/or episodes, chemical
mechanisms, and aerosol modules. Overall, the 2016 CMAQ O3 model performance results are
within the range found in other recent peer-reviewed and regulatory applications. The model
performance results, as described in this document, demonstrate the predictions from the 2016
modeling platform closely replicate the corresponding observed concentrations in terms of the
magnitude, temporal fluctuations, and spatial differences for 8-hour daily maximum O3.

The model performance bias and error statistics for MDA8 O3 predictions in each of the
nine NO AA climate regions and each season are provided in Table 2B-1. As noted above, seasons
were defined as: winter (December-January-February), spring (March-April-May), summer
(June-July-August), and fall (September-October-November). As indicated by the statistics in
Table 2-7, mean bias and error for 8-hour daily maximum O3 are relatively low in each
sub region, not only in the summer when concentrations are highest, but also during other times of
the year. Generally, MB for MDA8 O3 > 60 ppb is less than + 10 ppb. Generally, MDA8 O3 at the
AQS sites in the summer and fall is over predicted except in the Southwest, with the greatest over-
prediction in the EastNorthCentral and WestNorthCentral. Likewise, MDA8 O3 at the
CASTNET sites in the summer and fall is typically over predicted except in the West, Southwest
and WestNorthCentral where the bias shows an under-prediction. In the winter and spring.

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MDA8 O3 is under predicted at AQS and CASTNET sites in all the climate regions (with NMBs
less than approximately + 25 percent in each sub region).

Figure 2B-2 and Figure 2B-3 are tile plots that summarize to provide an overview of
model performance by region and by season. Figure 2B-2 shows NMB (%) and MB (ppb) of
MDA8 by NOAA climate region (y-axis) and by season (x-axis) at AQS monitoring sites.
Likewise, Figure 2B-3 shows the NMB (%) and MB (ppb) of MDA8 > 60 ppb by NOAA climate
region (y-axis) and by season (x-axis) at AQS monitoring sites. Figure 2B-2 shows that for the
majority of the nine climate regions throughout each year the NMB is within ฑ10 percent. There
is greater over-prediction (<20%) during the fall in the South, EastNorthCentral (aka Upper
Midwest), and Central (aka Ohio Valley) regions and during the summer in the South, Southeast
and Central (aka Ohio Valley) regions. However, there is greater under-prediction (up to 30
percent) during the winter in the Northwest, Southwest, WestNorthCentral (aka
NRockiesPlains), EastNorthCentral (aka Upper Midwest), Central (aka Ohio Valley), and
Northeast regions as well during the spring in the Northwest.

The density scatterplots in Figure 2B-4 to Figure 2B-12 provide a qualitative comparison
of model-predicted and observed MDA8 O3 concentrations for each climate region by season. In
these plots the intensity of the colors indicates the density of individual observed/predi cted
paired values. The greatest number of individual paired values is denoted by locations in the plot
denoted in warmer colors. The plots indicate that the predictions correspond closely to the
observations in that a large number of observed/predicted paired values lie along or close to the
1:1 line shown on each plot. The model is more likely to over-predict the observed values at low
and mid-range concentrations generally < 60 ppb in each of the regions. There are some
relatively infrequent very large over predictions at high concentrations. Preliminary review of
these biases finds that some are related to fire impacts.

Spatial plots of the MB, ME, NMB and NME for individual monitors are shown in Figure
2B-13 through Figure 2B-16, respectively. The statistics shown in these two figures were
calculated over the May through September period, using data pairs on days with observed 8-hr
O3 of greater than or equal to 60 ppb. Model bias at individual sites during the O3 season is
similar to that seen on a sub-regional basis for the summer. Figure 2B-13 shows the mean bias
for 8-hr daily maximum O3 greater than 60 ppb is under predicted overall, but generally within
ฑ10 ppb across the AQS and CASTNET sites. The greatest exceptions are most evident at certain
near-coastal sites where, on average, the model over predicts MDA8 observed O3 > 60 ppb.
Likewise, the information in Figure 2B-15 indicates that the normalized mean bias for days with
observed 8-hr daily maximum O3 greater than 60 ppb is within ฑ 10% at the vast majority of
monitoring sites across the U.S. domain. Model error, as seen from Figure 2B-14 and Figure 2B-
16, is generally 2 to 10 ppb and 20 percent or less at most of the sites across the U.S. modeling

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domain. Somewhat greater error is evident at sites in several areas most notably in the West,
WestNorthCentral, Northeast, EastNorthCentral, Southeast, and along portions of the Gulf Coast
and Great Lakes coastlines.

Sonde evaluations are shown for the 108 km Northern Hemisphere domain in Figure 2B-
18 through Figure 2B-21. The sondes used in this analysis and their release frequencies are
shown in Figure 2B-17. Figure 2B-18 shows that the annual mean prediction is generally within
20% of the measured sonde data, except for near the tropopause. Figure 2B-19 shows that the
performance of all sites is generally not as good in the spring (March, April, May ) than in the
summer (June, July, August). The seasonal performance of each monitor is shown in Figure 2B-
20 for spring and Figure 2B-21 for summer. By comparison. Figure 2B-20 shows that low biases
extend deeper into the troposphere in spring than in summer. The structure of the bias seems to
suggest a stratospheric causal mechanism because the bias is near the tropopause.

Satellite evaluations in this analysis include tropospheric vertical columns of O3, nitrogen
dioxide (an ozone precursor as described in chapter 2), and formaldehyde (a VOC reaction
product which is an indicator of VOCs and total reactivity of the atmosphere). At this time, only
formaldehyde comparison includes the application of the scattering weights and air mass factor
to the model, which are often used to create an averaging kernel. Similar processing for O3 and
NO2 was not available at the time this appendix was completed. Satellite evaluations focus
exclusively on the 108 km results over the Northern Hemisphere.

Simulated O3 tropospheric vertical column densities are compared to the O3 product
described and evaluated by Huang et al. (2017). Figure 2B-22 and Figure 2B-23 compares the
model to the retrieved column data without application of the averaging kernel. Omitting the
averaging kernel introduces some error into the comparison (Huang et al., 2017; see Figure 9 for
details). Even so, the comparison shows reasonable performance within the mid-latitudes. There
is a notable low bias in January mid-latitudes and near the north pole in April. In addition, high
biases are consistently seen near the corners of the domain in January and April. This cause of
this high-bias pattern will require further analysis. Within the mid latitudes, the model is
performing well with notable low biases in January and scattered high biases in Asia in July.
Given the limitations of the comparison, the performance is quite good.

Simulated nitrogen dioxide (NO2) vertical columns are compared is the OMN02d
(Krotkov et al., 2017, as processed by Lok Lamsal called OMN02D HR). Similar to O3, the
averaging kernel is not being applied for NO2. Figure 2B-24 and Figure 2B-25 show larger
relative biases for NO2 than O3, particularly in low NO2 regions like over the oceans. Best
performance was over land during July. Model comparisons to NO2 have commonly shown
biases and research in the broader community continues to resolve this issue.

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1	Formaldehyde retrieval comparisons are shown in Figure 2B-26 and Figure 2B-27 using

2	the OMHCHO files, but using the recommended product described by Gonzalez Abad et al.

3	(2015). The formaldehyde retrievals show a seasonal cycle in the evaluation with a low bias for

4	the northern-most retrievals in January and October. During April there are high biases that seem

5	to migrate northward by July. Though we note this bias feature, the main result is reasonable

6	spatial consistency between the satellite product and the model results. Future work should

7	explore this evaluation further.

8

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1	Table 2B-1. Summary of 12km resolution CONUS CMAQ 2016 model performance

2	statistics for MDA8 O3 by NOAA climate region, by season and monitoring

3	Network.

Climate region

Monitor
Network

Season

No. of
Obs

MB (ppb)

ME (ppb)

NMB (%)

NME (%)

Northeast

AQS

Winter

11,462

-5.9

6.9

-18.1

21.2

Spring

15,701

-4.3

6.7

-9.8

15.2

Summer

16,686

4.6

7.7

10.0

17.0

Fall

13,780

3.3

5.8

9.5

16.9

CASTNET

Winter

1,195

-6.7

7.3

-19.6

21.3

Spring

1,246

-5.0

6.9

-11.0

15.2

Summer

1,224

2.9

6.5

6.7

15.1

Fall

1,215

3.4

5.6

9.9

16.5

Central

AQS

Winter

4,178

-3.8

5.7

-12.5

18.8

Spring

15,498

-1.1

5.5

-2.5

12.1

Summer

20,501

5.5

8.1

12.1

17.9

Fall

14,041

4.9

6.1

12.6

15.7

CASTNET

Winter

1,574

-3.1

5.4

-9.6

16.3

Spring

1,600

-2.2

5.5

-4.8

12.0

Summer

1,551

3.9

7.1

9.0

16.2

Fall

1,528

2.7

5.1

6.9

12.8

EastNorthCentral

AQS

Winter

1,719

-8.5

9.2

-27.3

29.5

Spring

6,892

-3.8

6.8

-8.4

15.2

Summer

9,742

3.2

6.9

7.7

16.3

Fall

6,050

5.6

3.4

17.6

20.2

CASTNET

Winter

435

-9.6

10.1

-28.6

30.1

Spring

434

-6.5

7.8

-14.4

17.4

Summer

412

0.2

5.5

0.5

13.4

Fall

426

2.9

5.1

9.2

16.0

Southeast

AQS

Winter

7,196

-1.4

5.0

-3.9

14.0

Spring

14,569

-1.5

5.3

-3.2

11.3

Summer

15,855

5.1

7.1

12.9

17.9

Fall

12,589

3.4

5.4

8.4

13.3

CASTNET

Winter

887

-3.5

5.3

-9.3

14.3

Spring

947

-3.6

5.6

-7.5

11.7

Summer

926

3.9

6.2

9.9

16.0

Fall

928

1.7

5.0

4.0

11.9

South

AQS

Winter

11,342

-1.0

5.0

-3.1

15.0

Spring

13,093

1.3

6.1

2.8

13.9

Summer

12,819

6.0

7.8

15.7

20.4

Fall

12,443

4.8

6.3

12.1

16.0

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Climate region

Monitor
Network

Season

No. of
Obs

MB (ppb)

ME (ppb)

NMB (%)

NME (%)



CASTNET

Winter

516

-1.7

5.0

-4.8

13.7

Spring

532

-1.2

5.6

-2.6

12.3

Summer

508

2.6

6.1

6.7

15.8

Fall

520

3.5

5.0

9.0

12.9

Southwest

AQS

Winter

9,695

-4.2

6.2

-11.0

16.1

Spring

10,608

-4.8

6.5

-9.4

12.7

Summer

10,549

-1.2

6.0

-2.3

11.2

Fall

10,298

2.5

4.9

6.0

12.0

CASTNET

Winter

757

-8.1

8.5

-18.0

18.9

Spring

810

-6.9

7.6

-13.1

14.5

Summer

812

-2.8

5.5

-5.3

10.3

Fall

791

-0.1

3.6

-0.3

8.3

WestNorthCentral

AQS

Winter

4,740

-9.3

9.6

-24.9

25.9

Spring

5,066

-3.1

5.9

-7.2

13.5

Summer

5,134

0.7

4.9

1.4

10.6

Fall

4,940

3.3

5.2

9.8

15.3

CASTNET

Winter

568

-9.1

9.8

-23.1

25.0

Spring

607

-5.8

7.3

-12.4

15.6

Summer

600

-1.8

4.6

-3.7

9.4

Fall

505

1.7

4.8

4.4

12.8

Northwest

AQS

Winter

677

-5.7

7.5

-17.5

23.1

Spring

1,288

-4.3

7.3

-10.5

18.2

Summer

2,444

1.2

6.6

3.3

17.5

Fall

1,236

2.8

5.9

9.0

18.7

CASTNET

Winter

-

-

-

-

-

Spring

-

-

-

-

-

Summer

-

-

-

-

-

Fall

-

-

-

-

-

West

AQS

Winter

14,550

-2.1

5.3

-6.1

15.3

Spring

17,190

-4.0

6.1

CO

oo

13.3

Summer

18,046

0.6

8.1

1.2

15.2

Fall

16,163

0.4

5.5

0.9

12.8

CASTNET

Winter

506

-3.4

5.6

-8.7

14.1

Spring

519

-5.7

6.6

-11.8

13.7

Summer

526

-5.3

8.1

-8.7

13.3

Fall

530

-2.2

4.7

-4.6

10.0

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Northeast-[ L
Ohio Valley-
Upper Midwest
Southeast-

South-	

NRockiesPlains-	

Southwest-	

West-	

Northwest-

Fa.ll Wtr

(a) NMB

ฐ/
/o



ฆ

-50 to -40

~

-40 to -30



-30 to -20



-20 to-10

~~

-10 to 10



10 to 20



20 to 30



30 to 40

ฆ

40 to 50

(b) MB

Northeast-j
Ohio Valley
Upper Midwest-
South east-
South -
NRockiesPlains
Southwest
West-
NorthwesH

ppb



-10 to -8

c

-8 to -6



-6 to -4



-4 to -2



-2 to 2



2 to 4



4 to 6

3

6 to 8

ฆ

8 to 10

Figure 2B-2. (a) Normalized Mean Bias (%) and (b) Mean Bias (ppb) of maximum daily average 8-hr ozone (MDA8) by

NOAA climate region (y-axis) and by season (x-axis) at AQS monitoring sites. In the text, alternative names are
used: Ohio Valley is Central, Upper Midewest is EastNorthCentral, and NRockiesPlains is NorthWestCentral.

(a) NMB

Northeast
Ohio Valley
Upper Midwest
Southeast
South
NRockiesPlains
Southwest

West-!
Northwest-'

= 60 ppb in that region). In the text, alternative names are
used: Ohio Valley is Central, Upper Midewest is EastNorthCentral, and NRockiesPlains is NorthWestCentral.

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Spring

Summer

CMAQ 2016fe cb6r3 16J 12US2 03 8hrmax for Spring Northeast

CM AO 2016fe cb6r3 16j 12US2 03 Shrmax for Summer Northeast

8 -

40

AOS Daily OSJppbl

SO 100 120 140
AOS Only D3 {ppttl

Fall

CMAQ 2016fe cb€r3 I6j 12US2 03 Shrmax for Fall Northeast

Winter

CM AO 2016fe cb6r3 I6j 12US2 03 Shrmax for Winter Northeast

20	40	60	30

AOS Oaiy 03!ppb>

10	20	30	40	50	60

AQS Onity 03 [ppbi

Figure 2B-4. Density scatter plots of observed versus predicted MDA8 O3 from the 12km
resolution CONUS simulation for the Northeast region by season. Each plot
has a separate scale that is shared for the x and y axes. The dashed line represents
the best fit linear regression line.

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Spring

Summer

CMAQ 2016le cb6r3 16j 12US2 03 8hfmax for Spring Central

20	40	60	SO

AOS Daily 03 !ppb|

Fall

CMAQ 20l6fe cb6r3._l6j_12US2 03 ahrmax for Fall Central

20	40	60	80	100	120

AOS Daiy 03 ippb)

Winter

CMAO 2016fe cb6r3 I6j 12US2 03 8hrmax for Winter Central

CMAQ 2016fe cb6r3 l6j_12US2 03 Shrmax for Summer Central

8

V- 15-07a*X

10	20	30	40	50

AOS Daily 03!ppb}

~~i	1	1	r

20	40	60	80

AOS Oniy 03 Ippb I

Figure 2B-5. Density scatter plots of observed versus predicted MDA8 O3 from the 12km
resolution CON US simulation for the Central region by season. Each plot has
a separate scale that is shared for the x and y axes. The dashed line represents the
best fit linear regression line.

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Spring

CMAO 201SI8 Ctซr3 !6j 12US2 03 Bhrtrisx tor Spring . EN Cenlrs)

40	60

AQS Dully 03 fppb}

Fall

CMAQ 20l6fe cb€r3 16j 12US2 03 Shrma* tor Fall EN Central

Summer

CHAQ 20l6fe cb6r3 16j_12US2 03_ Stvmax for Summer EN Central

40	60	80

AQS Daiy 03(pp5)

Winter

CMAO 2016fe cb6r3j6j 12US2 03 Shrmax for Winter EN Central

40	60

AQS Daily Q3 Ippbl

30

AQS Daity OSlppb)

Figure 2B-6. Density scatter plots of observed versus predicted MDA8 Os from the 12kin
resolution CON US simulation for the EastNorthCentral region by season.
Each plot has a separate scale that is shared for the x and y axes. The dashed line
represents the best fit linear regression line.

March 2023

2B-20 External Review Draft v2 - Do Not Quote or Cite


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1

2

Spring

Summer

CMAQ 2016fe cb6r3 16j_l2US2 03 Shrrnax tar Spring Southeast

3

4

40

AOS Datfy 03 Ipphl

Fall

CMAQ 20l6fe cb6r3 i6j 12US2 03 8hrmax lor Fall Southeast

CMAQ 2016fe cb€r3 16j_12US2 03 Shrmax for Summer Southeast

8 -

20	40

AQS Daly 03 ,'ppb)

Winter

CMAQ 2016fe Cb6r3 IBj 12US2 03 8htmax lotV/inter Soulhfiast

S -



6

7

8

9

10

Figure 2B-7. Density scatter plots of observed versus predicted MDA8 O3 from the 12km
resolution CONUS simulation for the Southeast region by season. Each plot
has a separate scale that is shared for the x and y axes. The dashed line represents
the best fit linear regression line.

March 2023

2B-21 External Review Draft v2 - Do Not Quote or Cite


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1

2

3

4

5

6

7

8

9

10

11

12

Spring

CMAQ 2G16fe cb6r3 1 Gj 12US2 03 8hrmax for Spring South

6fl

AOS Qalty 03 [ppb)

Fall

CMAQ 2016fc cbfir3 16j12UE2 03 Bhrmax for FalLSouth

I

a a

Summer

CMAQ 2016fe cb6r3 16L12US2 03 8hrmax for Summer South

- t.o	g

Winter

CMAQ 2016fe Cb6r3j6j 12US2 03_8hrmax for Winter South

S -

AOS Daily D3 {ppb)

40	60

AOS Oaity 03 ippbi

Figure 2B-8. Density scatter plots of observed versus predicted MDA8 O3 from the 12km
resolution CON US simulation for the South region by season. Each plot has a
separate scale that is shared for the x and y axes. The dashed line represents the
best fit linear regression line.

March 2023

2B-22 External Review Draft v2 - Do Not Quote or Cite


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Spring

Summer

CMAQ 2016fe_cb6r3 16j 12US2 03 Shrmax lor Spring Southwest

CM AO 2016fe cb6r3 16j_ 12US2 03 8hmiax for Summer Southwest

\



V. 16-Q6S-X

	1	1	1	1—

20	40	60	80	100

AQS Daily 03 ;ppb!

Winter

CMAQ 20l6fe cb6r3 I6j 12US2 03 8hrmax for Winter Southwest

ป0 20 30 40 50 60 TO
AOS Daiiy 03 Ippbj

Fall

CMAQ_M16fe cb6r3 16L12US2 03 8hrmax foi Fall South we 51

AOS D/jiy 03 fpp&t	SOS Daily 03 Ippti)

Figure 2B-9. Density scatter plots of observed versus predicted MDA8 O3 from the 12km
resolution CON US simulation for the Southwest region by season. Each plot
has a separate scale that is shared for the x and y axes. The dashed line represents
the best fit linear regression line.

March 2023

2B-23 External Review Draft v2 - Do Not Quote or Cite


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1

Summer

CMAQ_2016te_cb6r3 J6L12US2 03 Shnnax for Summer WN Central

V. IB-0 59'X

Spring

CMAQ 20161e Cb6r3 I6j 12U52 03 Shrrnpx lor Spring WN Central

2

3

AOS Daily 03(ppb|

Fall

AOS Daiy 03|ppb;

Winter

CMAQ 2016fe cb6r3 I6j 12US2 03 Shrmax tor Fall WN Central

CMAQ 20l6te cb6r3 I6j 12US2 03 flhrmax for Winter WN Central

Y ป2 ~ 0,7 * X

0,8

o.4 ? a

AOS Onty 03 ippb}	AOS Da*y 03 Ippb)

5	Figure 2B-10. Density scatter plots of observed versus predicted MDA8 O3 from the 12km

6	resolution CON US simulation for the WestNorthCentral region by season.

7	Each plot has a separate scale that is shared for the x and y axes. The dashed line

8	represents the best fit linear regression line.

9
10

March 2023

2B-24 External Review Draft v2 - Do Not Quote or Cite


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1

Spring

Summer

CMAQ 201 Gfe cb6r3_16j 12US2 03 Shrmax for Spring Northwest

CMAQ 2016(e cb6r3 16j 12US2 03 8hrmax for Summer Northwest

2

3

Fall

CMAQ 20l6fe cb6r3 1Gj_t2US2 03 Shrmax for Fall Northwest

? -

40	60

AOS Daily 03 ippb]

Winter

CMAQ 2016fe cb6r3 16j 12US2 03 Shrmax for Winter Northwest

5

6

7

9
10

Figure 2B-11. Density scatter plots of observed versus predicted MDA8 O3 from the 12km
resolution COM S simulation for the Northwest region by season. Each plot
has a separate scale that is shared for the x and y axes. The dashed line represents
the best fit linear regression line.

March 2023

2B-25 External Review Draft v2 - Do Not Quote or Cite


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1

2

3

4

5

6

7

8

9

10

11

12

13

Spring

CMAQ 20i6fe cb6r3 t6j 12US2 03 Shrmax for Spring Wesl

Summer

CMAQ 2016fe cb€r3 i6jJ2US2 03 Shrmax for Summer West

AOS Daily 03 ;ppb]

Fall

CMAQ 2016fe nt>6r3 16j 12US2 03 Shimai tor Fall West

Winter

CMAQ 2016fe cb6r3 16j 12US2 03 Bhrmaj for Winter West

8 -

40	ft)	80	100

AOS Ortfy 03 (ppb)

40	60

AOS Daiy 03ippb)

Figure 2B-12. Density scatter plots of observed versus predicted MDA8 O3 from the 12km
resolution CON US simulation for the West region by season. Each plot has a
separate scale that is shared for the x and y axes. The dashed line represents the
best fit linear regression line.

March 2023

2B-26 External Review Draft v2 - Do Not Quote or Cite


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03_8hrmax MB (ppb) lor run CMAQ_2016fe_cb6r3_16j_12US2 for 20160501 to 20160930

TRIANGLE=CASTNET_Daily; CIRCLE=AQS_Daily_03;

2	Figure 2B-13. Mean Bias (ppb) from the 12kin resolution CONUS simulation of MDA8 O3

3	greater than or equal to 60 ppb over the period May through September

4	2016 at AQS and CASTNET monitoring sites in the continental U.S.

5	modeling domain.

6

03_8hrmax ME (ppb) for run CMAQ_2016te_cb6r3_16j_12US2 for 20160501 10 20160930

TRIANGLE=CASTNET_Daily; CIRCLE=AQS_Daily_03;

8	Figure 2B-14. Mean Error (ppb) from the 12km resolution CONUS simulation of MDA8 O3

9	greater than or equal to 60 ppb over the period May through September 2016

10	at AQS and CASTNET monitoring sites in the continental U.S. modeling

11	domain.

March 2023

2B-27 External Review Draft v2 - Do Not Quote or Cite


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03 Shrmax NMB (%) (or run CMAQ 20161O Cbซr3 16j 1JUS2 lor 20160501 10 20160930

2	Figure 2B-15. NMB (%) from the 12km resolution CONUS simulation of MDA8 ().< greater

3	than or equal to 60 ppb over the period May through September 2016 at AQS

4	and CASTNET monitoring sites in the continental U.S. modeling domain.

6	Figure 2B-16. NME (%) from the 12km resolution CONUS simulation of MDA8 O3 greater

7	than or equal to 60 ppb over the period May through September 2016 at AQS

8	and CASTNET monitoring sites in the continental U.S. modeling domain.

03_8hrmax NME (%) for run CMAQ_2016fe_Cb6r3_16j_12US2 for 20160501 to 20160930

units = %

coverage limit = 75%

TRIANGLE=CASTNET_Daily; ClRCLE=AQS_Daily_03;

March 2023

2B-28 External Review Draft v2 — Do Not Quote or Cite


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Alert (STN018, -62.340, 82.490)
Eureka (STN315, -85.940. 79.980)
Resolute (STN024. -94.960, 74.700)
Lerwick (STN043. -1.180, 60.130)
Churchill (5TN077, -94.070, 58.740)
Stony plain (STN021, -114.100, 53.540)
GooseBay (STN076, -60.360, 53.310)
Legionowo (STN221. 20.960, 52.410)
De Bitt (5TN316, 5.177, 52.100)
Valentia 0 (STN318, -10.250. 51.940)
Praha (STN242, 14.440, 50.000)
Kelowna (STN457, -119.400. 49.940)
Hohenpeiss (STN099, 11.000, 47.800)
Payerne (STN156, 6.570, 46.490)
Yarmouth (STN458, -66.100, 43.870)
SAPPORO (STN012. 141.330, 43.060)
Barajas (STN308. -3.580, 40.470)
Boutder ES (STN067, -105.197, 39.949)
Wallops IS (STN107, -75.470. 37.930)
TSUKUBA (STN014, 140.130, 36.060)
New Delhi (STN010, 77.127, 28.482)
NAHA (5TN190, 127.690, 26.210)
Hong Kong (STN344, 114,170, 22.310)
Hanoi (STN330, 105,800, 21.020)
Hilo (HI) (STN109, -155,040, 19.430)
San Pedro (STN524, -84.042, 9.940)
Sepang Air (STN443, 101,270, 2.730)
Petaling J (STN322, 101.270, 2.730)
Nairobi (STN175. 36.800, -1,270)

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2016-01 2016-03 2016-05 2016-07 2016-09 2016-11 2017-01

Figure 2B-17. WOUDC sonde locations and sampling frequency used in evaluation of
hemispheric model simulation.

March 2023

2B-29 External Review Draft v2 - Do Not Quote or Cite





1.27)=48
STN010 ( 77.13,28.48)=9
STN221 ( 20.96,52.411 = 32
STN242 ( 14.44,50,00) = 51
STN099 ( 11.00,47.801 = 129
STN156 ( 6.57,46.491=146
STN316 ( 5,18.52.101=56
STN308 ( -3.58,40.47)=51
STN043 (-1.18,60.131=49
STN318 (-10.25,51.94)=29
STN018 (-62.34,82.49)=47
STN076 (-60,36.53.31)=48
STN458 (-66.10.43.87)=32
STN107 (-75 47.37.93)=29
STN524 (-84,04, 9.94)=47

STN443 (101,27. 2.

STN322 (101,27. 2.731 = 10 ^
STN330 (105.80,21.021=21
STN344 (114 17.22.3l)=48
STN190 (12 7.69,26.21)=44
STN014 (140,13.36.061=47
STN012 (141.33.43.06)=47
STN315 (-85.94,79.981=61
STN024 (-94.96,74.701=24
STN077 (-94.07,58.741=18
STN021 (-114.10,53.541=42
STN457 (-119.40,49.94)=37
STN109 (-155.04.19.431=50
STN067 (-105.20.39.951=49


-------
Sonde (ppb)	CMAQ (ppb)	Ratio

1

2	Figure 2B-18. WOUDC sonde releases averaged by release location over 2016; observations (left), predictions from the

3	hemispheric CMAQ simulation (middle), ratio (right). Observations are ordered with increasing latitude (South

4	to North).

March 2023

2B-30

External Review Draft v2 - Do Not Quote or Cite


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1

Sonde (ppb)



CMAQ (ppb)

200

c
o

400

600

800

Ratio

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rsl
-------
Sonde (ppb)

CMAQ (ppb)

Ratio

200

2 400

600

800

2.00

1.50

- 1.20

0.80

0.66

0.S0

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r^rsrjcKcyvrHir^^ijir^c^ฉ<^^^r^ criorHfNjr^rnirio •rcrioj
>-ซ  m in 10 rปco

1

2

3

Figure 2B-20. WOUDC sonde releases averaged by release location over March, April, May in 2016; observations (left),
predictions from the hemispheric CMAQ simulation (middle), ratio (right).

March 2023	2B-32	External Review Draft v2 - Do Not Quote or Cite


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1

2

3

200

2 400

600

800

Sonde (ppb)

CMAQ (ppb)

Ratio

J-, m mf*vNi i—•ซ—i co <ฃ> n m i*- *ฆฉ Is* (T> ฉ t o >-* t t mo coo>
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ป-ซn rv mm mm ?ปw ซtn m snun u"*n 10 00

2.00

1.50

ฆ 1.20

0.80

0.66

0.S0

Figure 2B-21. WOUDC sonde releases averaged by release location over June, July, August in 2016; observations (left),
predictions from the hemispheric CMAQ simulation (middle), ratio (right).

March 2023

2B-33

External Review Draft v2 - Do Not Quote or Cite


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2

3

4

March 2023	2B-34	External Review Draft v2 - Do Not Quote or Cite

OMPROFOZ 2016-04

Figure 2B-22. OMI O3 (OMPROFOZ v003, left) compared to simulated (hemispheric CMAQ simulation, center), and ratios
(right) of vertical column densities for January (top) and April (bottom).

CMAQ 2016fe 2016-04




-------
2

3

4

OMPROFOZ 2016-10

CMAQ 20161e 2016-10

NM8 (CMAQ/Sat-11

-0.25 ฐ



Figure 2B-23. OMI O3 (OMPROFOZ v003, left) compared to simulated (hemispheric CMAQ simulation, center), and ratios
(right) of vertical column densities for July (top), and October (bottom).

CMAQ 2016fe 2016-07

OMPROFOZ 2016-07

NMB (CMAQ I Sal - 1)

March 2023	2B-35	External Review Draft v2 - Do Not Quote or Cite


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0MN02D HR 2016-04

2

3

4

110ป .

CMAQ 2016fe 2016-04

NMB (CMAQ/Sat-1)



Figure 2B-24. OMI Nitrogen Dioxide (0.VIN02D HR v003, left) compared to simulated (hemispheric CMAQ simulation,
center), and ratios (right) of vertical column densities for January (top) and April (bottom).

NMB (CMAQ / Sat -1)

CMAO 2016fe 2016-01

QMN02DJHR 2016-01

March 2023

2B-36

External Review Draft v2 - Do Not Quote or Cite


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3	Figure 2B-25. OMI Nitrogen Dioxide (0MN02D HR v003, left) compared to simulated (hemispheric CMAQ simulation,

4	center), and ratios (right) of vertical column densities for July (top) and and October (bottom).

March 2023

2B-37

External Review Draft v2 - Do Not Quote or Cite


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3	Figure 2B-26. OMI Formaldehyde (OMHCHO v003, left) compared to simulated (hemispheric CMAQ simulation, center),

4	and ratios (right) of vertical column densities for January (top) and April (bottom).

5

March 2023	2B-38	External Review Draft v2 - Do Not Quote or Cite


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OMI HCHO 20X6-10

2

3

4

CMAO 2016fe 2016-10

m& (Mod / Sat -1)



Figure 2B-27. OMI Formaldehyde (QMHCHQ v003, left) compared to simulated (hemispheric CMAQ simulation, center),
and ratios (right) of vertical column densities for July (top), and October (bottom).

March 2023

2B-39

External Review Draft v2 - Do Not Quote or Cite

OMI HCHO 2016-07

CMAO 2016fe 2016-07


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1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

2B.3 INTERNATIONAL CONTRIBUTIONS

This section characterizes the components of predicted international anthropogenic
contributions to local O3 concentrations and the sensitivities to model resolution. The main
characterization of predicted O3 contributions focused on results, based on simulations at a 12
km grid cell resolution, that separated Natural, International, and USA contributions to O3. In
this appendix, the International component is further characterized into some of its component
parts. The component parts are only analyzed at the 108 km hemispheric resolution. First, the
108 km results are compared to the 12 km results to ensure general consistency to build
confidence that, for large scale transport contributions, the 108 km characterization is relevant to
the 12 km results.

Figure 2B-28 shows the 108 km modeling averaged to the West (<97W) and East
(>97W), which can be compared to the 12 km results in the main body. The results from the two
modeling resolution are very consistent with very high correlation coefficients (r) for total O3
(rwest=0.987; rEast=0.989), USA (rWest=0.987; rEast=0.993), International (rWest=0.981; rEast=0.990),
and Natural (rwest=0.959; rEast=0.814). Within International, the Canada/Mexico component was
separately estimated at both resolutions and agrees well for all grid cells (rwest=0.966;
rEast=0.935), for high-elevation (rwest=0.961, rEast=N/A), and near-border (rwest=0.961,
rEast=0.947). Since the coarser resolution model cannot resolve urban locations, the urban area
weighted results have lower r (-0.8). While any particular grid cell may deviate due to local
conditions, the averages across these large regions are quite consistent. The analysis is restricted
to large scale averages when drawing conclusions from the 108 km analysis for the 12 km
results.

Figure 2B-29 shows the predicted International contribution and some of its component
parts: Canada/Mexico, China, India, and global shipping. This analysis did not attempt to
quantify all International components separately, so the stacked bars generally account for only a
portion of the total. However, the global shipping component of international is an overestimate
as this sector includes some U.S. emissions. Global shipping includes O3 produced within the
U.S. Federal waters, which are also included in the USA contribution. As a result, the sum of
components overstates shipping contributions to the total International contribution, but
generally does not fully account for all components of the International contribution. The partial
accounting is most obvious in the Winter and Spring when large-scale transport is most
important. This suggests that during the summer, the selected components (China, India, Ships,
Canada, Mexico) are a larger fraction of total International contribution. In both the East and the
West, the International contribution peaks in Spring. The same seasonal signal can be seen for
each International component except for Canada/Mexico. As a result, areas where

March 2023

2B-40 External Review Draft v2 - Do Not Quote or Cite


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1	Canada/Mexico are more important will have a later peak of International than those influenced

2	by the long-range components (e.g., India, China). The 108 km results cannot resolve the border

3	well and will likely not fully capture the "near-border" effect.

4	Figure 2B-30 demonstrates the effect of International contribution on seasonality. Figure

5	2B-30 shows the West broken out into high-elevation, near-border, and Low/Interior sites. The

6	near-border areas have a larger Canada/Mexico component. The combination of long-range

7	sources and Canada/Mexico create a peak International contribution at near-border sites that is

8	one to two months later than at high-elevation or Low/Interior sites. Note that "near-border" sites

9	are not well resolved by the 108 km simulations.

10

	 C West 97W HEMIS All >0 ppb ฆฆ Natural	Res-Anth Mi Intl	USA

2016-01	2016-03	2016-05	2016-07	2016-09	2016-11	2017-01

12

— \

13	Average across all grid cells derived as C = — Cx

14	Figure 2B-28. Total predicted MDA8 O3 and contributions (see legend) over time in the

15	West (top), and all East (bottom) averaged over all grid cells and days in the

16	U.S.

17

March 2023

2B-41 External Review Draft v2 - Do Not Quote or Cite


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C West 97W HEMIS All >0 ppb

India

China

2

3

4

5

6

20.0

Ships

CN/MX

2016-03	2016-05	2016-07	2016-09	2016-11	2017-01

C East 97W HEMIS All >0 ppb ฆฆ India Hi China mm Ships ฆฆ CN/MX

2016-03

2016-05

2016-07

2016-09

2016-11

2017-01

	 \

Average across all grid cells derived as C = —z,xCx

Figure 2B-29. International contribution (black line) to predicted MDA8 O3 and

components (see legend) over time in the West (top), and all East (bottom)
averaged over all grid cells and days in the U.S.

March 2023

2B-42 External Review Draft v2 - Do Not Quote or Cite


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C West 97W HEMIS >lS00m >0 ppb

India

China

Ships

CN/MX

20.0 •
17.5 •

a 15.0
a
5



2016 05

2016-07

2016 09

2016-11

2017-01

C West 97W HEMIS MX/CAN < 100km >0 ppb

India

China

Ships

CN/MX

20.0



17.5 ฆ



n 15,0 •



ง



2 12 5'



5



I 10.0



<0



m



O 7.5



c



ซ



I 5.0-



2.5

t\ A J



2616-01

201603

2016-05

201607

2016-09

2016-11

2017-01

3

4

5

6

7

C West 97W HEMIS Low/Interior >0 ppb

India

China

Ships

CN/MX

316-01

2016 03

2016 05

2016 07

2016-09

2016-11

2017-01

1

Average across all grid cells derived as C = — Y,x cx

Figure 2B-30. International contribution (black line) to predicted MDA8 O3 and

components (see legend) over time averaged over all grid cells in the West at
high elevation (top), near-border sites (middle), and Low/Interior sites
(bottom).

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REFERENCES

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Guenther, AB, Jiang, X, Heald, CL, Sakulyanontvittaya, T, Duhl, T, Emmons, LK and Wang, X
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Henderson, BH, Dolwick, PD, Jang, CJ, Eyth, A, Vukovich, J, Mathur, R, Hogrefe, C, Pouliot,
G, Possiel, N, Timin, B and Appel, W (2019). Meteorological and Emission Sensitivity
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Fujiwara, M, Godin-Beekmann, S, Hall, TJ, Johnson, B, Joseph, E, Kivi, R, Kois, B,
Komala, N, Konig-Langlo, G, Laneve, G, Leblanc, T, Marchand, M, Minschwaner, KR,
Morris, G, Newchurch, MJ, Ogino, S-Y, Ohkawara, N, Piters, AJM, Posny, F, Querel, R,
Scheele, R, Schmidlin, FJ, Schnell, RC, Schrems, O, Selkirk, H, Shiotani, M,
Skrivankova, P, Stiibi, R, Taha, G, Tarasick, DW, Thompson, AM, Thouret, V, Tully,
MB, Van Malderen, R, Vomel, H, von der Gathen, P, Witte, JC and Yela, M (2017).
Validation of 10-year SAO OMI Ozone Profile (PROFOZ) product using ozonesonde
observations. Atmospheric Measurement Techniques 10(7): 2455-2475.

Hudman, RC, Moore, NE, Mebust, AK, Martin, RV, Russell, AR, Valin, LC and Cohen, RC
(2012). Steps towards a mechanistic model of global soil nitric oxide emissions:
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Environmental Protection Agency. Research Triangle Park, NC. U.S. EPA. EPA-420-R-
007. Available at: http://www.epa.gov/otaq/regs/nonroad/marine/ci/420r09007.pdf.

U.S. EPA (2018). Modeling Guidance for Demonstrating Attainment of Air Quality Goals for
Ozone, PM2.5, and Regional Haze. U.S. Environmental Protection Agency. Research
Triangle Park, NC. EPA 454/R-18-009. Available at:

https://www3.epa.gov/ttn/scram/guidance/guide/03-PM-RH-Modeling Guidance-
2018.pdf.

U.S. EPA (2019a). Technical Support Document: Preparation of Emissions Inventories for the
Version 7.1 2016 Hemispheric Emissions Modeling Platform. Office of Air Quality
Planning and Standards, U.S. Environmental Protection Agency. Research Triangle Park,
NC. Available at: https://www.epa.gov/sites/production/files/2019-
12/documents/2 016fe hemispheric tsd. pdf.

U.S. EPA (2019b). Techical Support Document: Preparation of Emissions Inventories for the
Version 7.1 2016 North American Emissions Modeling Platform. Office of Air Quality
Planning and Standards, U.S. Environmental Protection Agency. Research Triangle Park,
NC. Available at: https://www.epa.gov/sites/production/files/2019-
08/documents/2016v7.1 northamerican emismod tsd.pdf.

Wiedinmyer, C, Akagi, SK, Yokelson, RJ, Emmons, LK, Al-Saadi, JA, Orlando, JJ and Soja, AJ
(2011). The Fire INventory from NCAR (FINN): a high resolution global model to
estimate the emissions from open burning. Geosci Model Dev 4(3): 625-641.

Zhao, B, Zheng, H, Wang, S, Smith, KR, Lu, X, Aunan, K, Gu, Y, Wang, Y, Ding, D, Xing, J,
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decrease in PM2.5 exposure and premature mortality in China in 2005-2015. Proc Natl
Acad Sci USA 115(49): 12401-12406.

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APPENDIX 2C

FIGURES FROM 2020 OZONE ISA REGARDING
OZONE PRECURSOR EMISSIONS

TABLE OF FIGURES

Figure 2C-1. Relative ozone precursor emissions by U.S. sector	2C-2

Figure 2C-2. U.S. anthrogenic ozone precursor emission trends	2C-3

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This appendix presents two figures initially presented in the 2020 ISA (ISA section
1.3.1.1).

A) NOx (14,366 kTon/yr)

Commercial
Marine
Vessels
9%

On-Road non-Diesel
Light Duty Vehicles
17%

Non-Road	Biogenics -

Equipment- vegetation and Soil
Diesel	6%

8%

Locomotives
5%

Oil & Gas
Production
5%

Industrial
Boilers, ICEs-
Natural Gas
4%

Non-Road
Equipment
- Gasoline
2%

Residential-Natural
Gas Combustion
2%

B) CO (72,353 kTons/yr)



Biogenics-

Fuel Comb-

Vegetation

Residential-Wood

and Soil

3%

9%

C) VOCs (55,630 kTon/yr)

Vegetation and Soil (Biogenics)
69%

D) CH4 (26,298 kTon/yr)

Other

Petroleum Systems 9%

Non-Road
Equipment
- Gasoline
3%

Coal Mining
8%

ฃ
m

Agriculture
Animal
Husbandry
36%

On-Road non-
Diesel Light
Duty Vehicles
3%

Natural Gas
Systems
25%

Sources: A)-C) 2014 U.S. EPA National Emissions Inventory, Version 2 (U.S. EPA 2018) and; D) 2016 U.S. Inventory of Greenhouse Gases
(U.S. EPA 2016).

Figure 2C-1 Relative ozone precursor emissions by U.S. sector: A) nitrogen oxides (NOx).

B) carbon monoxide (CO). C) volatile organic compounds (VOCs). A) nitrogen
oxides (NOx). B) carbon monoxide (CO). C) volatile organic compounds (VOCs).
Biogenic VOCs, which can be important in the production of ozone in urban areas,
is included for context. D) methane (CH4).

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Highway Vehicles

2002 2005 2008 2011 2014 2017
Inventory Year

C) VOCs

Highway

Petroleum

Vehicles

& Related
Industries



Solvent

TS

m
t:

u
o
>

Wildfires

Off - Highway
Equipment

2002 2005 2008 2011 2014 2017
Inventory Year

B) CO

60000

C
E

LLI

o

M
w
c
p

D)

CH,

10000
8000
6000
4000
2000
0

Highway Vehicles

2002 2005 2008 20112014 2017
Inventory Year

Agriculture - Animal Husbandry
Natural Gas Systems





Landfills







Other



Coal Mining







Petroleum

2002 2005 20OS 2011 2014 201G
Year

Agriculture ฆ Animal Husbandry
Natural Gas Systems
•Landfills
Coal Mining
•Petroleum Systems
-Other

Legend: NOx. CO. VOCs
Petroleum & Related Industries 	Fuel Combustion - EGLls

ฆ	Other Industrial Processes

•	Storage and1 Transport
Waste Disposal & Recycling

•	Highway Vehicles

ฆ	Off-Highway Equipment

ฆ	Wildfires

Miscellaneous (w/o Wildfires)
Chemical & Allied Product MFG
Fuel Combustion - Industrial
Solvent

ฆ	Metals Processing

ฆ	Fuel Combustion ฆ Other

Sources: A i O t '.S. EPA National Emissions Trends (U.S. EPA 2019) and; D) the 2016 U.S. Inventory of Greenhouse Gases (U.S. EPA 2016).

Figure 2C-2 U.S. anthrogenic ozone precursor emission trends. Sources shown generate
90% or more of known emissions, excluding biogenic sources, for the
indicated precursor: A) nitrogen oxides (NOX), B) carbon monoxide (CO),
C) volatile organic compounds (VOCs), D) methane (CH4). Not shown: "Other"
NOX, CO, and VOC emissions categories that, together, account for less than
10% of total emissions for each precursor.

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1 REFERENCES

2	U.S. EPA (U.S. Environmental Protection Agency). (2016). Inventory of U.S. greenhouse gas

3	emissions and sinks: 1990-2016. (EPA 430-R-l8-003). Washington, D.C.

4	https://www.epa.gov/ghgemissions/inventory-us-greenhouse-gas-emissions-and-sinks

5	U.S. EPA (U.S. Environmental Protection Agency). (2018). 2014 National Emissions Inventory

6	(NEI) data (Version 2). Washington, DC. Retrieved from https://www.epa.gov/air-

7	emissions-inventories/2014-national-emissions-inventory-nei-data

8	U.S. EPA (U.S. Environmental Protection Agency). (2019). Air pollutant emissions trends data:

9	Criteria pollutants national tier 1 for 1970-2017. Retrieved from https://www.epa. gov/air-

10	emissions-inventories/air-pollutant-emissions-trends-data

11

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APPENDIX 3A

DETAILS ON CONTROLLED HUMAN EXPOSURE

STUDIES

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3A.1. OVERVIEW

This appendix gives further study-specific details of the range of respiratory effects (with
a particular focus on pulmonary function) in controlled human O3 exposures during exercise. In
these studies, the magnitude or severity of the respiratory effects induced by O3 was influenced
by ventilation rate, exposure duration, and exposure concentration. Because ventilation rates
increase with increased physical activity level, the exposure concentrations eliciting a significant
response in exercising subjects are lower than in subjects exposed while at rest (ISA, Appendix
3, section 3.1.4.2.1).

Table 3A-1 presents the O3 induced change in forced expiratory volume in one second
(FEVi) in 6.6 to 8-hour controlled human exposure studies (involving quasi-continuous or
intermittent exercise). The FEVi values presented are derived by subtracting the percent changes
in mean FEVi in response to filtered air exposure with exercise from the corresponding percent
changes in FEVi in response to O3 exposure with exercise. The controlled human exposure
studies presented involve exposures, with intermittent exercise, of duration 6 to 8 hours and
target exposure concentrations ranging from 0.04 to 0.16 ppm O3. Study design variables are also
described in Table 3A-1 and include mode of exposure (chamber or facemask), whether the
exposure concentration is constant or varying, exposure duration, exercise duration, and minute
ventilation rate normalized by body surface area during exercise (equivalent ventilation rate,1 or
EVR). Table 3A-2 provides further details of individual study design protocols and subject
characteristics for the studies summarized in Table 3A-1.

Table 3 A-3 summarizes studies of controlled human exposure to O3 for shorter durations
(1 to 3 hours) during continuous or intermittent exercise in contrast to similar exposure durations
at rest. The table presents reported effects related to pulmonary function, airway responsiveness,
respiratory symptoms, inflammation and/or host defense. Key study design variables are also
described and include exposure concentrations (ranging from 0.07 to 0.40 ppm O3 for studies
during exercise and 0.10 to 1.00 ppm for studies of subjects at rest), ventilation characteristics
during exercise and subject characteristics (sex and health status). This table was adapted from
Tables 7-1, 7-2 and 7-10 in the 1996 AQCD (U.S. EPA, 1996) and Table AX6-1 in the 2006
AQCD (U.S. EPA, 2006), with additional studies from Tables AX6-8 through AX6-13 in the
2006 AQCD, as well as more recent studies from the 2013 ISA (U.S. EPA, 2013) and 2020 ISA
(U.S. EPA, 2020).

1 The EVR is derived by dividing the minute ventilation rate (Ve in L/min) by body surface area in m2. Values
reflect the study mean EVR across the six exercise periods except for R11, as described below.

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1	Table 3A-1. Cross-study comparison of mean 03-induced FEVi decrements in 6.6 to 8-

2	hour controlled human exposure studies (that include periods of exercise).

Exposure Design0

RefD

EVRE
(L/min
-m2)

AFEViAB(%)

Average Target Ozone Concentration Durin

3 Exercise Periods (ppm)F

0.04

0.06

0.07

0.08

0.087

0.10

0.12

0.16

6.6 Hour
Chamber: Six 50-

min exercise
periods, each
followed by 10 min
rest; 35 min rest-
lunch after 3rd
hour.

[constant]

R1

20



-2.85*



-6.06*









R2

20



-1.71*



-3.46*









R3

20







-7.45*



-8.45*

-13.14*



R4

20







-6.17*









R5

19













-15.65*



R6

22













-14.92*



R7

20







-7.71*



-13.88*G





R8

20













-12.79*



[varying]

R1

20

-0.17

-2.78



-6.99*









R4

20







-5.77*









R9

20



-3.52

-6.14*

-7.82*

-12.23*







6.6 Hour with 6-
hour facemask
exposure: Six 60-

min periods each
consisting of 50
min of exercise
and 10 min of rest,
each followed by 3
min testing period
without exposure;
24 min lunch
without exposure
after 3rd hour.

[constant]

R4

20







-6.14*









R5

20

-1.24





-6.35*





-15.41*



R10

17













-11.28*



R10

20













-13.69*



R10

23













-15.88*



R11

18#













-11.00*



R11

2015-23













-13.68*





R4

20







-5.45*









[varying]

R11

1Q9-12







0.80









R11

*12 7-11













-3.50



R11

18#'x













-13.96*





R11

18#'Y













-10.31*



7.6 Hour
Chamber:

additional hour
onto 6.6 hr
protocol above.

[constant]

R12

15















-9.8*

R12As

14















-19.4*

8-Hour Chamber:

Eight 30-min
exercise periods,
each followed by
30 min rest

[constant]

R13

20













-8.13*



R14

20













-4.07*



1—

O
E

ฃ>

R13

20













-6.73*



R14

20













-5.62*



A Values reflect 03-induced percent change in FEVi at the group mean level, based on subtraction of the filtered air percent
change (post-pre exposure) from the O3 % change in FEVi. For studies R1, R2, R4, R5 and R9, AFEV1 values were calculated
from individual subject data provided by author. AFEV1 values for R3, R6, R12 were calculated from individual subject data in
publication; R7, R8, R10, R11, R13 and R14AFEVi values were derived from group mean response provided in publication.
Statistically significant findings are indicated by asterisk (*). A lack of statistical testing is indicted by (A). Unless indicated
otherwise, all studies were in healthy adults.

B In addition to AFEV1, some studies reported respiratory symptoms scores (e.g. cough and pain on deep inspiration). The
exposures with statistically significant increase in respiratory symptoms scores are indicated by orange shading ( ). Blue
shading ( ) indicates symptom scores that were not statistically significant from filtered air.

c Exposure designs with nonvarying exposure concentrations are indicated by [constant], while studies involving different O3
concentrations for different periods of exposures are indicated by [varying], [varying]1 denotes triangular wave exposure
concentrations (0.07 ppm->0.16 ppm->0.10 ppm). Further details on concentrations are provided in Table 3A-2.

D R1=Adams (2006b) and Brown et al. (2008); R2=Kim et al. (2011) and McDonnell et al., 2012; R3=Horstman et al. (1990);
R4=Adams (2003); R5=Adams (2002); R6=Folinsbee et al. (1988); R7=McDonnell et al. (1991); R8=Folinsbee et al. (1994);
R9=Schelegle et al. (2009). R10=Adams (2000); R11=Adams and Ollison (1997); R12=Horstman et al. (1995). R12As refers to
subjects with asthma; R13=Adams (2006a); R14=Hazucha et al. (1992).

EThe average mean EVR during exercise periods (calculated from study-reported information, see also Table 3A-2).

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* indicates value derived as average of reported mean hourly EVR (which included 50 minutes exercise and 10 minutes rest)
(although study protocol indicated EVR of 20 L/min-m2).

15 23 indicates hourly ventilation rate varied from 15-23 L/min-m2; value presented is the average mean EVR across the entire
experimental period (including both exercise and rest periods).

912 indicates hourly ventilation rate varied from 9-12 L/min-m2; value presented is average mean EVR across the entire
experimental period (including both exercise and rest periods).

7-11 indicates hourly ventilation rate varied from 7-11 L/min-m2; value presented is the average mean EVR across the entire
experimental period (including both exercise and rest periods).

x and Y refer to two different varying concentration protocols (Details on concentrations are provided in Table 3A-2.)

F Author's target for average O3 concentrations across the six exercise periods. This differs from the time-weighted average
concentration (based on target or measurements) for full exposure period. For example, as shown in Table 3A-2 in chamber
studies implementing a varying concentration protocol with targets of 0.03, 0.07, 0.10, 0.15, 0.08 and 0.05 ppm, the exercise
period average concentration is 0.08 ppm while the TWA for the full exposure period (based on targets) is 0.82 ppm due to the
0.6 hour lunchtime exposure to 0.10 ppm between periods 3 and 4.

G Results at 0.08 ppm for a subset of the study subjects that were exposed to 0.10 ppm.	

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1	Table 3A-2. Study-specific details of O3 exposure protocols for 6.6 to- 8-hour controlled

2	human exposure studies (that include periods of exercise).

RefA

EVRB
during
exercise

(L/min-m2)

Target Exposure Concentrationc(ppm)

Number of
SubjectsE

Avg.
Age
(Range)

Reference

Constant,

(6.6-hr TWA)B:

Varying (hourly concentrations),

(6.6-hr TWA)D

6.6-Hour Chamber Study: 50m+10m, 50m+10m, 50m+10m, 35m, 50m+10m, 50m+10m, 50m+10m
Face Mask Exposure (FM): 50m+10m, 3m, 50m+10m, 3m, 50m+10m, 24m, 50m+10m, 3m, 50m+10m
red=C>3 exposure, black = no exposure (i.e., no facemask) bold =exercise periods, non-bold=rest

3m, 50m+10m
periods

R1

20

0.06
0.08

0.04 (0.03, 0.04, 0.05, 0.05, 0.04, 0.03), (0.041)
0.06 (0.04, 0.07, 0.09, 0.07, 0.05, 0.04), (0.063)
0.08 (0.03, 0.07, 0.10, 0.15, 0.08, 0.05), (0.082)

30 (15M.15F)

23

(21-29)

Adams (2006b)
Brown et al. (2008)

R2

20

0.06
0.08



59 (27M.32F)
30 (15M.15F)

25

(19-35)

Kim et al. (2011)F

R3

20

0.08
0.10
0.12



22 (M)

25

(18-35)

Horstman et al.
(1990)

R4

20

0.08

0.08™, (0.073)

0.08(0.03, 0.07, 0.10, 0.15, 0.08, 0.05), (0.082)
0.08™ (0.03, 0.07, 0.10, 0.15, 0.08, 0.05), (0.073)

30

(15M.15F)

22

Adams (2003)

R5

19-20

0.04™, (0.036)
0.08™, (0.073)
0.12™, (0.109)
0.12



30

(15M.15F)

22

Adams (2002)

R6

22

0.12



10 (M)

25

(18-33)

Folinsbee et al.
(1988)

R7

20

0.08

0.08+0.10



38 (M)
10 (M)

25

(18-30)

McDonnell et al.
(1991)

R8

18, 20

0.12



17 (M)

25

Folinsbee et al.
(1994)

R9

20



0.06 (0.04, 0.07, 0.07, 0.09, 0.05, 0.04), (0.061p
0.07 (0.05, 0.07, 0.08, 0.09, 0.08, 0.05), (0.071p
0.08 (0.03, 0.07, 0.10, 0.15, 0.08, 0.05), (0.082)G
0.087 (0.04, 0.08, 0.09, 0.12, 0.10, 0.09), (0.087p

31 (15M.16F)

21

(18-25)

Schelegle et al.
(2009)

R10

17, 20, 23

0.12™, (0.109)



30(15M, 15F)

22

Adams (2000)

R11

109-12,

117-11.

18#, 2015-

23

0.08™, (0.073)
0.12™, (0.109)

0.12™ (0.07, 0.16, 0.10), (0.109)

0.12™ (0.115, 0.115, 0.130, 0.130, 0.115, 0.115),

(0.109)

12

(6M, 6F)

22

Adams and Ollison
(1997)

7.6-hour Chamber: Additional hour on 6.6 hr chamber protocol above.





R12

15-17

0.16



13 (NR)
17As(7M,10F)

25

(18-35)

Horstman et al.
(1995)

8-hour Chamber: Eight 30-min exercise periods, each followed by 30 min rest





R13

20

0.12

0.12 triangular* (0->0.24->0)

30 (15M.15F)

23

(21-29)

Adams (2006a)

R14

20

0.12

0.12 triangular* (0->0.24->0)

23 (M)

26

(20-35)

Hazucha et al.
(1992)

A R1-R14 matches study codes in Table 3A-1.

B EVR values are the study means during exercise periods except for R11, for which the EVRs are described below.

912 indicates the study protocol varied the hourly ventilation rate from 9-12 L/min-m2 and value reflects the average mean EVR
across the 6-hr experimental period which includes 50-min of exercise and 10 min of rest.

711 indicates the study protocol varied the hourly ventilation rate from 7-11 L/min-m2 and the value reflects the average mean
EVR across the 6-hr experimental period which includes 50-min of exercise and 10 min of rest.

March 2023

3A-5 External Review Draft v2 - Do Not Quote or Cite


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#The study protocol describes the target exercise EVR as 20 L/min-m2 but the actual mean EVR during exercise was not
reported and could not be calculated from study data presented. The value was derived from the average of the mean hourly
EVR which consisted of 50-min of exercise and 10-min of rest resulting in an EVR somewhat lower than the target of 20 L/min-
m2.

15 23 indicates the study varied the hourly ventilation rate from 15-23 L/min-m2; and the value reflects the average mean EVR
across the 6-hr experimental period which includes 50-min of exercise and 10 min of rest.
c Unless marked by "F" (for face mask exposure), exposures were conducted in exposure chamber.

D TWA (time weighted average) was calculated taking into account all exposure concentrations during experiment, including lunch
and rest periods. The TWA concentrations for facemask exercise protocols (whether the exposure concentration was constant or
varying) are lower than the target exposure concentrations because the subjects were not exposed to O3 during the 3 minute rest
and 24 minute lunch periods. Conversely, the TWA concentrations for varying exposure chamber protocols were higher than the
targeted average exposure because of the sequence of concentrations, and their relative magnitude during the 35 minute lunch
period.

E All subjects were healthy adults unless marked by "As" for subjects with asthma.M=male, F=female, NR=sex not reported.

F The 0.08 ppm data for the Kim study were reported in McDonnell et al., 2012.

* Triangular = steadily increasing concentration from 0 ppm to 0.24 ppm at hour 4, then back to 0 ppm.

G While Schelegle et al. (2009) reported measured O3 concentrations, the TWA target concentrations listed in the table for the four
protocols are 0.061, 0.071,0.082 and 0.087. Based on the O3 concentration measurements taken during the 6 exercise periods, the
average O3 concentrations for the four protocols are 0.063 ppm, 0.072 ppm, 0.081 ppm and 0.088 ppm, while the 6.6-hourTWA
concentrations are 0.063 ppm, 0.073 ppm, 0.083 ppm and 0.088 ppm	

March 2023

3A-6 External Review Draft v2 - Do Not Quote or Cite


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Table 3A-3. Summary of controlled human exposures to O3 for 1 to 3 hours during exercise or at rest.

03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics5

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

Adult Subjects During Moderate to Heavy Exercise

0.07

3 Ihir IE (6 x15 miin, EVR=15-17
II 'mini nf"

|~|NS

35M and 52IF

/rrrr -7^ ^ .p_\

PF: No significant change in IFIEV1
"Y: M" - -Miifkvnl du'ii',"

III': I'" -Miiikvnl

Arjomandi et all,, 2018

' ' "

0.08

1 hr CE (mean Ve-57 L/min)

Hซ

42M and 8F
(mean 26 yrs)

PF: No significant change in FEV1
SY: No significant change

Avol etal., 1984F

0.08

2 hr IE (4x15 min, Ve=68 L/min)

H

24M

(18-33 yrs)

PF: No significant change in FEV1
SY: No significant change

Linn et al., 1986;
1996 AQCD, Table 7-1

.pi

"ฆ In	II m iini" lii.i .-i II "II" .-i

jjJllid _ 1

I I"

illl'S-JIll J -.Ik,]

III': II'I I' ฆ n mini 1	-1- 1	•mi- -Hi	in		 !ฆ iK' ฆ in inil.'inni.'l"r,

i'_c|.ปjiU'_ IL"diVuuni Ii'loI uiiill-, ui 'jnh, cuni|pci'L.d lu Cunliiull,
significantly increased in nasal Club cells and glutathione after high-
temperature O3 relative to lower temper; control.



0.10

1 hr IE (2 x 15 min, VE=27 L/min)

AsM

12M and9F
(19-40 yrs)

PF/AR: No significant differences in FEV1 or FVC compared to FA and
no exacerbation of exercise-induced asthma in a postexposure
exercise challenge
SY: No significant change

Weymeretal., 1994;
1996 AQCD, Table 7-2

0.10

2 hr Mild IE

H

12M and 10F;
(mean 30 yrs)

PF: No significant change in FEV1

IF: Markers of exposure in exhaled breath condensate including
markers of inflammation (8-isoprostane, TBARS and LTB4), and
markers of oxidative stress (ROS-DNA interaction: 8-OHdG),
increased in a sub-set of NQ01 wildypes and GSTM1 null subjects

Corradi et al., 2002;
2006 AQCD, Table AX6-12

0.10

2 hr IE (4x15 min, VE=68 L/min)

H

24M

(18-33 yrs)

PF: No significant change in FEV1
SY: No significant change

Linn et al., 1986;
1996 AQCD, Table 7-1

0.10

2 hr IE (4x15 min at either Ve=30
L/min, Ve=50 L/min or Ve=70 L/min)

H

30M (three
groups of 10)
(19-28 yrs)

PF: No significant change in any of the three 10-male groups
separately exposed via three ventilation rates

Folinsbee etal., 1978;ฐ
1996 AQCD, p. 7-10

0.10

2 hr IE (4x14 min, VE=70 L/min)

HNS

20 M

(mean 25 yrs)

PF
AR
SY

No significant change
No significant change in sRAW
No significant change

Kulleet al., 1985;
1996 AQCD, Table 7-1

0.10

3 hr IE (6*15 min, IEVIR=25 L/min-m2)

|~|NS

15M and 9IF
(18-40 yrs)

IP IF
SY

No significant change
No significant change

IFrampton etal., 2015:
2020 ISA, p. 3-15, Table 3-4

March 2023

3A-7

External Review Draft v2 - Do Not Quote or Cite


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03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

0.12

45 min IE (Ve=40-46 L/min)
(two sequential 10 min exposures to
0.1 and 0.25 ppm SO2); +/- 4 wk pre-
treatment with antioxidant

As502

5M and 12F
(19- 38 yrs)

PF: i FEV1* with no significant differences due to O3 between
placebo and antioxidant supplement

AR: No significant differences due to O3 in placebo vs, antioxidant
pretreatment in bronchial hyperresponsiveness to 0.1 ppm SO2.

Trenga et al., 2001;
2006 AQCD, p. 6-67 and
Table AX6-7

0.12

1 hr CE (30 min warm up Ve=54
L/min, 30 min competitive Ve=120
L/min; overall mean Ve-87 L/min)

HAth

10M

(19-29 yrs)

PF: No significant change in pulmonary function compared to FA
SY: No significant symptoms

Schelegle and Adams, 1986;
1996 AQCD, p. 7-11, Table
7-1

0.12

1 hr CE (mean Ve=89 L/min)

HAth

15M and2F
(19-30 yrs)

PF: I FEV1J

AR: > 20% increase in histamine responsiveness in one subject
SY: Mild respiratory symptoms

Gong et al., 1986;

1996 AQCD, Tables 7-1 and

7-10:2013 ISA, p. 6-6

0.12

1.5 hr IE (3x15 min, VE=20 L/min)

AsA

|—|NAs

5M and 5F
4M and 4F
(18-41 yrs)

NL immediately and 24 hr after exposure
PF: No change in lung or nasal function.
IF: No change in PMN number

McBride et al., 1994;
2006 AQCD, Table AX6-12

0.12

3 hr IE (8*15 min, EVR=1S-17
l/min/iTi2)

HNS

35M and 52F
(55-70 yrs)

PF: Small statistically significant attenuation of exercise-related
increases FEV1 and FVC
SY: No significant change

if-:: tiiqnificant increase in PMN independent of 6STM1 pbenotype
and significant increase in plasma CC18 (marker of airway epithelial
injury) 4 hr and 22hr postexposure

Arjomandi et al., 2018
Frampton et al., 2017;
2020 ISA, p.3-30, Ta

0.12

2 hr IE (4x15 min, EVR=20 L/min-m2)

HNS

9M and 3F
(mean 28 yrs)

PF: No changes in FEV1 or FVC

IF: Increased percentage of vessels expressing P-selectin in bronchial
biopsies 1.5 hr postexposure; no change in BAL markers, PMNs or
expression of VCAM-1, E-selectin or ICAM-1 in vessel biopsies

Krishna et al., 1997;
2006 AQCD, Table AX6-12

0.12

2 hr IE (4x15 min, Ve=68 L/min)

H

24M

(18-33 yrs)

PF: No significant change in FEV1

SY: No significant change in respiratory symptoms

Linn et al., 1986;
1996 AQCD, Table 7-1

0.12

2.5 hr IE (4x15 min, VE=68 L/min)

H

22M

(18-30 yrs)

PF: | FVC*, j FEV1* and J, FEF25-75*
AR: No significant change in sRaw
SY: Increased respiratory symptoms

McDonnell et al., 1983;
1996 AQCD, p. 7-15, Table
7-1

0.12

2.5 hr IE (4x15 min, EVR=25 L/min-
m2)

H

30M and 31F
(18-35 yrs)

PF: i FEV1* compared with FA
AR: No significant change in sRaw
SY: No significant change

Seal et al., 1993;

1996 AQCD, p. 7-15, Table

7-1

0.125

3 hr IE (6x15 min, Ve=26 L/min)

H

AsM

10M and 11F
(mean 28 yrs)
5M and10F
(mean 30 yrs)

PF: No significant change in pulmonary function.

IF: Small but significant neutrophil increases in AsM subjects

Holzetal., 1999;

2006 AQCD, p. AX6-35 and

Table AX6-3

March 2023

3A-8

External Review Draft v2 - Do Not Quote or Cite


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03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

0.125

3 hr IE (4*15 min, Ve=30 L/min);
3 hr IE (4x15 min, VE=30 L/min) x 4
days; "challenged with allergen 20 hr
following the last exposure and
sputum collected 6-7 hr later

<

CO 	

< <

6M and 5F (20-
53 yrs)

16M and6F
(19-48 yrs)

PF: Incidence and magnitude of early-phase FEVi decrements to
allergen were significantly greater in Al subjects exposed for 4 days.
IF: Significant increase in sputum eosinophils in AsA and Al subjects
exposed for 4 days: increased sputum lymphocytes, mast cell
tryptase, histamine, and LDH only in AsA subjects exposed for 4 days.

Holzetal.,2002;
2006 AQCD, Tables AX6-3
and AX6-11

0.14

2 hr IE (4x15 min, Ve=68 L/min)

H

24M

(18-33 yrs)

PF: No significant change in FEVi

SY: No significant change in respiratory symptoms

Linnet al., 1986;
1996 AQCD, Table 7-1

0.15

2 hr IE (4x14 min, VE=70 L/min)

HNS

20 M

(mean 25 yrs)

PF: | FEVi*

AR: 6 subjects with >15% decrease in sGaw
SY: No significant change in respiratory symptoms

Kulleet al., 1985;
1996 AQCD, Table 7-1

0.16

1 hr CE (mean Ve =57 L/min)

HAt

42M and 8F
(mean 26 yrs)

PF: Small j FEVi*

SY: t in mild respiratory symptoms*

Avol et al., 1984;
1996 AQCD, Table 7-1

0.16

2 hr IE (4x15 min, Ve-68 L/min)

H

24M

(18-33 yrs)

PF: Small j FEVi*

SY: No significant change in respiratory symptoms

Linn et al., 1986; 1996
AQCD, p. 7-11 and Table 7-1

0.18

1 hr CE (30 min warm up Ve=54
L/min, 30 min competitive Ve=120
L/min; overall mean Ve=87 L/min)

HAt

10M

(19-29 yrs)

PF: i FVC* and j FEV1* compared to FA; j exercise time for
subjects unable to complete simulation
SY: | respiratory symptoms*

Schelegle and Adams, 1986;
1996 AQCD, p. 7-11, Table
7-1

0.18

2 hr IE (4x15 min, EVR=35 LVmin-m2)

Al

26M with
(18-30 yrs)

PF: | FVC*, | FEVi*, j FEF25-75*

AR: t sRaw* and increased reactivity to histamine*

SY: t respiratory symptoms*

McDonnell et al., 1987;
1996 AQCD, Table 7-2

0.18

2.5 hr IE (4x15 min, EVR=25L/min-
m2)

H

32M and 32F
(18-35 yrs)

PF: I FEVi* compared with FA

AR: | sRaw* compared with FA

SY: t respiratory symptoms* compared with FA

Seal et al., 1993;

1996 AQCD, p. 7-15, Table

7-1

0.18

2.5 hr IE (4x15 min, Ve=65 L/min)

H

20 M

(18-30 yrs)

PF: jFVC*, |FEVi*and|FEF25-75*
AR: No significant change in sRaw
SY: t respiratory symptoms*

McDonnell et al., 1983;
1996 AQCD, p. 7-15, Table
7-1

0.20

30 to 80 min CE (Ve=33 or 66 L/min)

H

8M

(22-46 yrs)

PF: O3 effective dose significantly related to pulmonary function
decrements (threshhold for significant responses > 0.2 ppm) and
exercise ventilatory pattern changes; O3 concentration accounted for
the majority of the pulmonary function variance

Adams et al., 1981;
1996 AQCD, Table 7-1

0.20

1 hr CE (Ve=80 L/min); 1 hr
competitive simulation (30 min at
Ve=52 L/min, 30 min at Ve=100
L/min; overall mean Ve =77.5 L/min)

HAt

10M

(19-31 yrs)

PF: i FVC*, i FEVi* and j FEF25-75* compared to FA with both
protocols; j Vt* and t fR* with CE
SY: | respiratory symptoms*

Adams and Schelegle, 1983;
1996 AQCD, Table 7-1

March 2023

3A-9

External Review Draft v2 - Do Not Quote or Cite


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03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

0.20

1 hr CE (Ve=89 L/min)

HAth

15M and 2F
(19-30 yrs)

PF: i VEmax*, i V02max*, j VTmax*, j work load*, j ride time*, j FVC*,
and i FEVi* compared with FA

AR: > 20% increase in histamine responsiveness in nine subjects
SY: t respiratory symptoms*

Gong etal., 1986;
1996 AQCD, Tables 7-1
and7-10

0.20

1hr CE (mean Ve=60 L/min);
2 exposures x 24 hr apart

HNS

15M

(mean 25 yrs)

PF: Consecutive days of exposure produced similar J, FVC* and J,
FEVi* on each day compared to FA

SY: Consecutive days of exposure produced similar | respiratory
symptoms*

Brookes etal., 1989;
2006 AQCD. Table AX6-9

0.20

2 hr IE (4x15 min, 2 x resting Ve)

HNS

12M and7F (21-
32 yrs)

AR: No change in sRaw to a 10-breath histamine (1.6%) aerosol
challenge after O3 exposure.

Dimeo et al., 1981;
2006 AQCD, Table AX6-11

0.20

2 hr IE (4x15 min, Ve=20 L/min)

AsA

4M and 5F
(21-42 yrs)

PF: J, FEVi*butnot FVC
AR: No change in sRaw

IF: 6 hr postexposure f PMNs* with no change in permeability
markers; 24 hr postexposure PMNs decreased while albumin, total
protein, myeloperoxidase and eosinophil cationic protein increased.

Newson et al., 2000;
2006 AQCD, Tables AX6-3,
AX6-13

0.20

2 hr IE (4x15 min, VE=30 L/min)

HNS

10Mand2F
(mean 28 yrs)

IF: Significant increase in PMNs and epithelial cells, IL-8, Gro-a,and
total protein in BAL fluid; % PMNs correlated positively with
chemokine levels; significant decrease in the CD4+/CD8+ ratio and
% of activated CD4+ and CD8+ T cells in BAL fluid.

Krishna etal., 1998
2006 AQCD, Table AX6-13

0.20

2 hr IE (4x15 min, EVR=20 LVmin-m2)

HNS

8M and 5F
(20-31 yrs)

PF: J,FVC*, | FEVi*, and j FEF25-75*

IF: Spirometry responses did not predict inflammatory responses;
increased adhesion molecule expression, submucosal mast cell
numbers and alterations in lining fluid redox status; increase in human
leukocyte antigen+ alveolar macrophages in BAL 1.5 hr postexposure.

Blomberg etal., 1999;
2006 AQCD, Tables AX6-1
and AX6-12

0.20

2 hr IE (4x15 min, EVR=20 L/min-m2)

H

10M and 12F
(mean 24 yrs)

PF: I FEVi* immediately postexposure but not significantly different
from baseline 2 hr later.

IF: Elevated CC16 levels remained high 6 hr postexposure but
returned to baseline by 18 hr postexposure. No correlation between
CC16 and FEVi decrement.

Blomberg et al., 2003;
2006 AQCD, Table AX6-1

0.20

2 hr IE (4x15 min, EVR=20 L/min-m2)
chronic inhaled corticosteroid

As

8M and 5F
(mean 33 yrs)

PF: 4FEV1* and J,FVC*

AR: Significant increase sRaw

IF: Significant increase in BAL neutrophils, but not eosinophils 18 hr
postexposure; significant increase in mast cells in bronchial biopsy

Stenforset al., 2010;
2013 ISA, p. 6-21

March 2023

3 A-10

External Review Draft v2 - Do Not Quote or Cite


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03a

(ppiTl)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Popc

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HP)

Reference
AQCD/ISA

0.20

2 hr IE (4x15 min, EVR=20 L7min-m2)

|—|NAs

AsM

6M and9F
(19-32 yrs);
9M and 6F
(21-48 yrs)

PF: |FEVi* (8%, HNAs; 3% AsM) and j FVC* in both groups with no
significant difference between HNAs and AsM
IF: Significant increase in PMN in both groups with no significant
difference between AsM and HNAs 6 hr postexposure; no relationship
between antioxidant levels and spirometric or cellular responses

Mudway et al., 2001;
Stenfors et al., 2002;
2006 AQCD, Table AX6-1

hr IE {4*15 min, EVR=20 L/min-m2

H

8IVI and bh
(19-31 yrs)
6M and 9F
(19-32 yrs)
16M and 15F
(19-32 yrs)

IF: Postexposure bronchoscopy was performed at 1.5 hr, 6 hr, and 1f
hr; significant correlations between lung PMNs and blood PMNs
postexposure; significant increase in PMN at 6 hr in bronchial wash
and BAL-fluid as well as in bronchial epithelium and submucosa
biopsies; 18 hr, PMN increase persisted in both bronchial wash and
BAL while PMN in biopsies tended slightly lower; significant decrease
in blood PMNs in subjects 1.5 hr postexposure compared to FA that
rebounded above FA levels at 6 hr and at 18 hr postexposure, there
was no difference in PMN levels when compared to FA

i P- 4-

0.20

2 hr IE (4x15 min, EVR=20 L/min-m2)

|—|NAs

AsM

6M and6F
(19-31 yrs)
9M and6F (21-
48 yrs)	

IF: Significantly higher baseline expression of IL-4 and IL-5 in
bronchial mucosal biopsies from AsM vs. HNAs subjects 6 hr
postexposure. Epithelial expression of IL-5, GM-CSF, ENA-78, and IL-
8 increased significantly in AsM vs. HNAs subjects.	

Bosson et al., 2003;
2006 AQCD, Table AX6-12

0.20

2 hr IE (4x15 min, EVR=20 L/min-m2)

HNS

8M and 5F
(20-31 yrs)

IF: No neutrophils in NL 1.5 hr postexposure. 30% depletion of uric
acid in NL during hr 2 of exposure with increase in plasma uric acid
levels. No depletion of ascorbic acid, reduced glutathione, or
extracellular superoxide dismutase.	

Mudway et al., 1999;
2006 AQCD, Table AX6-12

0.20

2 hr IE (4x14 min, Ve=70 L/min)

Hns

20 M

(mean 25 yrs)

PF: | FVC*, | FEW, j FEF25-75*, j IC* and j TLC*
AR: i sGaw

SY: t respiratory symptoms*	

Kulleet al., 1985;
1996 AQCD, Table 7-1

0 90

hr IE (6x15

:\/R=25 L/inin-

id 8F

PF:

SY:

, FE\



Frarnpton 1

Table

PF: I FVC*, I FEVi*, j FEF25-75*, and j MW* compared to FA
SY: t respiratory symptoms*	

0.21

1 hr CE (75% V02max)

HAth

6M and 1F
(18-27 yrs)

Folinsbee etal., 1984; 1996
AQCD, Table 7-1	

0.21

1 hr CE (Ve =80 L/min) followed by
maximal sprint (peak Ve >140 L/min)
Pre-treatment with albuterol or
placebo

HAth

14M and1F
(16-34 yrs)

PF: I FVC*, I FEV1*, J, FEF25-75*, and J,Ve™x in both treatment
groups. No difference in the effects of albuterol on exercise
performance vs. placebo.

AR: No significant differences in the effects of albuterol on airway
reactivity to histamine challenge vs placebo.	

Gong etal., 1988;
1996 AQCD, Table 7-1

March 2023

3 A-11

External Review Draft v2 - Do Not Quote or Cite


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03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

0.22

2.25 hr IE (4x15 min, 6-8xresting Ve)

H

83M and 55F
(mean 22 yrs)

PF: i FVC* and j FEVi*

AR: Increased airway responsiveness 1 day postexposure
IF: Increased epithelial permeability 1 day postexposure; airway
responsiveness and epithelial permeability 1 day postexposure did not
correlate with FEVi responses immediately following the O3 exposure

Que etal., 2011;
2013 ISA, p. 6-74

0.24

1 hr CE (mean Ve=57 L/min)

HAth

42M and 8F
(mean 26 yrs)

PF: | FEVi*

SY: t respiratory symptoms*

Avol etal., 1984;
1996 AQCD, Table 7-1

0.24

1 hr competitive simulation at mean
Ve=87 L/min; (30 min at Ve=54
L/min, 30 min at Ve=120 L/min)

HAth

10M

(19-29 yrs)

PF: i FVC*, i FEVi* and j FEF25-75* compared to FA; j exercise
time* for subjects unable to complete simulation
SY: | respiratory symptoms*

Schelegle and Adams, 1986;
1996 AQCD, p. 7-11, Table
7-1

0.24

1.5 hr IE (3*15 min, Ve=20 L/min)

AsA

|—|NAs

5M and 5F
4M and 4F
(18-41 yrs)

NL immediately and 24 hr after exposure

PF: No change in pulmonary or nasal function.

IF: Significant increase in PMNs (at both time points) and in epithelial

cells (immediately after exposure) only in AsA subjects

McBride etal., 1994;
2006 AQCD, Table AX6-12

0.24

2.5 hr IE (4x15 min, EVR=25L/min-
m2)

H

31M and 33F
(18-35 yrs)

PF: i FEVi* compared with FA

AR: t sRaw* compared with FA

SY: t respiratory symptoms* compared with FA

Seal etal., 1993; 1996
AQCD, p. 7-15, Table 7-1

0.24

2.5 hr IE (4x15 min, Ve=65 L/min)

H

21M

(18-30 yrs)

PF: | FVC*, | FEVi*, j FEF25-75* and j VT* and | f*
AR: | sRaw*

SY: t respiratory symptoms*

McDonnell etal., 1983;
1996 AQCD, Table 7-1

0.25

1 hr IE (2x15 min, Ve=27 L/min)

AsM

12M and9F
(19-40 yrs)

PF/AR: No significant differences in FEVi or FVC compared to FA and
no exacerbation of exercise-induced asthma in a postexposure
exercise challenge

Weymeretal., 1994; 2006
AQCD, Table AX6-11

0.25

1 hr CE (EVR=30 L/min-m2)

HNS

5M and 2F
(22-30 yrs)

PF: | FEVi*

IF: | substance P* and | 8-epi-PGF2a* in segmental washing but not
BAL fluid

Hazbun etal., 1993;
1996 AQCD, Table 7-1

0.25

1 hr CE (VE=30L/min);
Facemask exposure

HNS

32M and 28F
(mean 23 yrs)

PF: I FEVi*; sex differences in FEVi decrements not significant;
Uptake of O3 greater in M vs. F, but uptake not correlated with
significant differences in spirometric responses between M and F.

Ultman et al., 2004;
2006 AQCD, Table AX6-1

0.25

1 hr CE (mean Ve -63 L/min)

H

19M and7F
(mean 21 yrs)

PF: 1 FVC*, I FEVi*, j FEF25-75* and j MW* compared to FA

Folinsbeeetal., 1986; 1996
AQCD, Table 7-1

0.25

2 hr IE (2x30 min at Ve=39 L/min)
4 consecutive days

HNS

5M and 3F
25-31 yrs

PF: Maximal mean J, FEVi* and J, FVC* on day 2, negligible by day 4.
AR/IF: Significant small airway function depression accompanied by
significant PMN in BAL fluid one day following the end of O3 exposure;
PMN number in BAL fluid on day 5 were significantly higher following
O3, compared to air exposures

Frank etal., 2001;

AQCD 2006 Tables AX6-9,
AX6-12

March 2023

3A-12

External Review Draft v2 - Do Not Quote or Cite


-------
03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

0.25

2 hr IE (4x14 min, Ve=70 L/min)

HNS

20M

(mean 25 yrs)

PF: | FVC*, | FEV1*, j FEF25-75*, j IC* and j TLC*
AR: i SGaw*

SY: t respiratory symptoms*

Kulleet al., 1985;
1996 AQCD, Table 7-1

fi

: tir IF >r.* IF min. FvF'-1-! L'min-m-t

H

1-Sf I ,31m :F
1 iit-v'I 1 -l-h'pi

IF i nili'vni inci-'^^'i in ; 1 ir po^ Frpo- uro "-putum FMM compel

i\. -cf"i'luiii. [•inio^mj'v pK-fr-vltiMii FFiM
...piti,!! ,:,p|invt-l\ 1I1- pi-v..|-.-,iUF Iro^-Jnr



0.25

3 hr IE (6x15 min, VE=30 L/min)

AsA
Al

HNS

13M and 11F
(mean 26 yrs)
6M and6F
(mean 25 yrs)
5M and 5F
(mean 23 yrs)

PF: 03-induced FEV1* decrements of 12.5, 14.1, and 10.2% in AsM, Al
and HNS, respectively (group differences not significant)
AR: Methacholine responsiveness increased in AsA subjects; allergen
responsiveness increased significantly after O3 exposure in both AsA
and Al subjects; no change in FINS subjects; allergen or methacholine
response not correlated with each other or lung function

Jorresetal., 1996;
2006 AQCD, Table AX6-11

0.25

3 hr IE (6x15 min, Ve=30 L/min)
Challenged with allergen 20 hr
following the last exposure and
sputum collected 6-7 hr later

2

CO 	

< <

6M and 5F
(20-53 yrs);
16M and6F
(19-48 yrs)

PF/AR: Significantly greater mean early-phase allergen FEV1
response and number of >20% reductions in FEV1 in Al subjects
IF: Significant increase in sputum eosinophils (AsM and Al) and
lymphocytes, mast cell tryptase, histamine, and LDH (AsM only).

Holzetal.,2002;
2006 AQCD, Tables AX6-3
and AX6-11

0.25

3 hr IE (6x15 min, EVR=20 L/min-m?)
four O3 exposures: screening,
placebo, and two treatments (inhaled
or oral corticosteroids)

HNS

14M and4F
(mean 31.4 yrs)

PF: Postexposure spirometry not significantly different from baseline.
IF: Screening and placebo O3exposures caused > 9-fold increase in
sputum neutrophils relative to baseline levels; relative to placebo,
inhaled or oral corticosteroids significantly reduced neutrophil levels

Holzetal.,2005

2006 AQCD, p. AX6-123 and

Table AX6-13

'"."3

hi IF ft:"vIS min. FFFCf1 Lirivnvt

Fl

1 7 f\, 1 rill'"* |.]F

iy< 4?

(F/HD: Opuium ii-nlr-phiF, sputum CP i-!: ^IF •/ฆ-ฆll .v
>->"•1 iiv.iill,-fiO'it1 of 11.IB. ILii. II.F. LiFiP'j, w.l TlF'\ inspnli'iii

Hip-Ill-trill iylliflCOlill\ ; hi p'.'c(ฆ=ฆ .pvTl!!"'"-:



fi.jS

" hi IF "'115 min. Fy'R^y- I'miivm-t

H

! I F -I ll'Cl ;>F

''illKrll

IF" lii"i-,or-= in nouiiopliiF. ivuliopliii fl- n w! ix poHii-. bul i\'i 2-1 hi.



o t.

; hr IF i'c-'IS min, Ei,T'~L rniii-nyi

H

1 in .rn-j ;-f

Cj--!T \i" !

PF- | F>. C',,; iKi | FF',7

IF: PC 111 iiici^r-'v-j in ll>" Floud r hi ,-fM ily of"-hi0 po-un-
JlIU MlJIll" ,"j t > L\"'vlill-. - i III 1 lป- p'.'OUl"!



0.25

3 hr IE (6x15 min, Ve=26 L/min) and
repeated 1 week later

HNS

AsM

10M and 11F
(mean 28 yrs)
5M and10F
(mean 30 yrs)

PF/SY: Significant J, FVC* and J, FEV1 that tended to be greater in the
AsM; no significant group differences in symptoms or spirometry.
IF: Significant | neutrophils that did not differ between groups.

Holzetal., 1999; 2006
AQCD, p. AX6-35 and Table
AX6-3

March 2023

3A-13

External Review Draft v2 - Do Not Quote or Cite


-------
03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

0.27

2 hr IE (3x20 min, EVR=25 LVmin-m2)

AsA

12 - sex not
indicated
(18-37 yrs)

PF/SY: i FVC*, j FEV1* and j VC* and significant increase in
symptom scores 24 hr following allergen challenge compared to FA
IF: Percentage of eosinophils, but not neutrophils, in induced sputum
was higher 6 hr after O3 vs. FA exposure

Vagaggini etal., 2002;
AQCD2006 Table AX6-12

0.27

2 hr CE (EVR=25 LVmin-m2)

FA and to O3 exposures before and
after 4 wk of treatment with
budesonide

AsM

7M and7F
(20-50 yrs)

PF/SY: Significant J, FEV1 and symptom scores; no change in FEV1
decrements or symptom scores with budesonide
IF: Significant 03-induced increase in sputum PMN and IL-8 was
significantly reduced by budesonide 6 hr postexposure.

Vagaggini et al., 2001;
AQCD2006 Table AX6-13

0.27

2 hr IE (3x20 min, EVR=25 L/min-m2)
repeated 4 days after prednisone or
placebo

AsA

8M and 1F
(mean 25 yrs)

PF: Corticosteroid pretreatment did not prevent j FEV1 * vs placebo.
IF: Significant inflammatory response (PMN influx) was prevented by
corticosteroid pretreatment in induced sputum 6 hr postexposure.

Vagaggini et al., 2007;
2013 ISA, p. 6-78

0.30

30 to 80 min CE (Ve=33 or 66 L/min)

H

8M

(22-46 yrs)

PF: Significant pulmonary function decrements and exercise
ventilatory pattern changes; multiple regression analysis showed O3
effective dose is a better predictor of response than concentration, Ve,
or duration of exposure, and O3 concentration accounted for the
majority of the pulmonary function variance

Adams etal., 1981;
1996 AQCD, Table 7-1

0.30

1 hr CE (EVR=15 L/min-m2)

HNS

c
O

17M and 13F
(mean 25 yrs)
19IVI and 11F
(mean 24 yrs)

PF: i FEV1* was similar in both groups; based on exhaled CO2, only
smokers showed a reduction in dead space (-8.1 ฑ 1.2%) and an
increase in the alveolar slope

Bates etal., 2014;

2020 ISA, p. 3-18, Table 3-4

0.30

1 hr CE (Ve =60 L/min)

H

5M

PF: i FVC* and j FEV1* 1 hr postexposure
AR: t sRaw* 1 hr postexposure

IF: | PMNs* at 1 hr, 6 hr, and 24 hr postexposure compared with FA
in first aliquot "bronchial" sample (peaked at 6 hr); f PMNs* at 6 and
24 hr in pooled aliquots.

Schelegle et al., 1991;
1996 AQCD, Table 7-1

0.30

1 hr CE (Ve =60 L/min) or
2hr IE (Ve =45-47 L/min)

H

12M

(mean 24 yrs)

PF: I FEV1* was equivalent for both protocols
SY: Significant symptom scores only in CE protocol

McKittrick and Adams, 1995;
1996 AQCD, Table 7-1

0.30

2 hr CE (EVR=25 L/min-m2)

As

13M and 10F
(mean 33 yrs);

PF: 4% group mean FEV1 decrement; no baseline difference between
responders (8 subjects with >10% FEV1 decrements) and
nonresponders

IF: Significant correlation between changes in FEV1 and changes in
sputum neutrophils 6 hr postexposure compared to FA in responders;
significant increase in eosinophils in nonresponders only; NQ01
wildtype and GSTM1 null genotypes (6 subjects) not associated with
the changes in lung function or inflammatory responses

Vagaggini et al., 2010;
2013 ISA, p. 6-79-80

March 2023

3A-14

External Review Draft v2 - Do Not Quote or Cite


-------
03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

it 'Ti

2 lir IF 14min-rn
,m.-nd

ifr

MM r'll'-"! ?F
i'/i-.j'i

Ffi | FvF'rnd [ FE1.F rr.mporod lo FF; iy. ซ(gniFic?ni of
Fnip-1. -iui - > -i F" -liiiip'iph 'i ii iPnx li-on
fl- i 'iiilkoni -jn-i-rr- In F'FF 1 :>nd plo-miit'^'on Poi-: "!4 In
P-xlo i.n„- ,-i il-in o 1 Finifii -nt incr^T-^- in tPx- 'io,xm|rF n
moiF-,1- :-i Fi"p..'po'.'ni--,i .F.F ฆ



i" t i"i

F hi IE i -f"1 ic nil, F\T'_r? 1 'iiiiri rn'-t

FI

MT1 ni'i FF
< P-;'F \.'iM

F'F: 1 F1 'F 1.iiyJ i FEvF

IF: -Sigiiiiic.-rii- t-I.dPfi'diipF--Fp'ซ'Oi FF\F ond fi-.m; Pnilm -Proof
FFv; docr-Tu-nK in :-nhpeo ,.'ji1i P>oMI h.n nolTIIF-''.
- i':iniRc.."n( d'"v--" in PFj-1 Iirni>^-Ji.iK.h ond F4 hrpO'd-- po-iiia;
moloP >l0'miป' onol>.'d- c.f F-.^LF -. 4140I-c^.nclf (--1—;! fhrr 1 hi

(Of	IT" lofloeM .-.-idf Ii- -!' ll — S Olid oi J4 hi p-spoii^ iMI-X l-d



0.30

2 hr IE (4*15 min at either Ve=30
L/min, Ve=50 L/min or Ve=70 L/min)

H

30M (three
groups of 10)
(19-26 yrs)

PF: i FEV1* and J, FVC* at all ventilation rates; J, MW* only at
highest Ve. Note: additional exposure at 0.50 ppb resulted in J, FEV1*,
1 FVC*, i MW*, i IC*, and J, TLC* at all ventilation rates.

Folinsbee etal., 1978G
1996 AQCDp. 7-10

0.30

2.5 hr IE (4x15 min, Ve=65 L/min)

H

20 M

(18-30 yrs)

PF: | FVC*, | FEW, j FEF25-75* and |VT*; and | fR*
AR: | sRaw*

SY: t respiratory symptoms*

McDonnell etal., 1983;
1996 AQCD, p. 7-15, Table
7-1

0.30

2.5 hr IE (4x15 min, EVR=25L/min-
m2)

H

30M and 30F
(18-35 yrs)

PF: i FEV1* compared with FA

AR: t sRaw* compared with FA

SY: t respiratory symptoms* compared with FA

Seal etal., 1993; 1996
AQCD, p. 7-15, Table 7-1

fi "-[ ซ

Jin It '4f|F min. Fi P-FFLmiii-nvt
2 > oi rot t'tiฆ dov".

FI

MM ."nd 4F

F'FcMim

PF: f.;.fi--'Ciji:P'"' 'F;vc or ro ~opoonp' PHillftd in 'jFof-f | FEvF
Hi-sii iI"m d-'C.i"ซiriionl lmirio.il,• (_|v (ho lir-l d.-o 'if r<-, 0 poowo



•i i ซ

? In IF if- mill. EFF'-?F L'min-ifH
foi I' ciiy-

II

1 i FI ond -1F

} mi vr'p

FF.1F: [ FF-V podtnoh ton">doiod oiih nonific.-.ni d-xjor-o in fho
[nff.Tiiinofoi i' ซx'ioI ii i-^- IFI 'o in ili>" Flo-xl



r., )

: In" IF i mill. F\ P: f'F 1 .'min in'-)

v

Fr-F1 ond ~-4F

llil'.Ti !! i VI -i

Ff iFFc LiI'jnilP'iF >"4Cv-iri^'ucod FFV, i^p-,.n=o i[lU,-.prr.j|,
d- .oit„ • oin-i hr ~Min— FFt-1 01 id I..--I- .;4 inlvlซd r-jid ii-oiin'-ni:
FF'.: mop. 'ii'-o oo" unroloL-d lo in-iliodioliii^ i-^-poir i..--ii-">



0.32

1 hr CE (mean Ve =57 L/min)

HAt

42M and 8F
(mean 26 yrs)

PF: | FEV1*

SY: t respiratory symptoms*

Avol etal., 1984;
1996 AQCD, Table 7-1

0.33

2 hr IE (4x15 min, bicycle at 600
kpm/min)

HNS

9M

(mean 27 yrs)

PF: J, FVC*; post FA, normal gradient in ventilation which increased
from apex to the base of the lung; post-03, ventilation shifted away
from the lower-lung into middle and upper-lung regions; post-03
increase in ventilation to mid-lung region correlated with decrease in
midmaximal expiratory flow (r = 0.76, p < 0.05).

Foster etal., 1993;
2006 AQCD, Table AX6-1

March 2023

3A-15

External Review Draft v2 - Do Not Quote or Cite


-------
03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

0.35

50 min CE (Ve=60 L/min)
repeat exposures over 4 days

HNS

8M

(19-26 yrs)
(some known
03-sensitive)

PF: i FVC*, i FEVi*, j FEF25-75* and J,Vt* compared to FA on days
1-4; largest jFEVi* on day 2; j exercise performance time* on day 1
significantly less after the 4th day; | fR*, and j V02max* on day 1,
recovered by day 4.

Foxcroft and Adams, 1986;
2006 AQCD, Tables AX6-9,
AX6-10

0.35

1 hr CE (VE=80L/min) or 1 hr
competitive simulation (30 min at
Ve=52 L/min, 30 at min Ve=100
L/min; overall mean Ve =77.5 L/min)

HAt

10M

(19-31 yrs)

PF: I FVC*, I FEV1* and J, FEF25-75* compared to FA with both
protocols; J, Vt* and | fR* with CE; reduced exercise time in 3 subjects
who were unable to complete CE and competitive protocols
SY: | respiratory symptoms*

Adams and Schelegle, 1983;
1996 AQCD, Table 7-1

0.35

1 hr CE (mean Ve=60 L/min)
Pretreatment: no drug, placebo, or
indomethacin

H

14M

(18-34 yrs)

PF: i FVC* and J, FEV1*; indomethacin significantly attenuated
decreases in FVC and FEV1 compared to no drug and placebo;
AR: | sRaw* not affected by indomethacin

Schelegle et al., 1987;
1996 AQCD, Table 7-1

0.35/
0.20

1	hr CE (mean Ve=60 L/min);

2	exposures 24 hr apart

HNS

15M

(mean 25 yrs)

PF: i FVC*, i FEV1* responses on each day compared to FA with an

increased response to 0.20 ppm on the second day

SY: Consecutive exposures produced similar t respiratory symptoms*

Brookes et al., 1989;
2006 AQCD. Table AX6-9

0.35

1	hr CE (mean Ve=60 L/min);

2	exposures 24 hr apart

HNS

15M

(mean 25 yrs)

PF: Significant J, FVC*, J, FEV1* responses on each day compared to
FA with an increased response to 0.35 ppm on the second day
SY: Signifciant symptom responses were worse after second day of
exposure to 0.35 ppm

Brookes et al., 1989;
2006 AQCD. Table AX6-9

0.35

1 hr CE (Ve=60 L/min);

two exposures for each subject

separated by 24, 48, 72, or 120 hr

HNS

40M, 4 groups of
10

(19-35 yrs)

PF/AR: I FVC*, J, FEV1*, J, FEF25-75* and | sRaw* for all exposures.
Enhanced FEV1* response after 24 hr repeat exposure and a trend
toward an enhanced response at 48 hr. No differences between
responses to exposures separated by 72 or 120 hr. Similar trends
observed for sRaw.

Schonfeld et al., 1989;
2006 AQCD. Table AX6-9

0.35

70 min IE (Ve=40 L/min)

HNS

18F

(19-28 yrs)

PF: | FVC*, | FEV1*, j FEF25-75* and j MW* immediately
postexposure.

AR: t sRaw* at 1 hr and 18 hr postexposure.

Folinsbee and Hazucha,
1989; 2006 AQCD, Table
AX6-11

0.35

1.25 hr IE (2x30 min, VE=40 L/min)

H

19F

(mean 22 yrs)

PF: I FVC*, I FEVi*and J, FEF25-75* 1 hr postexposure; Persistence
of small effects on both inspired and expired spirometry past 18 hr.
AR: t sRaw* 1 hr and 18 hr postexposure but not 42 hr postexposure.

Folinsbee and Hazucha,
2000;

2006 AQCD, Table AX6-6

0.35

2.2 hr IE (2 x 30 min, Ve=50 L/min;
final 10 min rest)

HNS

15M

(mean 25 yrs)

PF: i FVC* and j FEV1*; pronounced slow phase in multi-breath
nitrogen washouts post O3 exposure; washout delays not related to
changes in ventilatory pattern or lung volume at FRC.

Foster et al., 1997;
2006 AQCD, Table AX6-1

0.37

2 hr IE (4x15 min, Ve=2.5 x rest)

H

20M and 8F
(19-29 yrs)

PF: I FEF25* and J, FEF50* compared to FA

Note: additional exposure at 0.50 and 0.75 ppb resulted in j FVC*, J,

FEV1*, i FEF25* and 1 FEF50* compared to FA

Silverman et al., 1976;
1996 AQCD, Table 7-1

March 2023

3A-16

External Review Draft v2 - Do Not Quote or Cite


-------
03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

0.40

1 hr IE (2.x 15 min, VE=27 L/min)

AsM

6M and6F
(19-40 yrs)

PF: i FEVi* but no exacerbation of exercise-induced asthma in a
postexposure exercise challenge

SY: Significant increase in respiratory symptoms regardless of
exercise induced asthma status (7 subjects)

Weymeretal., 1994;
2006 AQCD, Table AX6-11

0.40

1 hr CE (EVR=20 LVmin-m?)

H

22 M

(18-35 yrs)

PF: | FVC*, | FEVi*, j FEWFVC*, and j FEF25-75; half-width of an
expired aerosol bolus was significantly increased, suggesting an O3-
induced change in small airway function.

Keefe etal., 1991;
1996 AQCD, Table 7-1

0.40

1 hr CE (EVR=20 LVmin-m2)

H

20 M

(18-35 yrs)

PF: 25% i Vt and 9% j O3 uptake efficiency in the lower respiratory
tract

Gerrity etal., 1994;
1996 AQCD, Table 7-1

0.40

1 hr CE (EVR=30 L/min-m?)

HNS

4 subjects (sex
and age not
indicated)

IF: Apoptotic cells in BAL fluid 6 hr postexposure

HD: Alveolar macrophages from BAL fluid showed the presence of 4-

HNE, protein adduct, 72-kD heat shock protein and ferritin.

Hamilton etal., 1998;
2006 AQCD, Table AX6-12

0.40

2 hr IE (4*15 min, cycle ergometry:
100Wfor M and 83Wfor F)

HNS

7M and 3F
(23-41 yrs)

AR: Increase in airway responsiveness to methacholine challenge
IF: Increase in percentage of PMN and PGF2a; increased TBX2, and
PGE2 concentrations in BAL fluid 3 hr postexposure vs FA

Seltzer etal., 1986;

1996 AQCD, Tables 7-1,7-

11

0.40

2	hr IE (4x15 min, VE=30 L/min)

3	day indomethacin pretreatment

|—| NAs

AsM

5M and 4F
6M and7F
(18-28 yrs)

PF: i FVC* and j FEVi* in both groups; significant reductions in mid-
flows in both groups but were greater in AsM vs. HNAs subjects;
indomethacin pretreatment attenuated J, FVC* and J, FEVi*
responses to O3 in HNAs but not AsM subjects.

Alexis et al., 2000;

2006 AQCD, Table AX6-1,

AX6-13

0.40

2 hr IE (4x15 min, VE=30-40 L/min)

|—|GSTM
+

|—|GSTM

6M and13F
9M and7F
(mean 24 yrs)

PF: i FVC* and j FEVi* from baseline across groups; no difference
in lung function response between groups
IF: | PMN* and increased expression of HLA-DR on airway
macrophages and dendritic cells in GSTM1- subjects 24 hr
postexposure; decreased macrophages in GSTM1-sufficient subjects
4-24 hr postexposure. Note: no FA control

Alexis et al., 2009;
2013 ISA, p. 6-80, p. 6-125

0.40

2 hr IE (4x15 min, VE=30-40 L/min)

HNS

4M and 5F
(21-30 yrs)

IF/HD: Significant increase in sputum neutrophils; activation of
monocytes and upregulation of cell surface molecules associated with
antigen presentation (HLA-DR and CD86)

Lay et al., 2007;
2013 ISA, p. 5-44

0.40

2 hr IE (4x15 min, Ve=30-40 L/min)

|-| NAs

AINAs

AsA

14M and 20F
[mean 24 yirs)
7U and 7IF
[mean 25 yirs)
7U and10F
[mean 24 yirs)

IF/HD" Enhanced nflsiTirnatory response n As^* with Qrester numbers
of neutrophils, higher levels of cytokines (IL-6, IL-8, IL-18, and INF-
a) and greater macrophage cell-surface expression of TLR4 and IglE
receptors in induced sputum compared with IHNAs; increase
Ihyalluironan in AIINAs and AsA compared with IHNAs
Note: no FA control

Hernandez etal., 2010;
Hernandez etal., 2012;
2013 ISA, p. 6-130, p. 8-13:
2020 ISA, p. 3-29 p. 3-52,
Table 3-20

0.40

2 hr IE (4x15 min, VE=40 L/min);
Mouthpiece exposure

H

5M and 5F
(mean 30 yrs)

IF: Significant increase in PMNs and decrease in macrophages in
sputum 4 hr postexposure; IL-6, IL-8, and myeloperoxidase increased;
possible relationship of IL-8 and PMN levels.

Fahy etal., 1995;
2006 AQCD, Table AX6-12

March 2023

3A-17

External Review Draft v2 - Do Not Quote or Cite


-------
03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

0.40

2 hr IE (4x15 min, EVR=18 LVmin-m2)
Postexposure, HWR treated with
naxloxone or saline and HSR treated
with sufentanil or saline

|—| WR

HSR

7M and13F
21M and 21F
(20-59 yrs)

PF/SY: i spirometric lung function* across groups, young adults (<35
yrs) significantly more responsive that older individuals (>35 yrs).
Sufentanil, a narcotic analgesic, largely abolished symptom
responses and improved FEVi in strong responders. Naloxone, an
opioid antagonist, did not affect O3 effects in weak responders.

Passannanteetal., 1998;
2006 AQCD, Table AX6-13

0.40

2 hr IE (4x15 min, EVR=20 L/min-m2)

|—| NAs

AsA

5M and 1F
(mean 29 yrs)
6M

(mean 24 yrs)

PF: Similar J, FEV1* in both groups

AR: Maximal FEV1 response to methacholine increased similarly in

both groups 12 hr postexposure

IF: Significant increase in PMN in both groups

Hiltermann etal., 1995;
2006 AQCD, Table AX6-3

0.40

2 hr IE (4x15 min, EVR=20 LVmin-m2)

AsM

1M and 5F
(18-27 yrs)

PF: | FEV1*

AR: Increased airway responsiveness to methacholine 16 hr
postexposure; no effect of proteinase inhibitor (rALP)

Hiltermann etal., 1998;
2006 AQCD, Table AX6-12

0.40

2 hr IE (4x15 min, EVR=20 LVmin-m2)

As

10M and 6F
(19-35 yrs)

IF: Levels of eosinophil cationic protein, IL-8 and percentage
eosinophils highly correlated in sputum and BAL 16 hr postexposure.

Hiltermann etal., 1999;
2006 AQCD, Table AX6-12

0.40

2 hr IE (4x15 min, EVR=20 L/min-m2)
Apocynin or placebo

AsM

1Mand6F
(19-26 yrs)

AR/IF: Increased bronchial responsiveness to methacholine 16 hr
postexposure; inhaled apocynin (an inhibitor of NADPH oxidase
present in inflammatory cells) treatment significantly reduced O3-
induced airway responsiveness

Peters etal., 2001;
2006 AQCD, Table AX6-11,

0.40

2 hr IE (4x15 min, EVR=20 LVmin-m2)

HNS
HNS

Placebo: 15M
and 1F

Antioxidant: 13M
and 2F
(mean 27 yrs)

AR: i FVC*, and j FEV1* in both groups

IF: no difference in PMNs and IL-6 levels in BAL fluid 1 hr

postexposure between treatment groups.

Sametetal., 2001; Steck-
Scottet al., 2004;
2006 AQCD, Tables AX6-1,
AX6-13

0.40

2 hr IE (4x15 min, VE=25 IL/min)

||-|VVt

Ob

19F
19F

(18-35 yrs)

PF: l FVC* and J, FIEV1* in both groups; J, FVC* was greater in obese
women than in normal-weight women.

AR/IF: Increase in airway responsiveness oir increase in PMN after O3
exposure did not differ between normal-weight and obese women.
SY: Symptoms in response to expc not differ between groups

Bennett etal., 2016;
2020 ISA, p. 3-57, p. 3-59,
Tables 3-4, 3-8, 3-9, 3-31

0.40

2 hr IE (4x20 min of mild-moderate
exercise)

2 wk pretreatment with budesonide or
placebo

|—|NAs

6M and9F
(mean 31 yrs)

PF:j FVC* and J, FEV1* immediately postexposure; FVC and FEV1

decrements recovered 4 hr postexposure;

AR: Small increased bronchial reactivity to methacholine

IF: Increased PMNs and myeloperoxidase in 4 hr postexposure

sputum; no protection from inhaled corticosteroid, budesonide.

Nightingale et al., 2000;
2006 AQCD, Table AX6-13

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03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

0.40

2 hr IE (4*20 min, 50W cycle
ergometry, 10 min rest)

2 wk pretreatment with budesonide or
placebo

HNS

4M and 5F
(mean 30 yrs)

PF: Placebo-control: Immediately postexposure significant { FVC and
FEVi relative to pre-exposure values; 3 hr postexposure FVC and
FEVi recovered to preexposure values.

IF: Significant increases in 8-isoprostane at 4 hr postexposure;
Budesonide for 2 wk prior to exposure did not affect responses.

Montuschi etal., 2002;
2006 AQCD, Table AX6-1

0.40

: (4x15 min, Ve=S0~7S IL/min)

|-| N As

A|| N As

AsA

SIM and 8IF
4M and 11F
SIM and 8IF
(21-35 yrs)

IPIFflllF:: IFIEVi responses to O3 not differentiated by asthma; pirecent
predicted IFIEVi both before and after O3 exposure did not differ
between inflammatory irespondeirs (>10% increase in PIMN) and
nonirespondeirs

Fry etal.. 2012;

2020 ISA. p. 3-29, p. 3-36,
Table 3-17

0.40

2 hr IE (4x15 min, Ve=50-75 L/min)
Pretreatment: saline or atropine

HNS

8M

(18-27yrs)

PF: | FVC*, | FEVi*, |Vf\ and j TLC*; and | fe*. Atropine

pretreatment attenuated FEVi and FEF25-75 response.

AR: t sRaw*; Atropine pretreatment abolished increase in sRaw

Beckett etal., 1985;
1996 AQCD, Table 7-1

0.40

2 hr IE (4x15 min, Ve=53-55 L/min)

|—| NAs

AsM

4M and 5F
4M and 5F
(18-34 yrs)

PF: i FVC*, i FEVi*, and j FEF25-75 in both groups with a significantly
greater percent j in As compared to HNAs subjects
AR: t sRaw* in As; airway responsiveness (methacholine challenge)
was not statistically different between HNAs and AsM subjects

Kreitetal., 1989;
2006 AQCD, Table AX6-11

0.40

2 hr IE (4x15 min, EVR=30 L/min-m?)
4 day pretreatment with indomethacin
or placebo

HNS

13M

(18-31 yrs)

PF: Indomethacin pretreatment resulted in a significantly smaller FVC
and FEVi decrements than with O3 alone
AR: airway hyperresponsiveness was not significantly affected by
indomethacin pretreatment.

Ying etal., 1990;
1996 AQCD, Table 7-1

0.40

2 hr IE (4x15 min, Ve=66 L/min)

HNS

8M

(18-35 yrs)

IF: BAL fluid at 1 hr postexposure vs. 18 hr postexposure. At 1 hr,
PMN's, total protein, LDH, a1-antitrypsin, fibronectin, PGE2,
thromboxane B2, C3a, tissue factor, and clotting factor VII were
increased; IL-6 and PGE2 were higher after 1 hr than 18 hr; fibronectin
and tissue plasminogen activator higher after 18 hr. No time
differences for PMN and protein.

Devlin et al., 1996;
2006 AQCD, Table AX6-12

0.40

2 hr IE (4x15 min, VE=70 L/min);

H

11M

(18-35 yrs)

IF/HD: Macrophages 18 hr postexposure had changes in the rate of
synthesis of 123 different proteins as assayed by computerized
densitometry of two-dimensional gel protein profiles

Devlin and Koren, 1990;
2006 AQCD, Table AX6-12

0.40

2 hr IE (4x15 min, VE=70 L/min);

H

11M

(18-35 yrs)

IF/HD: BAL fluid 18 hr postexposure contained increased levels of the
coagulation factors, tissue factor, and factor VII; macrophages in the
BAL fluid had elevated tissue factor mRNA

McGee etal., 1990;
2006 AQCD, Table AX6-12

0.40

2 hr IE (4x15 min, VE=70 L/min);

H

11M

(18-35 yrs)

IF: NL done immediately before, immediately after, and 22 hr after
exposure; increased PMNs at both postexposure times; increased
levels of tryptase (marker of mast cell degranulation) immediately
postexposure; increased levels of albumin 22 hr postexposure.

Graham and Koren, 1990;
Koren etal., 1990;
2006 AQCD, Table AX6-12

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03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

0.40

2 hr IE (4x15 min, EVR=35 LVmin-m2)

H

11M

(18-35 yrs)

PF/IF: Significant increase in PMNs, total protein, albumin, IgG, PGE2,
plasminogen activator, neutrophil elastase complement C3a, and
fibronectin; no correlation between pulmonary function and
inflammatory endpoints in BAL fluid 18 hr postexposure
HD: decrease in percentage of macrophages compared to FA

Koren etal., 1989a;

Koren etal., 1989b;
1996 AQCD, Table 7-1;
2006 AQCD, Table AX6-12

0.40

2 hr IE (4x15 min, EVR=35 L/min-m2)

H

10M

(18-35 yrs)

PF/IF: Increased PMN, protein, PGE2, LDH, TXB2, IL-6 a-1 anti-
trypsin, and tissue factor in BAL fluid 1 hr postexposure compared to
18 hr; fibronectin and urokinase-type plasminogen activator higher 18
hr postexposure than 1 hr

HD: Decreased phagocytosis of yeast by alveolar macrophages.

Koren etal., 1991;
1996 AQCD, Table 7-1;
2006 AQCD, Table AX6-12

0.40

2 hr IE (4x15 min, EVR=35 LVmin-m2)

H

8M

(20-30 yrs)

PF: | FVC*

AR: | SRaw*

IF: Significantly increased clearance of 99mTc-DTPA from the lung
indicating epithelial damage, and changes in permeability.

Kehrl etal., 1987;
2006 AQCD, Table AX6-13

0.40

2.5 hr IE (4x15 min, EVR=25L/min-
m2)

H

30M and 30F
(18-35 yrs)

PF: i FEV1* compared with FA

AR: t sRaw* compared with FA

SY: t Respiratory symptoms* compared with FA

Seal etal., 1993; 1996
AQCD, p. 7-15, Table 7-1

0.40

2.5 hr IE (4x15 min at Ve=64 L/min)

H

29 M

(18-30 yrs)

PF: | FVC*, | FEV1*, j FEF25-75*, |VT* and | f*
AR: | sRaw*

SY: t Respiratory symptoms*

McDonnell etal., 1983;
1996 AQCD, p. 7-15, Table
7-1

0.40

2 Hr IE (4x15 min, 2 x resting Ve)
2 Hr IE (4x15 min, 2 x resting Ve) x 3
days

HNS

12M and7F
(21-32 yrs)

AR: Significant increase in histamine airway responsiveness with
progressive adaptation of the effect; after day 3 histmine
responsiveness was not different from sham exposures

Dimeoetal., 1981;
2006 AQCD, Table AX6-11

0.40

IE (2x15 min, Ve=40 L/min-m2)
2 h/day for 5 days,

2 h either 10 or 20 days later

HNS

16M

(18-35 yrs)

PF: i FEV1* at each time point; FEV1 decrement was greatest on day
2 and was significantly attenuated by days 4 and 5.

IF: BAL immediately after day 5 of exposure and again after exposure
10 or 20 days later. Most markers of inflammation (PMNs, IL-6, PGE2,
fibronectin) showed complete attenuation; markers of damage (LDH,
IL-8, protein, 1-antitrypsin, elastase) did not. Reversal of attenuation
was not complete for some markers, even after 20 days.

Devlin et al., 1997;
2006 AQCD, Tables AX6-9,
and AX 6-12

0.40

3 hr/day (2 hr resting followed by 1 hr
CE at 4-5 resting Ve ) for 5 days,

HNS

13M and 11F
(19-46 yrs)

AR: Enhanced airway response to methacholine after the first 3 days
which normalized by day 5

Kulleetal., 1982;
1996 AQCD, Table 7-10

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03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

0.40

3 hr/day for 5 days: IE (6*15 min
mild-moderate exercise, Ve=32
L/min)

AsM

8M and 2F
(mean 31 yrs)

PF/SY: Significant { FEV1 and increase in symptom response on O3
exposure days 1 and 2 that diminished with continued exposure;
tolerance partially lost 4 and 7 days postexposure
AR: bronchial reactivity to methacholine peaked after O3 exposure on
day 1, but remained elevated with continued exposure

Gong etal., 1997;
2006 AQCD, Table AX6-11

Children During Moderate Exercise

0.12

2.5 hr IE (4x15 min, EVR=35 L/min-
m2)

H

23 M
(8-11 yrs)

PF: i FEV1* compared with clean air which persisted for 16-20 hr
SY: No significant increase in severity of respiratory symptoms

McDonnell etal. (1985);
2006 AQCD

Adult Subjects at Rest

0.10

2 hr

H

10M

(18-28 yrs)

PF: No significant change in pulmonary function

Folinsbee etal., 1978;
1996 AQCD, p. 7-10

0.10

2 hr

HNS

13M and1F
(mean 24 yrs)

AR: No increased airway responsiveness to methacholine
immediately after exposure.

Konig etal., 1980;
1996 AQCD, Table 7-10

0.12

1 hr

Air-antigen/03-antigen

AsA

4M and 3F
(21-64 yrs)

PF: No change in baseline pulmonary function.

AR: Increased allergen-specific airway responsiveness to inhaled

ragweed or grass after O3 exposure compared to FA

Molfino etal., 1991;

1996 AQCD, Tables 7-2, 7-

10

0.12

1 hr

AsA

10M and5F
(19-34 yrs)

PF: No significant change in pulmonary function to O3 alone.
AR: No significant change in sRaw to O3 alone; no significant effect
on airway responsivness to grass allergen

Ball etal., 1996

2006 AQCD, Table AX6-11

0.12

1 hr

(Air-Antigen)

AsA

9M and6F (18-
49 yrs)

AR: No effect of O3 on airway responsiveness to grass or ragweed
allergen.

Hananiaetal., 1998;
2006 AQCD, Table AX6-11

0.12

1 hr O3 at rest followed by 6 min
maximal exercise

AsA

7M and8F (19-
45 yrs)

PF: No significant change in FEV1

AR: O3 pre-exposure did not affect the magnitude or time course of
exercise-induced bronchoconstriction.

Fernandes et al., 1994
1996 AQCD, Table 7-2

0.20

2 hr

HNS

15 subjects

IF/HD: Increased numbers of CD3+, CD4+, and CD8+ T lymphocyte
subsets, in addition to neutrophils, in BAL fluid 6 hr postexposure.

Blomberg etal., 1997;
2006 AQCD, Table AX6-12

0.25

2 hr

H

8M and 5F
(21-22 yrs)

PF: No significant change in FVC compared with FA

Horvath etal., 1979;
1996 AQCD, Table 7-1

0.30

2 hr

H

10M

(18-28 yrs)

PF: No significant change in pulmonary function

Folinsbee etal., 1978ฐ
1996 AQCD, p. 7-10



2 hr

I s

r- ll •inll'j- nl-
' 1-ฆ " ฆ \ II -"

If: G'biniiikvinilh ฆ II- .-!ฆ >i|> ฆ II- -i |-i" iiniil.-nmi.-l'-i, ฆฆ \ .|. i<<| iii II II
iill'll-! -111 l|| ฆ.-!ฆ ฆ! 1" II



0.32

2 hr

HNS

13M and1F
(mean 24 yrs)

AR: Increased airway responsiveness to methacholine immediately
after exposure.

Konig etal., 1980;
1996 AQCD, Table 7-10

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03a
(ppm)

Exposure and Ventilation
Characteristics During Exercisew

Subject
Characteristics6

Reported Effects on Pulmonary Function (PF), Airway
Resistance and/or Responsiveness (AR), Respiratory
Symptoms (SY), Inflammation (IF)E and Host Defense (HD)

Reference
AQCD/ISA

Popc

nD

0.37

2 hr

H

20M and 8F
(19-29 yrs)

PF: No significant change in FEV1, FEF25, and FEF50 compared with
FA

Silverman et al., 1976;
1996 AQCD, Table 7-1

0.40

2 hr

AsA

12 subjects
(18-35 yrs)

IF: Release of early-onset mast cell-derived mediators into NL in
response to allergen not enhanced after O3 exposure. No increase in
neutrophil and eosinophil inflammatory mediators after O3 exposure or
enhancement after allergen challenge. O3 increased eosinophil influx
following allergen exposure.

Michelson et al., 1999
2006 AQCD, Table AX6-12

0.40

2 hr

AsM

10 subjects
(18-35 yrs)

IF: Increased response to allergen; significant increase in PMN and
eosinophils after O3 plus allergen challenge; O3 alone increased nasal
inflammation (PMN).

Peden et al., 1995;
2006 AQCD, Table AX6-12



21 ir (-? d"'V. '-luring -ivi 01 if <~.f r.iv.^r
p-il-n ;-cc'jn

'5[

ฆTil .->nd r.F
I'liwn 20

EF: I'jriiiKT-rii incpv^ in n:'c::|~ |i"ji ill'- -"_>1 r-

D'l'l ir me! Tivjl O'Ti rT'ol ic.

J'lJ'ป'J'f r-A. (ฆ
Trl'l-, :-:l

0.50

2 hr

H

10M

(18-28 yrs)

PF: | FEVi*, | FVC* but no change in MW

Folinsbee et al., 1978;ฐ
1996 AQCD, Table 7-1

0.50

2 hr

H

8M and 5F
(21-22 yrs)

PF: i FVC* compared with FA

Horvath et al., 1979;
1996 AQCD, Table 7-1

0.50

2 hr

H

20M and 8F
(19-29 yrs)

PF: No significant change in FEVi, FEF25, and FEF50 compared with
FA

Silverman et al., 1976;
1996 AQCD, Table 7-1

0.60

2 hr

HNS

5M and 3F
(22-30 yrs)

AR: 300% increase in histamine-induced ARaw 5 min after O3
exposure; 84 and 50% increases 24 hr and 1 week after exposure (p
> 0.05), respectively. Two subjects had an increased response to
histamine 1 week after exposure.

Golden et al., 1978;
1996 AQCD, Table 7-10;

0.75

2 hr

H

8M and 5F
(21-22 yrs)

PF: i FVC* compared with FA

Horvath et al., 1979;
1996 AQCD, Table 7-1

0.75

2hr

H

20M and 8F
(19-29 yrs)

PF: i FEVi*, i FEF25*, and J, FEF50* compared with FA

Silverman et al., 1976;
1996 AQCD, Table 7-1

1.00

2 hr

HNS

13M and1F
(mean 24 yrs)

AR: Increased airway responsiveness to methacholine immediately
after exposure.

Konig et al., 1980
1996 AQCD, Table 7-10

Note: Newly added studies since the 2015 review are in blue font.

A Reported target mean O3 concentrations

w Focused on O3 exposures below 0.4 ppm during exercise and below 1.00 ppm at rest
B Subject Characteristics are subdivided into subject population (Pop) and number (n) subjects.

c Subject population included: healthy subjects (H), athletes included competitive endurance cyclists and runners (HAt), nonsmokers (HNS), nonasthmatics (HNAs), nonasthmatics
with allergies (AINAs), asthmatics (As), mild asthmatics (AsM), S02-sensitive asthmatics (As302), asthmatics with allergies (AsA), subjects with allergies (Al), smokers (S), healthy

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subjects with the GSTM1 genotype (HGSTM+) or null for the GSTM1 genotype (HGS™-), healthy subjects that have a weak O3 response (HWR) or have a strong O3 response
(HSR), healthy weight subjects (Hwt) and obese subjects (Ob).

D Number is further characterized by sex, male (M) and female (F), and age range or mean age of the subjects.

E For the purposes of this table the "IF" category includes reported effects on inflammation (the most commonly tested endpoint) as well as injury and oxidative stress
responses because injury, inflammation, and oxidative stress responses are difficult to disentangle. Inflammation generally occurs as a consequence of injury and oxidative
stress, but it can also lead to further oxidative stress and injury due to secondary production of reactive oxygen species (ROS) by inflammatory cells (2020 ISA section 3.1.3).
* Indicates statistical significance

FAvol etal., 1984 reported 03-induced effects for 0.08,0.16, 0.24 and 0.32 ppm but only effects from 0.16, 0.24 and 0.32 ppm was referenced in 1996 AQCD, Table 7-1.
G Folinsbee etal., 1978 reported data for subjects exposed to O3 during exercise at 0.1 ppm and 0.3 ppm at 3 different ventilation rates and at rest at 0.1 ppm, 0.3 ppm and
0.5 ppm. Only the 0.5 ppm O3 exposure to subjects at rest was referenced in 1996 AQCD, Table 7-1 (although the number of subjects was incorrectly identified for this
exposure).

J Subtracted from FA, the group mean decrement in FEV1 was 9.7% (2006 AQCD and 2013 ISA).

Abbreviations: BAL, bronchoalveolar lavage; C3a, complement protein fragment; CC16, protein secreted by Clara cells in the non-ciliated respiratory epithelium; CD86,
surface costimulatory marker for T-cell activation; CE, continuous exercise; CRP, C-reactive protein; ENA-78, epithelial cell-derived neutrophil-activating peptide; FA, filtered
air; FEF25, (formerly designated as V25%vc) instantaneous forced expiratory flow after 25% of forced vital capacity; FEF25-75, forced expiratory flow over the middle half of forced
vital capacity; FEF50, (formerly designated as Vso%vc) instantaneous forced expiratory flow after 50% of forced vital capacity; FEV1, forced expiratory volume in one second;
fR, respiratory frequency (also abbreviated as f); FRC, functional reserve capacity; FVC, forced vital capacity; GM-CSF, granulocyte-macrophage colony-stimulating factor;
GSTM1, glutathione S-transferase M1 polymorphism; HLA-DR, human leukocyte antigens; 4-HNE, 4-hydroxynonenal; IC, inspiratory capacity; IE, intermittent exercise;; IgE,
immunoglobulin E; IgG, immunoglobulin G antibody; IL-6, IFN-y, interferon-gamma; IL-1, interleukin 1 pro-inflammatory cytokine interleukin 6 pro-inflammatory cytokine; IL-8,
interleukin 8 pro-inflammatory cytokine; IL-18, interleukin 18 pro-inflammatory cytokine; ISA, Integrated Science Assessment; LDH, lactate dehydrogenase; LTB4, leukotriene;
MMP9, metallopeptidase 9; MW, maximal voluntary ventilation; NQ01, NAD(P)H:quinoneoxidoreductase; NL, nasal lavage; 8-OHdG, 8-hydroxy-2'-deoxyguanosine; PAI-1,
plasminogen activator fibrinogen inhibitor-1; PGE2, prostaglandin E2 a mediator of inflammation; PGE2, bronchodilatory prostaglandin; PGF2a, prostaglandin 2 alpha; PMN,
polymorphonuclear neutrophils; ROS, reactive oxygen species; sGaw, specific airway conductance; sGaw, specific airway conductance; sRaw, specific airway resistance;
substance P, neuropeptide that act as a neurotransmitter and neuromodulator; TBARS, Thiobarbituric acid reactive substance, 99mTc-DTPA, radiolabled diethylene triamine
pentaacetic acid; TBX2, thromboxane B2; TLC, total lung capacity; TLR4, Toll-like receptor protein 4; TNF-a, tumor necrosis factor alpha; tPA, tissue plasminogen activator;
VC, vital capacity; VEmax, maximal expiratory volume; V02max, maximum rate of oxygen consumption during exercise; Vt, tidal volume; Vimax, peak tidal volume during
exercise; W, watts; 8-epi-PGF2a, prostaglandin 2 alpha; 99mTc-DTPA, technetium 99m-labelled diethylenetriamine penta-acetic acid used aerosol ventilation studies	

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3A-29 External Review Draft v2 - Do Not Quote or Cite


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3A-30 External Review Draft v2 - Do Not Quote or Cite


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APPENDIX 3B

AIR QUALITY INFORMATION FOR LOCATIONS OF
EPIDEMIOLOGIC STUDIES OF RESPIRATORY EFFECTS

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This appendix provides summary information about the O3 concentrations in locations
and time periods of epidemiologic studies of associations between O3 in ambient air and
respiratory health outcomes. Included here are studies conducted in the U.S. and Canada that
found associations between O3 exposure and respiratory health effects such as emergency
department visits and hospital admissions, including studies that are newly available since the
2020 review, as well as those that were available at the time of the 2015 review, and that are
identified in the ISA. Information for studies identified in the ISA1 as short-term are summarized
in Table 3B-1 and a subset of studies identified as long-term are summarized in Table 3B-2.

Air quality information for U.S.-based studies was obtained from the EPA's Air Quality
System (AQS) database.2 For Canada-based studies, air quality information was obtained from
the National Air Pollutant Surveillance (NAPS) program.3 In Table 3B-1 and Table 3B-2, design
values (DVs)4 are presented as a range across all locations and time periods in the study.5'6
Detailed information about design values for individual study locations and time periods are
available in the Attachment.7

1	Single- and multi-city studies are included. Given the purpose of describing the air quality conditions in the cities

studied, meta-analysis studies are not included; rather, the relevant underlying studies would be.

2	Available at: https://www.epa.gov/aqs.

3	Available at: https://www.canada.ca/en/environment-climate-change/services/air-pollution/monitoring-networks-

data/national-air-pollution-program.html.

4	The design value for the current standard is the 3-year average of the annual 4th highest daily maximum 8-hour

average O3 concentration.

5	For those locations with more than one monitor, the design values presented in Table 3B-1, Table 3B-2, and in the

attachment for that location are for the highest monitor in that area.

6	The design values calculated for the purposes of these tables, while derived using the method described in 40 CFR

part 50, Appendix U, or in the case of most studies available in the 2015 review, 40 CFR part 50, Appendix P, are
not actual regulatory design values. Flowever, they are generally derived in the same way and are therefore
intended to inform our understanding of the extent to which air quality in these studies would have met the
existing standard. For the time period analyzed in any study, the 3-year periods for which these values were
derived begin with the first three years of the study, and end with the last three years. We note, however, that the
first year of the study will also have contributed to two additional 3-year periods which may or may not have met
the standard. Further, since O3 concentrations have generally been higher in earlier vs. later years, not including
those two additional periods may have resulted in an underestimate of the extent to which the first year
contributed to a standards exceedance.

7	In the attachment tables, cells indicate one of two situations: (1) monitoring data are unavailable for the

specific three year time period or the entire period for the city, or (2) the available data do not meet the data
requirements for the calculations.

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1 Table 3B-1. Epidemiologic studies of associations between short-term ozone concentrations and respiratory effects.

Study Information

Ambient Air
Quality

Study Area

Health
Study
Time
Period

Air
Quality
Time
Period

Study
Reference A

Health Outcome

O3 Concentration
Metric Associated
with Health
Outcome

Assignment of Monitors to
Study Subjects

Study-reported O3
Concentrations, in terms of
study metric (ppb)

Design Values

for Current
NAAQS, across
cities and study
years (ppb)B

Mean/
median

Range

U.S. Single City Studies

Indianapolis,
IN

2007-
2011

2007-
2011

Byers etal.,
2015

ED Visits for Asthma

8-hr daily maximums,
moving average of
lag 0-2

Distance and population-weighted
daily average O3 concentration of
11 monitor values for the
Indianapolis MSA (9 counties)

8-hr (WS): 48.5

NA

73-77

Atlanta, GA

1993-
2004

1993-
2004

Darrow et al„
2011

ED Visits for
Aggregate

Respiratory Diseases

1 -hr and 8-hr daily
maximums, previous
day lag (lag 1)

Daily O3 concentration of single
centrally located monitor in the
Atlanta MSA

1-hr (WS): 62.0
8-hr (WS): 53.0

1-h Max: 180.0
8-hr Max: 148.0

91-121

Atlanta, GA

1993-
2010

1993-
2010

Darrow et al„
2014

ED Visits for
Respiratory Infection

8-hr daily maximum,
3-day moving
average of lag 0-2

Population-weighted daily average
O3 concentration of 5 monitor
values for the Atlanta MSA (20
counties)

8-hr (YR):
45.9

3.0-127.1

80-121

New Jersey

2004-
2007

2004-
2007

Gleason etal.,
2014

ED Visits for Asthma

8-hr daily maximum,
same day lag (lag 0)

Daily O3 concentration obtained
from Bayesian spatio-temporal
model assigned to study
participants based on
corresponding grid cells for
geocoded residential addresses

NA

NA

92-93

New York, NY

1999-
2009

1999-
2009

Goodman et
al„ 2017a

HA for Asthma

8-hr daily maximum,
average of lag 0-1

Daily average O3 concentrations of
all monitors within 20-mile of the
geographic center of NY city

8-hr (YR):
30.7

2.0-105.4

84-115

New York, NY

1999-
2002

1999-
2002

Ito etal., 2007

ED Visits for Asthma

8-hr daily maximum,
average of lag 0-1

Average of 16 monitors within
20 miles of the geographic city
center of NY city

8-hr (YR):
30.4
8-hr (WS): 42.7

5th and 95th
percentiles:
YR: 6.0-68.0
WS: 18.0-77.0

109-115

Atlanta, GA

1998-
2007

1998-
2007

Klemm etal.,
2011

Respiratory Mortality

8-hr daily maximum,
average of lag 0-1

Daily average O3 concentration of
all monitors in four counties in
Atlanta

8-hr (YR):
35.5

0.0-109.1

90-121

Atlanta, GA

2002-
2008

2002-
2008

O'Lenick et
al„ 2017

ED Visits for Asthma

8-hr daily maximum,
3-day moving
average of lag 0-2

Daily O3 concentration obtained
from spatio-temporal model
assigned to study participants
based on corresponding ZCTA for
residential ZIP code

NA

NA

90-95

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Study Information

Ambient Air
Quality

Study Area

Health
Study
Time
Period

Air
Quality
Time
Period

Study
Reference A

Health Outcome

O3 Concentration
Metric Associated
with Health
Outcome

Assignment of Monitors to
Study Subjects

Study-reported O3
Concentrations, in terms of
study metric (ppb)

Design Values

for Current
NAAQS, across
cities and study
years (ppb)B

Mean/
median

Range

Little Rock,
AR

2002-
2012

2002-
2012

Rodopoulou et
al„ 2015

ED Visits for
Respiratory Infection

8-hr daily maximum,
laq 2

Daily O3 concentration from one
monitor in Little Rock, AR

8-hr (YR):
40.0

NA

70-83

Atlanta, GA

1999-
2002

1999-
2002

Sarnatetal.,
2013

ED Visits for Asthma

24-hr daily average

Spatially resolved daily O3
concentration at ZIP code centroid
assigned to participants based on
residential ZIP code

8-hr (YR):
41.9

3.5-132.7

99-107

St. Louis, MO

2001-
2003

2001-
2004

Sarnatetal.,
2015

ED Visits for Asthma

8-hr daily maximum,
distributed lags (lags
0-2)

Daily O3 concentration from one
monitor in St. Louis, MO.

8-hr (YR):
36.2

NA

92

New York, NY

2005-
2011

2005-
2012

Sheffield et
al., 2015

ED Visits for Asthma

24-hr daily average

Daily average O3 concentration of
seven monitors in NYC.

NA

NA

82-94

New York, NY

2005-
2011

2005-
2011

Shmool et al.,
2016

ED Visits for Asthma

24-hr daily average,
case-day

Near-residence exposure was
determined by combining data from
temporally- and spatially-refined
estimates

Temporal
estimates (WS):

30.4
Spatiotemporal
estimates: 29.0

Temporal
estimates:
5.0-60.0
Spatiotemporal
estimates:
4.6-60.3

82-94

New York, NY

1999-
2006

1999-
2006

Silverman and
Ito, 2010

HA for Asthma

8-hr daily maximum,
average of lag 0-1

Average of 13 monitors within
20 miles of the geographic city
center of NY city

8-hr (WS): 41.0

10th and 90th
percentiles:
18.0-77.0

93-115

Atlanta, GA

2002-
2010

2002-
2010

Strickland et
al., 2014

ED Visits for Asthma

8-hr daily maximum,
3-day moving
averaqe laq 0-2

Distance and population-weighted
daily average of five monitor values
for the Atlanta MSA (20 counties)

8-hr (YR):
42.2

NA

80-95

Atlanta, GA

1993-
2004

1993-
2004

Tolbert et al.,
2007

ED Visits for
Aggregate

Respiratory Diseases

8-hr daily maximum,
average of lag 0-1

Average of monitors in Atlanta city

8-hr (EC): 53.0

2.9-147.5

91-121

St. Louis, MO

2001-
2007

2001-
2007

Winquistet
al., 2012

HA for Asthma
ED Visits for Asthma
ED Visits for
Respiratory Infection
HA for Aggregate
Respiratory Diseases
ED Visits Aggregate
Respiratory Diseases

8-hr daily maximum,
distributed lags (lags
0-4)

Daily O3 concentration from one
monitor in St. Louis, MO.

NA

NA

86-92

Atlanta, GA

1998-
2004

1998-
2004

Winquistet
al., 2014

ED Visits for Asthma

8-hr daily maximum,
3-day moving
average of lag 0-2

Population-weighted daily average
of five monitor values for the
Atlanta MSA (20 counties)

8-hr (WS):
53.9

NA

91-121

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Study Information

Ambient Air
Quality

Study Area

Health
Study
Time
Period

Air
Quality
Time
Period

Study
Reference A

Health Outcome

O3 Concentration
Metric Associated
with Health
Outcome

Assignment of Monitors to
Study Subjects

Study-reported O3
Concentrations, in terms of
study metric (ppb)

Design Values

for Current
NAAQS, across
cities and study
years (ppb)B

Mean/
median

Range

U.S. Multi-city Studies

3 U.S. cities

1993-
2009

1993-
2009

Alhanti et al„
2016

ED Visits for Asthma

8-hr daily maximum,
3-day moving
average of lag 0-2

Population-weighted daily average
of monitor values for each city

8-hr (YR) for 3

cities
mean range:
37.3-43.7

NA

86-121

5 U.S. cities

2002-
2008

2002-
2008

Barry etal.,
2018

ED Visits for Asthma
ED Visits for
Respiratory Infection
ED Visits Aggregate
Respiratory Diseases

8-hr daily maximum,
3-day moving
average of lag 0-2

Daily O3 concentration obtained
model simulations and monitor
measurements were spatially
averaged for each metropolitan
area using population weighting

8-hr (YR) for 5

cities
mean range:
37.5-42.2

Min Range: 3.9-
9.4
Max Range:
80.2-106.3

83-95

3 metro areas
in TX

2003-
2011

2003-
2011

Goodman et
al„ 2017b

HA for Asthma

8-hr daily maximum,
same day lag (lag 0)

City-specific daily O3
concentrations were calculated
using all monitors within each city:
Dallas (8 monitors), Houston (44
monitors), Austin (6 monitors), then
were averaged to obtain area-
specific daily maximum 8-hr
concentrations

8-hr (YR): 41.8

2.0-107.0

74-103

Nationwide
(U.S.)

1987-
1996

1987-
1996

Katsouyanni
etal., 2009

Respiratory Mortality

1-hr	daily maximum,

2-day	average of lag
0-1

Daily average of O3 concentrations
from all monitors in each city

1 -hr (YR) for 90
cities median
range: 34.9-60.0

NA

18-192

California

2005-
2008

2005-
2009

Malig etal.,
2016

ED Visits for Asthma
ED Visits for
Respiratory Infection
ED Visits Aggregate
Respiratory Diseases

1-hr	daily maximum,

2-day	average of lag
0-1

Daily O3 concentration from
nearest monitor within 20 km of
population-weighted ZIP code
centroid assigned to participants
based on residential ZIP code

8-hr for 16
climatic zones
mean range:
(YR): 33.0-55.0
(WS): 31.0-75.0

NA

119-122

3 U.S. cities

2002-
2008

2002-
2008

O'Lenick et
al„ 2017

ED Visits Aggregate
Respiratory Diseases

8-hr daily maximum,
3-day moving
average of lag 0-2

Daily O3 concentration obtained
from spatio-temporal model
assigned to study participants
based on corresponding ZCTA for
residential ZIP code

8-hr (YR) for 3

cities
mean ranges
from 40.0-42.2

Min Range:
0.15-2.21
Max Range:
115-125

85-96

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Study Information

Ambient Air
Quality

Study Area

Health
Study
Time
Period

Air
Quality
Time
Period

Study
Reference A

Health Outcome

O3 Concentration
Metric Associated
with Health
Outcome

Assignment of Monitors to
Study Subjects

Study-reported O3
Concentrations, in terms of
study metric (ppb)

Design Values

for Current
NAAQS, across
cities and study
years (ppb)B

Mean/
median

Range

North
Carolina

2006-
2008

2006-
2008

Sacks etal.,
2014

ED Visits for Asthma

8-hr daily maximum,
3-day moving
average of lag 0-2

O3 estimates from CMAQ model
with Bayesian space-time
approach assigned to census tract
centroids and aggregated to
county-level using area-weighted
average of census tract centroids

8-hr (YR): 43.6
8-hr (WS): 50.1

Max:108.1

94

Georgia

2002-
2008

2002-
2008

Xiao et al„
2016

ED Visits for Asthma
ED Visits for
Respiratory Infection

8-hr daily maximum,
3-day moving
average of lag 0-2

Daily O3 concentration obtained
from spatio-temporal model
assigned to study participants
based on residential ZIP code

8-hr (YR): 42.1

5.4-106.1

91-95

48 U.S. cities

1989-
2000

1989-
2000

Zanobetti and
Schwartz,
2008

Respiratory Mortality

8-hr daily average,
same day lag (lag 0)

Daily average of O3 concentrations
from all monitors in each city

8-hr (WS) for 40
U.S. cities
mean range:
15.1-62.8

Min Range: 0.9-
23.6
Max Range:
34.3-146.2

45-179

6 cities in TX

2001-
2013

2001-
2013

Zu etal., 2017

HA for Asthma

8-hr daily maximum,
lag 0-3

City specific daily O3
concentrations were calculated
using all monitors within each city:
Dallas (15 monitors), Houston (44
monitors), Austin (6 monitors), El
Paso (6 monitors), Fort Worth (9
monitors); then were averaged to
obtain area-specific daily maximum
8-hr concentrations.

8-hr (YR):
32.2

1.0-82.8

71-103

Canadian Sing

le City Studies

Edmonton

1992-
2002

1992-
2002

Kousha and
Rowe, 2014

ED Visits for
Respiratory Infection

8-hr daily maximum,
same day lag (lag 0).

Daily average of O3 concentrations
from three monitors in Edmonton,
Canada

8-hr (YR):
18.6

NA

56-64

Windsor

2004-
2010

2004-
2010

Kousha and
Castner, 2016

ED Visits for
Respiratory Infection

8-hr daily maximum,
same day lag (lag 0).

Daily average of O3 concentrations
from monitors in Windsor, Canada

8-hr (YR):
25.3

NA

73-87

Census
metropolitan
area of
Edmonton

1992-
2002

1992-
2002

Villeneuve et
al„ 2007

ED Visits for Asthma

8-hr daily maximum,
lag 1.

Daily average of three monitors in
census metropolitan area of
Edmonton, Alberta

8-hr (WS): 38.0
(Median)

NA

60-69

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Study Information

Ambient Air
Quality

Study Area

Health
Study
Time
Period

Air
Quality
Time
Period

Study
Reference A

Health Outcome

O3 Concentration
Metric Associated
with Health
Outcome

Assignment of Monitors to
Study Subjects

Study-reported O3
Concentrations, in terms of
study metric (ppb)

Design Values

for Current
NAAQS, across
cities and study
years (ppb)B

Mean/
median

Range

Canadian Multi-city Studies

10 Canadian
cities

1993-
2000

1993-
2000

Cakmaketal.,
2006

HA for Aggregate

Respiratory

Conditions

24-hr daily average,
lag 1.

Daily average of O3 concentrations
from all monitors in each city

24-hr (YR): 17.4

Min Range: 0.0-
4.0
Max Range:
38.0-79.0

45-106

12 Canadian
cities

1987-
1996

1987-
1996

Katsouyanni
et al., 2009

Respiratory Mortality

1-hr	daily maximum,

2-day	average of lag
0-1

Daily average of O3 concentrations
from all monitors in each city

1 -hr (YR) for 12
cities median
range: 6.7-8.3

NA

45-106c

7 Canadian
cities

1992-
2003

1992-
2003

Stieb et al.,
2009

ED visits for Asthma

24-hr average, lag 1

Daily average of O3 concentrations
from monitors in each city

24-hr (YR): Mean
ranqe: 10.3-22.1

NA

49-85 D

Ontario
Province (9
urban areas/
districts)

2004-
2011

2004-
2011

Szyszkowicz
et al., 2018

ED Visits for Asthma
ED Visits for
Respiratory Infection

24-hr daily average,
lag 1.

Daily average of O3 concentrations
from all monitors within 35 km of
participants residential 3-digit
postal codes

24-hr (YR) for 9

urban
areas/districts
mean range:
22.5-29.2

Min Range:

1.0-3.0
Max Range:
60.7-80.0

57-79

10 Canadian
cities

1981-
1999

1981-
1999

Vanos et al.,
2014

Respiratory Mortality

24-hr daily average,
lag 1.

Daily average O3 concentrations
from all monitors either downtown
or at city airports located within 27
km of downtown

24-hr (YR):
19.3

NA

49-106

Abbreviations: ED - emergency department; HA - hospital admission; WS - warm season; YR - year round; ZCTA - ZIP code tabulation area

A Studies investigating associations between short-term O3 exposure and respiratory mortality are summarized in the following tables and figures of Appendix 3 and 6 of the ISA (U.S. EPA, 2020):
HA for asthma: Table 3-13, Figure 3-4; ED visits for asthma: Table 3-14, Figure 3-5; ED visits for respiratory infection: Table 3-39, Figure 3-6; Respiratory-related HA and ED: Figure 3-7; HA for
aggregate respiratory diseases: Table 3-41; ED visits for aggregate respiratory diseases: Table 3-42; Respiratory Mortality: Table 6-5 and Figure 6-2.

B For those studies available at the time of the 2015 review, design values were drawn from (Wells, 2012) and are presented in units of ppm. For those studies available since the time of the 2015
review, design values were calculated based on data available from the EPA's Air Quality System (AQS) for U.S. studies and the National Air Pollutant Surveillance (NAPS) program for Canadian
studies.

c Does not include three year periods prior to 1988 as air quality data were not readily available for years prior to 1986.

D While the data analyzed by Stieb et al. (2009) as a whole included years from 1992 to 2003, different time periods were analyzed for each of the seven cities. For example, the air qualtiy analyzed
for Ottawa was for 1992-1998, while the air qualtiy analyzed for Toronto and Vancouver only spanned a 3 year period (2001 -2003). Accordingly, across the seven cities, there were fewer 3-year
periods for which we estimated DVs (a total 31) than would have been the case if the study analyzed air quality for all years from 1992-2003 for all cities.

1

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1 Table 3B-2. Subset of epidemiologic studies of associations between long-term ozone and respiratory effects.

Study Information

Ambient Air Quality Data

Study Area

Health
Study
Time
Period

Air
Quality
Time
Period

Study
Reference A

Health
Outcome

O3 Concentration Metric
Associated with Health
Outcome

Assignment of Monitors to
Study Subjects

Study-reported O3
Concentrations, in terms
of study metric (ppb)

Design Values
for Current

NAAQS,
across cities
and study
years (ppb)B

% of DV
years
(fraction
of cities)
> 70 ppbD

Mean/
median

Range

U.S. Studies, multi-city

California

1988-2011

1988-
2011

Eckel etal.,
2016

Respiratory
Mortality

Monthly averages
calculated from IDW from
up to four monitors within 50
km of residence (8-hr max)

Study participants assigned
long-term O3 concentration
(average exposure between
cancer diagnosis to the end of
follow-up period) based on their
residential address

40.2

NA

107-186

100(NA)

California (9
communities)

1993-2001,
1996-2004,
2006-2014

1993-
2014

Garcia et al„
2019

Asthma
Incidence

Areawide annual mean O3
concentration (10am-6pm)

Community-specific annual
mean concentrations for each
year of each of the three
cohorts.

-

26-76

65-165
[for 1993-2014]

96(9/9)

Nationwide

1982-2000

1977-
2000

Jerrettetal.,
2009

Respiratory
Mortality

Long-term warm-season
average O3 value including
year 1977-2000

Study participants assigned
long-term O3 concentrations for
MSA of residence c

Mean range
for MSAs:
33.33-104.0

NA

59-248

97 (90/91)

California

1982-2000

1988-
2002

Jerrettetal.,
2013

Respiratory
Mortality

Monthly average O3 value
calculated using IDW from
year 1988-2002

Study participants were
assigned O3 concentration
based on their residential
address corresponding to the
study siteE

50.35

17.11-
89.33

128-186

100 (NA)

Canadian Studies, multi-city

Nationwide

1991-2011

2002-
2009

Weichenthal
etal., 2017

Respiratory
Mortality

Monthly average O3 value
calculated using pollutant-
specific interpolation
techniques to generate 21
km2 grid cell concentrations

Study participants were
assigned O3 concentration from
interpolation surface based on
their residential postal codeF

38.29

<1-60.46

35-98

ND

Quebec
Province

1999-2010

1999-
2010

Tetreaultet
al., 2016

Asthma
Incidence

Average summer (June-
Aug) concentration [8hr
midday concentration per
ISA]

Study participants were
assigned concentration
estimated for postal code
centroid using interpolation
based approach.

Mean: 32.07
Median: 32.19

12.18-
43.12

49-79

14 (18/39)

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Abbreviations: DV - design values; Resp - respiratory; ED - emergency department visits; HA - hospital admissions; ND- not determined, ACS - American Cancer Society; CanCHEC - Canadian
Census Health and Environment Cohort

A Studies investigating associations between long-term O3 exposure and respiratory mortality are summarized in the ISA, Appendix 6, Table 6-8 and Figure 6-9 (U.S. EPA, 2020).

B For those studies available at the time of the last review, design values were drawn from (Wells, 2012). For those studies available since the time of the last review, design values were calculated
based on data available from the EPA's Air Quality System (AQS) for U.S. studies and the National Air Pollutant Surveillance (NAPS) program for Canadian studies.
c Data for monitors were obtained for 1977-2000. Daily maximum 1-hour O3 concentrations were used to calculate quarterly averages for each monitor. Averages for quarters 2 and 3 were then
averaged to create a warm-season average O3 concentration for each monitor. The warm-season O3 concentrations for the time period 1977-2000 were computed for each year to form a single
annual time series of O3 measurements for 96 metropolitan areas.

D Percent is calculated from three year periods in locations for which data were available and met completeness criteria for DV calculations. In parentheses are the fraction of cities/areas in multicity
studies that had one or more three year periods for which calulcated DV exceeded 70 ppb. See the Attachment in this Appendix for specific DVs of locations and three year periods analyzed in
epidemiologic studies.

E Inverse distance weighted monthly average O3 concentrations for all sites within a 50 km radius of operating monitors were calculated for the years 1988-2002.

F A surface for average daily 8-hour maximum O3 concentrations was generated for the months of May-October for years 2002-2009 using an air pollution-specific interpolation technique to generate
a 21 km2 grid value. The interpolation method incorporates modeled O3 from the Canadian Hemispheric Regional Ozone and NOx (CHRONOS) air quality forecast model with observations from
Canada and the U.S..

1

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15

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18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

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1	Xiao, Q, Liu, Y, Mulholland, JA, Russell, AG, Darrow, LA, Tolbert, PE and Strickland, MJ

2	(2016). Pediatric emergency department visits and ambient Air pollution in the U.S. State

3	of Georgia: a case-crossover study. Environ Health 15(1): 115.

4	Zanobetti, A and Schwartz, J (2008). Mortality displacement in the association of ozone with

5	mortality: an analysis of 48 cities in the United States. Am J Respir Crit Care Med

6	177(2): 184-189.

7	Zu, K, Liu, X, Shi, L, Tao, G, Loftus, CT, Lange, S and Goodman, JE (2017). Concentration-

8	response of short-term ozone exposure and hospital admissions for asthma in Texas.

9	Environ Int 104: 139-145.

10

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1

ATTACHMENT

2	DESIGN VALUES FOR LOCATIONS AND TIME PERIODS ANALYZED IN EPIDEMIOLOGIC

3	STUDIES

4	NOTE: Design values generally provided in parts per billion (ppb) rather than parts per million (ppm) in tables below for simplicity of

5	presentation.

6	Alhanti et al., 2016 (3019562)8 - Short-term Ozone and ED Visits for Asthma

7	Three U.S. cities. Os: Atlanta (1993-2009), Dallas (2006-2009), St. Louis (2001-2007)

8

City

Census
Area Name

dv.199
31995

dv.199
4.1996

dv.199
5.1997

dv.199
6.1998

dv.199
7.1999

dv.199
8.2000

dv.199
9.2001

dv.200
0.2002

dv.200
1.2003

dv.200
2.2004

dv.200
3.2005

dv.200
4.2006

dv.200
5.2007

dv.200
6.2008

dv.200
7.2009

Atlanta,
GA

Atlanta-
Sandy
Springs-
Roswell, GA

109

105

110

113

118

121

107

99

91

93

90

91

95

95

87

9

10

City

Census Area Name

dv.2006.2008

dv.2007.2009

Dallas, TX

Dallas-Fort Worth, TX-OK

91

86

City

Census Area Name

dv.2001.
2003

dv.2002.
2004

dv.2003.
2005

dv.2004.
2006

dv.2005.
2007

St. Louis, MO

St. Louis-St. Charles-Farmington, MO-IL

92

89

86

86

89

11

12

13

8 The number in the parentheses (here and for the reference citations below) refers to the unique identification number assigned to each reference in the
searchable Health and Environmental Research Online (HERO) database (https://hero.epa.gov/hero/index.cfm/content/home).

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External Review Draft v2 - Do Not Quote or Cite


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1	Barry et al., 2018 (4829120) - Short-term Ozone and ED Visits for Asthma, Aggregate Respiratory Diseases and Respiratory

2	Infection

3	Five U.S. Cities. O3: 20-co Atlanta (2002-2008), 7-co Birmingham (2002-2008), 12-co Dallas-Ft Worth (2006-2008), 3-co Pittsburgh

4	(2002-2008), 16-co St Louis (2002-2007)

5

City

Census Area Name

dv.2002.
2004

dv.2003.
2005

dv.2004.
2006

dv.2005.
2007

dv.2006.
2008

Atlanta, GA

Atlanta-Sandy Springs-Roswell, GA

93

90

91

95

95

6

City

Census Area Name

dv.2002.
2004

dv.2003.
2005

dv.2004.
2006

dv.2005.
2007

dv.2006.
2008

Birmingham, AL

Birmingham-Hoover-Talladega, AL

85

84

85

89

87

7

City

Census Area Name

dv.2006.2008

Dallas-Ft Worth, TX

Dallas-Fort Worth, TX-OK

91

8

City

Census Area Name

dv.2002.2004

dv.2003.2005

dv.2004.2006

dv.2005.2007

dv.2006.2008

Pittsburgh, PA

Pittsburgh-New Castle-Weirton, PA-OFI-WV

90

84

83

87

86

9

City

Census Area Name

dv.2002.2004

dv.2003.2005

dv.2004.2006

dv.2005.2007

St. Louis, MO

St. Louis-St. Charles-Farmington, MO-IL

89

86

86

89

10

11	Byers et al., 2015 (3019032) - ED Visits for Asthma

12	Indianapolis MSA (Marion and 8 surrounding counties), IN, U.S. O3: 2007-2011

City

Census Area Name

dv.2007.2009

dv.2008.2010

dv.2009.2011

Indianapolis, IN

Indianapolis-Carmel-Muncie, IN

77

73

74

13

14

March 2023	3B Attachment-2	External Review Draft v2 - Do Not Quote or Cite


-------
1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

Cakmak et al., 2006 (602290) - Short-term Ozone and HA for Respiratory Conditions
Ten Canadian cities. 03:1993-2000

City

dv.1993.1995

dv.1994.1996

dv.1995.1997

dv.1996.1998

dv.1997.1999

dv.1998.2000

Calgary

58

59

57

59

58

58

Edmonton

61

58

56

61

64

64

Halifax

45

47

58

55

55

54

London

-

-

82

88

92

90

Ottawa

64

63

65

65

69

63

Saint John

52

57

59

52

52

63

Toronto

106

81

81

85

81

79

Vancouver

64

63

58

60

61

58

Windsor

85

90

85

86

86

84

Winnipeg

53

53

55

56

61

57

Cakmak et al., 2017 (4167344) - Long-term Ozone and Respiratory Mortality
Nationwide, Canada. O3: 2002-2009

Air quality data are not described for this study as it relied on O3 concentrations for the years 2002-2009 as surrogates for study
population annual O3 concentrations during the 1984 to 2011 period (Cakmak, 2017).

Crouse et al., 2015 (3019335) - Long-term Ozone and Respiratory Mortality
Nationwide, Canada. O3: 2002-2009

Air quality data are not described for this study as it relied on O3 concentrations for the years 2002-2009 as surrogates for study

population annual O3 concentrations during the 1984 to 2006 period (Crouse, 2015).

Darrow et al., 2011 (202800) - Short-term Ozone and ED Visits for Aggregate Respiratory Diseases

20-county Atlanta area, GA, U.S. O3: 1993-2004

March 2023

3B Attachment-3

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1993_
1995

dv1994_
1996

dv1995_
1997

dv1996
1998

dv1997_
1999

dv1998_
2000

dv1999_
2001

dv2000_
2002

dv2001_
2003

dv2002_
2004

Atlanta

Atlanta-Sandy Springs-Marietta,
GA

0.109

0.105

0.110

0.113

0.118

0.121

0.107

0.099

0.091

0.093

Note: Design values for this study were available in the last review (see Wells, 2012) and are presented in units of ppm, rather than ppb.

1

2	Darrow et al., 2014 (2526768) - Short-term Ozone and ED Visit for Respiratory Infection

3	20-county Atlanta area, GA, U.S. 03:1993-2010

4

City

Census Area Name

dv.1993.
1995

dv.1994.
1996

dv.1995.
1997

dv.1996.
1998

dv.1997.
1999

dv.1998.
2000

dv.1999.
2001

dv.2000.
2002

Atlanta

Atlanta-Sandy Springs-Roswell, GA

109

105

110

113

118

121

107

99

dv.2001.
2003

dv.2002.
2004

dv.2003.
2005

dv.2004.
2006

dv.2005.
2007

dv.2006.
2008

dv.2007.
2009

dv.2008.
2010

91

93

90

91

95

95

87

80

5

6	Eckel et al., 2016 (3426159) - Long-term Ozone and Respiratory Mortality

7	California, U.S. Os: 1988-2011

8

State

dv.1988.
1990

dv.1989.
1991

dv.1990.
1992

dv.1991.
1993

dv.1992.
1994

dv.1993.
1995

dv.1994.
1996

dv.1995.
1997

dv.1996.
1998

dv.1997.
1999

dv.1998.
2000

California

186

182

180

177

171

165

161

148

154

147

146

dv.1999.
2001

dv.2000.
2002

dv.2001.
2003

dv.2002.
2004

dv.2003.
2005

dv.2004.
2006

dv.2005.
2007

dv.2006.
2008

dv.2007.
2009

dv.2008.
2010

dv.2009.
2011

129

128

131

127

127

121

122

119

118

112

107

9

10

11

12

13

14

March 2023

3B Attachment-4

External Review Draft v2 - Do Not Quote or Cite


-------
1	Garcia et al., 2019 (5119704) - Long-term Ozone and Asthma Incidence

2	Nine communities in Southern California, U.S. 03:1993-2014

3

City

Census Area Name

dv.1993
.1995

dv.1994
.1996

dv.1995
.1997

dv.1996
.1998

dv.1997
.1999

dv.1998
.2000

dv.1999.
2001

dv.2000
.2002

dv.2001
.2003

dv.2002
.2004

Long Beach, San
Dimas

Los Angeles-Long
Beach-Anaheim, CA
(CBSA)

156

145

135

133

118

115

105

113

126

125

Lake Elsinore,
Lake Gregory,
Mira Loma,
Riverside, Upland

Riverside-San
Bernardino-Ontario,
CA (CBSA)

165

161

148

154

147

146

129

128

131

127

Alpine

San Diego-Carlsbad,
CA (CBSA)

108

104

99

102

99

100

94

95

93

89

Santa Maria

Santa Maria-Santa
Barbara, CA (CBSA)

90

94

89

87

82

81

80

82

84

82

4

City

Census Area Name

dv.2003
.2005

dv.2004
.2006

dv.2005
.2007

dv.2006
.2008

dv.2007
.2009

dv.2008
.2010

dv.2009.
2011

dv.2010
.2012

dv.2011
.2013

dv.2012
.2014

Long Beach, San
Dimas

Los Angeles-Long
Beach-Anaheim, CA
(CBSA)

120

112

110

107

108

103

97

96

99

97

Lake Elsinore,
Lake Gregory,
Mira Loma,
Riverside, Upland

Riverside-San
Bernardino-Ontario,
CA (CBSA)

127

121

122

119

118

112

107

106

107

102

Alpine

San Diego-Carlsbad,
CA (CBSA)

86

88

89

92

89

88

82

91

80

79

Santa Maria

Santa Maria-Santa
Barbara, CA (CBSA)

78

75

75

73

77

76

73

68

65

68

5

March 2023

3B Attachment-5

External Review Draft v2 - Do Not Quote or Cite


-------
1	Gleason et al., 2014 (2369662) - Short-term Ozone and ED Visits for Asthma

2	New Jersey (statewide), U.S. O3: April-September, 2004-2007

3

State

dv.2004.2006

dv.2005.2007

New Jersey

93

92

4

5	Goodman et al., 2017a (3859548) - Short-term Ozone and HA for Asthma

6	New York City (20-mi radius from center), NY, U.S. O3: 1999-2009

7

City

Census Area Name

dv.1999
.2001

dv.2000
.2002

dv.2001
.2003

dv.2002
.2004

dv.2003
.2005

dv.2004
.2006

dv.2005
.2007

dv.2006
.2008

dv.2007
.2009

New York

New York-Newark, NY-NJ-CT-PA

109

115

109

102

94

93

94

89

84

8

9	Goodman et al., 2017b (4169406) - Short-term Ozone and HA for Asthma

10	Houston, Dallas, and Austin, TX metro areas, U.S. O3: 2003-2011

11

City

Census Area Name

dv.2003.
2005

dv.2004.
2006

dv.2005.
2007

dv.2006.
2008

dv.2007.
2009

dv.2008.
2010

dv.2009.
2011

Houston

Houston-The Woodlands, TX

103

103

96

91

84

84

89

Dallas

Dallas-Fort Worth, TX-OK

95

96

95

91

86

86

90

Austin

Austin-Round Rock, TX (CBSA ONLY)

82

82

80

77

75

74

75

12

13	Ito et al., 2007 (156594) - Short-term Ozone and ED Visits for Asthma

14	New York City, NY. Os: 1999-2002

15

City

Census Area Name

dv.1999.2001

dv.2000.2002

New York

New York-Northern New Jersey-Long Island, NY-NJ-PA

0.109

0.115

Note: Design va
than ppb.

ues for this study were available in the last review (see Wells, 2012) and are presented in units of ppm, rather

March 2023

3B Attachment-6

External Review Draft v2 - Do Not Quote or Cite


-------
1	Jerrett et al., 2009 (194160) - Long-term Ozone and Respiratory Mortality

2	Nationwide, U.S. O3: 1977-2000

3

City

Census Area Name

dv1977

dv1978

dv1979

dv1980

dv1981

dv1982

dv1983

1979

1980

1981

1982

1983

1984

1985

Charleston, SC

Charleston-North Charleston-Summerville, SC

-

0.088

0.08

0.074

0.072

0.076

0.077

Charleston, WV

Charleston, WV

0.077

0.077

0.075

0.078

0.082

0.086

0.087

Charlotte, NC

Charlotte-Gastonia-Concord, NC-SC

-

-

-

0.1

0.099

0.097

0.098

Chattanooga, TN

Chattanooga, TN-GA



0.09

0.094

0.097

0.097

0.093

0.091

Chicago, IL

Chicago-Naperville-Joliet, IL-IN-WI

0.112

0.112

0.1

0.096

0.103

0.103

0.106

Cincinnati, OH

Cincinnati-Middletown, OH-KY-IN

0.119

0.109

0.104

0.101

0.1

0.1

0.097

Cleveland, OH

Cleveland-Elyria-Mentor, OH

0.108

0.101

0.094

0.092

0.096

0.098

0.1

Colorado Springs, CO

Colorado Springs, CO

-

-

-

0.06

0.06

0.063

0.062

Columbia, SC

Columbia, SC

0.078

0.109

0.091

0.087

0.088

0.084

0.082

Columbus, OH

Columbus, OH

0.098

0.103

0.091

0.093

0.092

0.094

0.093

Corpus Christi, TX

Corpus Christi, TX

-

-

-

-

0.079

0.086

0.084

Dallas/Ft Worth, TX

Dallas-Fort Worth-Arlington, TX



0.109

0.111

0.108

0.108

0.11

0.118

Dayton, OH

Dayton, OH

0.122

0.108

0.102

0.103

0.104

0.1

0.092

Denver, CO

Denver-Aurora-Broomfield, CO

0.091

0.089

0.088

0.084

0.089

0.087

0.082

Detroit, Ml

Detroit-Warren-Livonia, Ml

0.101

0.097

0.092

0.097

0.103

0.098

0.094

El Paso, TX

El Paso, TX

-

-

-

-

0.079

0.084

0.089

Evansville, IN

Evansville, IN-KY

-

-

-

-

0.096

0.094

0.092

Flint, Ml

Flint, Ml

0.082

0.086

0.082

0.085

0.088

0.087

0.08

Fresno, CA

Fresno, CA

0.101

0.103

0.123

0.123

0.116

0.114

0.11

Ft. Lauderdale, FL

Broward County, FL





0.074

0.075

0.071

0.069

0.069

Gary, IN

Lake County, IN

0.105

0.098

0.087

0.09

0.095

0.097

0.095

Greely, CO

Greeley, CO

-

-

-

-

0.059

0.071

0.069

Greensboro, NC

Greensboro-High Point, NC

-

-

0.086

0.09

0.087

0.089

0.087

Greenville, SC

Greenville-Mauldin-Easley, SC

-

-

0.094

0.094

0.093

0.089

0.088

Harrisburg, PA

Harrisburg-Carlisle, PA

-

0.095

0.087

0.096

0.098

0.1

0.098

Houston, TX

Houston-Sugar Land-Baytown, TX

0.099

0.14

0.132

0.124

0.139

0.128

0.124

March 2023

3B Attachment-7

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1977_
1979

dv1978_
1980

dv1979_
1981

dv1980_
1982

dv1981_
1983

dv1982_
1984

dv1983_
1985

Huntington, WV

Huntington-Ashland, WV-KY-OH

-

-

0.088

0.09

0.095

0.097

0.097

Indianapolis, IN

Indianapolis-Carmel, IN

0.076

0.09

0.087

0.103

0.101

0.101

0.096

Jackson, MS

Jackson, MS

0.098

0.09

0.084

0.081

0.079

0.076

0.078

Jacksonville, FL

Jacksonville, FL

0.086

0.086

0.087

0.085

0.08

0.076

0.075

Jersey City, NJ

Hudson County, NJ

-

-

-

-

-

-

0.111

Johnstown, PA

Johnstown, PA

0.1

0.107

0.1

0.097

0.087

0.087

0.087

Kansas City, MO

Kansas City, MO-KS

0.074

0.081

0.097

0.089

0.089

0.094

0.096

Kenosha, Wl

Kenosha County, Wl

-

-

-

0.095

0.103

0.097

0.1

Knoxville, TN

Knoxville, TN

-

-

-

-

0.09

0.088

0.083

Lancaster, PA

Lancaster, PA

0.088

0.096

0.092

0.096

0.101

0.1

0.098

Lansing, Ml

Lansing-East Lansing, Ml

-

-

0.086

0.073

0.08

0.08

0.076

Las Vegas, NV

Las Vegas-Paradise, NV

-

-

0.074

0.085

0.085

0.08

0.079

Lexington, KY

Lexington-Fayette, KY

-

0.091

0.087

0.085

0.086

0.091

0.092

Little Rock, AR

Little Rock-North Little Rock-Conway, AR

0.098

0.107

0.1

0.085

0.082

0.083

0.087

Los Angeles, CA

Los Angeles-Long Beach-Santa Ana, CA

0.174

0.248

0.229

0.21

0.204

0.225

0.226

Madison, Wl

Madison, Wl

0.096

0.102

0.095

0.088

0.078

0.076

0.078

Memphis, TN

Memphis, TN-MS-AR

0.102

0.103

0.085

0.096

0.097

0.092

0.092

Milwaukee, Wl

Milwaukee-Waukesha-West Allis, Wl

0.114

0.11

0.11

0.106

0.111

0.104

0.105

Minneapolis, MN

Minneapolis-St. Paul-Bloomington, MN-WI

-

-

0.08

0.079

0.076

0.073

0.073

Nashville, TN

Nashville-Murfreesboro-Franklin, TN

0.092

0.085

0.077

0.083

0.083

0.09

0.095

Nassau, NY

Nassau County, NY

-

-

-

-

-

-

-

New Haven, CT

New Haven-Milford, CT

0.135

0.127

0.118

0.121

0.13

0.136

0.128

New Orleans, LA

NewOrleans-Metairie-Kenner, LA



0.087

0.087

0.085

0.083

0.099

0.089

New York City, NY

New York-Northern New Jersey-Long Island, NY-
NJ-PA

0.124

0.118

0.116

0.12

0.121

0.12

0.128

Newark, NJ

Essex County, NJ

-

-

-

-

-

-

-

Norfolk, VA

Virginia Beach-Norfolk-Newport News, VA-NC

0.1

0.101

0.091

0.091

0.096

0.095

0.093

Oklahoma City, OK

Oklahoma City, OK

0.089

0.093

0.084

0.084

0.087

0.085

0.089

Orlando, FL

Orlando-Kissimmee, FL

0.078

0.08

0.077

0.078

0.078

0.078

0.074

March 2023

3B Attachment-8

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1977_
1979

dv1978_
1980

dv1979_
1981

dv1980_
1982

dv1981_
1983

dv1982_
1984

dv1983_
1985

Philadelphia, PA

Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

0.126

0.136

0.127

0.125

0.114

0.122

0.119

Phoenix, AZ

Phoenix-Mesa-Scottsdale, AZ

0.076

0.078

0.081

0.085

0.09

0.093

0.096

Pittsburgh, PA

Pittsburgh, PA

0.111

0.123

0.109

0.104

0.106

0.099

0.099

Portland, ME

Portland-South Portland-Biddeford, ME

-

-

-

-

0.107

0.11

0.116

Portland, OR

Portland-Vancouver-Beaverton, OR-WA

0.084

0.088

0.082

0.082

0.081

0.074

0.076

Portsmouth, NH

Rockingham County, NH

-

-

-

0.097

0.094

0.082

0.077

Providence, Rl

Providence-New Bedford-Fall River, RI-MA

0.121

0.124

0.124

0.121

0.115

0.121

0.121

Racine, Wl

Racine, Wl

0.093

0.112

0.108

0.109

0.113

0.112

0.111

Raleigh, NC

Raleigh-Cary, NC

-

-

0.088

0.091

0.089

0.085

0.087

Reading, PA

Reading, PA

0.098

0.105

0.109

0.114

0.106

0.102

0.1

Richmond, VA

Richmond, VA

-

-

-

0.084

0.098

0.098

0.099

Riverside, CA

Riverside-San Bernardino-Ontario, CA

0.239

0.245

0.235

0.217

0.21

0.209

0.211

Roanoke, VA

Roanoke, VA

-

-

-

-

0.083

0.086

0.084

Rochester, NY

Rochester, NY

0.093

0.091

0.084

0.086

0.09

0.091

0.09

Sacramento, CA

Sacramento-Arden Arcade-Roseville, CA

-

-

0.102

0.112

0.114

0.115

0.118

Salinas, CA

Salinas, CA

-

0.066

0.061

0.061

0.057

0.065

0.074

San Antonio, TX

San Antonio, TX

-

0.086

0.089

0.092

0.09

0.087

0.086

San Diego, CA

San Diego-Carlsbad-San Marcos, CA

0.115

0.118

0.141

0.137

0.13

0.126

0.132

San Francisco, CA

San Francisco-Oakland-Fremont, CA

0.085

0.092

0.086

0.091

0.089

0.091

0.096

San Jose, CA

San Jose-Sunnyvale-Santa Clara, CA

0.093

0.101

0.102

0.094

0.095

0.1

0.103

Seattle, WA

Seattle-Tacoma-Bellevue, WA

0.088

0.081

0.084

0.085

0.08

0.069

0.069

Shreveport, LA

Shreveport-Bossier City, LA

-

-

-

0.08

0.081

0.077

0.079

South Bend, IN

South Bend-Mishawaka, IN-MI

-

0.093

0.093

0.102

0.095

0.09

0.088

Springfield, MA

Springfield, MA

-

-

-

-

-

0.1

0.112

St Louis, MO

St. Louis, MO-IL

0.122

0.117

0.109

0.101

0.107

0.111

0.113

Steubenville, OH

Weirton-Steubenville, WV-OH

0.098

0.099

0.088

0.083

0.073

0.071

0.064

Syracuse, NY

Syracuse, NY

-

-

-

-

-

-

-

Tacoma, WA

Seattle-Tacoma-Bellevue, WA

0.088

0.081

0.084

0.085

0.08

0.069

0.069

Tampa, FL

Tampa-St. Petersburg-Clearwater, FL

0.09

0.088

0.087

0.087

0.089

0.09

0.087

March 2023

3B Attachment-9

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1977_
1979

dv1978_
1980

dv1979_
1981

dv1980_
1982

dv1981_
1983

dv1982_
1984

dv1983_
1985

Toledo, OH

Toledo, OH

0.108

0.104

0.102

0.1

0.101

0.09

0.087

Trenton, NJ

Trenton-Ewing, NJ

-

-

-

-

0.116

0.117

0.12

Tucson, AZ

Tucson, AZ

0.07

0.074

0.074

0.082

0.081

0.082

0.079

Vallejo, CA

Vallejo-Fairfield, CA

0.068

0.069

0.063

0.074

0.072

0.074

0.075

Ventura, CA

Ventura County, CA

0.13

0.13

0.109

0.104

0.098

0.112

0.113

Washington, DC

Washington-Arlington-Alexandria, DC-VA-MD-WV

0.112

0.101

0.101

0.113

0.113

0.112

0.11

Wichita, KS

Wichita, KS

-

-

-

0.074

0.078

0.079

0.081

Wilmington, DE

New Castle County, DE

-

0.083

0.088

0.093

0.106

0.112

0.116

Worcester, MA

Worcester, MA

-

-

0.102

-

0.092

0.096

0.099

York, PA

York-Hanover, PA

0.105

0.107

0.098

0.096

0.097

0.098

0.099

Youngstown, OH

Youngstown-Warren-Boardman, OH-PA

-

-

-

-

0.097

0.093

0.089

Note: Design values for this study were available in the last review (see Wells, 2012) and are presented in units of ppm, rather than ppb.

1

2	Jerrett et al., 2009 (194160) - Long-term Ozone and Respiratory Mortality (Continued)

City

Census Area Name

dv1984
1986

dv1985
1987

dv1986
1988

dv1987
1989

dv1988
1990

dv1989
1991

dv1990
1992

Charleston, SC

Charleston-North Charleston-Summerville, SC

0.081

0.085

0.09

0.087

0.083

0.076

0.074

Charleston, WV

Charleston, WV

0.084

0.087

0.099

0.094

0.089

0.081

0.074

Charlotte, NC

Charlotte-Gastonia-Concord, NC-SC

0.094

0.102

0.112

0.104

0.101

0.092

0.091

Chattanooga, TN

Chattanooga, TN-GA

0.089

0.089

0.094

0.092

0.09

0.086

0.083

Chicago, IL

Chicago-Naperville-Joliet, IL-IN-WI

0.098

0.101

0.112

0.114

0.114

0.104

0.099

Cincinnati, OH

Cincinnati-Middletown, OH-KY-IN

0.093

0.098

0.109

0.106

0.107

0.102

0.095

Cleveland, OH

Cleveland-Elyria-Mentor, OH

0.094

0.092

0.104

0.105

0.104

0.093

0.09

Colorado Springs, CO

Colorado Springs, CO

0.062

0.06

0.061

0.063

0.065

0.066

0.063

Columbia, SC

Columbia, SC

0.081

0.084

0.069

0.091

0.091

0.081

0.084

Columbus, OH

Columbus, OH

0.089

0.089

0.093

0.097

0.095

0.089

0.092

Corpus Christi, TX

Corpus Christi, TX

0.078

0.083

0.086

0.089

0.085

0.079

0.077

Dallas/Ft Worth, TX

Dallas-Fort Worth-Arlington, TX

0.113

0.108

0.101

0.1

0.105

0.105

0.099

Dayton, OH

Dayton, OH

0.088

0.09

0.095

0.096

0.092

0.086

0.082

Denver, CO

Denver-Aurora-Broomfield, CO

0.079

0.081

0.088

0.087

0.086

0.08

0.074

March 2023

3B Attachment-10

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1984
1986

dv1985
1987

dv1986
1988

dv1987
1989

dv1988
1990

dv1989
1991

dv1990
1992

Detroit, Ml

Detroit-Warren-Livonia, Ml

0.089

0.093

0.1

0.099

0.099

0.096

0.091

El Paso, TX

El Paso, TX

0.096

0.096

0.092

0.088

0.083

0.08

0.079

Evansville, IN

Evansville, IN-KY

0.09

0.094

0.099

0.1

0.099

0.091

0.088

Flint, Ml

Flint, Ml

0.077

0.079

0.09

0.091

0.09

0.085

0.081

Fresno, CA

Fresno, CA

0.117

0.118

0.121

0.115

0.11

0.108

0.108

Ft. Lauderdale, FL

Broward County, FL

0.073

0.073

0.077

0.076

0.079

0.075

0.073

Gary, IN

Lake County, IN

0.088

0.087

0.093

0.096

0.092

0.087

0.083

Greely, CO

Greeley, CO

0.067

0.068

0.07

0.072

0.074

0.075

0.072

Greensboro, NC

Greensboro-Hiqh Point, NC

0.089

0.089

0.1

0.097

0.1

0.088

0.085

Greenville, SC

Greenville-Mauldin-Easley, SC

0.085

0.089

0.091

0.09

0.085

0.075

0.075

Harrisburq, PA

Harrisburq-Carlisle, PA

0.091

0.096

0.103

0.103

0.098

0.094

0.091

Houston, TX

Flouston-Suqar Land-Baytown, TX

0.127

0.127

0.118

0.117

0.119

0.119

0.116

Huntinqton, WV

Huntinqton-Ashland, WV-KY-OFI

0.09

0.093

0.099

0.103

0.103

0.092

0.096

Indianapolis, IN

Indianapolis-Carmel, IN

0.09

0.091

0.096

0.098

0.095

0.091

0.089

Jackson, MS

Jackson, MS

0.077

0.076

0.077

0.075

0.079

0.076

0.076

Jacksonville, FL

Jacksonville, FL

0.075

0.081

0.084

0.086

0.084

0.081

0.079

Jersey City, NJ

Hudson County, NJ

0.104

0.109

0.117

0.118

0.115

0.107

0.104

Johnstown, PA

Johnstown, PA

0.085

0.087

0.097

0.097

0.093

0.086

0.083

Kansas City, MO

Kansas City, MO-KS

0.089

0.084

0.088

0.088

0.086

0.082

0.083

Kenosha, Wl

Kenosha County, Wl

0.089

0.098

0.111

0.114

0.114

0.104

0.099

Knoxville, TN

Knoxville, TN

0.094

0.087

0.097

0.093

0.094

0.086

0.089

Lancaster, PA

Lancaster, PA

0.09

0.091

0.097

0.097

0.093

0.09

0.09

Lansinq, Ml

Lansinq-East Lansinq, Ml

0.073

0.077

0.09

0.089

0.087

0.081

0.082

Las Veqas, NV

Las Veqas-Paradise, NV

0.08

0.083

0.082

0.081

0.078

0.078

0.076

Lexinqton, KY

Lexinqton-Fayette, KY

0.092

0.094

0.099

0.099

0.096

0.085

0.078

Little Rock, AR

Little Rock-North Little Rock-Conway, AR

0.087

0.089

0.09

0.085

0.082

0.079

0.08

Los Anqeles, CA

Los Anqeles-Lonq Beach-Santa Ana, CA

0.222

0.217

0.205

0.192

0.186

0.179

0.177

Madison, Wl

Madison, Wl

0.075

0.079

0.09

0.091

0.079

0.081

0.079

Memphis, TN

Memphis, TN-MS-AR

0.093

0.096

0.1

0.095

0.095

0.089

0.091

Milwaukee, Wl

Milwaukee-Waukesha-West Allis, Wl

0.095

0.105

0.113

0.117

0.105

0.101

0.095

March 2023

3B Attachment-11

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1984
1986

dv1985
1987

dv1986
1988

dv1987
1989

dv1988
1990

dv1989
1991

dv1990
1992

Minneapolis, MN

Minneapolis-St. Paul-Bloominqton, MN-WI

0.071

0.073

0.077

0.08

0.079

0.075

0.071

Nashville, TN

Nashville-Murfreesboro-Franklin, TN

0.097

0.098

0.106

0.104

0.104

0.096

0.096

Nassau, NY

Nassau County, NY

-

-

-

-

-

-

-

New Haven, CT

New Haven-Milford, CT

0.115

0.108

0.112

0.113

0.116

0.116

0.113

New Orleans, LA

NewOrleans-Metairie-Kenner, LA

0.089

0.088

0.094

0.09

0.085

0.077

0.08

New York City, NY

New York-Northern New Jersey-Lonq Island, NY-

0.119

0.122

0.129

0.129

0.128

0.122

0.116

Newark, NJ

Essex County, NJ

-

0.086

0.092

0.105

0.098

0.088

0.086

Norfolk, VA

Virqinia Beach-Norfolk-Newport News, VA-NC

0.087

0.089

0.095

0.093

0.091

0.084

0.086

Oklahoma City, OK

Oklahoma City, OK

0.087

0.084

0.085

0.087

0.087

0.086

0.084

Orlando, FL

Orlando-Kissimmee, FL

0.075

0.078

0.082

0.082

0.082

0.08

0.079

Philadelphia, PA

Philadelphia-Camden-Wilminqton, PA-NJ-DE-MD

0.119

0.123

0.132

0.123

0.12

0.113

0.107

Phoenix, AZ

Phoenix-Mesa-Scottsdale, AZ

0.09

0.086

0.081

0.077

0.082

0.083

0.091

Pittsburqh, PA

Pittsburqh, PA

0.09

0.093

0.104

0.107

0.098

0.092

0.088

Portland, ME

Portland-South Portland-Biddeford, ME

0.112

0.112

0.112

0.117

0.115

0.109

0.105

Portland, OR

Portland-Vancouver-Beaverton, OR-WA

0.085

0.086

0.085

0.077

0.085

0.082

0.091

Portsmouth, NH

Rockinqham County, NH

0.078

0.087

0.094

0.104

0.1

0.098

0.092

Providence, Rl

Providence-New Bedford-Fall River, RI-MA

0.114

0.107

0.113

0.108

0.108

0.107

0.105

Racine, Wl

Racine, Wl

0.102

0.107

0.12

0.124

0.11

0.098

0.088

Raleiqh, NC

Raleiqh-Cary, NC

0.087

0.092

0.104

0.099

0.093

0.089

0.086

Readinq, PA

Readinq, PA

0.092

0.096

0.104

0.105

0.102

0.096

0.094

Richmond, VA

Richmond, VA

0.095

0.097

0.104

0.103

0.097

0.087

0.087

Riverside, CA

Riverside-San Bernardino-Ontario, CA

0.21

0.2

0.188

0.188

0.185

0.182

0.18

Roanoke, VA

Roanoke, VA

0.083

0.087

0.095

0.092

0.085

0.076

0.074

Rochester, NY

Rochester, NY

0.09

0.091

0.099

0.099

0.095

0.092

0.09

Sacramento, CA

Sacramento-Arden Arcade-Roseville, CA

0.118

0.114

0.114

0.114

0.107

0.105

0.105

Salinas, CA

Salinas, CA

0.071

0.071

0.068

0.072

0.07

0.07

0.071

San Antonio, TX

San Antonio, TX

0.085

0.083

0.084

0.085

0.085

0.082

0.079

San Dieqo, CA

San Dieqo-Carlsbad-San Marcos, CA

0.125

0.124

0.121

0.125

0.129

0.125

0.118

San Francisco, CA

San Francisco-Oakland-Fremont, CA

0.093

0.089

0.087

0.089

0.087

0.084

0.082

San Jose, CA

San Jose-Sunnyvale-Santa Clara, CA

0.097

0.092

0.092

0.097

0.088

0.082

0.083

March 2023

3B Attachment-12

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1984
1986

dv1985
1987

dv1986
1988

dv1987
1989

dv1988
1990

dv1989
1991

dv1990
1992

Seattle, WA

Seattle-Tacoma-Bellevue, WA

0.075

0.077

0.074

0.076

0.079

0.078

0.086

Shreveport, LA

Shreveport-Bossier City, LA

0.082

0.085

0.086

0.087

0.088

0.084

0.086

South Bend, IN

South Bend-Mishawaka, IN-MI

0.081

0.088

0.092

0.093

0.087

0.08

0.083

Sprinqfield, MA

Sprinqfield, MA

0.102

0.096

0.106

0.109

0.115

0.107

0.105

St Louis, MO

St. Louis, MO-IL

0.103

0.102

0.114

0.111

0.102

0.098

0.098

Steubenville, OH

Weirton-Steubenville, WV-OH

0.062

0.069

0.086

0.09

0.088

0.085

0.083

Syracuse, NY

Syracuse, NY

-

0.083

0.096

0.092

0.088

0.083

0.083

Tacoma, WA

Seattle-Tacoma-Bellevue, WA

0.075

0.077

0.074

0.076

0.079

0.078

0.086

Tampa, FL

Tampa-St. Petersburq-Clearwater, FL

0.088

0.091

0.09

0.086

0.085

0.079

0.081

Toledo, OH

Toledo, OH

0.079

0.083

0.097

0.102

0.099

0.086

0.082

Trenton, NJ

Trenton-Ewinq, NJ

0.11

0.114

0.124

0.123

0.117

0.111

0.112

Tucson, AZ

Tucson, AZ

0.076

0.074

0.069

0.071

0.075

0.074

0.075

Vallejo, CA

Vallejo-Fairfield, CA

0.073

0.077

0.079

0.082

0.075

0.074

0.074

Ventura, CA

Ventura County, CA

0.116

0.114

0.131

0.132

0.13

0.126

0.117

Washinqton, DC

Washinqton-Arlinqton-Alexandria, DC-VA-MD-WV

0.104

0.11

0.116

0.115

0.107

0.1

0.1

Wichita, KS

Wichita, KS

0.077

0.076

0.08

0.08

0.081

0.075

0.074

Wilminqton, DE

New Castle County, DE

0.102

0.106

0.114

0.114

0.115

0.107

0.101

Worcester, MA

Worcester, MA

0.091

0.086

0.088

0.091

0.091

0.089

0.091

York, PA

York-Hanover, PA

0.093

0.094

0.1

0.099

0.099

0.094

0.093

Younqstown, OH

Younqstown-Warren-Boardman, OH-PA

0.085

0.089

0.101

0.103

0.099

0.09

0.091

Note: Desiqn values for this study were available in the last review (see Wells, 2012) and are presentee

in units of ppm, rather than ppb

1

2	Jerrett et al., 2009 (194160) - Long-term Ozone and Respiratory Mortality (Continued)

3

City

Census Area Name

dv1991_
1993

dv1992_
1994

dv1993_
1995

dv1994_
1996

dv1995_
1997

dv1996_
1998

dv1997_
1999

dv1998_
2000

Charleston, SC

Charleston-North Charleston-Summerville,
SC

0.074

0.075

0.074

0.072

0.076

0.077

0.079

0.082

Charleston, WV

Charleston, WV

0.069

0.064

0.076

0.081

0.081

0.081

0.09

0.093

Charlotte, NC

Charlotte-Gastonia-Concord, NC-SC

0.091

0.092

0.094

0.094

0.097

0.103

0.104

0.104

March 2023

3B Attachment-13

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1991_
1993

dv1992_
1994

dv1993_
1995

dv1994_
1996

dv1995_
1997

dv1996_
1998

dv1997_
1999

dv1998_
2000

Chattanooga, TN

Chattanooga, TN-GA

0.082

0.086

0.091

0.091

0.09

0.093

0.094

0.097

Chicago, IL

Chicago-Naperville-Joliet, IL-IN-WI

0.1

0.093

0.099

0.097

0.096

0.091

0.095

0.093

Cincinnati, OH

Cincinnati-Middletown, OH-KY-IN

0.091

0.091

0.098

0.099

0.095

0.092

0.095

0.094

Cleveland, OH

Cleveland-Elyria-Mentor, OH

0.092

0.093

0.098

0.1

0.099

0.098

0.099

0.095

Colorado Springs,
CO

Colorado Springs, CO

0.062

0.061

0.061

0.059

0.056

0.059

0.062

0.065

Columbia, SC

Columbia, SC

0.085

0.087

0.086

0.081

0.08

0.087

0.092

0.096

Columbus, OH

Columbus, OH

0.09

0.086

0.09

0.092

0.092

0.093

0.097

0.095

Corpus Christi, TX

Corpus Christi, TX

0.078

0.079

0.082

0.083

0.083

0.08

0.081

0.083

Dallas/Ft Worth, TX

Dallas-Fort Worth-Arlington, TX

0.095

0.096

0.106

0.104

0.104

0.098

0.101

0.102

Dayton, OH

Dayton, OH

0.084

0.086

0.092

0.093

0.091

0.093

0.093

0.09

Denver, CO

Denver-Aurora-Broomfield, CO

0.071

0.074

0.081

0.081

0.079

0.084

0.083

0.086

Detroit, Ml

Detroit-Warren-Livonia, Ml

0.089

0.088

0.093

0.094

0.092

0.093

0.095

0.089

El Paso, TX

El Paso, TX

0.078

0.081

0.084

0.089

0.08

0.082

0.078

0.08

Evansville, IN

Evansville, IN-KY

0.087

0.089

0.094

0.095

0.093

0.093

0.094

0.091

Flint, Ml

Flint, Ml

0.077

0.071

0.075

0.082

0.084

0.086

0.089

0.086

Fresno, CA

Fresno, CA

0.111

0.107

0.108

0.107

0.111

0.115

0.113

0.111

Ft. Lauderdale, FL

Broward County, FL

0.076

0.079

0.074

0.069

0.069

0.072

0.075

0.075

Gary, IN

Lake County, IN

0.08

0.077

0.084

0.091

0.095

0.09

0.091

0.088

Greely, CO

Greeley, CO

0.068

0.066

0.068

0.071

0.07

0.071

0.071

0.071

Greensboro, NC

Greensboro-High Point, NC

0.083

0.084

0.088

0.086

0.085

0.089

0.092

0.094

Greenville, SC

Greenville-Mauldin-Easley, SC

0.082

0.081

0.082

0.081

0.083

0.087

0.09

0.09

Harrisburg, PA

Harrisburg-Carlisle, PA

0.091

0.089

0.092

0.087

0.088

0.088

0.094

0.093

Houston, TX

Houston-Sugar Land-Baytown, TX

0.104

0.11

0.114

0.116

0.117

0.116

0.118

0.112

Huntington, WV

Huntington-Ashland, WV-KY-OH

0.092

0.09

0.096

0.091

0.088

0.092

0.095

0.094

Indianapolis, IN

Indianapolis-Carmel, IN

0.087

0.09

0.094

0.098

0.097

0.098

0.097

0.095

Jackson, MS

Jackson, MS

0.074

0.075

0.076

0.077

0.077

0.08

0.081

0.083

Jacksonville, FL

Jacksonville, FL

0.079

0.081

0.08

0.078

0.081

0.088

0.088

0.085

Jersey City, NJ

Hudson County, NJ

0.103

0.096

0.1

0.095

0.098

0.093

0.1

0.092

March 2023

3B Attachment-14

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1991_
1993

dv1992_
1994

dv1993_
1995

dv1994_
1996

dv1995_
1997

dv1996_
1998

dv1997_
1999

dv1998_
2000

Johnstown, PA

Johnstown, PA

0.084

0.08

0.085

0.085

0.088

0.091

0.093

0.091

Kansas City, MO

Kansas City, MO-KS

0.082

0.082

0.09

0.092

0.094

0.093

0.091

0.089

Kenosha, Wl

Kenosha County, Wl

0.1

0.093

0.099

0.097

0.096

0.09

0.095

0.093

Knoxville, TN

Knoxville, TN

0.088

0.089

0.093

0.093

0.095

0.1

0.104

0.104

Lancaster, PA

Lancaster, PA

0.093

0.091

0.096

0.093

0.096

0.096

0.101

0.097

Lansing, Ml

Lansing-East Lansing, Ml

0.081

0.079

0.082

0.084

0.083

0.08

0.082

0.082

Las Vegas, NV

Las Vegas-Paradise, NV

0.075

0.079

0.079

0.08

0.079

0.08

0.077

0.085

Lexington, KY

Lexington-Fayette, KY

0.077

0.079

0.087

0.087

0.085

0.085

0.087

0.085

Little Rock, AR

Little Rock-North Little Rock-Conway, AR

0.078

0.077

0.08

0.08

0.081

0.08

0.082

0.087

Los Angeles, CA

Los Angeles-Long Beach-Santa Ana, CA

0.177

0.168

0.156

0.145

0.135

0.133

0.118

0.115

Madison, Wl

Madison, Wl

0.073

0.072

0.072

0.08

0.081

0.078

0.08

0.078

Memphis, TN

Memphis, TN-MS-AR

0.09

0.09

0.091

0.094

0.095

0.093

0.095

0.097

Milwaukee, Wl

Milwaukee-Waukesha-West Allis, Wl

0.09

0.084

0.092

0.097

0.098

0.093

0.097

0.092

Minneapolis, MN

Minneapolis-St. Paul-Bloomington, MN-WI

0.07

0.07

0.072

0.074

0.072

0.07

0.074

0.074

Nashville, TN

Nashville-Murfreesboro-Franklin, TN

0.095

0.096

0.099

0.099

0.099

0.101

0.102

0.1

Nassau, NY

Nassau County, NY

-

-

-

-

-

-

-

-

New Haven, CT

New Haven-Milford, CT

0.108

0.097

0.105

0.101

0.107

0.1

0.103

0.096

New Orleans, LA

NewOrleans-Metairie-Kenner, LA

0.081

0.086

0.084

0.085

0.083

0.084

0.086

0.091

New York City, NY

New York-Northern New Jersey-Long
Island, NY-NJ-PA

0.108

0.1

0.106

0.104

0.108

0.104

0.107

0.107

Newark, NJ

Essex County, NJ

0.084

0.081

0.088

0.088

0.092

0.088

0.093

0

Norfolk, VA

Virginia Beach-Norfolk-Newport News, VA-
NC

0.09

0.088

0.087

0.083

0.087

0.09

0.094

0.089

Oklahoma City, OK

Oklahoma City, OK

0.081

0.081

0.084

0.085

0.083

0.085

0.086

0.084

Orlando, FL

Orlando-Kissimmee, FL

0.078

0.082

0.079

0.079

0.078

0.084

0.085

0.085

Philadelphia, PA

Philadelphia-Camden-Wilmington, PA-NJ-
DE-MD

0.106

0.099

0.104

0.101

0.11

0.107

0.11

0.106

Phoenix, AZ

Phoenix-Mesa-Scottsdale, AZ

0.088

0.086

0.089

0.09

0.092

0.091

0.088

0.088

Pittsburgh, PA

Pittsburgh, PA

0.095

0.096

0.105

0.103

0.105

0.099

0.101

0.096

Portland, ME

Portland-South Portland-Biddeford, ME

0.102

0.095

0.096

0.092

0.096

0.092

0.092

0.084

March 2023

3B Attachment-15

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1991

dv1992

dv1993

dv1994

dv1995

dv1996

dv1997

dv1998

1993

1994

1995

1996

1997

1998

1999

2000

Portland, OR

Portland-Vancouver-Beaverton, OR-WA

0.076

0.078

0.071

0.083

0.078

0.08

0.071

0.072

Portsmouth, NH

Rockingham County, NH

0.096

0.093

0.096

0.094

0.095

0.091

0.09

0.08

Providence, Rl

Providence-New Bedford-Fall River, RI-MA

0.099

0.092

0.097

0.094

0.097

0.09

0.092

0.088

Racine, Wl

Racine, Wl

0.086

0.082

0.088

0.089

0.092

0.088

0.091

0.085

Raleigh, NC

Raleigh-Cary, NC

0.087

0.086

0.087

0.087

0.089

0.096

0.103

0.101

Reading, PA

Reading, PA

0.094

0.086

0.088

0.089

0.092

0.091

0.096

0.092

Richmond, VA

Richmond, VA

0.091

0.092

0.093

0.087

0.09

0.092

0.099

0.091

Riverside, CA

Riverside-San Bernardino-Ontario, CA

0.177

0.171

0.165

0.161

0.148

0.154

0.147

0.146

Roanoke, VA

Roanoke, VA

0.077

0.08

0.082

0.078

0.078

0.085

0.09

0.089

Rochester, NY

Rochester, NY

0.088

0.08

0.085

0.081

0.083

0.08

0.086

0.081

Sacramento, CA

Sacramento-Arden Arcade-Roseville, CA

0.11

0.104

0.106

0.106

0.099

0.103

0.103

0.107

Salinas, CA

Salinas, CA

0.069

0.07

0.069

0.067

0.065

0.066

0.062

0.064

San Antonio, TX

San Antonio, TX

0.079

0.082

0.087

0.087

0.087

0.085

0.088

0.086

San Diego, CA

San Diego-Carlsbad-San Marcos, CA

0.112

0.109

0.108

0.104

0.099

0.102

0.099

0.1

San Francisco, CA

San Francisco-Oakland-Fremont, CA

0.081

0.082

0.087

0.093

0.09

0.089

0.086

0.087

San Jose, CA

San Jose-Sunnyvale-Santa Clara, CA

0.08

0.08

0.083

0.088

0.085

0.086

0.082

0.082

Seattle, WA

Seattle-Tacoma-Bellevue, WA

0.077

0.074

0.071

0.076

0.078

0.081

0.074

0.075

Shreveport, LA

Shreveport-Bossier City, LA

0.085

0.086

0.083

0.08

0.082

0.084

0.089

0.092

South Bend, IN

South Bend-Mishawaka, IN-MI

0.089

0.087

0.089

0.094

0.094

0.092

0.092

0.088

Springfield, MA

Springfield, MA

0.1

0.095

0.094

0.092

0.097

0.096

0.099

0.089

St Louis, MO

St. Louis, MO-IL

0.091

0.091

0.098

0.104

0.1

0.095

0.095

0.094

Steubenville, OH

Weirton-Steubenville, WV-OH

0.085

0.08

0.087

0.086

0.085

0.084

0.087

0.083

Syracuse, NY

Syracuse, NY

0.087

0.081

0.082

0.079

0.079

0.077

0.082

0.08

Tacoma, WA

Seattle-Tacoma-Bellevue, WA

0.077

0.074

0.071

0.076

0.078

0.081

0.074

0.075

Tampa, FL

Tampa-St. Petersburg-Clearwater, FL

0.08

0.08

0.08

0.081

0.082

0.088

0.09

0.088

Toledo, OH

Toledo, OH

0.085

0.086

0.09

0.091

0.089

0.089

0.086

0.084

Trenton, NJ

Trenton-Ewing, NJ

0.111

0.105

0.104

0.1

0.101

0.097

0.104

0.102

Tucson, AZ

Tucson, AZ

0.077

0.078

0.081

0.079

0.079

0.077

0.075

0.073

Vallejo, CA

Vallejo-Fairfield, CA

0.074

0.073

0.077

0.079

0.078

0.082

0.085

0.085

March 2023

3B Attachment-16

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1991_
1993

dv1992_
1994

dv1993_
1995

dv1994_
1996

dv1995_
1997

dv1996_
1998

dv1997_
1999

dv1998_
2000

Ventura, CA

Ventura County, CA

0.115

0.112

0.117

0.119

0.115

0.112

0.106

0.105

Washington, DC

Washington-Arlington-Alexandria, DC-VA-
MD-WV

0.101

0.096

0.098

0.094

0.1

0.101

0.106

0.101

Wichita, KS

Wichita, KS

0.068

0.065

0.07

0.072

0.074

0.078

0.08

0.08

Wilmington, DE

New Castle County, DE

0.098

0.099

0.103

0.098

0.099

0.095

0.1

0.097

Worcester, MA

Worcester, MA



0.095

0.095

0.089

0.087

0.087

0.094

0.088

York, PA

York-Hanover, PA

0.091

0.085

0.086

0.083

0.087

0.09

0.094

0.093

Youngstown, OH

Youngstown-Warren-Boardman, OH-PA

0.091

0.089

0.091

0.092

0.093

0.096

0.096

0.092

Note: Design values for this study were available in the last review (see Wells, 2012) and are presentee

in units of ppm, rather than ppb.

1

2	Jerrett et al., 2013 (2094363) - Long-term Ozone and Respiratory Mortality

3	California, U.S. Os: 1988-2002

4

State

dv.1988
.1990

dv.1989
.1991

dv.1990
.1992

dv.1991
.1993

dv.1992
.1994

dv.1993
.1995

dv.1994
.1996

dv.1995
.1997

dv.1996
.1998

dv.1997
.1999

dv.1998
.2000

dv.1999
.2001

dv.2000
.2002

California

186

182

180

177

171

165

161

148

154

147

146

129

128

5

6	Katsouyanni et al., 2009 (199899) - Short-term Ozone and Respiratory Mortality, HA for Respiratory Conditions

7	Nationwide, U.S. O3: 1987-1996

8

City

Census Area Name

dv1987
1989

dv1988
1990

dv1989
1991

dv1990
1992

dv1991
1993

dv1992
1994

dv1993
1995

dv1994
1996

Honolulu, HI

Honolulu, HI

0.020

0.018

-

-

-

-

-

-

Lincoln, NE

Lincoln, NE

0.058

0.061

0.058

0.061

0.058

0.059

0.057

0.058

Colorado Springs,

Colorado Springs, CO

0.063

-

0.066

0.063

0.062

0.061

0.061

0.056

Des Moines, IA

Des Moines-West Des Moines, IA

-

-

-

-

-

-

-

0.062

Spokane, WA

Spokane, WA

-

-

-

-

-

-

0.064

0.066

Omaha, NE

Omaha-Council Bluffs, NE-IA

0.077

0.078

0.072

0.071

0.065

0.062

0.062

0.067

March 2023

3B Attachment-17

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1987_
1989

dv1988_
1990

dv1989_
1991

dv1990_
1992

dv1991_
1993

dv1992_
1994

dv1993_
1995

dv1994_
1996

Albuquerque, NM

Albuquerque, NM

0.073

0.073

0.071

0.071

0.069

0.070

0.071

0.074

Wichita, KS

Wichita, KS

0.080

0.081

0.075

0.073

0.067

0.065

0.065

0.072

Mobile, AL

Mobile, AL

0.078

0.080

0.062

0.064

0.070

0.074

0.075

0.077

Minneapolis, MN

Minneapolis-St. Paul-Bloomington, MN-

0.080

0.079

0.068

0.070

0.069

0.070

0.072

0.074

Tucson, AZ

Tucson, AZ

0.068

0.074

0.069

0.072

0.077

0.078

0.081

0.079

Jackson, MS

Jackson, MS

0.075

0.079

0.076

0.076

0.074

0.075

0.076

0.077

Seattle, WA

Seattle-Tacoma-Bellevue, WA

0.076

0.079

0.078

0.086

0.077

0.074

0.071

0.076

Tacoma, WA

Seattle-Tacoma-Bellevue, WA

0.076

0.079

0.078

0.086

0.077

0.074

0.071

0.076

Miami, FL

Miami-Fort Lauderdale-Pompano Beach,

0.083

0.079

0.075

0.073

0.076

0.080

0.080

0.074

Las Veqas, NV

Las Vegas-Paradise, NV

0.081

0.078

0.078

0.076

0.075

0.079

0.079

0.080

Madison, Wl

Madison, Wl

0.091

0.079

0.081

0.079

0.073

0.072

0.072

0.080

Portland, OR

Portland-Vancouver-Beaverton, OR-WA

0.077

0.085

0.082

0.091

0.076

0.078

0.058

0.083

Denver, CO

Denver-Aurora-Broomfield, CO

0.087

0.086

0.080

0.074

0.071

0.074

0.081

0.081

Little Rock, AR

Little Rock-North Little Rock-Conway, AR

0.085

0.082

0.079

0.080

0.078

0.077

0.080

0.080

Orlando, FL

Orlando-Kissimmee, FL

0.082

0.082

0.080

0.079

0.078

0.082

0.079

0.079

Salt Lake City, UT

Salt Lake City, UT

0.085

0.082

0.078

0.075

0.076

0.079

0.082

0.089

Jacksonville, FL

Jacksonville, FL

0.086

0.084

0.081

0.079

0.079

0.081

0.080

0.078

Corpus Christi, TX

Corpus Christi, TX

0.089

0.085

0.079

0.077

0.078

0.079

0.082

0.083

St. Petersburq, FL

Tampa-St. Petersburg-Clearwater, FL

0.086

0.085

0.079

0.081

0.080

0.080

0.080

0.081

Tampa, FL

Tampa-St. Petersburg-Clearwater, FL

0.086

0.085

0.079

0.081

0.080

0.080

0.080

0.081

Huntsville, AL

Huntsville, AL

0.087

0.083

0.077

0.082

0.085

0.083

0.080

0.078

El Paso, TX

El Paso, TX

0.088

0.083

0.080

0.079

0.078

0.081

0.084

0.089

San Antonio, TX

San Antonio, TX

0.085

0.085

0.082

0.079

0.079

0.082

0.087

0.087

New Orleans, LA

NewOrleans-Metairie-Kenner, LA

0.090

0.085

0.077

0.080

0.081

0.086

0.084

0.085

Austin, TX

Austin-Round Rock, TX

0.084

0.086

0.084

0.084

0.081

0.082

0.084

0.084

Oklahoma City, OK

Oklahoma City, OK

0.087

0.087

0.086

0.084

0.081

0.081

0.084

0.085

Syracuse, NY

Syracuse, NY

0.092

0.088

0.083

0.083

0.087

0.081

0.082

0.079

Shreveport, LA

Shreveport-Bossier City, LA

0.087

0.088

0.084

0.086

0.085

0.086

0.083

0.080

San Jose, CA

San Jose-Sunnyvale-Santa Clara, CA

0.097

0.088

0.082

0.083

0.080

0.080

0.083

0.088

Kansas City, MO

Kansas City, MO-KS

0.088

0.086

0.082

0.083

0.082

0.082

0.090

0.092

March 2023

3B Attachment-18

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1987_
1989

dv1988_
1990

dv1989_
1991

dv1990_
1992

dv1991_
1993

dv1992_
1994

dv1993_
1995

dv1994_
1996

Oakland, CA

San Francisco-Oakland-Fremont, CA

0.089

0.087

0.084

0.082

0.081

0.082

0.087

0.093

San Francisco, CA

San Francisco-Oakland-Fremont, CA

0.089

0.087

0.084

0.082

0.081

0.082

0.087

0.093

Phoenix, AZ

Phoenix-Mesa-Scottsdale, AZ

0.077

0.082

0.083

0.091

0.088

0.086

0.089

0.090

Lexington, KY

Lexington-Fayette, KY

0.099

0.096

0.085

0.078

0.077

0.079

0.087

0.087

Tulsa, OK

Tulsa, OK

0.089

0.090

0.087

0.087

0.082

0.083

0.088

0.091

Stockton, CA

Stockton, CA

0.093

0.090

0.087

0.088

0.088

0.087

0.086

0.085

Rochester, NY

Rochester, NY

0.099

0.095

0.092

0.090

0.088

0.080

0.085

0.081

Dayton, OH

Dayton, OH

0.096

0.092

0.086

0.082

0.084

0.086

0.092

0.093

Greensboro, NC

Greensboro-High Point, NC

0.097

0.100

0.088

0.085

0.083

0.084

0.088

0.086

Ft. Wayne, IN

Fort Wayne, IN

0.094

0.092

0.087

0.085

0.085

0.088

0.089

0.093

Buffalo, NY

Buffalo-Niagara Falls, NY

0.100

0.095

0.089

0.088

0.086

0.083

0.087

0.086

Raleigh, NC

Raleigh-Cary, NC

0.099

0.093

0.089

0.086

0.087

0.086

0.087

0.087

Newark, NJ

Essex County, NJ

0.105

0.098

0.088

0.086

0.084

0.081

0.088

0.088

Toledo, OH

Toledo, OH

0.102

0.099

0.086

0.082

0.085

0.086

0.090

0.091

Knoxville, TN

Knoxville, TN

0.093

0.094

0.086

0.089

0.088

0.089

0.093

0.093

Columbus, OH

Columbus, OH

0.097

0.095

0.089

0.092

0.090

0.086

0.090

0.092

Birmingham, AL

Birmingham-Hoover, AL

0.094

0.093

0.084

0.088

0.089

0.092

0.096

0.096

Worcester, MA

Worcester, MA

0.091

0.091

0.089

0.091

-

0.095

0.095

0.089

Memphis, TN

Memphis, TN-MS-AR

0.095

0.095

0.089

0.091

0.090

0.090

0.091

0.094

Grand Rapids, Ml

Grand Rapids-Wyoming, Ml

0.105

0.103

0.096

0.090

0.085

0.081

0.086

0.089

Indianapolis, IN

Indianapolis-Carmel, IN

0.098

0.095

0.091

0.089

0.087

0.090

0.094

0.098

Madera, CA

Madera-Chowchilla, CA

-

-

-

0.091

0.096

0.091

0.093

0.093

Detroit, Ml

Detroit-Warren-Livonia, Ml

0.099

0.099

0.096

0.091

0.089

0.088

0.093

0.094

Baton Rouge, LA

Baton Rouge, LA

0.098

0.101

0.099

0.096

0.090

0.087

0.091

0.094

Modesto, CA

Modesto, CA

0.102

0.099

0.095

0.092

0.086

0.093

0.095

0.096

Charlotte, NC

Charlotte-Gastonia-Concord, NC-SC

0.104

0.101

0.092

0.091

0.091

0.092

0.094

0.094

Louisville, KY

Louisville/Jefferson County, KY-IN

0.098

0.099

0.096

0.092

0.094

0.094

0.100

0.094

Akron, OH

Akron, OH

0.112

0.109

0.099

0.093

0.094

0.088

0.090

0.089

Boston, MA

Boston-Cambridge-Quincy, MA-NH

0.105

0.101

0.098

0.092

0.096

0.093

0.096

0.094

Cleveland, OH

Cleveland-Elyria-Mentor, OH

0.105

0.104

0.093

0.090

0.092

0.093

0.098

0.100

March 2023

3B Attachment-19

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1987_
1989

dv1988_
1990

dv1989_
1991

dv1990_
1992

dv1991_
1993

dv1992_
1994

dv1993_
1995

dv1994_
1996

Milwaukee, Wl

Milwaukee-Waukesha-West Allis, Wl

0.117

0.105

0.101

0.095

0.090

0.084

0.092

0.097

Pittsburgh, PA

Pittsburgh, PA

0.107

0.098

0.092

0.088

0.095

0.096

0.105

0.103

Cincinnati, OH

Cincinnati-Middletown, OH-KY-IN

0.106

0.107

0.102

0.095

0.091

0.091

0.098

0.099

Nashville, TN

Nashville-Murfreesboro-Franklin, TN

0.104

0.104

0.096

0.096

0.095

0.096

0.099

0.099

St Louis, MO

St. Louis, MO-IL

0.111

0.102

0.098

0.098

0.091

0.091

0.098

0.104

Dallas/Ft Worth, TX

Dallas-Fort Worth-Arlington, TX

0.100

0.105

0.105

0.099

0.095

0.096

0.106

0.104

Providence, Rl

Providence-New Bedford-Fall River, Rl-

0.108

0.108

0.107

0.105

0.099

0.092

0.097

0.094

Washington, DC

Washington-Arlington-Alexandria, DC-VA-
MD-WV

0.115

0.107

0.100

0.100

0.101

0.096

0.098

0.094

Chicago, IL

Chicago-Naperville-Joliet, IL-IN-WI

0.114

0.114

0.104

0.099

0.100

0.093

0.099

0.097

Jersey City, NJ

Hudson County, NJ

0.118

0.115

0.107

0.104

0.103

0.096

0.100

0.095

Atlanta, GA

Atlanta-Sandy Springs-Marietta, GA

0.113

0.107

0.104

0.105

0.101

0.101

0.109

0.105

Sacramento, CA

Sacramento-Arden Arcade-Roseville, CA

0.114

0.107

0.105

0.105

0.110

0.104

0.106

0.106

Baltimore, MD

Baltimore-Towson, MD

0.125

0.115

0.104

0.106

0.107

0.103

0.107

0.105

Philadelphia, PA

Philadelphia-Camden-Wilmington, PA-NJ-
DE-MD

0.123

0.120

0.113

0.107

0.106

0.099

0.104

0.101

Fresno, CA

Fresno, CA

0.115

0.110

0.108

0.108

0.111

0.107

0.108

0.107

New York City, NY

New York-Northern New Jersey-Long

0.129

0.128

0.122

0.116

0.108

0.100

0.106

0.104

Houston, TX

Houston-Sugar Land-Baytown, TX

0.117

0.119

0.119

0.116

0.104

0.110

0.114

0.116

Bakersfield, CA

Bakersfield, CA

0.116

0.112

0.118

0.115

0.112

0.111

0.119

0.119

San Diego, CA

San Diego-Carlsbad-San Marcos, CA

0.125

0.129

0.125

0.118

0.112

0.109

0.108

0.104

Anaheim, CA

Orange County, CA

0.141

0.138

0.127

0.120

0.114

0.117

0.107

0.100

Los Angeles, CA

Los Angeles-Long Beach-Santa Ana, CA

0.192

0.186

0.179

0.177

0.177

0.168

0.156

0.145

Riverside, CA

Riverside-San Bernardino-Ontario, CA

0.188

0.185

0.182

0.180

0.177

0.171

0.165

0.161

San Bernardino, CA

San Bernardino County, CA

0.188

0.185

0.182

0.180

0.177

0.171

0.165

0.161

Anchorage, AK

Anchorage, AK

-

-

-

-

-

-

-

-

Note: Design values for this study were available in the last review (see Wells, 2012) and are presented in units o

"ppm, rather than ppb.

1

2

3

March 2023

3B Attachment-20

External Review Draft v2 - Do Not Quote or Cite


-------
1	Katsouyanni et al., 2009 (199899) - Short-term Ozone and Respiratory Mortality, HA for Respiratory Conditions

2	12 Canadian cities, Canada. 03:1987-1996

3

City

dv1987
1989

dv1988
1990

dv1989
1991

dv1990
1992

dv1991
1993

dv1992
1994

dv1993
1995

dv1994
1996

Calgary

63

60

60

59

59

60

58

59

Edmonton

60

57

60

62

61

60

61

58

Halifax

-

-

-

-

-

-

45

47

Hamilton

87

88

85

83

78

76

78

78

Montreal

74

77

72

73

72

69

65

63

Ottawa

68

73

71

70

68

63

64

63

Quebec

-

-

-

-

64

62

62

63

Saint John

65

67

68

61

58

49

52

57

Toronto

89

85

81

96

99

105

106

81

Vancouver

70

74

61

68

59

58

64

63

Windsor

94

91

82

79

78

78

85

90

Winnipeg

64

63

58

55

54

55

53

53

Note: DVs prior to 1990-1992 are values that were derived in the 2015 review (Wells, 2012) and DVs for 1990-
1992 onwards are newly calculated DVs as described in 40 CFR Part 50, Appendix U..

4

5	Klemm et al., 2011 (1011160) - Short-term Ozone and Respiratory Mortality

6	Atlanta (3-county: Fulton, DeKalb, Gwinnet & Cobb counties), GA, U.S. O3: 1998 - 2007

7

City

Census Area Name

dv.1998.
2000

dv.1999.
2001

dv.2000.
2002

dv.2001.
2003

dv.2002.
2004

dv.2003.
2005

dv.2004.2
006

dv.2005.
2007

Atlanta

Atlanta-Sandy Springs-
Roswell, GA

121

107

99

91

93

90

91

95

8

9	Kousha and Rowe, 2014 (2443421) - Short-term Ozone and ED Visit for Respiratory Infection
10 Edmonton, Canada. O3: 1992-2002

March 2023

3B Attachment-21

External Review Draft v2 - Do Not Quote or Cite


-------
1

City

dv.1992.
1994

dv.1993.
1995

dv.1994.
1996

dv.1995.
1997

dv.1996.
1998

dv.1997.
1999

dv.1998.
2000

dv.1999.
2001

dv.2000.
2002

Edmonton

60

61

58

56

61

64

64

63

64

2

3	Kousha and Castner, 2016 (3160295) - Short-term Ozone and ED Visit for Respiratory Infection

4	Windsor, Canada. O3: 2004-2010

5

City

dv.2004.2006

dv.2005.2007

dv.2006.2008

dv.2007.2009

dv.2008.2010

Windsor

80

87

84

80

73

6

7	Malig et al., 2016 (3285875) - Short-term Ozone and ED Visits for Asthma, Aggregate Respiratory Diseases, Respiratory Infection

8	California (Statewide), U.S. 03:2005-2008

9

State

dv.2005.2007

dv.2006.2008

California

122

119

10

11	Nishimura et al., 2013 (1632336) -

12	Four U.S. cities (Chicago, Houston, New York, San Francisco) and Puerto Rico.

13	This is a case control study with study participants, aged 8-21 years, identified during 2006-2011. Associations examined for annual

14	average O3 concentration (1-h max; 8-h max, per ISA), averaged across first three years of life. Median birth year was 1996.

15

16	O'Lenick et al., 2017 (3421578) - Short-term Ozone and ED Visits for Asthma

17	20-county Atlanta metro area, GA, U.S. O3: 2002-2008

18

City

Census Area Name

dv.2002.2004

dv.2003.2005

dv.2004.2006

dv.2005.2007

dv.2006.2008

Atlanta

Atlanta- Athens-Clarke County-Sandy Springs, GA

93

90

91

95

95

19

20

March 2023

3B Attachment-2 2

External Review Draft v2 - Do Not Quote or Cite


-------
1	O'Lenick et al., 2017 (3859553) - Short-term Ozone and ED Visits Aggregate Respiratory Diseases

2	Metropolitan areas of three cities: Atlanta, GA (20-county) ; Dallas, TX (12-county), and St. Louis, MO (16-county), U.S. O3: 2002-

3	2008

4

City

Census Area Name

dv.2002.2004

dv.2003.2005

dv.2004.2006

dv.2005.2007

dv.2006.2008

Atlanta, GA

Atlanta-Athens-Clarke County-Sandy
Sprinqs, GA

93

90

91

95

95

Dallas, TX

Dallas-Fort Worth, TX-OK

98

95

96

95

91

St. Louis, MO

St. Louis-St. Charles-Farmington, MO-IL

89

86

86

89

85

5

6	Rodopoulou et al., 2015 (2965674) - Short-term Ozone and ED Visit for Respiratory Infection

7	Little Rock, AK, U.S. Os: 2002-2012

8

City

Census Area
Name

dv.2002
.2004

dv.2003
.2005

dv.2004
.2006

dv.2005
.2007

dv.2006
.2008

dv.2007
.2009

dv.2008
.2010

dv.2009
.2011

dv.2010
.2012

Little Rock

Little Rock-North
Little Rock, AR

78

77

80

83

80

73

70

74

77

9

10	Sacks et al., 2014 (2228782) - Short-term Ozone and ED Visits for Asthma

11	North Carolina (Statewide), U.S. O3: 2006-2008

12

State

dv.2006.2008

North Carolina

94

13

14	Sarnat et al., 2013 (1640373) - Short-term Ozone and ED Visits for Asthma

15	Metro Atlanta area (186 zip codes), GA, U.S. 03:1999-2002

16

City

Census Area Name

dv.1999.2001

dv.2000.2002

Atlanta

Atlanta-Sandy Springs-Roswell, GA

107

99

March 2023	3B Attachment-23	External Review Draft v2 - Do Not Quote or Cite


-------
1	Sarnat et al., 2015 (2772940) - Short-term Ozone and ED Visits for Asthma

2	Metro St. Louis area, MO (8 MO counties, 8 IL counties), U.S. O3: 2001-2003

3

City

Census Area Name

dv.2001.2003

dv.2002.2004

St. Louis

St. Louis-St. Charles-Farmington, MO-IL

92

92

4

5	Sheffield et al., 2015 (3025138) - Short-term Ozone and ED Visits for Asthma

6	New York City (all boroughs), NY, U.S. O3: May-Sept. 2005-2011

7

City

Census Area Name

dv.2005.2007

dv.2006.2008

dv.2007.2009

dv.2008.2010

dv.2009.2011

dv.2010.2012

New York

New York-Newark, NY-NJ-CT-PA

94

89

84

82

84

85

8

9	Shmool et al., 2016 (3288326) - Short-term Ozone and ED Visits for Asthma

10	New York City, NY, U.S. Os: June-Aug 2005-2011

11

City

Census Area Name

dv.2005.2007

dv.2006.2008

dv.2007.2009

dv.2008.2010

dv.2009.2011

New York

New York-Newark, NY-NJ-CT-PA

94

89

84

82

84

12

13	Silverman and Ito, 2010 (386252) Short-term Ozone and HA for Asthma

14	New York, NY. Os: 1999-2006

15

City

Census Area Name

dv.1999.2001

dv.2000.2002

dv.2001.2003

dv.2002.2004

dv.2003.2005

dv.2004.2006

New York

New York-Northern New Jersey-
Long Island, NY-NJ-PA

0.109

0.115

0.109

0.102

0.094

0.093

Note: Design va

ues for this study were available in the last review (see Wells, 2012) and are presented in units of ppm, rather than ppb.

16

17

18

March 2023

3B Attachment-2 4

External Review Draft v2 - Do Not Quote or Cite


-------
1	Stieb et al., 2009 (195858) - Short-term Ozone and ED Visits for Asthma

2	Seven Canadian cities. O3: Montreal (1/1997-12/2002), Ottawa (4/1992-12/2000), Edmonton (4/1992-3/2002), Saint John (7/1992-

3	3/1996), Halifax (1/1999-12/2002), Toronto (4/1999-6/2003), Vancouver (1/1999-2/2003)

4

City

dv1997_
1999

dv1998_
2000

dv1999_
2001

dv2000_
2002







Montreal

77

72

72

72























City

dv1992
1994

dv1993
1995

dv1994
1996

dv1995
1997

dv1996
1998

dv1997
1999

dv1998
2000

Ottawa

63

64

63

65

65

69

63

6

City

dv1992
1994

dv1993
1995

dv1994
1996

dv1995
1997

dv1996
1998

dv1997
1999

dv1998
2000

dv1999
2001

dv2000
2002

Edmonton

60

61

58

56

61

64

64

63

64

7

City

dv1992_
1994

dv1993_
1995

dv1994_
1996

Saint John

49

52

57

8

City

dv1999_
2001

dv2000_
2002

Halifax

55

54

9

City

dv1999
2001

dv2000
2002

dv2001
2003

Toronto

79

81

85

10

City

dv1999
2001

dv2000
2002

dv2001
2003

Vancouver

57

59

65

March 2023

3B Attachment-2 5

External Review Draft v2 - Do Not Quote or Cite


-------
1	Strickland et al., 2014 (2519636) - Short-term Ozone and ED Visits for Asthma

2	20-county Atlanta area, GA, U.S. 03:2002-2010

3

City

Census Area Name

dv.2002.
2004

dv.2003.
2005

dv.2004.
2006

dv.2005.
2007

dv.2006.
2008

dv.2007.
2009

dv.2008.
2010

Atlanta, GA

Atlanta-Sandy Springs-Roswell, GA

93

90

91

95

95

87

80

4

5	Szyszkowicz et al., 2018 (4245266) - Short-term Ozone and ED Visits for Asthma and Respiratory Infection]

6	Ontario Province (Nine urban areas and districts) Canada. O3: 2004-2011

7

City/Area/District

dv.2004.2006

dv.2005.2007

dv.2006.2008

dv.2007.2009

dv.2008.2010

dv.2009.2011

Algoma

67

70

68

65

62

59

Halton

73

78

75

73

70

69

Hamilton

73

75

73

72

70

69

Middlesex

69

72

71

68

65

64

Ottawa

64

69

66

64

62

57

Peel

74

79

75

73

68

67

Toronto

74

79

76

74

73

70

Essex

-

79

74

-

-

-

York

77

79

75

75

70

69

8

9	Tolbert et al., 2007 (90316) - Short-term Ozone and ED Visits for Aggregate Respiratory Diseases

10	Atlanta, GA. Os: 1993-2004

11

City

Census Area Name

dv1993
1995

dv1994
1996

dv1995
1997

dv1996
1998

dv1997
1999

dv1998
2000

dv1999
2001

dv2000
2002

dv2001
2003

dv2002
2004

Atlanta, GA

Atlanta-Sandy Springs-Marietta, GA

0.109

0.105

0.110

0.113

0.118

0.121

0.107

0.099

0.091

0.093

Note: Design values for this study were available in the last review (see Wells, 2012) and are presented in units of ppm, rather than ppb.

12

March 2023

3B Attachment-2 6

External Review Draft v2 - Do Not Quote or Cite


-------
Tetreault et al., 2016 (3073711) - Long-term Ozone and Asthma Incidence
Quebec Province, Canada. O3: 1996-2011

City

dv.1996.
1998

dv.1997.
1999

dv.1998.
2000

dv.1999.
2001

dv.2000.
2002

dv.2001.
2003

dv.2002.
2004

dv.2003.
2005

dv.2004.
2006

dv.2005.
2007

dv.2006.
2008

dv.2007.
2009

dv.2008.
2010

dv.2009.
2011

Montreal

69

77

72

72

72

79

72

70

66

70

67

65

61

58

Quebec

61

65

59

60

63

70

64

59

56

63

60

58

55

54

Laval

72

75

67

68

68

75

68

67

62

65

62

61

59

60

Brassard

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Lonqueuil

70

76

70

70

68

74

71

68

64

65

62

61

60

60

Terrebonne

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Gatineau

-

75

72

73

69

71

67

66

66

-

-

-

59

55

Levis

-

-

-

-

-

-

-

-

-

-

59

57

52

50

Sherbrooke

-

-

-

-

-

-

-

-

63

63

60

59

57

56

Saguenay

-

-

-

-

-

-

-

54

54

57

56

54

52

51

Rouyn-Noranda

-

-

-

-

-

-

-

-

59

63

59

58

55

54

Trois-Rivieres

-

-

-

68

65

70

64

64

59

64

59

58

55

-

St. Zephirin-de-
Courval (MUNI)

72

75

67

71

73

79

73

70

66

69

65

62

60

60

Forestville

55

-

-

-

-

-

-

-

-

-

-

-

-

-

Charette (MUNI)

70

71

62

65

64

68

63

61

58

62

61

61

58

55

Saint-Remi

67

-

-

-

-

-

-

-

-

-

-

-

-

-

Saint-Simon (MUNI)

66

71

65

65

64

70

66

62

58

59

58

56

55

55

Saint-Faustin-Lac-
Carre (MUNI)

67

71

66

69

65

68

66

69

67

68

67

65

61

56

La Peche (MUNI)

-

71

72

74

72

73

68

66

64

67

66

63

-

54

Varennes

74

75

68

69

69

75

68

67

63

65

60

58

55

56

Temiscaming (MUNI)

-

-

-

-

-

-

-

-

-

-

63

60

58

57

Auclair (MUNI)

-

-

-

-

-

-

-

-

-

-

60

57

55

53

Causapscal

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Riviere-Eternite
(MUNI)

-

-

-

-

-

-

-

-

-

-

-

-

-

-

La Dore (MUNI)

54

58

58

62

58

62

56

57

55

61

58

57

53

52

Deschambault (MUNI)

68

70

64

67

68

72

65

61

57

61

58

57

56

55

Saint-Frangois

65

69

65

64

65

69

64

62

59

64

60

58

57

55

Notre-Dame-du-
Rosaire (MUNI)

65

66

60

62

64

67

62

60

59

60

59

57

55

53

St-Hilaire-de-Dorset
(MUNI)

67

70

66

67

69

73

71

67

65

65

65

63

59

57

Tingwick (MUNI)

69

73

66

66

66

72

70

67

62

63

-

60

61

57

Lac-Edouard (MUNI)

-

-

62

65

60

62

58

57

55

59

58

58

54

51

March 2023

3B Attachment-2 7

External Review Draft v2 - Do Not Quote or Cite


-------
City

dv.1996.
1998

dv.1997.
1999

dv.1998.
2000

dv.1999.
2001

dv.2000.
2002

dv.2001.
2003

dv.2002.
2004

dv.2003.
2005

dv.2004.
2006

dv.2005.
2007

dv.2006.
2008

dv.2007.
2009

dv.2008.
2010

dv.2009.
2011

Montmorency
(COUNTY)

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Sutton

-

-

-

-

-

-

-

-

-

-

70

68

65

61

Chapais

-

-

-

-

-

-

-

-

-

59

56

56

56

55

Ste-Francoise (MUNI)

72

76

78

-

-

-

-

-

-

-

-

-

-

-

Saint-Anicet (MUNI)

74

79

76

75

74

79

75

73

69

70

68

-

67

63

L'Assomption
(COUNTY)

-

76

70

70

67

71

60

60

58

67

64

-

64

59

La Patrie (MUNI)

-

68

66

67

71

73

72

68

65

63

63

62

59

55

Ferme Neuve (MUNI)

58

60

58

59

56

59

54

-

-

-

59

57

53

50

Senneterre

-

-

-

-

-

-

-

-

-

-

59

57

55

54

Lemieux (MUNI)

-

-

-

-

-

64

66

63

65

65

64

-

63

59

Saint-Jean-sur-
Richelieu

-

-

-

-

68

73

67

65

61

64

62

59

57

56

Frelighsburg (MUNI)

-

-

-

-

-

-

-

-

-

68

68

66

63

59

Mingan (First Nations
Reserce)

-

-

-

-

-

-

-

-

-

-

52

51

49

47

2	Turner et al., 2016 (3060878) - Long-term Ozone and Respiratory Mortality

3	Nationwide, U.S. O3: 2002-2004

4	Air quality data are not described for this study as it relied on estimated O3 concentrations for the years 2002-2004 as surrogates for

5	study population O3 concentrations during the 1982 to 2004 period (Turner et al., 2016).

6

7	Vanos et al., 2014 (2231512) - Short-term Ozone and Respiratory Mortality

8	10 Canadian cities, Canada. O3: 1981 - 1999. The table below does not include design values prior to 1988 as data are not readily

9	available for years prior to 1986.

City

dv.1986.
1988

dv.1987.
1989

dv.1988.
1990

dv.1989.
1991

dv.1990.
1992

dv.1991.
1993

dv.1992.
1994

dv.1993.
1995

dv.1994.
1996

dv.1995.
1997

dv.1996.
1998

dv.1997.
1999

Saint John

-

65

67

68

61

58

49

52

57

59

52

52

Toronto

90

89

85

81

96

99

105

106

81

81

81

85

Montreal

66

74

77

72

73

72

69

65

63

72

69

77

Ottawa

67

68

73

71

70

68

63

64

63

65

65

69

March 2023

3B Attachment-2 8

External Review Draft v2 - Do Not Quote or Cite


-------
1

2

3

4

5

6

7

8

9

10

11

12

13

Windsor

94

94

91

82

79

78

78

85

90

85

86

86

Quebec

-

-

-

-

-

64

62

62

63

67

61

65

Calgary

64

63

60

60

59

59

60

58

59

57

59

58

Edmonton

62

60

57

60

62

61

60

61

58

56

61

64

Winnipeg

62

64

63

58

55

54

55

53

53

55

56

61

Vancouver

73

70

74

61

60

54

55

64

63

58

60

61

Note: DVs prior to 1990-1992 are values derived for t
Appendix U.

ie 2015 review (Wells, 2012). DVs from 1990-1999 are newly calculated as described in 40 CFR Part 50,

Villeneuve et al., 2007 (195859) - Short-term Ozone and ED Visits for Asthma
Census metropolitan area of Edmonton, Alberta, Canada. 1992-2002

City

dv.1992.
1994

dv.1993.
1995

dv.1994.
1996

dv.1995.
1997

dv.1996.
1998

dv.1997.
1999

dv.1998.
2000

dv.1999.
2001

dv.2000.
2002

Edmonton

60

67

69

63

61

64

64

63

64

Note: The census metropo
across the cities in this met

itan area of
ropolitan are

idmonton includes multip
a..

e cities/areas. The DVs in this table represent the

highest DV

Weichenthal et al., 2017 (4165121) - Long-term Ozone and Respiratory Mortality
Nationwide, Canada. O3: 2002-2009

City

dv.2002.2004

dv.2003.2005

dv.2004.2006

dv.2005.2007

dv.2006.2008

dv.2007.2009

All cities (DV range)

45-98

43-93

42-85

36-89

35-86

37-83

March 2023

3B Attachment-2 9

External Review Draft v2 - Do Not Quote or Cite


-------
1	Winquist et al., 2012 (1668375) - Short-term Ozone and HA for Asthma, Aggregate Respiratory Conditions and Respiratory

2	Infection; ED Visits for Asthma, Aggregate Respiratory Conditions and Respiratory Infection

3	St. Louis, MO (8 MO and 8 IL counties, 269 zip codes), U.S. O3: 2001-2007

4

City

Census Area Name

dv.2001.2003

dv.2002.2004

dv.2003.2005

dv.2004.2006

dv.2005.2007

St. Louis

St. Louis-St. Charles-Farmington, MO-IL

92

89

86

86

89

5

6	Winquist et al., 2014 (2347402) - Short-term Ozone and ED Visits for Asthma

7	Metro Atlanta area, GA, U.S. 03:1998-2004

8

City

Census Area Name

dv.1998.2000

dv.1999.2001

dv.2000.2002

dv.2001.2003

dv.2002.2004

Atlanta, GA

Atlanta-Sandy Springs-Roswell, GA

121

107

99

91

93

9

10	Xiao et al., 2016 (3455927) - Short-term Ozone and ED Visits for Asthma and Respiratory Infection

11	Georgia (Statewide), U.S. 03:2002-2008

12

State

dv.2002.2004

dv.2003.2005

dv.2004.2006

dv.2005.2007

dv.2006.2008

Georgia

93

93

91

95

95

13

14	Zanobetti and Schwartz, 2008 (101596) - Short-term Ozone and Respiratory Mortality

15	48 U.S. cities. Os: 1989-2000

16

City

Census Area Name

dv1989

dv1990

dv1991

dv1992

dv1993

dv1994

dv1995

dv1996

dv1997

dv1998

_1991

_1992

_1993

_1994

_1995

_1996

_1997

_1998

_1999

_2000

Honolulu, HI

Honolulu, HI

-

-

-

-

-

-

-

0.045

0.048

0.047

Colorado Springs,

Colorado Springs, CO

0.066

0.063

0.062

0.061

0.061

0.056

-

-

0.062

0.065

Spokane, WA

Spokane, WA

-

-

-

-

0.064

0.066

0.066

0.068

0.067

0.067

Albuquerque, NM

Albuquerque, NM

0.071

0.071

0.069

0.070

0.071

0.074

0.069

0.073

0.071

0.075

March 2023

3B Attachment-30

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1989

dv1990

dv1991

dv1992

dv1993

dv1994

dv1995

dv1996

dv1997

dv1998

_1991

_1992

_1993

_1994

_1995

_1996

_1997

_1998

_1999

_2000

Ft. Lauderdale, FL

Broward County, FL

0.075

0.073

0.076

0.079

0.074

0.069

0.069

0.072

0.075

0.075

Boulder, CO

Boulder, CO

0.076

0.073

0.073

0.071

0.072

0.071

0.071

0.078

0.078

0.078

Provo/Orem, UT

Provo-Orem, UT

-

-

-

0.069

0.068

0.071

0.076

0.082

0.082

0.086

Miami, FL

Miami-Fort Lauderdale-
Pompano Beach, FL

0.075

0.073

0.076

0.080

0.080

0.074

0.075

0.077

0.078

0.079

Seattle, WA

Seattle-Tacoma-Bellevue, WA

0.078

0.086

0.077

0.074

0.071

0.076

0.078

0.081

0.074

0.075

Denver, CO

Denver-Aurora-Broomfield, CO

0.080

0.074

0.071

0.074

0.081

0.081

0.079

0.084

0.083

0.086

Orlando, FL

Orlando-Kissimmee, FL

0.080

0.079

0.078

0.082

0.079

0.079

0.078

0.084

0.085

0.085

Salt Lake City, UT

Salt Lake City, UT

0.078

0.075

0.076

0.079

0.082

0.089

0.085

0.088

0.082

0.088

Tampa, FL

Tampa-St. Petersburg-
Clearwater, FL

0.079

0.081

0.080

0.080

0.080

0.081

0.082

0.088

0.090

0.088

New Orleans, LA

New Orleans-Metairie-Kenner,

0.077

0.080

0.081

0.086

0.084

0.085

0.083

0.084

0.086

0.091

Oklahoma City, OK

Oklahoma City, OK

0.086

0.084

0.081

0.081

0.084

0.085

0.083

0.085

0.086

0.084

Terra Haute, IN

Terre Haute, IN

0.087

0.081

0.077

0.079

0.084

0.092

0.088

0.088

0.083

0.080

Austin, TX

Austin-Round Rock, TX

0.084

0.084

0.081

0.082

0.084

0.084

0.081

0.081

0.089

0.089

San Francisco, CA

San Francisco-Oakland-
Fremont. CA

0.084

0.082

0.081

0.082

0.087

0.093

0.090

0.089

0.086

0.087

Greensboro, NC

Greensboro-High Point, NC

0.088

0.085

0.083

0.084

0.088

0.086

0.085

0.089

0.092

0.094

Tulsa, OK

Tulsa, OK

0.087

0.087

0.082

0.083

0.088

0.091

0.089

0.087

0.088

0.093

Kansas City, KS

Kansas City, MO-KS

0.082

0.083

0.082

0.082

0.090

0.092

0.094

0.093

0.091

0.089

Phoenix, AZ

Phoenix-Mesa-Scottsdale, AZ

0.083

0.091

0.088

0.086

0.089

0.090

0.092

0.091

0.088

0.088

Canton, OH

Canton-Massillon, OH

0.091

0.089

0.089

0.088

0.091

0.089

0.088

0.089

0.091

0.091

Columbus, OH

Columbus, OH

0.089

0.092

0.090

0.086

0.090

0.092

0.092

0.093

0.097

0.095

Detroit, Ml

Detroit-Warren-Livonia, Ml

0.096

0.091

0.089

0.088

0.093

0.094

0.092

0.093

0.095

0.089

Youngstown, OH

Youngstown-Warren-Boardman,
OH-PA

0.090

0.091

0.091

0.089

0.091

0.092

0.093

0.096

0.096

0.092

Birmingham, AL

Birmingham-Hoover, AL

0.084

0.088

0.089

0.092

0.096

0.096

0.095

0.095

0.097

0.102

Boston, MA

Boston-Cambridge-Quincy, MA-
NH

0.098

0.092

0.096

0.093

0.096

0.094

0.095

0.091

0.093

0.086

Milwaukee, Wl

Milwaukee-Waukesha-West
Allfc Wl

0.101

0.095

0.090

0.084

0.092

0.097

0.098

0.093

0.097

0.092

March 2023

3B Attachment-31

External Review Draft v2 - Do Not Quote or Cite


-------
City

Census Area Name

dv1989
_1991

dv1990
_1992

dv1991
_1993

dv1992
_1994

dv1993
_1995

dv1994
_1996

dv1995
_1997

dv1996
_1998

dv1997
_1999

dv1998
_2000

Cincinnati, OH

Cincinnati-Middletown, OH-KY-

0.102

0.095

0.091

0.091

0.098

0.099

0.095

0.092

0.095

0.094

Cleveland, OH

Cleveland-Elyria-Mentor, OH

0.093

0.090

0.092

0.093

0.098

0.100

0.099

0.098

0.099

0.095

Charlotte, NC

Charlotte-Gastonia-Concord,
NC-SC

0.092

0.091

0.091

0.092

0.094

0.094

0.097

0.103

0.104

0.104

St Louis, MO

St. Louis, MO-IL

0.098

0.098

0.091

0.091

0.098

0.104

0.100

0.095

0.095

0.094

Chicago, IL

Chicago-Naperville-Joliet, IL-IN-
Wl

0.104

0.099

0.100

0.093

0.099

0.097

0.096

0.091

0.095

0.093

Pittsburgh, PA

Pittsburgh, PA

0.092

0.088

0.095

0.096

0.105

0.103

0.105

0.099

0.101

0.096

Nashville, TN

Nashville-Murfreesboro-
Franklin, TN

0.096

0.096

0.095

0.096

0.099

0.099

0.099

0.101

0.102

0.100

Jersey City, NJ

Hudson County, NJ

0.107

0.104

0.103

0.096

0.100

0.095

0.098

0.093

0.100

0.092

Washington, DC

Washington-Arlington-
Alexandria, DC-VA-MD-WV

0.100

0.100

0.101

0.096

0.098

0.094

0.100

0.101

0.106

0.101

Dallas/Ft Worth, TX

Dallas-Fort Worth-Arlington, TX

0.105

0.099

0.095

0.096

0.106

0.104

0.104

0.098

0.101

0.102

New Haven, CT

New Haven-Milford, CT

0.116

0.113

0.108

0.097

0.105

0.101

0.107

0.100

0.103

0.096

Sacramento, CA

Sacramento-Arden Arcade-
Roseville, CA

0.105

0.105

0.110

0.104

0.106

0.106

0.099

0.103

0.103

0.107

Baltimore, MD

Baltimore-Towson, MD

0.104

0.106

0.107

0.103

0.107

0.105

0.107

0.104

0.109

0.107

Philadelphia, PA

Philadelphia-Camden-
Wilmington, PA-NJ-DE-MD

0.113

0.107

0.106

0.099

0.104

0.101

0.110

0.107

0.110

0.106

San Diego, CA

San Diego-Carlsbad-San
Marcos, CA

0.125

0.118

0.112

0.109

0.108

0.104

0.099

0.102

0.099

0.100

New York City, NY

New York-Northern New Jersey-
Long Island, NY-NJ-PA

0.122

0.116

0.108

0.100

0.106

0.104

0.108

0.104

0.107

0.107

Atlanta, GA

Atlanta-Sandy Springs-Marietta,
GA

0.104

0.105

0.101

0.101

0.109

0.105

0.110

0.113

0.118

0.121

Houston, TX

Houston-Sugar Land-Baytown,

0.119

0.116

0.104

0.110

0.114

0.116

0.117

0.116

0.118

0.112

Los Angeles, CA

Los Angeles-Long Beach-Santa
Ana, CA

0.179

0.177

0.177

0.168

0.156

0.145

0.135

0.133

0.118

0.115

Note: Design values for this study were available in the last review (see Wells, 2012) and are presented in units of ppm, rather than ppb.

March 2023

3B Attachment-3 2

External Review Draft v2 - Do Not Quote or Cite


-------
1	Zu et al., 2017 (3859551) - Short-term Ozone and HA for Asthma

2	Six Texas City Metro areas (Austin, Dallas, El Paso, Ft Worth, Houston, San Antonio), U.S. (pooled, not individually assessed)

3	Os: 2001-2013

4

City

Census Area
Name

dv.2001
.2003

dv.2002
.2004

dv.2003
.2005

dv.2004
.2006

dv.2005
.2007

dv.2006
.2008

dv.2007
.2009

dv.2008
.2010

dv.2009
.2011

dv.2010
.2012

dv.2011
.2013

Dallas and
Fort Worth

Dallas-Fort
Worth, TX-OK

100

98

95

96

95

91

86

86

90

87

87

El Paso

El Paso-Las
Cruces, TX-NM

79

78

76

78

79

78

75

71

71

72

75

Houston

Flouston-The
Woodlands, TX

102

101

103

103

96

91

84

84

89

88

87

Austin

Austin-Round
Rock, TX
(CBSA only)

84

85

82

82

80

77

75

74

75

74

73

San Antonio

San Antonio-
New Braunfels,
TX (CBSA only)

89

91

86

87

82

78

74

75

75

80

81

March 2023

3B Attachment-33

External Review Draft v2 - Do Not Quote or Cite


-------
1

2

APPENDIX 3C

3	AIR QUALITY DATA USED IN POPULATION EXPOSURE AND RISK

4	ANALYSES

5

6

7

Table of Figures 	3C-ii

Table of Tables 	3C-x

3C.1 Overview 	3C-2

3C.2 Urban Study Areas	3C-3

3C.3 Ambient Air Ozone Monitoring Data	3C-5

3C.4 Air Quality Modeling Data	3C-14

3C.4.1 Comprehensive Air Quality Model with Extensions (CAMx)	3C-14

3C.4.2 Evaluation of Modeled Ozone Concentrations	3C-20

3C.5 Air Quality Adjustment to Meet Current and Alternative Air Quality Scenarios .3C-52
3C.5.1 Overview of the Higher Order Direct Decoupled Method (HDDM) .... 3C-52

3C.5.2 Using CAMx/HDDM to Adjust Monitored Ozone Concentrations	3C-55

3C.6 Interpolation of Adjusted Air Quality using Voronoi Neighbor Averaging	3C-82

3C.7 Results for Urban Study Areas	3C-84

3C.7.1 Design Values	3C-84

3C.7.2 Distribution of Hourly O3 Concentrations	3C-91

3C.7.3 Air Quality Inputs for the Exposure and Risk Analyses	3C-108

References		3C-143

8


-------
TABLE OF FIGURES

Figure 3C-1. Flowchart showing inputs, processes and outputs of the approach to
generate ambient air concentration estimates for use in the exposure
modeling	3C-2

Figure 3C-2.	Map of the eight urban study areas analyzed	3C-4

Figure 3C-3.	Map of the Atlanta study area	3C-6

Figure 3C-4.	Map of the Boston study area	3C-7

Figure 3C-5.	Map of the Dallas study area	3C-8

Figure 3C-6.	Map of the Detroit study area	3C-9

Figure 3C-7.	Map of the Philadelphia study area	3C-10

Figure 3C-8.	Map of the Phoenix study area	3C-11

Figure 3C-9.	Map of the Sacramento study area	3C-12

Figure 3C-10.	Map of the St. Louis study area	3C-13

Figure 3C-11.	Map of the CAMx modeling domain	3C-15

Figure 3C-12. Normalized mean bias for MDA8 O3 in the Northeastern U.S., winter

2016	3C-22

Figure 3C-13. Normalized mean bias for MDA8 O3 in the Northeastern U.S., spring

2016	3C-23

Figure 3C-14. Normalized mean bias for MDA8 O3 in the Northeastern U.S., summer

2016	3C-23

Figure 3C-15. Normalized mean bias for MDA8 O3 in the Northeastern U.S., fall 2016.

	3C-24

Figure 3C-16. Time series of monitored (black) and modeled (red) MDA8 O3 at Boston
monitoring sites in 2016	3C-25

Figure 3C-17. Time series of monitored (black) and modeled (red) hourly O3

concentrations at Boston monitoring sites in January (top left), April (top
right), July (bottom left), and October (bottom right) 2016	3C-26

Figure 3C-18. Time series of monitored (black) and modeled (red) MDA8 O3 at

Philadelphia monitoring sites in 2016	3C-27

Figure 3C-19. Time series of monitored (black) and modeled (red) hourly O3

concentrations at Philadelphia monitoring sites for January (top left),

March 2023

3C-ii External Review Draft v2- Do Not Quote or Cite


-------
Figure 3C-20
Figure 3C-21
Figure 3C-22
Figure 3C-23
Figure 3C-24
Figure 3C-25

Figure 3C-26
Figure 3C-27
Figure 3C-28
Figure 3C-29
Figure 3C-30
Figure 3C-31

Figure 3C-32
Figure 3C-33

March 2023

April (top right), July (bottom left), and October (bottom right) 2016	

	3C-28

Normalized mean bias for MDA8 O3 in the Southeastern U.S., winter

2016	3C-29

Normalized mean bias for MDA8 O3 in the Southeastern U.S., spring
2016	3C-30

Normalized mean bias for MDA8 O3 in the Southeastern U.S., summer
2016	3C-30

Normalized mean bias for MDA8 O3 in the Southeastern U.S., fall 2016.
	3C-31

Time series of monitored (black) and modeled (red) MDA8 O3 at Atlanta
monitoring sites in 2016	3C-32

Time series of monitored (black) and modeled (red) hourly O3
concentrations at Atlanta monitoring sites in January (top left), April (top
right), July (bottom left), and October (bottom right) 2016	3C-33

Normalized mean bias for MDA8 O3 in the Midwest U.S., winter 2016	

	3C-34

Normalized mean bias for MDA8 O3 in the Midwest U.S., spring 2016	

	3C-35

Normalized mean bias for MDA8 O3 in the Midwest U.S., summer 2016.
	3C-35

Normalized mean bias for MDA8 O3 in the Midwest U.S., fall 2016	

	3C-36

Time series of monitored (black) and modeled (red) MDA8 O3 at Detroit

monitoring sites in 2016	3C-37

Time series of monitored (black) and modeled (red) hourly O3
concentrations at Detroit monitoring sites in January (top left), April (top
right), July (bottom left), and October (bottom right) 2016	3C-38

Normalized mean bias for MDA8 O3 in the Central U.S., winter 2016	

	3C-39

Normalized mean bias for MDA8 O3 in the Central U.S., spring 2016	

	3C-40

3C-iii External Review Draft v2- Do Not Quote or Cite


-------
Figure 3C-34. Normalized mean bias for MDA8 O3 in the Central U.S., summer 2016	

	3C-40

Figure 3C-35. Normalized mean bias for MDA8 O3 in the Central U.S., fall 2016	

	3C-41

Figure 3C-36. Time series of monitored (black) and modeled (red) MDA8 O3 at St. Louis
monitoring sites in 2016	3C-42

Figure 3C-37. Time series of monitored (black) and modeled (red) hourly O3

concentrations at St. Louis monitoring sites in January (top left), April
(top right), July (bottom left), and October (bottom right) 2016	3C-43

Figure 3C-38. Time series of monitored (black) and modeled (red) MDA8 O3 at Dallas

monitoring sites in 2016	3C-44

Figure 3C-39. Time series of monitored (black) and modeled (red) hourly O3

concentrations at Dallas monitoring sites in January (top left), April (top
right), July (bottom left), and October (bottom right) 2016	3C-45

Figure 3C-40. Normalized mean bias for MDA8 O3 in the Western U.S., winter 2016	

	3C-47

Figure 3C-41. Normalized mean bias for MDA8 O3 in the Western U.S., spring 2016	

	3C-47

Figure 3C-42. Normalized mean bias for MDA8 O3 in the Western U.S., summer 2016.

	3C-48

Figure 3C-43. Normalized mean bias for MDA8 O3 in the Western U.S., fall 2016	

	3C-48

Figure 3C-44. Time series of monitored (black) and modeled (red) MDA8 O3 at

Sacramento monitoring sites in 2016	3C-49

Figure 3C-45. Time series of monitored (black) and modeled (red) hourly O3

concentrations at Sacramento monitoring sites in January (top left), April

(top right), July (bottom left), and October (bottom right) 2016	

	3C-50

Figure 3C-46. Time series of monitored (black) and modeled (red) MDA8 O3 at Phoenix
monitoring sites in 2016	3C-51

March 2023

3C-iv External Review Draft v2- Do Not Quote or Cite


-------
Figure 3C-47. Time series of monitored (black) and modeled (red) hourly O3

concentrations at Phoenix monitoring sites in January (top left), April

(top right), July (bottom left), and October (bottom right) 2016	3C-52

Figure 3C-48. Flow diagram demonstrating HDDM model-based O3 adjustment

approach	3C-57

Figure 3C-49. Conceptual picture of 3-step application of HDDM sensitivities	3C-60

Figure 3C-50. Comparison of brute force and 3-step HDDM O3 estimates for 50% NOx
cut conditions in Atlanta	3C-64

Figure 3C-51. Comparison of brute force and 3-step HDDM O3 estimates for 50% NOx
cut conditions in Boston	3C-65

Figure 3C-52. Comparison of brute force and 3-step HDDM O3 estimates for 50% NOx
cut conditions in Dallas	3C-66

Figure 3C-53. Comparison of brute force and 3-step HDDM O3 estimates for 50% NOx
cut conditions in Detroit	3C-67

Figure 3C-54. Comparison of brute force and 3-step HDDM O3 estimates for 50% NOx
cut conditions in Philadelphia	3C-68

Figure 3C-55. Comparison of brute force and 3-step HDDM O3 estimates for 50% NOx
cut conditions in Phoenix	3C-69

Figure 3C-56. Comparison of brute force and 3-step HDDM O3 estimates for 50% NOx
cut conditions in Sacramento	3C-70

Figure 3C-57. Comparison of brute force and 3-step HDDM O3 estimates for 50% NOx
cut conditions in St. Louis	3C-71

Figure 3C-58. Comparison of brute force and 3-step HDDM O3 estimates for 90% NOx
cut conditions in Atlanta	3C-72

Figure 3C-59. Comparison of brute force and 3-step HDDM O3 estimates for 90% NOx
cut conditions in Boston	3C-73

Figure 3C-60. Comparison of brute force and 3-step HDDM O3 estimates for 90% NOx
cut conditions in Dallas	3C-74

Figure 3C-61. Comparison of brute force and 3-step HDDM O3 estimates for 90% NOx
cut conditions in Detroit	3C-75

Figure 3C-62. Comparison of brute force and 3-step HDDM O3 estimates for 90% NOx
cut conditions in Philadelphia	3C-76

March 2023	3C-v External Review Draft v2- Do Not Quote or Cite


-------
Figure 3C-63
Figure 3C-64
Figure 3C-65
Figure 3C-66
Figure 3C-67
Figure 3C-68
Figure 3C-69
Figure 3C-70
Figure 3C-71
Figure 3C-72
Figure 3C-73
Figure 3C-74
Figure 3C-75
Figure 3C-76
Figure 3C-77
Figure 3C-78

March 2023

Comparison of brute force and 3-step HDDM O3 estimates for 90% NOx
cut conditions in Phoenix	3C-77

Comparison of brute force and 3-step HDDM O3 estimates for 90% NOx
cut conditions in Sacramento	3C-78

Comparison of brute force and 3-step HDDM O3 estimates for 90% NOx
cut conditions in St. Louis	3C-79

Numerical example of the Voronoi Neighbor Averaging (VNA) technique.
	3C-83

Diurnal distribution of hourly O3 concentrations at monitoring sites in

Atlanta.

Diurnal distribution of hourly O3 concentrations at monitoring sites in

Boston.

Diurnal distribution of hourly O3 concentrations at monitoring sites in
Dallas	3C-95

Diurnal distribution of hourly O3 concentrations at monitoring sites in

Detroit.

Diurnal distribution of hourly O3 concentrations at monitoring sites in

Philadelphia.

Diurnal distribution of hourly O3 concentrations at monitoring sites in

Phoenix.

Diurnal distribution of hourly O3 concentrations at monitoring sites in

Sacramento.

3C-93

3C-94

3C-96

3C-97

3C-98

3C-99

Diurnal distribution of hourly O3 concentrations at monitoring sites in St.
Louis	3C-100

Monthly distribution of hourly O3 concentrations at monitoring sites in
Atlanta	3C-101

Monthly distribution of hourly O3 concentrations at monitoring sites in
Boston	3C-102

Monthly distribution of hourly O3 concentrations at monitoring sites in
Dallas	3C-103

Monthly distribution of hourly O3 concentrations at monitoring sites in
Detroit	3C-104

3C-vi External Review Draft v2- Do Not Quote or Cite


-------
Figure 3C-79

Figure 3C-80

Figure 3C-81

Figure 3C-82

Figure 3C-83
Figure 3C-84
Figure 3C-85
Figure 3C-86
Figure 3C-87

Figure 3C-89

Figure 3C-90

Figure 3C-91

Figure 3C-92

Figure 3C-93

Figure 3C-94

Figure 3C-95

Figure 3C-96

March 2023

Monthly distribution of hourly O3 concentrations at monitoring sites in
Philadelphia	3C-105

Monthly distribution of hourly O3 concentrations at monitoring sites in
Phoenix	3C-106

Monthly distribution of hourly O3 concentrations at monitoring sites in
Sacramento	3C-107

Monthly distribution of hourly O3 concentrations at monitoring sites in St.
Louis	3C-108

Changes in MDA8 O3 based on HDDM adjustments
Changes in MDA8 O3 based on HDDM adjustments
Changes in MDA8 O3 based on HDDM adjustments
Changes in MDA8 O3 based on HDDM adjustments
Changes in MDA8 O3 based on HDDM adjustments

in Atlanta	3C-111

in Boston	3C-112

in Dallas	3C-113

in Detroit. 3C-114
in Philadelphia	

3C-115

Changes in MDA8 O3 based on HDDM adjustments in Sacramento.

Changes in MDA8 O3 based on HDDM adjustments in St. Louis.

.3C-117

.3C-118

Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based
on HDDM adjustments in Atlanta	3C-119

Changes in annual 4th highest MDA8 O3 and May-September mean
MDA8 O3 based on HDDM adjustments in Atlanta	3C-120

Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based
on HDDM adjustments in Boston	3C-121

Changes in annual 4th highest MDA8 O3 and May-September mean
MDA8 O3 based on HDDM adjustments in Boston	3C-122

Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based
on HDDM adjustments in Dallas	3C-123

Changes in annual 4th highest MDA8 O3 and May-September mean
MDA8 O3 based on HDDM adjustments in Dallas	3C-124

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Figure 3C-97. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based
on HDDM adjustments in Detroit	3C-125

Figure 3C-98. Changes in annual 4th highest MDA8 O3 and May-September mean

MDA8 O3 based on HDDM adjustments in Detroit	3C-126

Figure 3C-99. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based
on HDDM adjustments in Philadelphia	3C-127

Figure 3C-100. Changes in annual 4th highest MDA8 O3 and May-September mean

MDA8 O3 based on HDDM adjustments in Philadelphia	3C-128

Figure 3C-101. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based
on HDDM adjustments in Phoenix	3C-129

Figure 3C-102. Changes in annual 4th highest MDA8 O3 and May-September mean

MDA8 O3 based on HDDM adjustments in Phoenix	3C-130

Figure 3C-103. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based
on HDDM adjustments in Sacramento	3C-131

Figure 3C-104. Changes in annual 4th highest MDA8 O3 and May-September mean

MDA8 O3 based on HDDM adjustments in Sacramento	3C-132

Figure 3C-105. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based
on HDDM adjustments in St. Louis	3C-133

Figure 3C-106. Changes in annual 4th highest MDA8 O3 and May-September mean

MDA8 O3 based on HDDM adjustments in St. Louis	3C-134

Figure 3C-107. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by

population based on HDDM adjustments in Atlanta	3C-135

Figure 3C-108. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by

population based on HDDM adjustments in Boston	3C-136

Figure 3C-109. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by

population based on HDDM adjustments in Dallas	3C-137

Figure 3C-110. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by

population based on HDDM adjustments in Detroit	3C-138

Figure 3C-111. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by

population based on HDDM adjustments in Philadelphia	3C-139

Figure 3C-112. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by

population based on HDDM adjustments in Phoenix	3C-140

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Figure 3C-113. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by

population based on HDDM adjustments in Sacramento	3C-141

Figure 3C-114. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by

population based on HDDM adjustments in St. Louis	3C-142

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13

TABLE OF TABLES

Table 3C-1. Summary information for the eight urban study areas	3C-4

Table 3C-2. Geographic elements of domain used in the CAMx/HDDM modeling	

	3C-15

Table 3C-3. Vertical layer structure for 2016 WRF and CAMx simulations	3C-17

Table 3C-4. Summary of U.S. emissions totals by sector for the 12km CONUS domain
(in thousand tons)	3C-19

Table 3C-5. CAMx model performance at monitoring sites in the Northeastern U.S	

	3C-32

Table 3C-6. CAMx model performance at monitoring sites in the Boston area	3C-24

Table 3C-7. CAMx model performance at monitoring sites in the Philadelphia area	

	3C-26

Table 3C-8. CAMx model performance at monitoring sites in the Southeastern U.S	

	3C-39

Table 3C-9.	CAMx model performance at monitoring sites in the Atlanta area	3C-31

Table 3C-10.	CAMx model performance at monitoring sites in the Midwest U.S	3C-34

Table 3C-11.	CAMx model performance at monitoring sites in the Detroit area	3C-36

Table 3C-12.	CAMx model performance at monitoring sites in the Central U.S	3C-39

Table 3C-13. CAMx model performance at monitoring sites in the Saint Louis area	

	3C-41

Table 3C-14. CAMx model performance at monitoring sites in the Dallas area	3C-43

Table 3C-15. CAMx model performance at monitoring sites in the Western U.S	3C-46

Table 3C-16. CAMx model performance at monitoring sites in the Sacramento area	

	3C-49

Table 3C-17. CAMx model performance at monitoring sites in the Phoenix area	3C-50

Table 3C-18. X and Y cutpoints used in Equations (3C-4) through (3C-7)	3C-63

Table 3C-19. Percent emissions changes used for each urban area to just meet each of the
air quality scenarios evaluated	3C-82

Table 3C-20. 2015-2017 design values for monitors in the Atlanta area	3C-85

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Table 3C-21.	2015-2017 design values for monitors in the Boston area	3C-86

Table 3C-22.	2015-2017 design values for monitors in the Dallas area	3C-87

Table 3C-23.	2015-2017 design values for monitors in the Detroit area	3C-87

Table 3C-24.	2015-2017 design values for monitors in the Philadelphia area	3C-88

Table 3C-25.	2015-2017 design values for monitors in the Phoenix area	3C-89

Table 3C-26.	2015-2017 design values for monitors in the Sacramento area	3C-90

Table 3C-27.	2015-2017 design values for monitors in the St. Louis area	3C-91

14

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3C.1 OVERVIEW

This appendix describes the development of the ozone (O3) air quality estimates used in
the population exposure and risk modeling described in Appendix 3D. Figure 3C-1 below shows
a flowchart of the various data sources, processes and outputs involved in generating these
ambient O3 concentration surfaces. This approach was used for eight urban study areas, which
are described further in section 3C.2.

Photochemical Modeling:
2016 CAMx with HDDM

J

I

Ambient 03 Concentration Data:
Hourly 2015-2017 measurements
at individual monitors

Hourly 03
Sensitivities to
NOx Emissions

Evaluate N Ox \
emissions reductions \

required to meet
\ a ir qua I ity scena rios\/

X

Hourly O3 concentrations
just meeting three air quality scenarios
(75 ppb, 70 ppb, 65 ppb)
at monitor locations

(Hourly census-tract level \
03 concentration surfaces for \
S urban case study areas

scenarios



Voronoi Neighbor
Averaging (VNA)
Interpol ation

Figure 3C-1. Flowchart showing inputs, processes and outputs of the approach to

generate ambient air concentration estimates for use in the exposure and
risk modeling.

Generation of the O3 concentration surfaces for the exposure and risk modeling relied on
a combination of recent monitoring data and a model-based adjustment. Ambient hourly O3
monitoring data for years 2015 through 2017 in each of the eight urban study areas was adjusted
using a model-based adjustment approach to create three different air quality scenarios. These
scenarios included conditions that just meet the current O3 standard (design value of 70 ppb), as
well as conditions that just meet two alternative air quality scenarios having design values of 75
ppb and 65 ppb. Section 3C.3 provides additional information on the monitoring data. Section
3C.4 describes the air quality modeling that was used to perform the adjustments, as well as
results from the model evaluation that was performed to assess the accuracy of the modeled
concentrations. Section 3C.5 describes the model-based adjustment approach and its application
to the ambient air quality data to create the three air quality scenarios.

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The final step in preparing the air quality input data for the exposure and risk modeling is
to interpolate the adjusted air quality data from the ambient air monitoring site locations to each
census tract in the eight urban study areas using Voronoi Neighbor Averaging (VNA), which is
described in section 3C.6. Finally, section 3C.7 provides various results from the model-based
adjustment procedure and the final air quality dataset used as inputs to the Air Pollutants
Exposure Model (APEX). The APEX model and its application to air quality in the eight urban
study areas is described in Appendix 3D.

This appendix was developed in support of the risk and exposure analyses for the 2020
review. As outlined in section 1.5, the draft 2019 PA for the 2020 review, with a draft version of
this appendix, was made available for public comment and was reviewed and discussed by
CASAC in a public meeting (84 FR 50836, September 26, 2019; 84 FR 58711, November 1,
2019). In consideration of comments from the CASAC (Cox, 2020) and the public a number of
additional analyses and presentations were added to this appendix in the final 2020 PA (U.S.
EPA, 2020). These additions and clarifications included the following:

•	Cites section in Appendix 3D for description of study area selection (section 3C.2);

•	Summarizes differences in emissions between 2014 NEI and 2016 Platform used for
modeling in this assessment (section 3C.4.1.5);

•	Adds clarifications regarding the model evaluation tables and figures presented in section
3C.4.2 (Figure 3C-12 to Figure 3C-47; Table 3C-5 to Table 3C-17);

•	Provides rationale for choosing nitrogen oxides (NOx) reductions only instead of the
combined NOx and volatile organic compounds (VOC) reductions which were used in
the previous review (section 3C.5.2.2.3); and

•	Adds a reference to a cross-validation analysis conducted in the last review, which
supports the use of the VNA technique for generating the air quality spatial fields (section
3C.6).

3C.2 URBAN STUDY AREAS

Eight urban study areas were chosen for analysis based on several criteria, including
geographic distribution, population, current air quality levels, availability of exposure model
inputs, air quality model performance, and ambient air monitoring network coverage. The
selection criteria and any other considerations in study area selection are described in Appendix
3D, section 3D.2.1. The eight urban study areas selected were: Atlanta, GA; Boston, MA; Dallas,
TX; Detroit, MI; Philadelphia, PA; Phoenix, AZ; Sacramento, CA; and St. Louis, MO. Figure
3C-2 shows a map of these eight study areas and Table 3C-1 provides summary information for
each area. The spatial extent of each study area was determined using the Combined Statistical

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1	Area (CSA), with the exception of the Phoenix study area, which is not in a CSA. In that case,

2	the Core Based Statistical Area (CBSA) was used as the area boundary.1

p-~-—7 h 	i f	J \

Detroit* Boston*

I 	|_ \ J Y—I xrzjX';'

•

•Sacramento	St. Louis#	Philadelphia

Phoenix	+

*	•	Atlanta

Dallas

. fl" \	j\

U r~y X )

3

4	Figure 3C-2. Map showing the location of the eight urban study areas.

5

6	Table 3C-1. Summary information for the eight urban study areas.

Study Area
Name

CSA Name

Land Area
(km2)

Population
(2010)

Number of

03
Monitors

2015-2017
DV(ppb)

Atlanta

Atlanta-Athens-Clarke
County-Sandy Springs, GA

30,665

5,910,296

12

75

Boston

Boston-Worcester-
Providence, MA-RI-NH-CT

25,117

7,893,376

23

73

Dallas

Dallas-Fort Worth, TX-OK

42,664

6,851,398

21

79

Detroit

Detroit-Warren-Ann Arbor,
Ml

16,884

5,318,744

13

73

Philadelphia

Philadelphia-Reading-
Camden, PA-NJ-DE-MD

18,959

7,067,807

20

80

Phoenix

Phoenix-Mesa-Scottsdale,
AZA

34,799

4,192,887

30

76

Sacramento

Sacramento-Roseville, CA

18,871

2,414,783

21

86

St. Louis

St. Louis-St. Charles-
Farmington, MO-IL

23,019

2,892,497

16

72

A The Phoenix study area is not part of a CSA. The name listed in Table 3C-1 is the CBSA name.

1 CSA and CBSA boundaries are based on delineations promulgated by the Office of Management and Budget
(OMB) in February of 2013. CBSA and CSA delineation files are available at

https:I/wwwMensits.gov/geagraphies/reference-files/time~$eries/demo/metro-inicr0/delineation-fi1es.html.

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3C.3 AMBIENT AIR OZONE MONITORING DATA

Hourly O3 concentration data for all U.S. monitoring sites for 2015-2017 was retrieved
from the EPA's Air Quality System (AQS) database in July of 2018. Design values2 for 2015-
2017 were calculated for each monitoring site according to the data handling requirements in
Appendix U to 40 CFR Part 50. Monitors within the study area boundary for each urban study
area were identified. These monitors were used to determine the NOx emissions changes
necessary to meet the current standard of 70 ppb, and the two alternative air quality scenarios
having design values of 75 ppb and 65 ppb, following the model-based adjustment approach
described in section 3C.5.

Additionally, monitors within 50 km of the study area boundary were identified as
"buffer sites." Once the emissions changes required to meet the various air quality scenarios had
been determined using the monitors within the CSA, these emissions changes were applied to
both the CSA monitors and the buffer sites, as described in section 3C.5. The purpose of the
buffer sites was to provide additional data for the spatial interpolation approach described in
section 3C.6, providing improved estimates of air quality near the edges of the urban study area
domain. Figure 3C-3 through Figure 3C-10 show maps of the boundaries for each urban study
area, along with the locations of the monitoring sites used in the analysis. In each map, the
shaded counties comprise the air quality domain of the urban study area used for estimating
exposure and risk, the monitoring sites located inside the study area are denoted by black circles,
and buffer sites are denoted by black squares.

2 The design value is the 3-year average of the annual 4th highest daily maximum 8-hour average O3 concentration.
A monitoring site meets the current standard if its design value is less than or equal to 70 ppb.

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4	black squares.

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o>

1	_r~?

2	Figure 3C-4. Map of the Boston study area. Counties in the CSA are shaded, monitoring

3	sites in the CSA are denoted by black circles, and buffer sites are denoted by

4	black squares.

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\



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Figure 3C-5.

4

r
)

s

Map of the Dallas study area. Counties in the CSA are shaded, monitoring
sites in the CSA are denoted by black circles, and buffer sites are denoted by
black squares.

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4	black squares.

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Figure 3C-7.

Map of the Philadelphia study area. Counties in the CSA are shaded,
monitoring sites in the CSA are denoted by black circles, and buffer sites are
denoted by black squares.

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r ซ

1 |

	cL

3	sites in the CBS A are denoted by black circles, and buffer sites are denoted by

4	black squares.

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2	Figure 3C-9. Map of the Sacramento study area. Counties in the CSA are shaded,

3	monitoring sites in the CSA are denoted by black circles, and buffer sites are

4	denoted by black squares.

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black squares.

It is worth noting that for an area to show compliance with the current O3 standard, all
monitors within the urban area must have design values less than or equal to 70 ppb. According
to Appendix U to 40 CFR Part 50, air quality monitors must also meet certain data completeness
requirements to show compliance with the standard. However, any design value based on 3 years
of monitoring data that exceeds the standard is not in compliance, regardless of data
completeness. Therefore, when performing the air quality adjustments to create the three air
quality scenarios, all monitors in each urban study area with data reported for each of the 3 years
were included, regardless of data completeness.

Finally, per Appendix U to 40 CFR Part 50, data not meeting the ambient air monitoring
requirements in 40 CFR Part 58, data reported using methods other than Federal Reference or
Equivalent Methods, and data concurred by the appropriate EPA Regional Office as having been
affected by an exceptional event were excluded from design value calculations. However, once
the emissions changes required to determine compliance with the various air quality scenarios

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had been determined, these values were included in the final adjustment and spatial interpolation.
In practice, fewer than 10,000 hourly concentrations out of more than 3 million (-0.3%) were
excluded from design value calculations in this manner.

3C.4 AIR QUALITY MODELING DATA

3C.4.1 Comprehensive Air Quality Model with Extensions (CAMx)

3C.4.1.1 Model Set-up and Simulation

The Comprehensive Air Quality Model with Extensions (CAMx) was used as the
modeling tool for this assessment. CAMx is a peer-reviewed model that simulates the formation
and fate of photochemical oxidants, aerosol concentrations, acid deposition, and air toxics, over
multiple scales for given input sets of meteorological conditions and emissions. CAMx is used
frequently for a range of scientific and regulatory applications related to the analysis of air
quality in the U.S. The Higher Order Direct Decoupled Method (HDDM) was implemented in
CAMx to estimate the model sensitivities to emissions changes as described in section 3C.5 of
this appendix. The CAMx-HDDM configuration tracks gas-phase species concentrations through
all modeled processes. However, HDDM implemented in CAMx does not track the effects of
aerosol and cloud processing on calculated O3 sensitivities. Differences in predicted O3
concentrations between the CAMx-HDDM configuration described here and a standard CAMx
v6.5 simulation with full treatment of aerosol-03 interactions did not influence O3 predictions in
the urban study areas examined in this assessment. CAMx v6.53 was run using the carbon bond
version 6 (CB06r4) gas-phase chemical mechanism (Yarwood et al., 2010; Gery et al., 1989) and
the AER06 aerosol module which includes ISORROPIA for gas-particle partitioning of
inorganic species (Nenes et al., 1998) and secondary organic aerosol treatment as described in
Carlton et al. (2010).

3C.4.1.2 Model Domain

For this analysis, all CAMx runs were performed for a domain that covers the 48
contiguous states including portions of southern Canada and Northern Mexico with a 12 x 12 km
resolution (Figure 3C-11). The CAMx simulations were performed with 35 vertical layers with a
top layer at about 17,600 meters, or 50 millibars (mb). Table 3C-2 and Table 3C-3 provide some
basic geographic information regarding the CAMx domain and vertical layer structure,
respectively. Results from the lowest layer of the model were used for analyses to support the
risk and exposure analyses described in Appendix 3D.

3 For more information, see: http://www.camx.com/files/camxusersguide_v6-50.pdf.

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2	Figure 3C-11. Map of the CAMx modeling domain.

3

4	Table 3C-2. Geographic elements of domain used in the CAMx/HDDM modeling.

Domain Element

CAMx Modeling Configuration Grid

Map Projection

Lambert Conforma! Projection

Grid Resolution

12 km

True Latitudes

33 deg N and 45 deg N

Grid Dimensions

396 x 246 x 35

Vertical extent

35 Layers: Surface to 50 millibar level

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3C.4.1.3 Model Time Period

The CAMx/HDDM modeling was performed for January 1 - December 31 of 2016. The
simulations included a 10-day spin-up period4 from December 22-31, 2015. The spin-up days
were not considered in the analysis for the HDDM results.

3C.4.1.4 Model Inputs: Meteorology

CAMx model simulations require inputs of meteorological fields, emissions, and initial
and boundary conditions. The gridded meteorological data for the entire year of 2016 at the 12
km continental U.S. scale domain were derived from version 3.8 of the Weather Research and
Forecasting Model (WRF), Advanced Research WRF (ARW) core (Skamarock et al., 2008). The
WRF Model is a mesoscale numerical weather prediction system developed for both operational
forecasting and atmospheric research applications.5 The 2016 WRF simulation included the
physics options of the Pleim-Xiu land surface model (LSM), Asymmetric Convective Model
version 2 planetary boundary layer (PBL) scheme, Morrison double moment microphysics,
Kain-Fritsch cumulus parameterization scheme and the RRTMG long-wave radiation (LWR)
scheme (Gilliam and Pleim, 2009). Additionally, lightning data assimilation was utilized to
suppress (force) deep convection where lightning was absent (present) in observational data.

This method is described by Heath et al. (2016) and was employed to help improve precipitation
estimates generated by the WRF model.

The WRF and CAMx simulations used the same map projection, a lambert conformal
projection centered at (-97, 40) with true latitudes at 33 and 45 degrees north. The WRF and
CAMx simulations utilized 35 vertical layers with a surface layer of approximately 19 meters.
Table 3C-3 shows the vertical layer structure used in WRF to generate the CAMx meteorological
inputs.

The WRF meteorological outputs were processed to create model-ready inputs for CAMx
using the wrfcamx version 4.3 meteorological pre-processor (Ramboll Environ, 2014). The
specific meteorological inputs to CAMx include: horizontal wind components (i.e., speed and
direction), temperature, moisture, vertical diffusion rates, and rainfall rates for each grid cell in
each vertical layer.

4	It is standard practice to allow chemical transport models to run for several days to weeks prior to the time period

of interest in order to minimize the influence of initial conditions.

5	See: http://wrf-model.org

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1 Table 3C-3. Vertical layer structure for 2016 WRF and CAMx simulations.

Layer Top
Height (m)

Pressure
(mb)

Model
Layer

17,556

50

35

14,780

97.5

34

12,822

145

33

11,282

192.5

32

10,002

240

31

8,901

287.5

30

7,932

335

29

7,064

382.5

28

6,275

430

27

5,553

477.5

26

4,885

525

25

4,264

572.5

24

3,683

620

23

3,136

667.5

22

2,619

715

21

2,226

753

20

1,941

781.5

19

1,665

810

18

1,485

829

17

1,308

848

16

1,134

867

15

964

886

14

797

905

13

714

914.5

12

632

924

11

551

933.5

10

470

943

9

390

952.5

8

311

962

7

232

971.5

6

154

981

5

115

985.75

4

77

990.5

3

38

995.25

2

19

997.63

1

2

3	A detailed meteorological model performance evaluation was conducted for the 2016

4	WRF simulations (U.S. EPA, 2017). The analysis included statistical evaluation of temperature,

5	wind speed, and water vapor mixing ratios against observational data from airports, as well as

6	evaluations of monthly precipitation compared to the Parameter-elevation Relationships on

7	Independent Slopes Model (PRISM) and shortwave radiation compared to data from the Surface

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Radiation Budget Measurement Network (SURFRAD) and the Solar Radiation Network
(SOLRAD).

3C.4.1.5 Model Inputs: Emissions

The emissions data used are based on the alpha version of the Inventory Collaborative
2016 emissions modeling platform.6 The modeling case used is abbreviated "2016fe" and is
publicly available.7

Emissions were processed to photochemical model inputs with the SMOKE modeling
system version 4.5 (Houyoux et al., 2000). For this analysis, emissions from wildfires and
prescribed burns were based on year 2016 nationally available fire datasets. Electric generating
unit (EGU) emissions are temporally allocated to hourly values based on patterns derived from
year 2016 Continuous Emissions Monitoring System (CEMS) data. In addition, U.S. emissions
are included from other point sources, area sources, agricultural sources (ammonia only),
anthropogenic fugitive dust sources, nonroad mobile sources, onroad mobile sources, and
biogenic sources. Emissions for onroad mobile sources were created using the EPA's MOVES
2014a model,8 except that California emissions were adjusted to match the county total
emissions obtained directly from the California Air Resources Board. Biogenic emissions were
estimated using the Biogenic Emissions Inventory System version 3.61 (BEISv3.61) (Pouliot and
Bash, 2015). Other North American emissions from areas outside the U.S. are based on a 2013
Canadian inventory scaled to 2015, and projections of the 2008 Mexican inventory to the year
2016 along with the scaling of MOVES-Mexico emissions to year 2016 (ERG, 2017). The
construction of the emissions is described in more detail in the technical support document
Preparation of Emissions Inventories for the Version 7.1 2016 Regional Emissions Modeling
Platform (U.S. EPA, 2019). Emissions totals within the United States are summarized in Table
3C-4 for CO, NH3, NOx, PM10, PM2.5, SO2, and VOC. Anthropogenic NOx emissions in the
2016 platform are about 19% lower than those reported in the 2014 NEI due to both improved
inventory development methods and updates to specific components (e.g., cleaner vehicles
entering the onroad mobile fleet or EGUs transitioning from coal to natural gas).

6 http://views, cira. colostate. edu/wiki/wiki/9169
1 https://www.epa.gov/air-emissions-modeling/2016-alpha-platform
8 https://www.epa.gov/moves

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1	Table 3C-4. Summary of U.S. emissions totals by sector for the 12km CONUS domain (in

2	thousand tons). "NA" indicates not applicable.

Sector
Abbrev.

Sector Description

CO

nh3

NOx

PM10

PM2.5

S02

voc

afdust_adj

Anthropogenic fugitive dust

NA

NA

NA

6,217

874

NA

NA

ag

Agricultural sources

NA

2,777

NA

NA

NA

NA

NA

ptagfire

Agricultural fires

593

80

18

96

68

6

36

cmv_c1c2

Category 1 and 2
Commercial Marine
Vessels

47

NA

260

6

6

NA

5

cmv_c3

Ocean-going (Category 3)
Commercial Marine
Vessels

11

NA

108

4

4

4

5

nonpt

Nonpoint (area) sources
not in other sectors

2,681

121

758

609

496

162

3,673

np_oilgas

Nonpoint oil and gas
sources

642

NA

676

18

17

39

2,986

nonroad

Nonroad (off-road)
equipment

12,189

2

1,207

122

115

2

1,465

onroad

Onroad mobile sources

20,446

101

4,046

273

130

27

1,962

ptfire

Wild and Prescribed Fires

23,642

388

333

2,415

2,046

181

5,581

ptegu

Point sources: electric
generation units

672

25

1,289

171

141

1,545

33

ptnonipm

Point sources other than
electric generating units

1,848

61

1,073

407

264

673

809

pt_oilgas

Oil and gas-related Point
Sources

178

4

360

12

11

42

133

rail

Locomotive emissions

118

NA

673

21

19

1

35

rwc

Residential Wood
Combustion emissions

2,099

15

30

314

314

8

338

Total anthro

Total US anthropogenic
emissions (including
wildfires)

65,167

3,576

10,832

10,685

4,507

2,689

17,241

beis

U.S. biogenic emissions

7,297

NA

979

NA

NA

NA

42,861

Total with
biogenic

Total US emissions
including biogenic
emissions

72,463

3,576

11,812

10,685

4,507

2,689

60,102

3	3C.4.1.6 Model Inputs: Boundary and Initial Conditions

4	Initial and lateral boundary concentrations for the 12 km US2 domain are provided by the

5	hemispheric version of the Community Multi-scale Air Quality model (H-CMAQ) v5.2.1. H-

6	CMAQ was run for 2016 with a horizontal grid resolution of 108 km and 44 vertical layers up to

7	50 hPa. The H-CMAQ predictions were used to provide one-way dynamic boundary conditions

8	at one-hour intervals. An operational evaluation against sonde and satellite observations showed

March 2023

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23

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that the 2016 H-CMAQ simulation reasonably captured general patterns of O3 transport within
the northern Hemisphere that are relevant for the 12US2 domain (Henderson et al., 2018).

3C.4.2 Evaluation of Modeled Ozone Concentrations

In this section we present the results of an evaluation of the CAMx configuration used to
produce the air quality results described in Chapter 3. Specifically, we summarize the ability of
the CAMx model to reproduce the corresponding 2016 measured O3 concentrations. This
operational evaluation shows that in general for most regions and seasons, the CAMx model
predictions for 2016 generally reproduce patterns of observed O3. The notable exception to this
is a persistent underestimate in winter across almost all regions, particularly at higher latitude
sites.

In the following sections we present general model performance statistics and plots for
five regions of the U.S. We compare model predictions of maximum daily 8-hr average (MDA8)
O3 concentrations to measurements reported in EPA's AQS. We note that these comparisons are
based on MDA8 values calculated across all available modeled CAMx values and all observed
(AQS) concentrations, and that these comparisons include buffer sites. Model performance could
be different for comparisons without buffer sites, or using the modeled CAMx MDA8 values
only when the corresponding observed MDA8 values are available.

The model statistics presented here include mean bias, mean error, normalized mean bias,
and normalized mean error as calculated below, where n represents the total number of
observations:

Mean Bias:	(ฃ modeled — observed)/n

Mean Error:	(ฃ |modeled — observed \)/n

Normalized Mean Bias:	(ฃ modeled — observed)/(ฃ observed)

Normalized Mean Error	(ฃ \modeled — observed])/(ฃ observed)

Our analysis focuses on regional model evaluation statistics from five US regions as well
as evaluations of the eight urban study areas included in the exposure and risk analysis - Atlanta,
Boston, Dallas, Detroit, Philadelphia, Phoenix, Sacramento, and St. Louis.9'10 Statistics for
CAMx model performance in these regions and urban study areas are shown by season in Table
3C-5 through Table 3C-17 for observed days with MDA8 O3 values > 60 ppb, observed days

9	The five regions are defined as follows: Northeast (Connecticut, Delaware, District of Columbia, Maine,

Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont),
Southeast (Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee,
Virginia, West Virginia), Midwest (Illinois, Indiana, Michigan, Ohio, Wisconsin), Central (Arkansas, Iowa,
Kansas, Louisiana, Minnesota, Missouri, Nebraska, Oklahoma, Texas), and West (Arizona, California, Colorado,
Idaho, Nevada, New Mexico, Oregon, Utah, Wyoming).

10	Monitoring sites for each urban study area were selected based on core-based statistical area (CBSA) groupings.

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28

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30

31

with MDA8 O3 < 60 ppb, and for all observed days. For each of the five regions listed above,
spatial plots are provided for each season showing Normalized Mean Bias (NMB) for MDA8 O3
at individual sites. Summary NMB ranges are included at the bottom of each map showing the
min and max values for the season/region across all sites, as well as the 25th, 50th, and 75th
percentile values. Time series plots are provided for MDA8 O3 in each urban study area for the
period from January-December 2016. Hourly time series plots are also provided for one month in
each season (January, April, July, October).11

3C.4.2.1 Operational Evaluation in the Northeastern U.S.

Table 3C-5 shows that in the Northeast Region, model mean bias was generally less than
7 ppb and normalized mean bias was less than 15% in most cases. Errors were largest in the
winter, with underestimates also extending to the spring. Spatial maps of normalized mean bias
are shown in Figure 3C-12 through Figure 3C-15. During the O3 season performance was best on
high O3 days, particularly in the summer and fall. Two of the eight urban study areas evaluated
were in the Northeast: Boston and Philadelphia.

Model performance at the Boston study area monitoring sites (Table 3C-6) was similar to
that of the Northeast Region. The time series plots show that the model reasonably reproduces
the measured day-to-day variability in MDA8 O3 concentrations (Figure 3C-16). The
underestimate in winter-spring observed in the Northeast region statistics is particularly
pronounced in Boston, likely due to its relatively northerly location where seasonal daylight and
temperature changes are more exaggerated. Variability of hourly daytime and nighttime O3
concentrations is generally well modeled in all seasons, again noting the persistent underestimate
in January/April. Model characterization of hourly variability is particularly good in July,
although peak daytime O3 is slightly overestimated. Nighttime O3 is also consistently
overestimated in July/October (Figure 3C-17).12

Bulk model performance statistics for Philadelphia (Table 3C-7) are again similar to
those for the Northeast as a whole, with more moderate performance compared to Boston during
both winter (not as poor) and summer/fall (not as good). The spring underestimate present in the
Boston comparisons is much smaller for Philadelphia (Figure 3C-18, Figure 3C-19), again
suggesting that the winter-spring underestimate is more pronounced at more northerly sites.
Philadelphia also exhibits the nighttime overestimates in the July/October hourly comparisons
seen in Boston, with slightly higher overestimates of peak July daytime concentrations.

11	Note that the MDA8 and hourly time series show average concentrations across all monitors within each urban
study area. The number of monitors included in this average sometimes changes by season since different
monitors within each study area take measurements over different periods of the year.

12	Note that the Y-axis scale for the various time series are not consistent.

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1	Table 3C-5. CAMx model performance at monitoring sites in the Northeastern U.S.

2	Statistics shown are mean bias (MB), normalized mean bias (NMB), mean

3	error (ME), and normalized mean error (NME).

Season

MDA8 level
(PPb)

No. of obs

MB (ppb)

NMB (%)

ME (ppb)

NME (%)

Winter

Days < 60

7056

-6.4

-21.0

7.3

23.8

Days > 60

1

-26,7

-42.4

26.7

42.4

All Days

7057

-6,4

-21.0

7.3

23.8

Spring

Days < 60

7493

-6,2

-14,7

7.8

18.6

Days > 60

511

-5,1

-7,6

7,3

10.8

All Days

8004

-6.1

-14.0

7.7

17.8

Summer

Days < 60

7385

5,0

11.8

7.7

18.1

Days > 60

870

0.8

1,2

6.7

10.2

All Days

8255

4.5

10.1

7.6

16.9

Fall

Days < 60

7612

1.3

3.9

5.6

17.6

Days > 60

135

-0,9

-1.4

5.4

8.1

All Days

7747

1,2

3,7

5,6

17.3

Bias Summary: [ min. 25th %, 50th %, 75th %, max ]
g	[-55, -26, -22, -16. 14]

7 Figure 3C-12. Normalized mean bias for MDA8 O3 in the Northeastern U.S., winter 2016.

March 2023

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2

3

Bias Summary: [ min, 25th %, 50th %, 75th %, max ]
[-43, -20, -14, -7.1, 23]

Figure 3C-13. Normalized mean bias for MDA8 O3 in the Northeastern U.S., spring 2016.

Bias Summary: [ min. 25th %, 50th %, 75th %, max ]

4	[-21, 7.8, 17, 28, 85]

5	Figure 3C-14. Normalized mean bias for MDA8 Oj in the Northeastern U.S., summer

6	2016.

March 2023

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Bias Summary: [ min, 25th %, 50th %, 75th %, max ]

1	[-37, 4.8. 15, 28. 93]

2	Figure 3C-15. Normalized mean bias for MDA8 O3 in the Northeastern U.S., fall 2016.

3

4	Table 3C-6. CAMx model performance at monitoring sites in the Boston study area.

Season

MDA8 level
(PPb)

No. of obs

MB (ppb)

NMB (%)

ME (ppb)

NME (%)

Winter

Days < 60

1346

-8.4

-25.6

8.9

27.2

Days > 60

0

NA

NA

NA

NA

All Days

1346

-8.4

-25.6

8.9

27.2

Spring

Days < 60

82

-9.1

-21.3

9.9

23,3

Days > 60

1476

-8,6

-12.6

10,4

15.2

All Days

1558

-9,0

-20.6

9,9

22.6

Summer

Days < 60

1484

3,6

9.0

6,2

15.7

Days > 60

146

1,2

1.8

5.9

8,9

All Days

1630

3,3

8.0

6.2

14,8

Fall

Days < 60

1482

-0,6

-1.8

5.4

17.4

Days > 60

8

0.3

0,43

5.4

8.4

All Days

1490

-0,6

-1,8

5.4

17.3

5

March 2023

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AQS MDAS Comparison for Boston Monitors in 2016

43
CL
Q-

8

<
Q

60

60

40

20 -

0 J

AQS MDAS
CAMx HDDM 2016fe

# sites:37





i D v'v y



3

01/01 02/02 03/05 04/06 05/08 06/09 07/11 06/12 09/13 10/15 11/16 12/16

Date

Figure 3C-16. Time series of monitored (black) and modeled (red) .VIDAS Os at Boston
monitoring sites in 2016.

March 2023

3C-25 External Review Draft v2- Do Not Quote or Cite


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AOS Comparison for Boston Monitors in January 2016

AOS Comparison for Boston Monitors in April 2016

AOS Comparison for Boston Monitors in July 2016	AOS Comparison for Boston Monitors in October 2016

Figure 3C-17. Time series of monitored (black) and modeled (red) hourly O3

concentrations at Boston monitoring sites in January (top left), April (top
right), July (bottom left), and October (bottom right) 2016.

Table 3C-7. CAMx model performance at monitoring sites in the Philadelphia study area.

Season

MDA8 level
(PPb)

No. of obs

MB (ppb)

NMB (%)

ME (ppb)

NME (%)

Winter

Days < 60

2151

-5.0

-17.9

6.1

21.7

Days > 60

0

NA

NA

NA

NA

All Days

2151

-5.0

-17.9

6.1

21.7

Spring

Days < 60

2328

-4.5

-10.9

6.6

16.0

Days > 60

150

-3,0

-4.4

5.1

7.5

All Days

2478

-4,4

-10.3

6.5

15.2

Summer

Days < 60

2229

6.7

14.7

9.1

20.2

Days > 60

352

1.0

1.5

6.8

10.3

Ail Days

2581

5,9

12,3

OO
CO

18.3

Fall

Days < 60

2333

1,9

5,9

5.7

17.7

Days > 60

71

-1.0

-1.4

5.2

7.7

All Days

2404

1.8

5,5

5.7

17.1

March 2023

3C-26 External Review Draft v2- Do Not Quote or Cite


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AQS MDA8 Comparison for Philadelphia Monitors in 2016

01/01 02.02 03/05 04/06 05/08 06/09 07/11 08/12 09/13 10/15 11/16 12/18

Date

1

2	Figure 3C-18. Time series of monitored (black) and modeled (red) MDA8 O3 at

3	Philadelphia monitoring sites in 2016,

# sltes:47

AQS MDA8
CAMx HDDM 2016fe

March 2023

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18

19

AOS Comparison tor Philadelphia Monitors in January 2016

AOS Comparison for Philadelphia Monitors In April 2016

8 20

C

— AOS Hourly

CAM* HDDMZOIfrte

0101 0103 0106 01*09 01/11 Oti'14 01/17 0119 01.22 0125 01/27 0t30
Dote

AOS Comparison for Philadelphia Monitors in July 2016

03/31 0403 0406 04.08 04/11 04/13 04/1 fi 04 19 0421 0424 04/27 04 29
Dale

AOS Comparison lor Philadelphia Monitors in October 2016

0630 0703 07.06 0706 07/11 0714 07/17 07/19 0722 07/25 072 7 07,30
Date

09 30 1003 10O6 10O8 10/11 1014 10/17 10.18 1022 1025 1027 1030
Date

Figure 3C-19. Time series of monitored (black) and modeled (red) hourly O3

concentrations at Philadelphia monitoring sites for January (top left), April
(top right), July (bottom left), and October (bottom right) 2016.

3C.4.2.2 Operational Evaluation in the Southeastern U.S.

In the Southeast region, mean bias for MDA8 O3 was generally less than ~5 ppb at most
sites in all seasons, as indicated in Table 3C-8. The exception is winter, where there were only
four days with measured MDA8 > 60 ppb and all were largely underpredicted. Spatial maps of
normalized mean bias are shown in Figure 3C-20 through Figure 3C-23. Performance was best
in the spring (slightly underestimated) and on high O3 days in the summer/fall. Atlanta was the
only one of the eight urban study areas located in the Southeast region.

Mean bias and normalized mean bias at Atlanta sites for the spring, summer, and fall
months were typical of performance throughout the Southeast region, with much better
performance in winter. The MDA8 O3 time series (Figure 3C-24) shows that the model
reasonably represents the variability occurring on high and low O3 concentration days. The
hourly time series plots (Figure 3C-25) also show reasonable model performance during daytime
hours but some persistent overestimates of both nighttime and peak daytime O3 occur, especially
in July.

March 2023

3C-28 External Review Draft v2- Do Not Quote or Cite


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Table 3C-8. CAMx model performance at monitoring sites in the Southeastern U.S.

Season

MDA8 level
(PPb)

No. of obs

MB (ppb)

NMB (%)

ME (ppb)

NME (%)

Winter

Days < 60

3775

-3.2

-9.2

5.3

15.4

Days > 60

4

-27.2

-40.6

27,2

40.6

All Days

3779

-3,2

-9.2

5.3

15,4

Spring

Days < 60

7193

-0,6

-1,4

5,2

11.7

Days > 60

468

-2.6

-4.0

5.0

7,8

All Days

7661

-0.7

-1.6

5,2

11.3

Summer

Days < 60

7825

5,2

13,9

7.6

20.2

Days > 60

396

0.4

0.6

6.2

9.5

All Days

8221

5.0

12.8

7.5

19.3

Fail

Days < 60

6456

3.4

8.7

6,0

15,5

Days > 60

139

0.6

0,9

4.8

7,6

All Days

6595

3,3

8.4

6.0

15,2

Bias Summary: [ min, 25th %, 50th %, 75th %, max ]

[ -32, -9.6, -1.8, 7.6, 51 ]

Figure 3C-20. Normalized mean bias for MDA8 O3 in the Southeastern U.S., winter 2016.

March 2023

3C-29 External Review Draft v2- Do Not Quote or Cite


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100

100

1

2

Bias Summary: [ min, 25th %, 50th %, 75th %, max ]
[-18, -1.4, 5.1, 13, 44]

Figure 3C-21. Normalized mean bias for MDA8 O3 in the Southeastern U.S., spring 2016.

100

Bias Summary: [ min, 25th %, 50th %, 75th %, max ]

3	[-22, 16, 27, 39, 130]

4	Figure 3C-22. Normalized mean bias for MDA8 O3 in the Southeastern U.S., summer

5	2016.

March 2023

3C-30 External Review Draft v2- Do Not Quote or Cite


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Bias Summary: [ min, 25th %, 50th %, 75th %, max ]

1	[-12, 12, 29, 44, 120]

2	Figure 3C-23. Normalized mean bias for MDA8 O3 in the Southeastern U.S., fall 2016.

3

4	Table 3C-9. CAMx model performance at monitoring sites in the Atlanta study area.

Season

MDA8 level
(PPb)

No. of obs

MB (ppb)

NMB (%)

ME (ppb)

NME (%)

Winter

Days < 60

91

-0.9

-3,3

3,4

12.4

Days > 60

0

NA

NA

NA

NA

Ail Days

91

-0,9

-3.3

3.4

12.4

Spring

Days < 60

747

1,4

3,1

4.7

10.6

Days > 60

54

-1.4

-2.1

4.9

7.3

All Days

801

1,2

2.6

4.7

10.3

Summer

Days < 60

717

5,4

13.4

6.9

17.1

Days > 60

93

-1,1

-1.6

6.0

8.9

Ail Days

810

4,7

10.7

6.8

15.6

Fail

Days < 60

520

5,6

12.8

6,5

15.1

Days > 60

26

3,8

6.0

5,2

8.2

All Days

546

5,5

12,4

6.5

14,6

March 2023

3C-31 External Review Draft v2- Do Not Quote or Cite


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AOS MDA8 Comparison for Atlanta Monitors in 2016

80

_ 60
a

Q.

a.

to
O

oo 40

<

Q

20 -

0 -J

AOS MDA8
CAMx HDOM 2016fe

# sites:18

01/01 02.02 03/05 04/06 05,-08 06/09 07/11 08/12 09/13 10/15 11/16 12/18

Date

1

2	Figure 3C-24. Time series of monitored (black) and modeled (red) MDA8 O3 at Atlanta

3	monitoring sites in 2016.

March 2023

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1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

AQS Comparison for Atlanta Monitors in January 2016

AOS Comparison for Atlanta Monitors in April 2016



50 -



40 -

0

1

30 -

a

i

20



to -



0 -

— AOS Hourly

CAM* HDDM 2016te

Olfll 0103 divOS 01/09 01.'11 01/14 0t/t7 01/19 01S2 01/25 0127 0130
Date

AQS Comparison for Atlanta Monitors in July 2016

8 40

	 AOS Hourly

CAM.* HDDM 2016fa

H

I

03^31 04 03 04136 044)0 04/11 0413 04 16 0419 0421 04.24 04,27 0429
Date

AQS Comparison for Atlanta Monitors in October 2016

a 40

i

— AOS Hourly

CAM* HDDM2016fe

ft i

0630 07-03 07,06 0706 07/11 07/14 07/17 07/19 07,22 0725 0727 07/30
Dale

8 40 -

AOS Hourly
CAM* HDDM 2016te

09/30 1003 1006 10.08 10/11 1014 10.17 10/19 1022 1025 1027 10,30
Dale

Figure 3C-25. Time series of monitored (black) and modeled (red) hourly O3

concentrations at Atlanta monitoring sites in January (top left), April (top
right), July (bottom left), and October (bottom right) 2016.

3C.4.2.3 Operational Evaluation in the Midwest U.S.

Mean bias for MDA8 O3 in the Midwest region was around 6 ppb or less at most sites for
all seasons (Table 3C-10), except for high O3 days in spring. Normalized mean bias for MDA8
O3 was less than 15%, except in the winter when it was somewhat higher (-20%). Normalized
mean error was lowest on high O3 days in spring, summer, and fall, even though bias
performance was not notably better during these times. No distinct spatial patterns are apparent
from the maps of normalized mean bias (Figure 3C-26 through Figure 3C-29). Detroit was the
only one of the eight urban study areas located in the Midwest

Detroit performance statistics for MDA8 O3 were similar to those from the rest of the
Midwest. However, under-estimates on high O3 days were more pronounced in Detroit than in
the rest of the region. The time series shows that the model accurately estimates both day and
nighttime hourly O3 in Detroit in April and July and generally captures the variations in MDA8
O3 throughout the year, although the persistent under-estimate in winter-spring is evident (Figure
3C-30, Figure 3C-31).

March 2023

3C-33 External Review Draft v2- Do Not Quote or Cite


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1

2	Table 3C-10, CAMx model performance at monitoring sites in the Midwest U.S.

Season

MDA8 level
(PPb)

No. of obs

MB (ppb)

NMB (%)

ME (ppb)

NME (%)

Winter

Days < 60

1775

-5.8

-20.2

6.4

22.4

Days > 60

0

NA

NA

NA

NA

All Days

1775

-5,8

-20,2

6,4

22,4

Spring

Days < 60

3635

-5,9

-14,1

7.6

18,1

Days > 60

370

-8.3

-12,5

9.2

14.0

All Days

4005

-6.1

-13.9

7.8

17.6

Summer

Days < 60

4680

3,3

7.8

7.4

17.8

Days > 60

556

-4.9

-7.3

8.6

12.8

All Days

5236

2.4

5.4

7,6

17,0

Fail

Days < 60

3439

2.2

6.7

5,1

15.3

Days > 60

51

3.3

5.1

5.6

8.6

All Days

3490

2.3

6,7

5,1

15,1

Bias Summary: [ min, 25th %, 50th %, 75th %, max ]

4	[-44, -27, -22, -16, -0.96]

5	Figure 3C-26. Normalized mean bias for MDA8 O3 in the Midwest U.S., winter 2016.

100

80
60
40
20
0

-20
-40
-60
-80
-100

March 2023

3C-34 External Review Draft v2- Do Not Quote or Cite


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Bias Summary: [ min, 25th %, 50th %, 75th %, max ]

3	[-20, 4.4, 11, 22, 87]

4	Figure 3C-28. Normalized mean bias for MDA8 O3 in the Midwest U.S., summer 2016.

March 2023	3C-35 External Review Draft v2- Do Not Quote or Cite


-------
100

80

60

40

20

0

-20
-40
-60
-80
-100

Bias Summary: [ min, 25th %, 50th %, 75th %, max ]

1	[-14, 10, 20, 31, 130]

2	Figure 3C-29. Normalized mean bias for MDA8 O3 in the Midwest U.S., fall 2016.

3

4	Table 3C-11. CAMx model performance at monitoring sites in the Detroit study area.

Season

MDA8 level
(PPb)

No. of obs

MB (ppb)

NMB (%)

ME (ppb)

NME (%)

Winter

Days < 60

29

-4,1

-19.5

5.9

26,3

Days > 60

0

NA

NA

NA

NA

All Days

29

-4,1

-19.5

5.9

26.3

Spring

Days < 60

337

-6.5

-15.8

8.3

20.0

Days > 60

28

-9.4

-13.5

10.0

14,4

All Days

365

-6.7

-15.5

8.4

19.3

Summer

Days < 60

485

2.0

4,7

6,8

16,1

Days > 60

59

-5,3

-8.1

7,9

12,1

All Days

544

1,2

2.7

6,9

15,5

Fali

Days < 60

245

3,1

9.7

5.6

17.2

Days > 60

3

-4.1

-6.7

4.1

6.7

All Days

248

3.0

9.3

5.5

17.0

5

March 2023

3C-36 External Review Draft v2- Do Not Quote or Cite


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AQS MDA8 Comparison for Detroit Monitors in 2016

80

_ 60 -

n

a

5

8

ซ 40
o

20 -

0 -

AQS MDA8
CAMx HDDM 2016te

# sites:21

01/01 02/02 03/05 04/06 05/08 06/09 07/11 08/12 09/13 10/15 11/16 12/18

Date

Figure 3C-30. Time series of monitored (black) and modeled (red) MDA8 O3 at Detroit
monitoring sites in 2016.

March 2023

3C-37 External Review Draft v2- Do Not Quote or Cite


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1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

AOS Comparison for Detroit Monitors in January 2016

AQS Comparison tor Detroit Monitors In April 2016

AOS Hourly
CAW* HDDM 2016(0

	 AQS Hourly

CAMx HDDM 2016ffl

9 sites 21

Figure 3C-31. Time series of monitored (black) and modeled (red) hourly O3

concentrations at Detroit monitoring sites in January (top left), April (top
right), July (bottom left), and October (bottom right) 2016.

60 -
60 -

i

| 40-

X

20 -
0 -

0M>t 01,03 0106 01-09 01/11 01/14 0117 01/19 0122 01-25 01/27 01-30	0331 04-03 04.06 0406 0411 04/13 04/16 0419 0421 04-24 0427 0429

Dale	Dale

AOS Comparison for Detroit Monitors in July 2016	AOS Comparison for Detroit Monitors in October 2016

0630 0703 07A36 07 06 07/11 07,'14 07/17 07/19 0722 0725 07j27 07/30

09/30 10 03 104)6 1008 1011 10.14 10/17 1019 10-22 1025 1027 10-30

— AOS Hourly

CAM* HDOM 20161ฎ

9 sites 20

3C.4.2.4 Operational Evaluation in the Central U.S.

Mean bias for MDA8 O3 concentrations in the Central U.S. is within 4 ppb, except for
high days in winter (-6 ppb) and spring (-7 ppb) (Table 3C-12). Normalized mean error is within
15%, except for days < 60 ppb in winter and summer (-18%). Spatial maps of normalized mean
bias are shown in Figure 3C-32 through Figure 3C-35. Overall performance is best on lower O3
days in spring and high O3 days in summer and fall. St. Louis and Dallas were the only two of
the eight study areas which are located in the Central U.S. region.

St. Louis mean bias for MDA8 was within 5 ppb for all days and seasons. A north-south
gradient in NMB is apparent during both the winter and spring seasons in the maps shown in
Figure 3C-32 and Figure 3C-33, with larger underestimates visible at higher latitude/more
northerly monitors. Overall performance for St. Louis was best on high O3 days in summer. The
MDA8 time series shows reasonable agreement between CAMx and the monitor data for most of
the year (Figure 3C-36), with underestimates in January and overestimates in July also apparent
in the hourly time series (Figure 3C-37).

March 2023

3C-38 External Review Draft v2- Do Not Quote or Cite


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1	Performance statistics for MDA8 O3 in Dallas were better than those for the broader

2	region, with mean bias less than 5 ppb and normalized mean error just at or below 15% for all

3	days and seasons. The MDA8 and hourly time series also show excellent model performance,

4	with slightly underestimated peak day time O3 in January (Figure 3C-38, Figure 3C-39).

5	Overestimates of night-time O3 in April and October, although these overpredictions are less

6	pronounced in Dallas compared to many of the other urban study areas examined in the

7	assessment.

8	Table 3C-12. CAMx model performance at monitoring sites in the Central U.S.

Season

MDA8 level (ppb)

No. of obs

MB (ppb)

NMB (%)

ME (ppb)

NME (%)

Winter

Days < 60

4550

-4.0

-12.2

5.8

18.0

Days > 60

7

-5.7

-9.2

9.1

14.5

All Days

4557

-4.0

-12.2

5.8

18.0

Spring

Days < 60

7086

-1.7

-3.9

6.2

14.4

Days > 60

324

-7.0

-10.9

7.8

12.2

All Days

7410

-1.9

-4.3

6.2

14.3

Summer

Days < 60

8234

3.8

9.6

7.0

17.9

Days > 60

346

-2.7

-4.2

7.0

10.8

All Days

8580

3.5

8.7

7.0

17.4

Fall

Days < 60

7109

2.6

7.4

5.1

14.6

Days > 60

124

-1.8

-2.8

5.3

8.2

All Days

7233

2.5

7.1

5.1

14.4

9

Bias Summary: [ min, 25th %, 50th %, 75th %, max ]

10	[-44, -13, -7.4. 1.6, 36]

11	Figure 3C-32. Normalized mean bias for MDA8 O3 in the Central U.S., winter 2016.

March 2023

3C-39 External Review Draft v2 Do Not Quote or Cite


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Bias Summary: [ min, 25th %, 50th %, 75th %, max ]

3	[-21, 6.9, 16, 24, 72]

4	Figure 3C-34. Normalized mean bias for MDA8 O3 in the Central U.S., summer 2016.

-20

Bias Summary. [ min, 25th %, 50th %, 75th %, max ]
[-28, -7.6, -0.93, 6.6, 41 ]

2 Figure 3C-33. Normalized mean bias for MDA8 O3 in the Central U.S., spring 2016.

March 2023

3C-40 External Review Draft v2- Do Not Quote or Cite


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- -20

Bias Summary: [ min, 25th %, 50th %, 75th %, max ]

1	[-9.1, 9.8, 19, 28, 75]

2	Figure 3C-35. Normalized mean bias for MDA8 O3 in the Central U.S., fall 2016.

3

4	Table 3C-13. CAMx model performance at monitoring sites in the Saint Louis study area.

Season

MDA8 level
(PPb)

No. of obs

MB (ppb)

NMB (%)

ME (ppb)

NME (%)

Winter

Days < 60

181

-5,9

-20,9

6,5

23,1

Days > 60

0

NA

NA

NA

NA

All Days

181

-5.9

-20.9

6.5

23,1

Spring

Days < 60

756

-3.5

-7.8

6.1

13.7

Days > 60

63

-7.2

-11.2

7.3

11.3

All Days

819

-3.7

-8.1

6.2

13.4

Summer

Days < 60

1061

5.8

13.7

8,4

19,6

Days > 60

121

-1.1

-1,6

8,1

12,1

All Days

1182

5.1

11.4

8,4

18,5

Fali

Days < 60

773

3,9

11.1

5,7

16.1

Days > 60

35

3,5

5.1

5,0

7,3

All Days

808

3,9

10,6

5.7

15.4

5

March 2023

3C-41 External Review Draft v2- Do Not Quote or Cite


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AQS MDA8 Comparison for SaintLouis Monitors in 2016

80

— 60 -

jQ

a.

g

8

ป 40

<.

u

20

0 -

AQS MDA8
CAMx HDDM 2016fe

# sites 20

01/01 02/02 03/05 04/06 05/08 06/09 07/11 08/12 09/13 10/15 11/16 12/18

Date

1

2	Figure 3C-36. Time series of monitored (black) and modeled (red) MDA8 O3 at St. Louis

3	monitoring sites in 2016.

March 2023

3C-42 External Review Draft v2- Do Not Quote or Cite


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AOS Comparison for SaintLouis Monitors in January 2016

AOS Comparison for SaintLouis Monitors in April 2016

AOS Comparison for SaintLouis Monitors in July 2016	AOS Comparison for SaintLouis Monitors in October 2016

2	Figure 3C-37. Time series of monitored (black) and modeled (red) hourly Os

3	concentrations at St. Louis monitoring sites in January (top left), April (top

4	right), July (bottom left), and October (bottom right) 2016.

5

6	Table 3C-14. CAMx model performance at monitoring sites in the Dallas study area.

Season

MDA8 level
(PPb)

No. of obs

MB (ppb)

NMB (%)

ME (ppb)

NME (%)

Winter

Days < 60

625

-3,2

-9.9

4.8

14.9

Days > 60

0

NA

NA

NA

NA

Ail Days

625

-3,2

-9.9

4.8

14.9

Spring

Days < 60

697

0,8

1.8

5.8

13.5

Days > 60

21

-4.9

-7,7

5.4

8.6

All Days

718

0,6

1.4

5,7

13.3

Summer

Days < 60

700

2,1

5,4

5.9

15.4

Days > 60

25

-2,8

-4.0

6,5

9.4

All Days

725

1,9

4,8

5.9

15.1

Fali

Days < 60

697

1.4

3.7

4.5

11.9

Days > 60

23

-3.6

-5.5

4.7

7,1

All Days

720

1,3

3.2

4.5

11.6

7

March 2023

3C-43 External Review Draft v2- Do Not Quote or Cite


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AQS MDA8 Comparison for Dallas Monitors in 2016

80

60

40

20

0 -

AQS MDA8
CAMx HDDM 2016fe

# sites24

01/01 02/02 03/05 04/06 05/08 06/09 07/11 06/12 09/13 10/15 11/16 12/18

Date

1

2	Figure 3C-38. Time series of monitored (black) and modeled (red) MDA8 O3 at Dallas

3	monitoring sites in 2016.

March 2023

3C-44 External Review Draft v2- Do Not Quote or Cite


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1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

AOS Comparison for Dallas Monitors in January 2016

AOS Comparison for Dallas Monitors in April 2016

01,01 0143 0106 01.ฉ9 OfHt 01.14 01/17 01/19 01-22 01S$ 0127 01*30
Date

AOS Comparison for Dallas Monitors in July 2016

— AOS Hourly

CAM* H0DM2O161O

06,30 0743 07,ซ 0748 07/11 07/14 07/17 07/19 07<22 07,25 07/27 07,>30
Date

—ป AOS Hourly

CAMxHDDM2015fg

03-31 0403 CM OS 0446 0411 0413 04 16 04 19 04 21 0424 0427 04.29
Date

AOS Comparison for Dallas Monilors in October 2016

09,30 1003 1006 1008 Wit 1014 10/17 1019 1022 1025 1027 10-30
Date

Figure 3C-39. Time series of monitored (black) and modeled (red) hourly O3

concentrations at Dallas monitoring sites in January (top left), April (top
right), July (bottom left), and October (bottom right) 2016.

3C.4.2.5 Operational Evaluation in the Western U.S.

Model statistics for MDA8 O3 in the Western U.S. are best on low O3 days in summer
and fall (Table 3C-15). High wintertime observations were substantially underestimated by the
model with an average MB of -26 but likely for different reasons. The high days in Riverside
California are probably due to traditionally understood O3 formation that occurs on warm sunny
days. The high O3 concentrations in Wyoming are an example of wintertime O3 formation that
occurs during cold pool meteorology events which have substantial snow cover and extreme
temperature inversions and are still an active area of research. Some spatial patterns in
normalized mean bias are apparent in the winter and in the summer (Figure 3C-40 through
Figure 3C-43), with overestimates on the West Coast and underestimates in the Intermountain
West. Two urban study areas are located in the Western U.S. and are evaluated in this section:
Sacramento and Phoenix.

The model performance for MDA8 O3 values in the Sacramento study area was best on
lower O3 days in summer and fall (Figure 3C-44). In Sacramento there were no days during the

March 2023

3C-45 External Review Draft v2- Do Not Quote or Cite


-------
1

2

3

4

5

6

7

8

9

10

11

12

winter with measured MDA8 O3 > 60 ppb. Normalized mean error is at or below 15% for all
seasons except winter. Hourly time series show good agreement in Sacramento, except for winter
when the model does not capture very much of the day to day variability in O3 concentrations
Figure 3C-45).

While normalized mean error was at or less than 15% in Phoenix on all days in all
seasons, the MDA8 time series shows frequent underestimates in winter-spring as well as
overestimates in summer-fall (Figure 3C-46). The hourly time series also show that though the
model captures some of the overnight O3 patterns in Phoenix, night time O3 is significantly
overestimated, particularly in January and October (Figure 3C-47).

Table 3C-15. CAMx model performance at monitoring sites in the Western U.S.





No. of obs

MB (ppb)

NMB (%)

ME (ppb)

NME (%)

Winter

Days < 60

15888

-2.8

-8.2

6.0

18.1

Days > 60

113

-25.8

-35.7

25.8

35.7

All Days

16001

-2.9

-8.7

6.2

18.4

Spring

Days < 60

15789

-4.6

-10.3

6.5

14.6

Days > 60

1471

-9.5

-14.7

10.0

15.4

All Days

17260

-5.0

-10.8

6.8

14.7

Summer

Days < 60

13254

1.2

2.6

6.7

14.9

Days > 60

4461

-6.6

-9.5

9.5

13.7

All Days

17715

-0.8

-1.6

7.4

14.5

Fall

Days < 60

15975

0.7

1.9

5.4

14.5

Days > 60

795

-9.2

-13.6

10.7

15.8

All Days

16770

0.2

0.6

5.6

14.6

March 2023

3C-46 External Review Draft v2- Do Not Quote or Cite


-------
100

1

2

Bias Summary: [ min, 25th %, 50th %, 75th %, max ]
[-47, -12, 8.3, 27, 110]

Figure 3C-40. Normalized mean bias for MDA8 O3 in the Western U.S., winter 2016.

Bias Summary: [ min, 25th %, 50th %, 75th %, max ]

3	[-60, -12, -5.7, 3.1, 82]

4	Figure 3C-41. Normalized mean bias for MDA8 O3 in the Western U.S., spring 2016.

March 2023

3C-47 External Review Draft v2- Do Not Quote or Cite


-------


- 100



- 80



- 60



- 40



- 20



- 0



-ฆ20



- -40



- -60



- -80

1

- -100

Bias Summary: [ min, 25th %, 50th %, 75th %, max ]

1	[-55, -5.2, 3.2, 16, 90]

2	Figure 3C-42. Normalized mean bias for MDA8 O3 in the Western U.S., summer 2016.

ฆ

- 100



- 80



- 60



- 40



- 20



- 0



--20



- -40



- -60



- -80

*

- -100

Bias Summary: [ min, 25th %, 50th %, 75th %, max ]
[-57, 1.5, 16, 30, 120]

4 Figure 3C-43. Normalized mean bias for MDA8 O3 in the Western U.S., fall 2016.

March 2023

3C-48 External Review Draft v2- Do Not Quote or Cite


-------
Table 3C-16. CAMx model performance at monitoring sites in the Sacramento study area.

Season

MDA8 level
(PPb)

No. of obs

MB (ppb)

NMB (%)

ME (ppb)

NME (%)

Winter

Days < 60

2359

-0.9

-3.2

5.5

18.9

Days > 60

0

NA

NA

NA

NA

All Days

2359

-0,9

-3.2

5.5

18.9

Spring

Days < 60

2474

-3,2

-7,9

5.6

13,6

Days > 60

116

-8.1

-12.6

9.4

14.6

All Days

2590

-3.5

-8,2

5.8

13.7

Summer

Days < 60

2157

0,6

1.3

5.8

13.7

Days > 60

628

-7.3

-10,8

00
CO

13.0

All Days

2785

-1.2

-2.5

6,5

13.5

Fail

Days < 60

2503

0.5

1,3

5.5

15,2

Days > 60

160

-7.7

-11.2

10.0

14.7

All Days

2663

0,0

0.0

5.7

15,1

60 -

60

ia"
ex.

On

Q

20 -

0 -

Figure 3C-44. Time series of monitored (black) and modeled (red) MDA8 O3 at
Sacramento monitoring sites in 2016.

AQ5 MDA8 Comparison for Sacramento Monitors in 2016

AOS MDA8
CAMx HDDM 2016fe

# sites:49

01/01 02/02 03,ฆ'05 04/06 05/08 06/09 07/11 00/12 09/13 10/15 11/16 12/18

Date

March 2023

3C-49 External Review Draft v2- Do Not Quote or Cite


-------
AOS Comparison for Sacramento Monitors in January 2016

AOS Comparison for Sacramento Monitors in April 2016

AOS Comparison for Sacramento Monitors in July 2016	AOS Comparison for Sacramento Monitors in October 2016

1	Daw	Oatฉ

2	Figure 3C-45. Time series of monitored (black) and modeled (red) hourly Os

3	concentrations at Sacramento monitoring sites in January (top left), April

4	(top right), July (bottom left), and October (bottom right) 2016.

5

6	Table 3C-17. CAMx model performance at monitoring sites in the Phoenix study area.

Season

MDA8 level
(PPb)

No. of obs

MB (ppb)

NMB (%)

ME (ppb)

NME (%)

Winter

Days < 60

1292

-3,5

-9.8

5,3

15,0

Days > 60

3

-5.9

-9,7

5.9

9,7

Ail Days

1295

-3.5

-9,8

5.3

14,9

Spring

Days < 60

265

-5.6

-10.9

6.8

13.3

Days > 60

1082

-8,5

-13.3

9,6

14.9

Al! Days

1347

-6,2

-115

7,4

13,7

Summer

Days < 60

974

-2,1

-4.2

6,5

13,0

Days > 60

346

-4.7

-7,3

8.5

13.0

Ail Days

1320

-2.8

-5.2

7.1

13.0

Fall

Days < 60

1278

2.6

6.7

6.1

15.4

Days > 60

5

-3,8

-6.2

5.4

8.7

Al! Days

1283

2.6

6,6

6,1

15.4

7

March 2023

3C-50 External Review Draft v2- Do Not Quote or Cite


-------
AQS MDA8 Comparison for Phoenix Monitors in 2016

80

60

| 40
<

Q

20 -

0 -

AQS MDA8
CAMx HDDM 2016fe

# sltes:38

01/01 02/02 03/05 04/06 05/08 06/09 07/11 08/12 09/13 10/15 11/16 12/18

Date

Figure 3C-46. Time series of monitored (black) and modeled (red) MDA8 O3 at Phoenix
monitoring sites in 2016.

March 2023

3C-51 External Review Draft v2- Do Not Quote or Cite


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1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

AOS Comparison for Phoenix Monitors in January 2016

AOS Comparison for Phoenix Monitors in April 2016

AOS Houfty
CAM* HDDM201&JO

01,01 01*33 0106 0109 01/11 01/14 01/17 01/19 0122 OltfS 01/27 01/30
Dale

AOS Comparison for Phoenix Monitors in July 2018

8 *0

f
2

20

	 AOS Hourly

CAM* KDDM20t6to

0131 0403 0405 0408 0411 04.13 04<16 04/19 04 2' 0424 04 26 04 26
Oflto

AOS Comparison for Phoenix Monitors in October 2016

3 jo

	 AOS Hourly

CAM* HDDM 20161ฎ

0630 0703 0706 0708 0711 07/14 07/16 07/19 07-22 07-25 07/27 07/30
Dale

'— AOS Hautfy

CAMซ HDDM 201 dfo

0930 1003 1006 10.08 10/11 10/14 1016 I0'19 1022 1025 1027 1O30
Dale

Figure 3C-47. Time series of monitored (black) and modeled (red) hourly O.S

concentrations at Phoenix monitoring sites in January (top left), April (top
right), July (bottom left), and October (bottom right) 2016.

3C.5 AIR QUALITY ADJUSTMENT TO MEET CURRENT AND
ALTERNATIVE AIR QUALITY SCENARIOS

3C.5.1 Overview of the Higher Order Direct Decoupled Method (HDDM)

In this section we present a model-based O3 adjustment methodology that allows for
adjustments to observed hourly O3 concentrations to reflect the expected impacts of changes in
NOx emissions. This methodology uses the CAMx model, described above in section 3C.4,
instrumented with the Higher order Decoupled Direct Method (HDDM) - a tool that generates
modeled sensitivities of O3 to emissions changes. The outputs of the HDDM are used to estimate
the distribution of O3 concentrations associated with just meeting three air quality scenarios (O3
monitor design values of 75 ppb, 70 ppb, and 65 ppb) within multiple urban study areas. The
HDDM sensitivities are applied to ambient air measurements of O3 to estimate how O3
concentrations would respond to changes in U.S. anthropogenic emissions. This approach, based
on Simon et al. (2013), was applied previously for the 2015 O3 NAAQS review.

March 2023

3C-52 External Review Draft v2- Do Not Quote or Cite


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1

2

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The CAMx photochemical modeling incorporates emissions from non-anthropogenic
sources and anthropogenic emissions from sources in the U.S and in the portions of Canada and
Mexico within the regional modeling domain. Pollution from sources in other locations within
and outside of North America is included as transport into the boundary of the modeling domain.

3C.5.1.1 Capabilities

Chemical transport models, such as CAMx, simulates physical and chemical processes in
the atmosphere to predict 3-dimensional (3-D) gridded pollutant concentrations. These models
account for the impacts of emissions, transport, chemistry, and deposition on spatially and
temporally varying pollutant concentrations. Required model inputs include time-varying
emissions and meteorology fields, time varying concentrations of pollutants at the boundaries of
the model domain (i.e. boundary conditions), and a characterization of the 3-D field of chemical
concentrations to initialize the model (i.e. initial conditions).

Beyond modeling the ambient air concentrations of O3, chemical transport models can be
used to estimate the response of ambient air O3 concentrations to changes in emissions. One
technique to simulate the response of O3 to emissions changes, the brute force method, requires
the modeler to explicitly model this response by directly altering the emissions inputs in the
model simulation. This technique provides an estimate of the O3 concentration at the altered
emission level, but often does not provide accurate information regarding the response of O3 to
other levels of emissions since the chemistry for O3 formation is nonlinear. Therefore, when
using only the brute force method, a new model simulation would need to be performed for
every emissions scenario under consideration.

Other analytical techniques have been developed to estimate the O3 response to emission
perturbations without performing multiple simulations. One such method is termed the
Decoupled Direct Method (DDM) (Dunker, 1984). DDM, solves for sensitivity coefficients
which are defined as the partial derivative of the atmospheric diffusion equations that underly the
model calculations, Equations (3C-1) and (3C-2).

Equation (3C-1)

iC, t	ปf, t 9C, t



Equation (3C-2)

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Here, Sij(t), the sensitivity, gives the change in model concentration, Ci, (for instance O3
concentration) with an incremental change in any input parameter, pj (in this case emissions).
Equation (3C-2) allows us to normalize the sensitivity coefficient, Sij(t), so that it shows response
in relative terms for the input rather than in absolute units. Therefore, Pj (x,t) is the normalized
input and Sj is a scaling variable (Yang et al., 1997). In general terms, the sensitivity coefficient
tells us how a model output (O3 concentration) will change if a model input (emissions of NOx
or VOC) is perturbed. This first order sensitivity coefficient, Sij(t) is quite suitable for small
perturbations, but gives a linear response which is unlikely to represent the results of large
perturbations in very nonlinear chemical environments. Second (and third) order derivatives can
be calculated to give higher order sensitivity coefficients (Hakami et al., 2003). Higher order
sensitivity coefficients give the curvature and inflection points for the response curve and can
capture the nonlinearities in the response of O3 to emissions changes. Using Higher order DDM
(HDDM) allows for the sensitivities to be more appropriately applied over larger emissions
perturbations. Hakami et al. (2003) report that for an application in California, HDDM gave
reasonable approximations of O3 changes compared to that generated using brute force emissions
reductions of up to 50% using the first three terms of the Taylor series expansion, Equation (3C-

3).

c -.*.*• - co - ::,(S 0 - ~s: 0 - r~-s''.o- - Rr.~i

Equation (3C-3)

Here Ae represents the relative change in emissions (for instance Ae = -0.2 would be equivalent
to reducing emissions by 20%), Sn(0) is the nth order sensitivity coefficient, C(0) is the
concentration under baseline conditions (no perturbation in emissions) and Rn+i is a remainder
term.

A variant of DDM called DDM-3D has been implemented into several chemical transport
models, including CAMx, for both O3 and particulate matter (PM) predictions (Cohan et al.,
2005, Hakami et al., 2003, Napelenok et al., 2011, Dunker, 1984,Yang et al., 1997, Koo et al.,
2007, Zhang et al., 2012). These implementations allow the modeler to define the parameters for
which first and higher order sensitivities will be calculated. For instance, the sensitivity can be
calculated for emissions from a specific source type, for emissions in a specific geographic
region, and for emissions of a single O3 precursor or for multiple O3 precursors. In addition,
sensitivities can be calculated to boundary conditions, initial conditions, and various other model
inputs. Sensitivities to different sets of parameters can be calculated in a single model simulation

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but computation time increases as the number of sensitivities increases. Outputs from an HDDM
simulation consist of time varying 3-D fields of first and second order sensitivities.

3C.5.1.2 Limitations

For the purposes of the O3 NAAQS analysis, an HDDM-based approach is well-suited
given its ability to 1) capture the non-linearity of O3 response to emissions changes, 2)
characterize different O3 responses at different locations (downtown urban versus downwind
suburban) and at different times of day, allowing us to incorporate temporal and spatial
variations in response into the O3 adjustment methodology, and 3) explicitly account for physical
and chemical processes influencing predicted sensitivities such as background O3 sources.
However, in addition to the many potential benefits of using HDDM to understand and
characterize O3 response to emissions changes, there are several limitations.

First, HDDM encompasses all of the uncertainties of the base photochemical model
formulation and inputs. So, uncertainties in how the physical and chemical processes are treated
in the model and in the model inputs propagate to the HDDM results. Also, HDDM can capture
response to larger emissions perturbations than DDM but it is still most accurate for small
perturbations. The larger the relative change in emissions, the less likely that the HDDM
sensitivities will properly capture the change in O3 that would be predicted by using brute force
emission reductions. Several studies have reported reasonable performance of HDDM for O3 up
to 50% emissions perturbations (Hakami et al., 2004, Hakami et al., 2003, Cohan et al., 2005),
but the magnitude of perturbation over which HDDM will give accurate estimates will depend on
the specific modeling episode, size of the model domain, emissions and meteorological inputs,
and the size of the emissions source to which the sensitivity is being calculated. In this work, we
applied sensitivities derived from model simulations done under varying NOx levels (see section
3C.5.2.2) and found that using this technique we were able to replicate O3 concentrations
estimated using brute force emission reductions with HDDM sensitivities for up to 90% NOx
emissions reductions with a mean bias of less than 3 ppb and a mean error of less than 4 ppb.

3C.5.2 Using CAMx/HDDM to Adjust Monitored Ozone Concentrations

3C.5.2.1 Conceptual Framework

This section outlines the methodology in which we apply CAMx/HDDM to estimate
hourly O3 concentrations that might result from just meeting three air quality scenarios (75 ppb,
70 ppb, and 65 ppb). These methods closely follow those documented in Simon et al. (2013) and
the risk and exposure assessment performed in the 2015 O3 NAAQS review (U.S. EPA, 2014).
As part of the methodology, photochemical modeling results are not used in an absolute sense,

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but instead are applied to modulate ambient air measurements, thus tying estimated O3
distributions to measured values. The basic steps are outlined below and in Figure 3C-48.

Step 1: Run CAMx simulation with HDDM to determine hourly O3 sensitivities to NOx
emissions changes for the grid cells containing monitoring sites in an urban study area.

Step 2: For each monitoring site, season, and hour of the day use linear regression to relate first
order sensitivities of NOx (Snox) to modeled O3 and second order sensitivities of NOx (S2nox) to
the first order sensitivities.

Step 3: For each measured hourly O3 value, calculate the first and second order sensitivities
based on monitoring site-, season-, and hour-specific functions calculated in Step 2.

Step 4: Adjust measured hourly 2015-2017 O3 concentrations for incrementally increasing levels
of emissions reductions using assigned sensitivities, then recalculate 2015-2017 design values
until all monitors in the urban study area just meet the levels of the air quality scenario.

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Anthropogenic

r

Natural



V





U.S.

Canada and
Mexico

L

03 and 03 Precursor Emissions

<



1



Meteorology









Initial and Boundary conditions

Recent Monitored 03
(2015-2017)

^ Other Model Inputs

Step 1a:
CAMx
HDDM Modeling
(Jan-Dec 2016}

I Gridded hourly 03
->l Concentrations and
\ Sensitivities

Step 3.
Use Regressions and
Observed Ozone to
Predict Sensitivities





Unique Linear
Relationships Between
Sensitivities and Hourly
Ozone at Each Monitor
Location for Each

Season and
Hour-of-the-Day



V

Step 2:
Create Regressions

. /

1

I

& Sensitivities at

Locations of
Monitoring Sites for
Each Modeled Hour



Hourly Ozone \
Observations Paired with 'j_
Sensitivities for 2015-2017 /
At All Monitor Locations J

,-'l3e Ie



\

x

v

sleet Emissions \
Reductions to

K,

x which Sensitivities /
... Will Be Applied



Step 4:





Adjust Hourly Ozone

J



to Meet Air Qualify





Scenarios



"Adjusted Hourly Ozone
Values for 2015-2017 at
Each Monitor Location to
Show Attainment with
Air Quality Scenarios

x/

Figure 3C-4S. Flow diagram demonstrating HDDM model-based O3 adjustment approach.

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3C.5.2.2 Application to Measured O3 Concentrations in Urban Study Areas

The model-based adjustment approach described above was applied to the eight urban
study areas (Atlanta, Boston, Dallas, Detroit, Philadelphia, Phoenix, Sacramento, and St. Louis)
for an air quality scenario adjusted to just meet the current standard of 70 ppb and two alternative
air quality scenarios having design values of 75 ppb and 65 ppb. The analysis used CAMx
photochemical modeling for January-December of 2016 and ambient air data for the years 2015-
2017. When running CAMx with HDDM, additional information is required to designate model
inputs for calculating sensitivities. In this analysis, HDDM was set up to calculate the sensitivity
of O3 concentrations to U.S. anthropogenic NOx emissions.13

U.S. anthropogenic emissions were defined as all emissions in the following sectors:
commercial marine, rail, residential wood combustion, agricultural fires, onroad mobile, offroad
mobile, EGU point sources, oil and natural gas point, non-EGU point, non-point oil and gas, and
non-point area. These anthropogenic sectors account for 10.5 million of the total CONUS-wide
11.8 million tons per year of NOx emissions in 2016 (the remaining 1.3 million tons are from
biogenics and wildland fires, which included prescribed burns). Sensitivities were not calculated
for biogenic, wildland fire, Canadian, or Mexican emissions. In addition, sensitivities were not
calculated for any emissions originating from outside the domain (i.e., entering through the use
of boundary concentrations).

3C.5.2.2.1	Multi-step Application of HDDM Sensitivities

As discussed in section 3C.5.1.2 of this appendix, HDDM has been reported to
reasonably replicate brute force emissions reductions up to a 50% change in emissions. For this
analysis, it was desirable to have confidence that the HDDM sensitivities could replicate the
entire range of emissions reductions. Evaluations of the HDDM estimated O3 concentrations
compared to that estimated from brute force emissions reduction model runs confirm that the
HDDM estimates of O3 response to NOx reductions are fairly comparable for a 50% change.
However, O3 concentrations estimated from the HDDM sensitivities and the brute force method
begin to diverge in comparisons under larger emissions changes (90%). Consequently, two
additional CAMx/HDDM runs were performed under different levels of NOx emissions
reductions in order to characterize O3 sensitivities to NOx reductions over a larger range of
emissions perturbations. One CAMx/HDDM simulation was performed with U.S. anthropogenic

13 Sensitivities were only assessed using U.S. emissions in the contiguous 48 states. We did not assess responses to
VOC emission reductions in this analysis as a means to reduce computational costs because none of the urban
study areas considered here required VOC emission reductions to achieve the lower design values in the air
quality scenarios simulated in the 2014 HREA.

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NOx emissions reduced by 50%. A second additional simulation was performed with a 90%
NOx reduction. Emissions of other species were not modified from the base case in these two
additional simulations. These additional HDDM simulations provide O3 sensitivities to NOx
under chemical regimes with lower NOx emissions. The sensitivities are used in a multistep
adjustment approach, as described in the following sections.

Figure 3C-49 provides a conceptual picture of the multistep adjustment procedure using
first-order sensitivities. Sensitivities from the base run are used to adjust O3 concentrations for
NOx emissions reductions up to X%. Additional emission reductions beyond X% use
sensitivities from the 50% NOx cut run until reductions exceed (X+Y)%. Finally, sensitivities
from the 90% NOx emissions reduction run are applied for any emission reductions beyond
(X+Y)%. In order to more closely approximate the non-linear O3 response to any level of
emissions reductions, 2nd order terms are added to the multistep approximation method in
Equations (3C-4) through (3C-7). P represents the percentage NOx cut for which the AO3 values
are being calculated, S and S2 are the first and second order O3 sensitivities to U.S. NOx
emissions, and X and Y are described above.

b X S.vo;cS0H X

Equation (3C-5)

r 0

zx.(p-x)

2xr
^ 100

for P (X + Y)

Equation (3C-6)

0

c = iox(p-Qrt-r))
100

for P <(X+Y)
for 100 > P > (X + Y)

Equation (3C-7)

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MHI NOx first-order approximation from base DOM simulation

NOx first-order approximation from 50% NOx cut DDM simulation
ฆฆ NOxsfirst-ordet approximation from 90% NOx cut DDM simulation
Theoretical ozone response curve to NOx emission reductions

ฃ CMAQDDM simulations











concentration
after P%
reduction in
baseline NOx

f emissions^Xf

I -



Starling concentration ^









J
i
t
f

r





1 1

111 1

100 P 90

X+Y

50

% reduction in baseline NOx emissions

Figure 3C-49. Conceptual picture of 3-step application of HDDM sensitivities.

The ideal value for equation transition points, X and Y, are determined by minimizing the
least square mean error between the adjusted concentrations using the multistep approach and
modeled concentrations from brute force NOx emissions reduction runs. We first determined the
value of X which gave the lowest error compared to brute forces estimates at 50% NOx
emissions reductions. Then holding X constant, we determined the value of Y which gave the
lowest error compared to brute force method O3 concentration estimates using 90% NOx
emissions reductions. This process was performed independently for each of the eight urban
study areas in this analysis.

Error in HDDM estimates of hourly O3 is defined here as the difference between HDDM
estimated O3 and O3 estimated using the brute force method. Based on equations (3C-4) through
(3C-7), this can be calculated from Equations (3C-8) and (3C-9) for 50% NOx emissions
reductions:

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* ฆ	- a02ซ# g#-w

Equation (3C-8)

-i	x%	2(so-n	(axesฎ-*))3

•- 115 x^r..- + y—x	jgg— X+ 2X10# Xs&o*m*eia-

Equation (3C-9)

Equation (3C-10) can be rearranged to appear in the form: AX2 + BX + C:

,ฃ = (^ssm +	\X1 + (zEeฃฃmm + i

*:ซ ico* 2x100* / \ 100	100	: •> ioc* /

+{~%ปB%€ms +	

Equation (3C-10)



Equation (3C-11)

5 = |*

100	150

c = (-%e%8lfamฃ+ S^ass-Mzeiw,,)

Equation (3C-12)

Equation (3C-13)

Next, the error is squared, summed over all points (error can be calculated for each
hourly O3 value at each monitoring location), and the derivative is set to 0 to determine X which
gives the least squares error (Equations (3C-14), (3C-15), and (3C-16)).

f: = A:X- + 1A3X' ->ฆ iZAC + 5:;X: + 23C.V-t- C:

1 i1 - • "Za- i.y- I :as 1 x"' ~ I :.AC-r s: 5 is ox -

Equation (3C-14)

Equation (3C-15)

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il>-1^r.4:>.v7 t ' ?I:.4Si.v;	+ s:>x+ > = o

Equation (3C-16)

The value of X that gives the least squares error will occur at one of the three roots of the
trinomial in Equation (3C-16) or at 0 or 50. All real roots, 0, and 50 were input into equation
(3C-15) and X was set to the value which resulted in the lowest error in each city. An analogous
procedure was followed to determine Y using the 90% NOx emissions reduction brute force
simulation and Equations (3C-17) through (3C-23).

-X „	X2 , ,2	2F „

e _ — x 5.VC j;; 1002 X	~ Hi X SปOxm%emt

ฆ JxJM5	100	%OX,eซซ

+ilSJ!LilIkl X $SgMm%em ~ &0sm9mm

Equation (3C-17)

J- = F" + 2A8Y" - \2AC^ S"Y' - ZSCY ~ C

Equation (3C-18)

Equation (3C-19)

5 	 I	,	ฆ mm 2mxm'x",siosim^tut\

*	:c:	2xiงt! j

Equation (3C-20)

. | ~X	X- ,	10 S '9C-.VI	100X(90-Jf)* 2	_	\

^ "* I	+	** 1C0 -Ivaf^WeatTy	— aOzซifg?vW J



Equation (3C-21)

Vr = ''T.a2''}-* ~ ฃ;,45.r31-	23ฃ
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(!>-)' =	+ (3X:-43'f:+ i2Y,2AC + B:)Y T Z-5<-~ - 0

Equation (3C-23)

The X and Y outpoints which have the least square error in each urban study area are
shown in Table 3C-18. This 3-step adjustment methodology was shown to be a robust method
for minimizing error in the HDDM applications for larger percentage changes in emissions by
Simon et al. (2013). Figure 3C-50 through Figure 3C-65 are density scatter plots that compare
hourly O3 estimates from brute force with hourly O3 estimates from the 3-step HDDM
adjustments at all monitor locations in each of the eight urban study areas evaluated in this study.
The colors in these plots depict the percentage of points falling at any one location. Mean error
for the 50% and 90% 3-step HDDM adjustment NOx emissions reductions cases compared to O3
concentrations estimated using the brute force method are less than 0.5 ppb and 2 ppb
respectively in all eight urban study areas.

Table 3C-18. X and Y cut-points used in Equations (3C-4) through (3C-7).

Urban Study Area

X

Y

Atlanta

37

48

Boston

38

45

Dallas

37

47

Detroit

37

45

Philadelphia

37

45

Phoenix

37

45

Sacramento

38

48

St. Louis

37

47

March 2023

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O
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03
CO

O

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2

3

Atlanta Comparison : NOx cuts

o

CM

RMSE = 0,3 ppb

20 40 60 80
03 at 50% NOx cut

100 120 140
brute force

Figure 3C-50. Comparison of brute force and 3-step HDDM O3 estimates for 50% NOx
cut conditions in Atlanta.

o

CVI

o
o

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Boston Comparison : NOx cuts

Y = 0.21 + 0,99 * X

ftl

T3

~

T3

o

O ฐ

Sf fo

LO 03

OJ

RMSE = 0.3 ppb

20 40 60 80 100 120
03 at 50% NOx cut - brute force

Figure 3C-51. Comparison of brute force and 3-step HDDM 03 estimates for 50% NOx
cut conditions in Boston.

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o

CM

E

i o

o -

13
Q

o

o
z

Dallas Comparison : NOx cuts

OJ

RMSE = 0,2 ppb

60 80 100 120
03 at 50% NOx cut - brute force

Figure 3C-52. Comparison of brute force and 3-step HDDM 03 estimates for 50% NOx
cut conditions in Dallas.

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3C-66 External Review Draft v2 - Do Not Quote or Cite


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Detroit Comparison : NOx cuts

- 10

2

3

20 40 60 80 100 120
03 at 50% NOx cut - brute force

Figure 3C-53. Comparison of brute force and 3-step HDDM 0.< estimates for 50% NOx
cut conditions in Detroit.

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3C-67 External Review Draft v2 - Do Not Quote or Cite


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Philadelphia Comparison : NOx cuts

o

5

Y = 0.32 + 0,99 *X

RMSE = 0.5 ppb

20 40 60 80 100 120
03 at 50% NOx cut - brute force

140

10

—J- o

2	Figure 3C-54. Comparison of brute force and 3-step HDDM 0.< estimates for 50% NOx

3	cut conditions in Philadelphia.

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3C-68 External Review Draft v2 - Do Not Quote or Cite


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Phoenix Comparison : NOx cuts

20 40 60 80 100 120
03 at 50% NOx cut - brute force

10

- 6

Figure 3C-55. Comparison of brute force and 3-step HDDM 0.< estimates for 50% NOx
cut conditions in Phoenix.

March 2023

3C-69 External Review Draft v2 - Do Not Quote or Cite


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Sacramento Comparison : NOx cuts

o

Y = 0.18 + 1 #X

o

CVI

10

E

s =

o -

5
o

6	m

z

--O

O o-

o

RMSE - 0,2 ppb

—J- o

20 40 60 80 100 120 140
03 at 50% NOx cut - brute force

Figure 3C-56. Comparison of brute force and 3-step HDDM 0.< estimates for 50% NOx
cut conditions in Sacramento.

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3C-70 External Review Draft v2 - Do Not Quote or Cite


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StLouis Comparison : NOx cuts

o

5jf

o

OJ

E

E o

o -

3
O

o

6 m

z

ฆ-S

o ฐ-

05
CO

O ฐ

Y = 0.19 + 0.99 * X

RMSE = 0.2 ppb

T

20 40 60 80 100 120
03 at 50% NOx cut - brute force

140

2

—L 0

2	Figure 3C-57. Comparison of brute force and 3-step HDDM 0.< estimates for 50% NOx

3	cut conditions in St. Louis.

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3C-71 External Review Draftv2 - Do Not Quote or Cite


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Atlanta Comparison : NOx cuts

o

•*r

o

OJ

E

E o

o -

13
O

O

6

Z

o ฐ-
nS

CO

o

o

3

o

CM

O

Y = -0.32 + 0,99* X

RMSE = 1.09 ppb

40 60 80 100 120
03 at 90% NOx cut - brute force

140

2	Figure 3C-58. Comparison of brute force and 3-step HDDM 0.< estimates for 90% NOx

3	cut conditions in Atlanta.

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3C-72 External Review Draft v2 - Do Not Quote or Cite


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Boston Comparison : NOx cuts

14

12

- 10

- e

L 0

2

3

20 40 60 80 100 120
03 at 90% NOx cut - brute force

Figure 3C-59. Comparison of brute force and 3-step HDDM 0.< estimates for 90% NOx
cut conditions in Boston.

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3C-73 External Review Draft v2 - Do Not Quote or Cite


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Dallas Comparison : NOx cuts

o

o

CM

E

E o

o -

3
Q

O

6 m

Z

-O

O ฐ-

03
CO

O

o

Tt"

o

CM

Y = -0,25 + 0,99 * X

RMSE = 0,969 ppb

10

B

- 6

L 0

20 40 60 80 100 120
03 at 90% NOx cut - brute force

Figure 3C-60. Comparison of brute force and 3-step HDDM 0.< estimates for 90% NOx
cut conditions in Dallas.

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3C-74 External Review Draft v2 - Do Not Quote or Cite


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Detroit Comparison : NOx cuts

o

CVI

E

3

o

X g

o
z

-P

o ฐ-

20 40 60 80 100 120
03 at 90% NOx cut - brute force

RMSE=1.07 ppb

12

10

- S

ฆ*- 0

Figure 3C-61. Comparison of brute force and 3-step IIDDM 0.< estimates for 90% NOx
cut conditions in Detroit.

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3C-75 External Review Draft v2 - Do Not Quote or Cite


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Philadelphia Comparison : NOx cuts

E

TJ
"O

3

O

X

O
Z

Q-S.

o
cn

"es

CO

O

1 D

2

3

L 0

20 40 60 80 100 120 140
03 at 90% NOx cut - brute force

Figure 3C-62. Comparison of brute force and 3-step HDDM 0.< estimates for 90% NOx
cut conditions in Philadelphia.

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Phoenix Comparison : NOx cuts

o
"d"

Y= 1.1 + 0,96 4 X

o

OJ

E

E o

Q -

13
O

>lj C3

6 ro

z

-o

o ฐ-

L 6

o

CM

RMSE = 1.05 ppb

20 40 60 80 100 120
03 at 90% NOx cut - brute force

140

L o

Figure 3C-63. Comparison of brute force and 3-step HDDM 0.< estimates for 90% NOx
cut conditions in Phoenix.

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Sacramento Comparison : NOx outs

o

•5

Y = 0.71 + 0.97 ' X

O
CM

12

E

S o

o -

3

o

6

z

s.

o ฐ-

S

as

CO

O

o

- 10

- 8

o

CM

RMSE = 0.706 ppb

20 40 60 80 100 120
03 at 90% NOx cut - brute force

140

L o

2	Figure 3C-64. Comparison of brute force and 3-step HDDM 0.< estimates for 90% NOx

3	cut conditions in Sacramento.

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StLouis Comparison : NOx outs

o

OJ -

o
o H

o

CD

Y =

RMSE = 0,918 ppb

20 40 60 80 100 120 140
03 at 90% NOx cut - brute force

0.23

+ 0,98 * X

Figure 3C-65. Comparison of brute force and 3-step HDDM 0.< estimates for 90% NOx
cut conditions in St. Louis.

3C.5.2.2.2 Relationships between HDDM Sensitivities and Modeled O3
Concentrations

First and second order hourly O3 sensitivities to NOx emissions reductions were extracted
from the HDDM simulation for model grid cells that contained the O3 monitors in the eight
urban study areas. Extracted data included modeled sensitivities at monitor locations for all
modeled hours in 2016. These sensitivities cannot be applied directly to observed values for two
reasons: 1) high modeled O3 days/hours do not always occur concurrently with high observed O3
days/hours and 2) the modeling time period includes only 2016 but the time period we are

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analyzing in this assessment includes three full years of ambient air data, 2015-2017. As to the
first point, photochemical models are generally used in a relative sense for purposes of projecting
design values. In this manner, model predictions are "anchored" to ambient air measurements. In
general, the average response on high modeled days is used for this purpose. This allows for
more confidence in calculated results when "less than ideal model performance [occurs] on
individual days" (U.S. EPA, 2007). Similarly, for this analysis we believe it is appropriate to
account for the fact the model does not always perfectly agree with measurements and that
sensitivities from a low O3 modeled day would not be appropriate to apply to a high O3 measured
day (and vice-versa) even if they occur on the same calendar day. For this reason, a method was
developed to generalize the modeled site-, season-, and hour-specific sensitivities so that they
could be applied to ambient air data during 2015-2017.14

Simon et al. (2013) describe how first order sensitivities are generally well correlated
with hourly modeled O3 concentrations and second order sensitivities are well correlated to first
order sensitivities. Based on their analysis, we create a separate linear regression for Snox as a
function of hourly O3 (i.e. Snox = m> 100 ppb) while the brute force
emissions simulations for the 90% reduction show much lower O3 (< 40 ppb). In these isolated
cases, base modeled O3 is low due to NOx titration and increases occur with reductions of NOx.
The HDDM sensitivities for these few points appear to be too high to be applied over large
(>50%) emissions changes because of strongly nonlinear chemistry. However these extreme
cases are not relevant for this analysis, since the largest emissions reduction required for
Philadelphia was 53% to meet the air quality scenario for 65 ppb (Table 3C-19). The two urban
study areas requiring emission cuts larger than —50%, Phoenix and Sacramento, both show much
better agreement between the 90% brute force and HDDM predictions (Figure 3C-63 and Figure
3C-64 respectively).

14	The 12 months modeled covered a variety of conditions such that we can use the results from this modeled time
period in conjunction with the ambient data from the longer 3-year period for estimating responses and applying
adjustments

15	Seasons are defined as follows: Winter = December, January, February; Spring = March, April, May; Summer =
June, July, August; Fall = September, October, November.

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For the 50% and 90% emissions reduction CAMx/HDDM simulation, regressions were
performed for first order NOx sensitivities with modeled O3 from the base HDDM simulation.
The regression technique was performed for the first and second order NOx sensitivities from the
base run and the 50% emissions reduction and 90% emissions reduction simulations. The
sensitivities from the emissions reduction runs were fitted to hourly O3 concentrations in the base
simulation. Simon et al. (2013) found that correlation coefficients using for sensitivities from
NOx reduction simulations to base case O3 concentrations were similar to those with O3
concentrations from the NOx reduction runs.

3C.5.2.2.3 Application of Sensitivity Regressions to Ambient Air Data

To apply the HDDM adjustments to observed data, sensitivities must be determined for
each hour from 2015-2017 at each site based on the linear relationship from the modeled data
and the observed O3 concentration. The linear regression model also allows us to quantify the
standard error of each predicted sensitivity value at each hour and site.

Observed hourly O3 from 2015-2017 at each monitor location was adjusted by applying
incrementally increasing emissions reductions using equations (3C-4) through (3C-8) and
recalculating MDA8 values for incrementally increasing emissions reductions until an emissions
level is reach for which all monitors in an urban study area achieved design values at the level of
the air quality scenario being evaluated (design values of 75, 70, or 65 ppb). Therefore, all
monitors within an urban study area were treated as responding to the same percentage reduction
in NOx emissions.

The precursor reductions used to estimate spatial and temporal patterns of O3
concentrations for the three air quality scenarios were NOx-only reductions. We focused on
NOx-only reductions in light of several key findings from analyses for the 2014 HREA that
explored the use of both NOx and VOC reductions versus NOx-only scenarios (2014 HREA,
Appendix 4D). There were several key findings from that comparison. First, in most of the urban
study areas, the NOx /VOC scenario did not affect O3 response at the monitor having the highest
design value in such a way to reduce the total required emissions cuts. Further, evidence in the
literature has shown that locations in the U.S. have gotten more NOx-limited since 2007 (the
year modeled in the 2014 HREA) (Jin et al., 2017, Laughner and Cohen, 2019) and thus VOC
reductions would be expected to have less impact on resulting O3 concentrations in our scenarios
for the 2016 modeling used here than they had in the previous analysis. Finally, the two areas
(Denver and Chicago) in which VOC emissions had the most impact in the 2014 HREA were not
included in the current analysis. For these reasons, NOx-only reductions were determined to be

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the most appropriate scenarios for this analysis. The final emissions reductions that were applied
in each urban study area are given in Table 3C-19 below.16

Table 3C-19. Percent emissions changes used for each urban study area to just meet each
of the air quality scenarios evaluated.

Urban Study
Area

75 ppb

70 ppb

65 ppb

Atlanta

0%

25%

44%

Boston

+7%

14%

40%

Dallas

15%

32%

45%

Detroit

+18%

21%

47%

Philadelphia

23%

43%

53%

Phoenix

14%

49%

68%

Sacramento

45%

58%

72%

Saint Louis

+11%

13%

38%

The 2014 HREA included a thorough analysis of the standard error associated with the
predicted O3 concentrations produced using the HDDM adjustment approach. This analysis
found that while the error in predicted values varied by site and air quality scenario being
evaluated, the magnitudes were small (<1.5 ppb in most cases). We did not repeat such an
analysis here given the small magnitude of the standard errors found in this previous assessment.

3C.6 INTERPOLATION OF ADJUSTED AIR QUALITY USING
VORONOI NEIGHBOR AVERAGING

The APEX exposure model uses spatial fields of ambient air quality concentrations at
variable spatial scales (e.g., 500 m regular grid, census tract centroid) as inputs, but requires that
there be no missing values. The final air quality data used as inputs to the APEX model were the
hourly O3 concentrations at monitoring sites adjusted using CAMx/HDDM, then interpolated to
each census tract centroid in the eight urban study areas using the Voronoi Neighbor Averaging
(VNA; Gold et al., 1997; Chen et al., 2004) technique described below. A cross-validation
analysis supporting the use of the VNA technique for the creation of hourly O3 spatial fields was
conducted in the 2015 review (U.S. EPA, 2014; Appendix 4A).

16 Note that these emissions reductions and broad nationwide emission cuts are not intended to represent

recommended control scenarios since they would not be the most efficient method for achieving a particular
standard in many areas.

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The following paragraphs provide a numerical example of VNA used to estimate an O3
concentration value for census tract "E" in Figure 3C-66 below.

The first step in the VNA technique is to identify the set of nearest monitors for each
census tract. The left-hand panel of Figure 3C-66 presents a numerical example with nine census
tracts (squares) and seven monitoring sites (stars), with the focus on identifying the set of nearest
neighboring sites to census tract "E" in the center of the panel. The Delaunay triangulation
algorithm identifies the set of nearest neighboring monitors by drawing a set of polygons called
the "Voronoi diagram" around the census tract "E" centroid and each of the monitoring sites.
Voronoi diagrams have the special property that each edge of each of the polygons are the same
distance from the two closest points, as shown in the right-hand panel of Figure 3C-66.

#= Census Tract "E" Centroid	#= Census Tract "E" Centroid

= Air Quality Monitor	* .. .

= Air Quality Monitor

Figure 3C-66. Numerical example of the Voronoi Neighbor Averaging (VNA) technique.

Monitor:
90 ppb
15 miles

*

Monitor:
100 ppb
20 miles

Monitor:
80 ppb
10 miles

Monitor:
60 ppb
15 miles

The VNA technique then chooses the monitoring sites whose polygons share a boundary
with the census tract "E" centroid. These monitors are the "Voronoi neighbors", which are used
to estimate the concentration value for census tract "E". The VNA estimate of the concentration
value in census tract "E" is the inverse distance squared weighted average of the four monitored
concentrations. The further the monitor is from the center of census tract "E", the smaller the
weight. For example, the weight for the monitor in census tract "D" 10 miles from the census
tract "E" centroid is calculated as follows:

1/102

			= 0 4675

1/102 + 1/152 + 1/152 + 1/202

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Equation (3C-24)

The weights for the other monitors are calculated in a similar fashion. The final VNA
estimate for census tract "E" is calculated as follows:

VNA(E) = 0.4675 * 80 + 0.2078 * 90 + 0.2078 * 60 + 0.1169 * 100 = 80.3 ppb

Equation (3C-25)

The adjusted hourly O3 concentrations in the eight urban study areas were used to
calculate VNA estimates for approximately 9,725 census tracts * 26,304 hours * 3 air quality
scenarios ~ 767 million values. The computations were executed using the R statistical
computing program (R Core Team, 2018), with the Delaunay triangulation algorithm
implemented in the "deldir" package (Turner, 2018).

3C.7 RESULTS FOR URBAN STUDY AREAS

3C.7.1 Design Values

Table 3C-20 through Table 3C-27 provide the design values for ambient monitoring sites
in each of the eight urban study areas for 2015-2017 based on the observed data, and based on
the adjusted O3 concentrations for the three air quality scenarios (i.e., air quality meeting the
current standard of 70 ppb, and air quality meeting two alternative levels of 75 ppb and 65 ppb).
In each table, the highest design value for each scenario is displayed in bold text. The data in
these tables demonstrate that high O3 values at monitors within some urban study areas respond
differently to reductions in NOx emissions.

In five of the eight urban study areas, the monitor with the highest observed design value
remained the highest when the air quality was adjusted in each of the three air quality scenarios.
For example, Atlanta monitor 131210055 had the highest 2015-2017 design value of 75 ppb, as
well as design values of 70 ppb and 65 ppb for the 70 ppb and 65 ppb scenarios, respectively.
The other study areas where the same monitor had the highest design value in the observations as
well as the 75 ppb, 70 ppb, and 65 ppb scenarios were Dallas (481210034), Detroit (261630019),
Sacramento (060570005), and St. Louis (291831002).

Boston and Philadelphia saw shifts in the highest monitor as a result of the adjustments.
In Boston, monitor 250051004 in Fall River, MA was highest in the observations and following
the upward adjustment to meet 75 ppb. Monitor 250051004 and two other monitors (440090007
in Narragansett, RI and 440090007 east of Providence, RI) had design values of 70 ppb for the
adjustment to meet the current standard. After the final adjustment for the 65 ppb scenario, the
highest design value occurred at the Narragansett monitor. In Philadelphia, monitor 420170012
near Trenton, NJ was highest in the observations. However, following each of the adjustments to

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75 ppb, 70 ppb and 65 ppb, the location of the highest monitor shifted slightly west to monitor
421010024 (east of downtown Philadelphia).

The pattern for Phoenix was unique among the eight urban study areas. One monitor
(040139997) was consistently high in the observations and for all adjusted levels. However, two
other monitors were equally as high in the observations (040132005; 040131003 - also high at
75 ppb) but responded more strongly to the applied NOx reductions. While monitors 040132005
and 040131003 are slightly removed from downtown Phoenix (near Pinnacle Peak to the
northeast and Mesa to the southeast, respectively), monitor 040139997 is closer the center of the
Phoenix metropolitan area. This location is likely near higher concentrations of urban NOx
sources, making this monitor slightly less responsive to the NOx emissions adjustments.

Table 3C-20. 2015-2017 design values for monitors in the Atlanta study area.

Monitor ID

Observed

75 ppb

70 ppb

65 ppb

130590002

64

64

59

54

130670003

67

67

62

57

130770002

63

63

59

54

130850001

65

65

61

56

130890002

71

71

66

59

130970004

69

69

64

58

131210055

75 A

75

70

65

131350002

71

71

66

60

131510002

71

71

65

59

132230003s

N/A

N/A

N/A

N/A

132319991

67

67

62

56

132470001

69

69

64

57

A Highest DV for each scenario is displayed in bold.

B Monitor used to develop AQ surfaces but DVs not calculated because data were incomplete.

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1 Table 3C-21. 2015-2017 design values for monitors in the Boston study area.

Monitor ID

Observed

75 ppb

70 ppb

65 ppb

090159991

70

72

68

61

250010002s

N/A

N/A

N/A

N/A

250051004

<

CO

h-

75

70

63

250051006

69

71

68

62

250092006

66

68

65

61

250094005

65

67

64

59

250095005

62

64

61

56

250170009

64

66

62

57

250213003

70

72

68

62

250230005

68

70

65

60

250250042

61

62

61

58

250270015

65

67

64

59

250270024

66

68

64

59

330012004

59

61

57

53

330111011

62

64

61

57

330115001

67

65

65

60

330131007

63

64

61

56

330150014

63

65

61

57

330150016

66

68

65

59

330150018

65

67

64

59

440030002

72

74

70

63

440071010

70

72

68

62

440090007

71

73

70

65

A Highest DV for each scenario is displayed in bold.

B Monitor used to develop AQ surfaces but DVs not calculated because data were incomplete.

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1 Table 3C-22. 2015-2017 design values for monitors in the Dallas study area.

Monitor ID

Observed

75 ppb

70 ppb

65 ppb

400130380s

N/A

N/A

N/A

N/A

480850005

74

72

67

63

481130069

74

72

68

63

481130075

74

72

68

63

481130087

64

62

58

54

481210034

<
o>

h-

75

70

65

481211032

74

71

66

62

481390016

65

63

60

56

481391044

64

61

58

55

482210001

67

65

61

58

482311006

62

60

56

53

482510003

73

70

65

60

482570005

61

59

56

53

483491051

63

61

58

56

483670081

70

67

63

59

483970001

66

63

60

57

484390075

71

69

65

60

484391002

72

70

67

62

484392003

73

71

67

62

484393009

75

73

69

64

484393011

67

65

61

57

A Highest DV for each scenario is displayed in bold.

B Monitor used to develop AQ surfaces but DVs not calculated because data were incomplete.

2

3	Table 3C-23. 2015-2017 design values for monitors in the Detroit study area.

Monitor ID

Observed

75 ppb

70 ppb

65 ppb

260490021

67

70

65

60

260492001

67

71

65

59

260910007

66

70

64

58

260990009

71

73

69

63

260991003

66

68

65

61

261250001

70

72

68

63

261470005

71

74

69

64

261610008

67

69

65

60

261619991

69

72

66

59

261630001

66

69

65

60

261630019

<

CO

h-

75

70

65

2616300936

N/A

N/A

N/A

N/A

2616300946

N/A

N/A

N/A

N/A

A Highest DV for each scenario is displayed in bold.

B Monitor used to develop AQ surfaces but DVs not calculated because data were incomplete.

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2 Table 3C-24. 2015-2017 design values for monitors in the Philadelphia study area.

Monitor ID

Observed

75 ppb

70 ppb

65 ppb

100010002

66

62

57

53

100031007

67

64

59

55

100031010

74

70

65

60

100031013

71

67

63

58

100032004

72

68

63

58

240150003

74

70

64

59

340010006

64

60

55

51

340070002

77

74

68

63

340071001

68

64

60

56

340110007

66

62

56

53

340150002

74

70

68

60

420110006

66

63

57

53

420110011

70

67

61

58

420170012

80A

75

69

64

420290100

73

69

63

58

420450002

71

69

64

60

420910013

72

69

64

59

421010004B

N/A

N/A

N/A

N/A

421010024

78

75

70

65

421010048

76

72

67

63

A Highest DV for each scenario is displayed in bold.

B Monitor used to develop AQ surfaces but DVs not calculated because data were incomplete.

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1 Table 3C-25. 2015-2017 design values for monitors in the Phoenix study area.

Monitor ID

Observed

75 ppb

70 ppb

65 ppb

040130019

74

74

68

62

040131003

76

75

69

63

040131004

75

74

69

63

040131010

74

74

69

62

040132001

68

67

64

59

040132005

76A

74

67

60

040133002

72

72

67

62

040133003

69

68

63

59

040134003

70

69

65

60

040134004

71

70

64

59

040134005s

N/A

N/A

N/A

N/A

040134008

70

69

64

58

040134010

68

68

63

59

040134011

63

62

58

54

040135100B

N/A

N/A

N/A

N/A

040137003

66

65

60

56

040137020

72

72

67

61

040137021

75

74

67

60

040137022

75

74

67

60

040137024

72

71

66

60

040139508

73

72

66

61

040139702

72

71

64

57

040139704

70

69

63

57

040139706

68

68

63

57

040139997

76

75

70

65

040213001

74

73

66

60

040213003

66

65

61

57

040213007

68

67

62

59

040217001

65

64

59

55

040218001

73

72

65

60

A Highest DV for each scenario is displayed in bold.

B Monitor used to develop AQ surfaces but DVs not calculated because data were incomplete.

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1 Table 3C-26. 2015-2017 design values for monitors in the Sacramento study area.

Monitor ID

Observed

75 ppb

70 ppb

65 ppb

060170010

83

71

65

59

060170012s

N/A

N/A

N/A

N/A

060170020

80

69

63

56

060570005

86A

75

70

65

0605700076

N/A

N/A

N/A

N/A

060610003

84

72

66

58

060610004

77

67

62

56

060610006

79

71

65

58

060611004

64

61

60

58

060612002

75

67

61

54

060670002

78

70

65

58

060670006

77

71

66

59

060670010

69

63

59

54

060670011

68

61

56

50

060670012

82

72

66

59

060670014B

N/A

N/A

N/A

N/A

060675003

78

69

63

57

061010003

64

56

52

47

061010004s

N/A

N/A

N/A

N/A

061130004

63

55

52

47

061131003

69

60

55

50

A Highest DV for each scenario is displayed in bold.

B Monitor used to develop AQ surfaces but DVs not calculated because data were incomplete.

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Table 3C-27. 2015-2017 design values for monitors in the St. Louis study area.

Monitor ID

Observed

75 ppb

70 ppb

65 ppb

170830117s

N/A

N/A

N/A

N/A

170831001B

N/A

N/A

N/A

N/A

171170002

65

68

63

57

171190008

69

72

67

62

171191009

68

71

66

61

171193007

70

73

68

62

171199991

67

70

65

58

171630010

68

71

67

61

290990019

68

71

66

59

291130003s

N/A

N/A

N/A

N/A

291130004s

N/A

N/A

N/A

N/A

291831002

72A

75

70

65

291831004

70

73

67

62

291890005

65

67

63

58

291890014

69

72

67

62

295100085

66

69

65

61

A Highest DV for each scenario is displayed in bold.

B Monitor used to develop AQ surfaces but DVs not calculated because data were incomplete.

3C.7.2 Distribution of Hourly O3 Concentrations

Figure 3C-67 through Figure 3C-74 display diurnal boxplots of hourly O3 concentrations
for 2015-2017 at monitor locations in each urban study area. For each hour of the day, the
rectangular box represents the 25th and 75th percentiles of the distribution, with a solid line
representing the median of the distribution through the center. Each box has "whiskers" which
extend up to 1.5 times the interquartile range (i.e., the 75th percentile minus the 25th percentile)
from the box, and dots which represent outlier values. Black boxplots represent observed hourly
O3 concentrations, while blue boxplots represent hourly O3 concentrations adjusted to meet the
current standard of 70 ppb. Red boxplots represent hourly O3 concentrations adjusted for the 75
ppb17 scenario, and green boxplots represent hourly O3 concentrations adjusted for the 65 ppb
scenario.

The boxplots include the observed O3 concentrations as well as the concentrations
adjusted to just meet the current standard and the two alternative air quality scenarios. Note that
these plots include data from all sites in the study area, and thus the plots provide the overall
distribution of O3 at both the urban core sites and the downwind suburban sites. The hourly plots

17 No adjusted values are shown for the 75 ppb scenario for Atlanta because the observed design value was 75 ppb,
and thus no adjustments were made to the hourly O3 concentrations for that scenario.

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show similar patterns in most of the urban study areas. O3 concentrations during daytime hours
decrease from observed values (black) to values adjusted to meet the current standard of 70 ppb
(blue) and decrease further under the alternative scenario of 65 ppb (green). These daytime
decreases are mainly seen on high O3 days represented by outlier dots extending above the box
and whiskers. Some study areas had observed 2015-2017 design values already meeting the
alternative scenario of 75 ppb, therefore some plots show increases in O3 concentrations while
other study areas show decreases in O3 concentrations for the 75 ppb scenario.

In some urban study areas O3 concentrations on the mid-range days, represented by the
25th - 75th percentile boxes, remained fairly constant (e.g. Boston) while in other urban study
areas O3 on mid-range days decreased (e.g. Atlanta). Although daytime O3 decreased,
concentrations during morning rush-hour period generally increase. These increases are
associated with VOC-limited and NOx titration conditions near NOx sources during rush-hour
periods. Reducing NOx under these conditions results in less O3 titration and thus increases O3
concentrations. Nighttime increases in O3 as a results of NOx reductions are often seen to a lesser
extent than morning rush-hour period increases. Collectively these features generally lead to a
flattening of the diurnal O3 pattern with smaller differences between daytime and nighttime
concentrations as NOx emissions are reduced. Urban study areas that required more substantial
NOx reductions for the 65 ppb scenario generally had more pronounced patterns of decreases in
daytime O3 and increases in nighttime O3 leading to a flatter diurnal O3 pattern (e.g., Sacramento
in Figure 3C-73).

Figure 3C-75 through Figure 3C-82 display the same information as Figure 3C-67
through Figure 3C-74 but for monthly rather than diurnal distributions. Similar to the diurnal
plots, the seasonal distributions become flatter when adjusted to meet the 70 ppb and 65 ppb
scenarios, especially on the highest O3 days. This is due to more O3 decreases during summer
months and more O3 increases in winter months. The O3 increases in the winter are consistent
with the understanding that solar insolation rates are lower in the winter reducing total
photochemical activity and shifting the net effect of NOx emissions on O3 which can both create
O3 through photochemical pathways and destroy O3 through titration. In addition, the decreases
on the highest O3 days and increases on the lowest O3 days show a visible compression of the O3
distribution in these plots, similar to what was seen in the diurnal plots.

March 2023

3C-92 External Review Draft v2 - Do Not Quote or Cite


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o

ฆ

o

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O
O -

O
00

_Q
Q_

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Atlanta sites: 2015-2017

observed
70 ppb
65 ppb

ฉ ? o

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0

8 10 12 14 16 18 20 22

hour

Figure 3C-67. Diurnal distribution of hourly O3 concentrations at monitoring sites in the
Atlanta study area. Note: Observed concentrations in this area have a design
value of 75 ppb.

March 2023

3C-93 External Review Draft v2 - Do Not Quote or Cite


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o

ฆSt

o

CM

O
O

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00

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Boston sites: 2015-2017

observed
75 ppb
70 ppb
65 ppb

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—i	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1—

0 2 4 6 8 10 12 14 16 18 20 22

hour

1

2	Figure 3C-68. Diurnal distribution of hourly O3 concentrations at monitoring sites in the

3	Boston study area.

March 2023

3C-94 External Review Draft v2 - Do Not Quote or Cite


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o

o

CM

O
O

O
00

_Q
Q.

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O CD

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Dallas sites: 2015-2017

observed
75 ppb
70 ppb
65 ppb

o o



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0 2 4 6 8 10 12 14 16 18 20 22

hour

Figure 3C-69. Diurnal distribution of hourly O3 concentrations at monitoring sites in the
Dallas study area.

March 2023

3C-95 External Review Draft v2 - Do Not Quote or Cite


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o

ฆSt

o

CM

O
O

O
00

_Q
Q.

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Detroit sites: 2015-2017

observed
75 ppb
70 ppb
65 ppb

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0

8 10 12 14 16 18 20 22

hour

Figure 3C-70. Diurnal distribution of hourly O3 concentrations at monitoring sites in the
Detroit study area.

March 2023

3C-96 External Review Draft v2 - Do Not Quote or Cite


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Philadelphia sites: 2015-2017

o

C\J

o
o

o

00

_Q

Ql

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•—CD
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observed
75 ppb
70 ppb
65 ppb

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0 2 4 6 8 10 12 14 16 18 20 22

hour

Figure 3C-71. Diurnal distribution of hourly O3 concentrations at monitoring sites in the
Philadelphia study area.

March 2023

3C-97 External Review Draft v2 - Do Not Quote or Cite


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Phoenix sites: 2015-2017

o

CM

O
O

O
00

_Q
Q.

ClO
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observed
75 ppb
70 ppb
65 ppb

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8 10 12 14 16 18 20 22

hour

Figure 3C-72. Diurnal distribution of hourly O3 concentrations at monitoring sites in the
Phoenix study area.

March 2023

3C-98 External Review Draft v2 - Do Not Quote or Cite


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o

o

CM

O
O

O
00

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Q.

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Sacramento sites: 2015-2017

observed
75 ppb
70 ppb
65 ppb

ง ง ฐ ง
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0 2 4 6 8 10 12 14 16 18 20 22

hour

Figure 3C-73. Diurnal distribution of hourly O3 concentrations at monitoring sites in the
Sacramento study area.

March 2023

3C-99 External Review Draft v2 - Do Not Quote or Cite


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o

ฆSt

o

CM

O
O

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00

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SaintLouis sites: 2015-2017

observed
75 ppb
70 ppb
65 ppb

o

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10 12 14 16 18 20 22

hour

Figure 3C-74. Diurnal distribution of hourly O3 concentrations at monitoring sites in the
St. Louis study area.

March 2023

3C-100 External Review Draft v2 — Do Not Quote or Cite


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Atlanta sites: 2015-2017

o

C\J -

o
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o.

00

observed
70 ppb
65 ppb

o
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month

Figure 3C-75. Monthly distribution of hourly O3 concentrations at monitoring sites in the
Atlanta study area. Note: Observed concentrations in this area have a design
value of 75 ppb.

March 2023

3C-101 External Review Draft v2 — Do Not Quote or Cite


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Boston sites: 2015-2017

O
C\J

O

o

o

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observed
75 ppb
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65 ppb

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1 2 3 4 5 6 7 8 9 10 11 12

month

Figure 3C-76. Monthly distribution of hourly O3 concentrations at monitoring sites in the
Boston study area.

March 2023

3C-102 External Review Draft v2 Do Nat Quote or Cite


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Dallas sites: 2015-2017

o

CM

O
O

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CO

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observed
75 ppb
70 ppb
65 ppb

o
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8

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month

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—i—

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12

Figure 3C-77. Monthly distribution of hourly O3 concentrations at monitoring sites in the
Dallas study area.

March 2023

3C-103 External Review Draft v2 — Do Not Quote or Cite


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Detroit sites: 2015-2017

o

cm -

o
o -

observed
75 ppb
70 ppb
65 ppb

o.

CO

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6 7
month

12

Figure 3C-78. Monthly distribution of hourly O3 concentrations at monitoring sites in the
Detroit study area.

March 2023

3C-104 External Review Draft v2 — Do Not Quote or Cite


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o

CM

O
O

O
CO

_Q
Q.

Cl o

			 CO

CO

o

o

o

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1

2

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Philadelphia sites: 2015-2017

observed
75 ppb
70 ppb
65 ppb

o

0

n

1

B

o
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g

o
8

0 8

o
o
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8

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—i	1	i—

5 6 7

month

—i—

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9

—i—

10

—i—

11

12

Figure 3C-79. Monthly distribution of hourly O3 concentrations at monitoring sites in the
Philadelphia study area.

March 2023

3C-105 External Review Draft v2 — Do Not Quote or Cite


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Phoenix sites: 2015-2017

o

c\J

o
o

o

CO

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Q.
Q.O

>ฆ—cd
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observed
75 ppb
70 ppb
65 ppb

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6 7
month

—i—

8

—i—

9

10

—i—

11

12

1

2

3

Figure 3C-80. Monthly distribution of hourly O3 concentrations at monitoring sites in the
Phoenix study area.

March 2023

3C-106 External Review Draft v2 — Do Not Quote or Cite


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Sacramento sites: 2015-2017

o

CM

O
O

O
00

_Q
Q.
Q_ O

'		 CO

CO

o

o

o

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observed
75 ppb
70 ppb
65 ppb

o
o

ฉ

0

o
o

8

0

1

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—I—

3

-r-

4

5 6 7
month

—i—

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9

—i—

10

—i—

11

12

1

2

3

Figure 3C-81. Monthly distribution of hourly O3 concentrations at monitoring sites in the
Sacramento study area.

March 2023

3C-107 External Review Draft v2 — Do Not Quote or Cite


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SaintLouis sites: 2015-2017

o

c\j -

o
o -

observed
75 ppb
70 ppb
65 ppb

o.

CO

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month

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11

12

Figure 3C-82. Monthly distribution of hourly O3 concentrations at monitoring sites in the
St. Louis study area.

3C.7.3 Air Quality Inputs for the Exposure and Risk Analyses

The air quality inputs for the exposure and risk analyses discussed in chapter 3 include
spatial surfaces of hourly O3 concentrations estimated for each census tract in the eight urban
study areas using the VNA technique described in section 3C.6. In this section, we present three
types of figures which summarize the data from the hourly VNA surfaces for observed air

March 2023

3C-108 External Review Draft v2 Do Nat Quote or Cite


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quality, and air quality adjusted to meet the current standard of 70 ppb, and air quality adjusted
to meet alternative scenarios of 75 ppb18 and 65 ppb.

The first set of figures (Figure 3C-83 through Figure 3C-90) shows density scatter plots
of the change in MDA8 O3 concentrations versus the observed concentrations based on the
hourly VNA estimates in each study area. In each of these figures, the left-hand panel shows the
observed MDA8 values (x-axis) versus the change in those values that occur when air quality is
adjusted for the 75 ppb scenario (y-axis). The middle panel shows the MDA8 values for air
quality adjusted to meet the 75 ppb scenario (x-axis) versus the additional change in those values
that occur when air quality is adjusted to meet the current standard of 70 ppb (y-axis). Finally,
the right-hand panels show the corresponding changes from the current standard to the 65 ppb
scenario. Within each panel, the x and y values are rounded to the nearest integer and colored to
show the relative frequency of each lxl ppb square within the plot region. Values falling
outside of the plot region were set to the nearest value within the plot region, and frequencies
above the range in the color bar were set to the highest value within the color bar.

The second set of figures (Figure 3C-91 through Figure 3C-106) provides maps of the
adjusted design values (3-year average of the annual 4th highest MDA8 values) and May-
September average MDA8 values based on the ambient air data and the hourly VNA surfaces, as
well as difference maps showing the changes between these surfaces. For the difference maps,
the panels on the left show the changes in these values that occur when air quality is adjusted for
the 75 ppb scenario, the panels in the middle show the additional changes in these values that
occur when air quality is further adjusted to meet the current standard of 70 ppb, and the right-
hand panels show the additional changes that occur then air quality is further adjusted for the 65
ppb scenario. Within each panel, squares show values based on observed data at ambient air
monitoring sites while circles show values based on VNA estimates at census tract centroids.
While each panel shows both monitors in the study area for each selected urban study area as
well as some additional monitors located outside of the study area, only the monitors located
within the study area were used when determining the emissions reductions necessary to meet
the various standards.

The third set of figures (Figure 3C-107 through Figure 3C-114) shows changes in design
values (3-year average of the annual 4th highest MDA8 values) and May-September average
MDA8 values in the eight urban case study areas versus population and population density. The
total population and population density information for each census tract were obtained from the
U.S. Census Bureau based on the 2010 U.S. Census. Each panel shows a histogram of the total

18 Atlanta was already just meeting the 75 ppb scenario for the 2015-2017 period. Boston, Detroit, and St. Louis
were below 75 ppb for 2015-2017; design values for these urban study areas were adjusted upward to just meet
75 ppb.

March 2023

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population stratified by the change in design value or seasonal average. The bars are also color-
coded by population density bin. Values falling outside of the plot region set to the nearest
values within the plot region.

In general, the density scatter plots show that the HDDM adjustment procedure predicts
increases in MDA8 O3 at low ambient air concentrations and decreases in MDA8 O3 at high
concentrations (Figure 3C-83 through Figure 3C-90). The vast majority of the increases in
MDA8 O3 occur at ambient air concentrations below 50 ppb. The relationship between the
starting concentrations and the changes in these values based on the HDDM adjustments is fairly
linear with strong negative correlation in all eight urban study areas.19 In some study areas, such
as Philadelphia and Detroit, there is a bimodal pattern near the center of the distribution, which
may be indicative of differing behavior near the urban population center versus the surrounding
suburban areas.

The maps reveal consistent spatial patterns of O3 changes across the urban study areas.
The design values generally decreased when air quality was adjusted to meet the current standard
of 70 ppb20 and continued to decrease when air quality was further adjusted for the 65 ppb
scenario (Figure 3C-91 through Figure 3C-106). The design values tend to decrease more
quickly in suburban and rural areas than in the urban population centers. The May-September
"seasonal" average MDA8 values also followed this trend to some extent, although the behavior
in the urban population centers varied slightly amongst the urban study areas (Figure 3C-107
through Figure 3C-114). In summary, these figures show that using the CAMx/HDDM
adjustment methodology, peak O3 concentrations are reduced in urban study areas with large
domain-wide reductions in U.S. anthropogenic NOx emissions.

19	Except for the "Observed - 75 ppb" changes for the three urban study areas where the design values were adjusted
upwards: Boston, Detroit, and St. Louis.

20	All design values from the VNA surfaces decreased when going from recent conditions to the 75 ppb adjustment
scenario, with the exceptions of study areas that required upward adjustments for the 75 ppb scenario: Boston,
Detroit, and St. Louis.

March 2023

3C-110 External Review Draft v2 - Do Not Quote or Cite


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Change in MDA8 03 from Observed to 75 ppb

Change in MDA8 03 from 75 ppb to 70 ppb

Change in MDA8 03 from 70 ppb to 65 ppb

0 20 40 60 80 100
MDA8 03 (ppb) - Obseived 2015 - 2017

20 40 60 80 100
MDA8 03 (ppb) - Meeting 75 ppb

20 40 60 80 100
MDA8 03 (ppb) - Meeting 70 ppb

0-0	0.2	0.4 Frequency (%) 0.6	0.8

Figure 3C-83. Changes in MDA8 O3 based on HDDM adjustments in the Atlanta study area.

1.0

March 2023

3C-111

External Review Draft - Do Not Quote or Cite


-------
Change in MDA8 03 from Observed to 75 ppb

Change in MDA8 03 from 75 ppb to 70 ppb

Change in MDA8 03 from 70 ppb to 65 ppb

0 20 40 60 80 100
MDA8 03 (ppb) - Obseived 2015 - 2017

20 40 60 80 100
MDA8 03 (ppb) - Meeting 75 ppb

20 40 60 80 100
MDA8 03 (ppb) - Meeting 70 ppb

0-0	0-2	0.4 Frequency (%) 0.6	0.8

Figure 3C-84. Changes in MDA8 O3 based on HDDM adjustments in the Boston study area.

1.0

March 2023

3C-112

External Review Draft - Do Not Quote or Cite


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Change in MDA8 03 from Observed to 75 ppb

Change in MDA8 03 from 75 ppb to 70 ppb

Change in MDA8 03 from 70 ppb to 65 ppb

0 20 40 60 80 100
MDA8 03 (ppb) - Obseived 2015 - 2017

20 40 60 80 100
MDA8 03 (ppb) - Meeting 75 ppb

20 40 60 80 100
MDA8 03 (ppb) - Meeting 70 ppb

0-0	0-2	0.4 Frequency (%) 0.6	0.8

Figure 3C-85. Changes in MDA8 O3 based on HDDM adjustments in the Dallas study area.

1.0

March 2023

3 C -113

External Review Draft - Do Not Quote or Cite


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Change in MDA8 03 from Observed to 75 ppb

Change in MDA8 03 from 75 ppb to 70 ppb

Change in MDA8 03 from 70 ppb to 65 ppb

0 20 40 60 80 100
MDA8 03 (ppb) - Obseived 2015 - 2017

20 40 60 80 100
MDA8 03 (ppb) - Meeting 75 ppb

20 40 60 80 100
MDA8 03 (ppb) - Meeting 70 ppb

0-0	0.2	0.4 Frequency (%) 0.6

Figure 3C-86. Changes in MDA8 O3 based on HDDM adjustments in the Detroit study area.

March 2023

3 C -114

External Review Draft - Do Not Quote or Cite


-------
Change in MDA8 03 from Observed to 75 ppb

Change in MDA8 03 from 75 ppb to 70 ppb

Change in MDA8 03 from 70 ppb to 65 ppb

0 20 40 60 80 100
MDA8 03 (ppb) - Obseived 2015 - 2017

20 40 60 80 100
MDA8 03 (ppb) - Meeting 75 ppb

20 40 60 80 100
MDA8 03 (ppb) - Meeting 70 ppb

0-0	0.2	0.4 Frequency (%) 0.6	0.8

Figure 3C-87. Changes in MDA8 O3 based on HDDM adjustments in the Philadelphia study area.

1.0

March 2023

3C-115

External Review Draft - Do Not Quote or Cite


-------
Change in MDA8 03 from Observed to 75 ppb

Change in MDA8 03 from 75 ppb to 70 ppb

Change in MDA8 03 from 70 ppb to 65 ppb

0 20 40 60 80 100
MDA8 03 (ppb) - Obseived 2015 - 2017

20 40 60 80 100
MDA8 03 (ppb) - Meeting 75 ppb

20 40 60 80 100
MDA8 03 (ppb) - Meeting 70 ppb

0-0	0.2	0.4 Frequency (%) 0.6	0.8

Figure 3C-88. Changes in MDA8 O;? based on HDDM adjustments In the Phoenix study area.

1.0

March 2023

3C-116

External Review Draft - Do Not Quote or Cite


-------
Change in MDA8 03 from Observed to 75 ppb

Change in MDA8 03 from 75 ppb to 70 ppb

Change in MDA8 03 from 70 ppb to 65 ppb

0 20 40 60 80 100
MDA8 03 (ppb) - Obseived 2015 - 2017

20 40 60 80 100
MDA8 03 (ppb) - Meeting 75 ppb

20 40 60 80 100
MDA8 03 (ppb) - Meeting 70 ppb

0.0	0.2	0 4 Frequency (%) 0 6	0.8

Figure 3C-89. Changes in MDA8 O3 based on HDDM adjustments in the Sacramento study area.

1.0

March 2023

3C-U7

External Review Draft - Do Not Quote or Cite


-------
Change in MDA8 03 from Observed to 75 ppb

Change in MDA8 03 from 75 ppb to 70 ppb

Change in MDA8 03 from 70 ppb to 65 ppb

0 20 40 60 80 100
MDA8 03 (ppb) - Obseived 2015 - 2017

20 40 60 80
MDA8 03 (ppb) - Meeting 75 ppb

20 40 60 80 100
MDA8 03 (ppb) - Meeting 70 ppb

—i—

0.0	0.2	0 4 Frequency (%) 0 6	0.8

Figure 3C-90. Changes in MDA8 O3 based on HDDM adjustments in the St. Louis study area.

1.0

March 2023

3 C -118

External Review Draft - Do Not Quote or Cite


-------
Observed 2015-2017	Meeting 75 ppb	Meeting 70 ppb	Meeting 65 ppb

2	Figure 3C-91. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based on HDDM adjustments in the

3	Atlanta study area.

March 2023

3 C -119

External Review Draft - Do Not Quote or Cite


-------
75 ppb - Observed	70 ppb - 75 ppb	65 ppb - 70 ppb

-Q
Q_

CM Q.

ro

^ CO
<
Q

Q.
0>

_ (O

Figure 3C-92. Changes in annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based on HDDM adjustments
in the Atlanta study area.

March 2023

3C-120

External Review Draft - Do Not Quote or Cite


-------
1

2

3

Observed 2015-2017

Meeting 75 ppb

Meeting 70 ppb

Meeting 65 ppb

$4*

Figure 3C-93. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based on HDDM adjustments in the

Boston study area,

March 2023

3C-121

External Review Draft - Do Not Quote or Cite


-------
75 ppb - Observed

70 ppb - 75 ppb

Q.

CM Q_


-------
Observed 2015-2017	Meeting 75 ppb	Meeting 70 ppb	Meeting 65 ppb

ฆSq

2

3

Figure 3C-95. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based on HDDM adjustments in the Dallas
study area.

March 2023	3C-123	External Review Draft - Do Not Quote or Cite


-------
75 ppb - Observed	70 ppb - 75 ppb	65 ppb - 70 ppb

2	Figure 3C-96. Changes in annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based on HDDM adjustments

3	in the Dallas study area.

March 2023

3C-124

External Review Draft - Do Not Quote or Cite


-------
1

2

3

Observed 2015-2017	Meeting 75 ppb	Meeting 70 ppb	Meeting 65 ppb

Figure 3C-97.

Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based on HDDM adjustments in the
Detroit study area.

I

March 2023

3C-125

External Review Draft - Do Not Quote or Cite


-------
75 ppb - Observed	70 ppb - 75 ppb	65 ppb - 70 ppb

j

-Q
Q_

CM q_

ro
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^co
<
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-------
1

2

3

Meeting 75 ppb

- ฆ O 1;

ฆKd

Figure 3C-99. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based on HDDM adjustments in the
Philadelphia study area.

Observed 2015-2017

Meeting 70 ppb

Meeting 65 ppb

March 2023

3C-127

External Review Draft - Do Not Quote or Cite


-------
75 ppb - Observed	70 ppb - 75 ppb	65 ppb - 70 ppb



_Q
Q_

CM Q_

CO

o

^co
<
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CL
(1)

03

Figure 3C-100. Changes in annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based on HDDM adjustments in
the Philadelphia study area.

March 2023

3C-128

External Review Draft - Do Not Quote or Cite


-------
Observed 2015-2017	Meeting 75 ppb	Meeting 70 ppb	Meeting 65 ppb

2	Figure 3C-101. Annual 4th highest MDA8 O3 and May-September mean MDAS O3 based on HDDM adjustments in the

3	Phoenix study area.

March 2023

3C-129

External Review Draft - Do Not Quote or Cite


-------
75 ppb - Observed	70 ppb - 75 ppb	65 ppb - 70 ppb

Figure 3C-102. Changes in annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based on HDDM adjustments in
the Phoenix study area.

March 2023

3C-130

External Review Draft - Do Not Quote or Cite


-------
Observed 2015-2017	Meeting 75 ppb	Meeting 70 ppb	Meeting 65 ppb

2	Figure 3C-103. Annual 4th highest MDA8 O3 and May-September mean MDAS O3 based on HDDM adjustments in the

3	Sacramento study area.

March 2023

3 C -131

External Review Draft - Do Not Quote or Cite


-------
75 ppb - Observed	70 ppb - 75 ppb	65 ppb - 70 ppb

Figure 3C-104. Changes in annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based on HDDM adjustments in
the Sacramento study area.

March 2023

3C-132

External Review Draft - Do Not Quote or Cite


-------
Observed 2015-2017	Meeting 75 ppb	Meeting 70 ppb	Meeting 65 ppb

T
!

-So

Figure 3C-105. Annual 4th highest MDA8 O3 and May-September mean .\1DA8 O3 based on HDDM adjustments in the St.
Louis study area.

March 2023

3C-133

External Review Draft - Do Not Quote or Cite


-------
75 ppb - Observed	70 ppb - 75 ppb	65 ppb - 70 ppb

Figure 3C-106. Changes in annual 4th highest MDA8 O3 and May-September mean MDA8 O3 based on HDDM adjustments in
the St. Louis study area.

March 2023

3C-134

External Review Draft - Do Not Quote or Cite


-------
01

Observed 2015 - 2017

.r-rft-





50 60 70 80
Concentration (ppb)

30 40 50 60
Concentration (ppb)

Meeting 75 ppb

Meeting 70 ppb

Meeting 65 ppb

50 60 70 80
Concentration (ppb)

50 60 70 80
Concentration (ppb)

60 70
Concentration (ppb)

30 40 50 60	30 40 50 60

Concentration (ppb)	Concentration (ppb)

Population Density (peop!e/kmA2)

30 40 50 60
Concentration (ppb)

Less than 500

500 to 2500

More than 2500

Figure 3C-107. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by population based on HDDM
adjustments in the Atlanta study area.

March 2023

3C-135

External Review Draft - Do Not Quote or Cite


-------
Observed 2015 - 2017

Meeting 75 ppb

Meeting 70 ppb

Meeting 65 ppb

ro

50 60 70 80
Concentration (ppb)

Concentration (ppb)



0



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Population Density (peop!e/kmA2)

I I 500 to 2500

More than 2500

Figure 3C-108. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by population based on HDDM
adjustments in the Boston study area.

March 2023

3C-136

External Review Draft - Do Not Quote or Cite


-------
>
ro

Observed 2015 - 2017

Meeting 75 ppb

Meeting 70 ppb

Meeting 65 ppb

50 60 70 80
Concentration (ppb)

50 60 70 80
Concentration (ppb)

50 60 70 80
Concentration (ppb)

50 60 70 80
Concentration (ppb)

30 40 50 60
Concentration (ppb)

30 40 50 60	30 40 50 60

Concentration (ppb)	Concentration (ppb)

Population Density (peop!e/kmA2)

30 40 50 60
Concentration (ppb)

Less than 500

500 to 2500

More than 2500

Figure 3C-109. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by population based on HDDM
adjustments in the Dallas study area.

March 2023

3C-137

External Review Draft - Do Not Quote or Cite


-------
Observed 2015 - 2017

Meeting 75 ppb

Meeting 70 ppb

Meeting 65 ppb

ro

50 60 70 80
Concentration (ppb)

40 50
Concentration (ppb)



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30 40 50 60
Concentration (ppb)

40 50
Concentration (ppb)

30 40 50 60
Concentration (ppb)

Less than 500

Population Density (peop!e/kmA2)

I I 500 to 2500

More than 2500

Figure 3C-110. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by population based on HDDM
adjustments in the Detroit study area.

March 2023

3C-138

External Review Draft - Do Not Quote or Cite


-------
Observed 2015 - 2017

Meeting 75 ppb

Meeting 70 ppb

Meeting 65 ppb

ro

50 60 70 80
Concentration (ppb)

30 40 50 60
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Concentration (ppb)

40 50
Concentration (ppb)

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Concentration (ppb)

40 50
Concentration (ppb)

Less than 500

Population Density (peop!e/kmA2)

I I 500 to 2500

More than 2500

Figure 3C-111. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by population based on HDDM
adjustments in the Philadelphia study area.

March 2023

3C-139

External Review Draft - Do Not Quote or Cite


-------
>
01

Observed 2015 - 2017

Meeting 75 ppb

Meeting 70 ppb

Meeting 65 ppb

50 60 70 80
Concentration (ppb)

60 70
Concentration (ppb)

50 60 70
Concentration (ppb)

50 60 70
Concentration (ppb)

30 40 50 60
Concentration (ppb)

30 40 50 60	30 40 50 60

Concentration (ppb)	Concentration (ppb)

Population Density (peop!e/kmA2)

30 40 50 60
Concentration (ppb)

Less than 500

500 to 2500

More than 2500

Figure 3C-112. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by population based on HDDM
adjustments in the Phoenix study area.

March 2023

3C-140

External Review Draft - Do Not Quote or Cite


-------
Observed 2015 - 2017

ro

Concentration (ppb)

30 40 50 60
Concentration (ppb)

Meeting 75 ppb

Meeting 70 ppb

Meeting 65 ppb

0









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60

70

80

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30 40 50 60
Concentration (ppb)

30 40 50 60
Concentration (ppb)

30 40 50 60
Concentration (ppb)

Less than 500

Population Density (peop!e/kmA2)

I I 500 to 2500

More than 2500

Figure 3C-113. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by population based on HDDM
adjustments in the Sacramento study area.

March 2023

3C-141

External Review Draft - Do Not Quote or Cite


-------
1

2

3

Observed 2015 - 2017

Meeting 75 ppb

Meeting 70 ppb

Meeting 65 ppb

50 60 70 80
Concentration (ppb)

60 70
Concentration (ppb)

50 60 70 80
Concentration (ppb)

50 60 70 80
Concentration (ppb)

30 40 50 60
Concentration (ppb)

40 50 60	30 40 50

Concentration (ppb)	Concentration (ppb)

Population Density (peop!e/kmA2)

30 40 50 60
Concentration (ppb)

Less than 500

500 to 2500

More than 2500

Figure 3C-114. Annual 4th highest MDA8 O3 and May-September mean MDA8 O3 by population based on HDDM
adjustments in the St. Louis study area.

March 2023

3C-142

External Review Draft - Do Not Quote or Cite


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Chen, J, Zhao, R and Li, Z (2004). Voronoi-based k-order neighbour relations for spatial
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Cohan, DS, Hakami, A, Hu, Y and Russell, AG (2005). Nonlinear Response of Ozone to

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Dunker, AM (1984). The decoupled direct method for calculating sensitivity coefficients in
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ERG (2017). Technical Report: Development of Mexico Emission Inventories for the 2014
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Hakami, A, Odman, MT and Russell, AG (2003). High-Order, Direct Sensitivity Analysis of
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Heath, NK, Pleim, JE, Gilliam, RC and Kang, D (2016). A simple lightning assimilation

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Henderson, B, Dolwick, P, Jang, C, Misenis, C, Possiel, N, Timin, B, Eyth, A, Vukovich, J,
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Koo, B, Dunker, AM and Yarwood, G (2007). Implementing the decoupled direct method for
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Napelenok, SL, Foley, KM, Kang, D, Mathur, R, Pierce, T and Rao, ST (2011). Dynamic

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Nenes, A, Pandis, SN and Pilinis, C (1998). ISORROPIA: A New Thermodynamic Equilibrium
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Skamarock, C, Klemp, J, Dudhia, J, Gill, D, Barker, D, Duda, M, Huang, X-Y, Wang, W and
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U.S. EPA (2017). Meteorological Model Performance for Annual 2016 Simulation WRF v3.8.
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https://www3.epa.gov/ttn/scram/guidance/met/MET' TSD 2016.pdf.

U.S. EPA (2019). Techical Support Document: Preparation of Emissions Inventories for the

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Multidimensional Photochemical Models. Environ Sci Technol 31(10): 2859-2868.

Yarwood, G, Whitten, GZ and Jung, J (2010). Development, Evaluation and Testing of Version
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20784005FY1026-20100922-environ-cb6.pdf.

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of the high-order decoupled direct method in three dimensions for particulate matter:
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355-368.

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3C-145 External Review Draft v2- Do Not Quote or Cite


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APPENDIX 3D

EXPOSURE AND RISK ANALYSIS FOR THE OZONE NAAQS REVIEW

TABLE OF CONTENTS

3D. 1 INTRODUCTION	3D-9

3D. 1.1 Planning and Scientific/Public Review of the Current Analysis	3D-10

3D. 1.2 Overview	3D-11

3D. 1.3 2014 Ozone Exposure and Risk Assessment	3D-12

3D.1.4 Current Analysis	3D-14

3D.2 POPULATION EXPOSURE AND RISK APPROACH	3D-15

3D.2.1 Urban Study Areas	3D-16

3D.2.2 Simulated Populations	3D-20

3D.2.3 Ambient Air Concentrations	3D-34

3D.2.4 Meteorological Data	3D-48

3D.2.5 Construction of Human Activity Pattern Sequences	3D-50

3D.2.6 Microenvironmental Concentrations	3D-61

3D.2.7 Estimating Exposure	3D-72

3D.2.8 Estimating Risk	3D-72

3D.2.9 Assessing Variability/Co-Variability and Characterizing Uncertainty	3D-87

3D.3 POPULATION EXPOSURE AND RISK RESULTS	3D-93

3D.3.1 Characteristics of the Simulated Population and Study Areas	3D-94

3D.3.2 Exposures at or above Benchmark Concentrations	3D-96

3D.3.3 Lung Function Risk	3D-116

3D.3.4 Uncertainty Characterization	3D-144

3D.4 REFERENCES	3D-178

ATTACHMENTS

1.	Estimating U.S. Census Tract-level Asthma Prevalence (2013-2017)

2.	ICF Technical Memo: Identification of Simulated Individuals at Moderate Exertion

3.	ICF Technical Memo: Updates to the Meteorology Data and Activity Locations within CHAD

4.	Detailed Exposure and Risk Results

March 2023

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TABLE OF TABLES

Table 3D-1. Criteria used to identify and select urban study areas for inclusion in the O3

exposure and risk analyses	3D-19

Table 3D-2. General description of ambient air quality domains for the eight study

areas	3D-20

Table 3D-3. Descriptive statistics for children and adult asthma prevalence, using all census
tracts within eight consolidated statistical areas (CSAs) in the APEX asthma
prevalence file	3D-24

Table 3D-4. Regression parameters used to estimate RMR by sex and age groups	3D-29

Table 3D-5. List of states, counties, and O3 seasons that define the air quality and exposure

spatial and temporal modeling domain in each study area	3D-37

Table 3D-6. List of ambient air monitor IDs, range of O3 design values, and number of

monitors in each study area	3D-43

Table 3D-7. Range of the percent NOx emission changes needed to adjust air quality in the

eight study areas for the three air quality scenarios	3D-45

Table 3D-8. Study area meteorological stations, locations, and hours of missing data	3D-50

Table 3D-9. Overview of Studies Included in the APEX Activity Data Files	3D-52

Table 3D-10. Comparison of time spent outdoors and exertion level by asthma status for

children and adult diaries used by APEX	58

Table 3D-11. Number of diary days in CHAD for children and adults, grouped by temperature
and day-type categories	3D-59

Table 3D-12. Microenvironments modeled and calculation method used	3D-65

Table 3D-13. Air exchange rates (AER, hr1) for indoor residential microenvironments with A/C
by study area and temperature	3D-67

Table 3D-14. Air exchange rates (AER, hr1) for indoor residential microenvironments without
A/C by study area and temperature	3D-68

Table 3D-15. Individual air exchange rate data (hr1) obtained from three studies used to

develop an AER distribution used for schools in all study areas	3D-69

Table 3D-16. A/C prevalence from US Census American Housing Survey (AHS) data by study
area	3D-70

Table 3D-17. Parameter values for distributions of penetration and proximity factors used for

estimating in-vehicle ME concentrations	3D-72

Table 3D-18. VMT (2015-2017) derived conditional probabilities for interstate, urban, and local
roads used to select inside-vehicle proximity factor distributions in each study
area	3D-72

Table 3D-19. Responses reported in 6.6-hr controlled human exposure studies at a given

benchmark concentration	3D-76

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Table 3D-20. Summary of controlled human exposure study data stratified by concentration
level and lung function decrements, corrected for individual response that
occurred while exercising in clean air, ages 18-35	3D-78

Table 3D-21. Estimated coefficients for the MSS lung function model	3D-86

Table 3D-22. Age term parameters for application of the MSS model to all ages	3D-88

Table 3D-23. Summary of how variability was incorporated into the exposure and risk analysis.

3D-90

Table 3D-24. Important components of co-variability in exposure modeling	3D-93

Table 3D-25. Summary of study area features and the simulated population	3D-97

Table 3D-26. Percent of people estimated to experience at least one exposure at or above

benchmarks while at moderate or greater exertion, for air quality adjusted to just
meet the current standard	3D-101

Table 3D-27. Number of people estimated to experience at least one exposure at or above

benchmarks while at moderate or greater exertion, for air quality adjusted to just
meet the current standard	3D-102

Table 3D-28. Percent of people estimated to experience at least two exposures at or above

benchmarks while at moderate or greater exertion, for air quality adjusted to just
meet the current standard	3D-103

Table 3D-29. Number of people estimated to experience at least two exposures at or above

benchmarks while at moderate or greater exertion, for air quality adjusted to just
meet the current standard	3D-104

Table 3D-30. Percent of people estimated to experience at least four exposures at or above

benchmarks while at moderate or greater exertion, for air quality adjusted to just
meet the current standard	3D-105

Table 3D-31. Number of people estimated to experience at least four exposures at or above

benchmarks while at moderate or greater exertion, for air quality adjusted to just
meet the current standard	3D-106

Table 3D-32. Percent of people estimated to experience at least one exposure at or above
benchmarks while at moderate or greater exertion, for the 75 ppb air quality
scenario	3D-108

Table 3D-33. Percent of people estimated to experience at least two exposures at or above
benchmarks while at moderate or greater exertion, for the 75 ppb air quality
scenario	3D-109

Table 3D-34. Percent of people estimated to experience at least four exposures at or above
benchmarks while at moderate or greater exertion, for the 75 ppb air quality
scenario	3D-110

Table 3D-35. Percent of people estimated to experience at least one exposure at or above
benchmarks while at moderate or greater exertion, for the 65 ppb air quality
scenario	3D-112

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Table 3D-36
Table 3D-37
Table 3D-38
Table 3D-39
Table 3D-40
Table 3D-41
Table 3D-42
Table 3D-43
Table 3D-44
Table 3D-45
Table 3D-46
Table 3D-47
Table 3D-48

March 2023

Percent of people estimated to experience at least two exposures at or above
benchmarks while at moderate or greater exertion, for the 65 ppb air quality
scenario	3D-113

Percent of people estimated to experience at least four exposures at or above
benchmarks while at moderate or greater exertion, for the 65 ppb air quality
scenario	3D-114

Comparison of current assessment to 2014 HREA for percent of children
estimated to experience at least one exposure at or above benchmarks while at
moderate or greater exertion	3D-116

Comparison of current assessment to 2014 HREA for percent of children
estimated to experience at least two exposure at or above benchmarks while at
moderate or greater exertion	3D-117

Percent of people estimated to experience at least one lung function decrement at
or above the indicated level, for air quality adjusted to just meet the current
standard, using the population-based (E-R function) risk approach	3D-120

Number of people estimated to experience at least one lung function decrement at
or above the indicated level, for air quality adjusted to just meet the current
standard, using the population-based (E-R function) risk approach	3D-121

Percent of people estimated to experience at least two lung function decrements at
or above the indicated level, for air quality adjusted to just meet the current
standard, using the population-based (E-R function) risk approach	3D-122

Number of people estimated to experience at least two lung function decrements
at or above the indicated level, for air quality adjusted to just meet the current
standard, using the population-based (E-R function) risk approach	3D-123

Percent of people estimated to experience at least four lung function decrements
at or above the indicated level, for air quality adjusted to just meet the current
standard, using the population-based (E-R function) risk approach	3D-124

Number of people estimated to experience at least four lung function decrements
at or above the indicated level, for air quality adjusted to just meet the current
standard, using the population-based (E-R function) risk approach	3D-125

Percent of people estimated to experience at least one lung function decrement at
or above the indicated level, for the 75 ppb air quality scenario, using the
population-based (E-R function) risk approach	3D-126

Percent of people estimated to experience at least two lung function decrements at
or above the indicated level, for the 75 ppb air quality scenario, using the
population-based (E-R function) risk approach	3D-127

Percent of people estimated to experience at least four lung function decrements
at or above the indicated level, for the 75 ppb air quality scenario, using the
population-based (E-R function) risk approach	3D-128

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Table 3D-49
Table 3D-50
Table 3D-51
Table 3D-52
Table 3D-53
Table 3D-54
Table 3D-55
Table 3D-56
Table 3D-57
Table 3D-58
Table 3D-59
Table 3D-60
Table 3D-61

March 2023

Percent of people estimated to experience at least one lung function decrement at
or above the indicated level, for the 65 ppb air quality scenario, using the
population-based (E-R function) risk approach	3D-129

Percent of people estimated to experience at least two lung function decrements at
or above the indicated level, for the 65 ppb air quality scenario, using the
population-based (E-R function) risk approach	3D-130

Percent of people estimated to experience at least four lung function decrements
at or above the indicated level, for the 65 ppb air quality scenario, using the
population-based (E-R function) risk approach	3D-131

Percent of people estimated to experience at least one lung function decrement at
or above the indicated level, for air quality adjusted to just meet the current
standard, using the individual-based (MSS model) risk approach	3D-133

Number of people estimated to experience at least one lung function decrement at
or above the indicated level, for air quality adjusted to just meet the current
standard, using the individual-based (MSS model) risk approach	3D-134

Percent of people estimated to experience at least two lung function decrements at
or above the indicated level, for air quality adjusted to just meet the current
standard, using the individual-based (MSS model) risk approach	3D-135

Number of people estimated to experience at least two lung function decrements
at or above the indicated level, for air quality adjusted to just meet the current
standard, using the individual-based (MSS model) risk approach	3D-136

Percent of people estimated to experience at least four lung function decrements
at or above the indicated level, for air quality adjusted to just meet the current
standard, using the individual-based (MSS model) risk approach	3D-137

Number of people estimated to experience at least four lung function decrements
at or above the indicated level, for air quality adjusted to just meet the current
standard, using the individual-based (MSS model) risk approach	3D-138

Percent of people estimated to experience at least one lung function decrement at
or above the indicated level, for the 75 ppb air quality scenario, using the
individual-based (MSS model) risk approach	3D-139

Percent of people estimated to experience at least two lung function decrements at
or above the indicated level, for the 75 ppb air quality scenario, using the
individual-based (MSS model) risk approach	3D-140

Percent of people estimated to experience at least four lung function decrements
at or above the indicated level, for the 75 ppb air quality scenario, using the
individual-based (MSS model) risk approach	3D-141

Percent of people estimated to experience at least one lung function decrement at
or above the indicated level, for the 65 ppb air quality scenario, using the
individual-based (MSS model) risk approach	3D-142

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Table 3D-62. Percent of people estimated to experience at least two lung function decrements at
or above the indicated level, for the 65 ppb air quality scenario, using the
individual-based (MSS model) risk approach	3D-143

Table 3D-63. Percent of people estimated to experience at least four lung function decrements
at or above the indicated level, for the 65 ppb air quality scenario, using the
individual-based (MSS model) risk approach	3D-144

Table 3D-64. Characterization of key uncertainties in exposure and risk analyses using

APEX	3D-147

Table 3D-65. Percent of children estimated to experience at least one lung function decrement
at or above the indicated level, for air quality adjusted to just meet the current
standard, using the population-based (E-R function) risk approach	3D-164

Table 3D-66. Estimated lung function risk contribution resulting from selected 7-hr average O3
exposures in children, using the E-R function risk approach, 2016	3D-167

Table 3D-67. MSS model risk estimates from varying the number of simulated children. 3D-169

Table 3D-68. Estimated lung function risk contribution resulting from selected 7-hr average O3
exposures in children, using the MSS model risk approach, 2016	3D-170

Table 3D-69. Percent of children experiencing one or more FEVi decrements >10, 15, 20%,
2016 air quality adjusted to just meet the current standard, considering influence
of moderate or greater exertion level in the MSS model and E-R function risk
approaches	3D-175

Table 3D-70. Percent of children experiencing one or more FEVi decrements >10, 15, 20%,

2016 air quality adjusted to just meet the current standard, considering the setting
of variability parameter, vi, in the MSS model	3D-179

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TABLE OF FIGURES

Figure 3D-1. Locations of the eight study areas selected for the current O3 exposure and risk

analysis	3D-18

Figure 3D-2. County boundaries, census tract population densities, and meteorological stations
in the Atlanta (top) and Boston (bottom) study areas	3D-38

Figure 3D-3. County boundaries, census tract population densities, and meteorological stations
in the Dallas (top) and Detroit (bottom) study areas	3D-39

Figure 3D-4. County boundaries, census tract population densities, and meteorological stations
in the Philadelphia (top) and Phoenix (bottom) study areas	3D-40

Figure 3D-5. County boundaries, census tract population densities, and meteorological stations
in the Sacramento (top) and St. Louis (bottom) study areas	3D-41

Figure 3D-6. Hourly O3 distributions by hour-of-day (left panel) and month (right panel) at
ambient air monitoring sites in Philadelphia for observed air quality (black), air
quality adjusted to meet the current standard (70 ppb, blue) and two other design
values (75 ppb, red; and 65 ppb, green). From draft PA, Appendix 3C, Figures
3C-71 and 3C-79, respectively	3D-46

Figure 3D-7. Histograms of hourly O3 concentrations (ppb, x-axis) for the air quality scenario
just meeting the current O3 standard in the eight study areas. The x-axis midpoint
concentrations range from 0 to 70 ppb, in 2 ppb increments (rightmost, maximum
histogram bar for all study areas represents the frequency of all hourly
concentrations >70 ppb)	3D-48

Figure 3D-8. Calculated design values for census tracts in the Philadelphia study area, derived
from a VNA interpolation of CAMx/HDDM adjusted O3 concentrations. Figure
modified from Appendix 3C, Figure 3C-99	3D-49

Figure 3D-9. Percent of children (5-18 years) and adults (19-90 years) having afternoon time
outdoors while at moderate or greater exertion, categorized by daily maximum
temperature (ฐF) and time (hours/day) groups	3D-59

Figure 3D-10. Illustration of the mass balance model used by APEX to estimate concentrations
within indoor microenvironments	3D-63

Figure 3D-11. Controlled human exposure data for FEVi responses in individual study

subjects	3D-79

Figure 3D-12. Median value of Bayesian fit population-based E-R function data (left panel) and
illustrative curves (right panel) for FEVi decrements >10% (top panel), >15
(middle panel), >20% (bottom panel). Drawn from the 2014 HREA, Table 6A-1
with processing and model development described by Abt (2013)	3D-82

Figure 3D-13. Conceptual representation of the two-compartment model used by the MSS
model. C is exposure concentration, Vis ventilation rate, t is time, Xis an
intermediate quantity, a is a decay constant. Adapted from Figure 1 in McDonnell
etal. (1999)	3D-84

Figure 3D-14. Comparison of a probit function curve (blue line) with the Bayesian logistic/linear
function curve (red) in estimating the probability of lung function decrements

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>15% (based on data in Table 3D-20). Confidence intervals for the probit model
reflect variability in the regression model coefficients	3D-162

Figure 3D-15. Estimated lung function risk contribution resulting from selected 7-hr average O3
exposures in children, using the E-R function risk approach and air quality
adjusted to just meet the current standard, for one decrement (top panel) and two
decrements (bottom panel), 2016	3D-168

Figure 3D-16. Lung function risk contribution resulting from selected 7-hr average O3 exposures
in children, using the MSS model risk approach and air quality adjusted to just
meet the current standard, for one decrement (top panel) and two decrements
(bottom panel), 2016	3D-171

Figure 3D-17. Example time-series of O3 exposures, EVR, and FEVi reductions estimated using
MSS model for a simulated child in the Atlanta study area, based on a day in a
year (2016) of the current standard air quality scenario	3D-173

Figure 3D-18. Time-series of O3 exposures, EVR, and FEVi reductions of 10% (left panel), 15%
(middle panel), and 20% (right panel) estimated using MSS model for two
simulated children (interpersonal variability parameter U= 0.963, top panel; II =
1.78, bottom panel) in the Atlanta study area on three days in a year (2016) of the
current air quality scenario	3D-178

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3D.1 INTRODUCTION

This appendix summarizes the quantitative exposure and risk analysis performed for the
2020 O3 NAAQS review. The analysis builds upon the methodology and lessons learned from
the human exposure and risk analyses conducted in the 2015 O3 review (2014 HREA; U.S. EPA,
2014), analysis plans outlined in the Integrated Review Plan (IRP; U.S. EPA, 2019d), and
information provided in the 2020 O3 Integrated Science Assessment (ISA; U.S. EPA, 2020a),
which builds on the 2013 ISA (U.S. EPA, 2013).

Exposures and risks were modeled for people residing in eight U.S. urban study areas,1
considering three hypothetical air quality scenarios developed from ambient air O3 monitoring
data adjusted based on a photochemical model-based approach for a single 3-year period (2015
to 2017), and based on health effects observed in controlled human exposure studies. The three
air quality scenarios were for O3 concentrations across the study area such that the location with
the highest design value2 just meets: (1) the current standard (i.e., a design value of 70 ppb), (2) a
design value of 75 ppb, and (3) a design value of 65 ppb. The exposures and risks were estimated
for (1) all school-age children (ages 5-18), (2) school-age children with asthma (ages 5-18), (3)
all adults (ages 19-90),3 and (4) adults with asthma (ages 19-90),4 each while at moderate or
greater exertion level at the time of exposure. The strong emphasis on children and people with
asthma reflects the conclusion based on the currently available evidence that these are important
at-risk groups, as summarized in section 3.3.2 above of the main document and described in the
ISA (ISA, section IS.6.1).

Health risk is characterized in two ways in these analyses, producing two types of risk
metrics: one involving comparison of population exposures, while at elevated exertion, to
benchmark concentrations, and the second involving estimated population occurrences of
ambient air Cb-related lung function decrements (Figure 3-3 of main document). The first risk

1	For the 2014 HREA, controlled human exposure-based health risk was estimated in 15 urban study areas

considering five air quality scenarios and two 3-year periods (2006-2008 and 2008-2010). In addition, an
epidemiologic-based health risk approach was applied in 12 urban study areas also considering the same five air
quality scenarios and for two single-year periods (2007 and 2009). Further, an epidemiologic-based health risk
approach was applied to the continental U.S. considering a single air quality scenario (unadjusted, as is ambient
air concentrations).

2	The design value for these scenarios is the 3-year average of the annual 4th highest daily maximum 8-hr average O3

concentration. For example, a monitoring site meets the current standard if the design value, derived from the data
for that site, is less than or equal to 70 ppb.

3	For the 2014 HREA, older adults (ages 65-95) were simulated as a separate group. In the current assessment, older

adults within this age group are included in the simulation of all adults. Additionally, the upper age limit in the
current assessment is 90 years given data limitations since recognized in CHAD for older age entries.

4	For the 2014 HREA, adults with asthma (ages 19-95) were simulated, similar to the group simulated for the current

assessment. Additionally, the upper age limit in the current assessment is 90 years given data limitations since
recognized in CHAD for older age entries.

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metric is based on comparison of estimated daily maximum 7-hour (7-hr) average exposures for
individuals breathing at elevated rates to concentrations of potential concern (benchmark
concentrations),5 and the second uses exposure-response (E-R) information for study subjects
experiencing FEVi decrements (specifically Cb-related decrement of 10% or more) to estimate
the portion of the simulated at-risk population expected to experience one or more days with an
03-related FEVi decrement of at least 10%, 15% and 20%.

A description of the exposure and risk modeling performed, including a summary of (1)
the ways in which scientific and public review of the current analysis occurred, and (2) the 2014
HREA and important updates in modeling tools and approaches that contributed to planning and
completion of the analyses presented in this document is provided in sections 3D. 1.1 through
3D. 1.4. The detailed description of the modeling tools, algorithms, input data and output metrics,
along with an assessment of how variability is addressed in the analysis is provided in section
3D.2. Finally, the exposure and risk results, including a characterization of uncertainties, are
found in section 3D.3.

3D. 1.1 Planning and Scientific/Public Review of the Analysis

As described in section 1.4 of the main document, a consultation with the Clean Air
Scientific Advisory Committee (CASAC) was held in November 2018 on the draft IRP to
receive their input and comments from the public were also solicited on the draft IRP. Both
comments from the CASAC and the public were considered in shaping the analysis plans, which
were summarized in the final IRP.

This appendix was developed in support of the risk and exposure analyses for the 2020
review. As outlined in section 1.5 (of the main document) the draft 2019 PA for the 2020 review,
with a draft version of this appendix was made available for public comment and was reviewed
and discussed by CASAC in a public meeting (84 FR 50836, September 26, 2019; 84 FR 58711,
November 1, 2019). In consideration of comments from the CASAC (Cox, 2020) and the public
a number of additional analyses and presentations were added to this appendix in the final 2020
PA (U.S. EPA, 2020b). These analyses, investigations and/or clarifications of the available data
address a number of areas.

• Analyses of data on outdoor activity by different population groups including those
identified as at risk in this review (e.g., children with asthma and older adults) during
times of day when O3 may be elevated (section 3D.2.5.3);

5 The exposure duration and approach for identifying simulated individuals at moderate or greater exertion have
been updated from what was used in the 2014 HREA to more closely match the circumstances of the controlled
human exposure studies, as described in section 3D.2.2.3.3 and 3D.2.8.1.

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•	Estimates for the comparison-to-benchmarks analysis additionally summarized in light
of the estimates from the last review (section 3D.3.2.4);

•	Evaluation of risk characterization uncertainty related to its representation of
population groups having health conditions other than asthma, of older adults, and of
outdoor workers (section 3D.3.4.1);

•	Evaluation of uncertainty in estimates for people with asthma that may be associated
with method for identifying individuals with asthma (section 3D.3.4.1);

•	Evaluation of uncertainty with the E-R function and risk estimates (section 3D.3.4.1);

•	Analyses investigating the sensitivity of the MSS model outputs to the value assigned
the individual variability parameter, and to low-level ventilation rates, as well as
overall model uncertainty in the MSS model (section 3D.3.4.1).

3D. 1.2 Overview

Estimates of human exposure to O3 can provide meaningful answers to policy-relevant
questions regarding exposures of concern and resulting risk estimates. This is particularly true
when the important elements of O3 exposure, i.e., the frequency, magnitude, duration, and
pattern, are accounted for and when the exposures are estimated using policy-relevant ambient
air quality scenarios, i.e., ambient air conditions that either just meet the current O3 standard or
other air quality scenarios. Further, the policy-relevance of these estimated O3 exposures can be
extended when they are linked with adverse health outcome data obtained from controlled
human exposure studies to quantitatively estimate health risk. As a result, via the quantitative
relationships that exist between ambient air concentrations, exposures, and health effects, one
can estimate the impact varying air quality conditions have on public health.

Exposure to O3 can be directly estimated by monitoring the concentration of O3 in a
person's breathing zone (close to the nose/mouth) using a personal exposure monitor. Studies
employing this measurement approach have been reviewed in the current and 2013 O3 IS As and
in past O3 Air Quality Criteria Documents (AQCDs; U.S. EPA, 1986, 1996, U.S. EPA, 2006).
Personal exposure measurements from these studies can be useful in describing a general range
of exposure concentrations (among other reported measurement data) and in identifying factors
that may influence varying exposure levels. However, these measurement studies of personal
exposure to O3 are largely limited by the disparity between measurement sample durations and
durations of interest, and in appropriately capturing variability in population exposure occurring
over large geographic areas, particularly when considering both O3 concentrations in ambient air
(e.g., spatial variability) and population (e.g., age, sex) attributes that greatly influence exposure.

Because of these limitations in personal exposure measurement data, more commonly
human exposure is estimated using sophisticated models that better account for physical (e.g.,
meteorology) or personal (e.g., age) attributes that may strongly influence variability in

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exposures. These exposure models can combine information on ambient air O3 concentrations in
various microenvironments, e.g., near roads, in schools, etc., with information on activity
patterns for individuals sampled from the general population or specific subpopulations, e.g.,
children with asthma. When integrating these varied data (among many others such as population
demographics and disease prevalence) and understanding the key factors affecting exposure,
exposure models can be more informative than the limited information given by measurement
data alone.

Ozone exposure is highly dependent on the ambient air concentrations in an urban area,
which vary spatially and temporally. An exposure model can reasonably estimate exposures for
any perceivable at-risk population (e.g., people with asthma living in a large urban area) and
considering any number of defined hypothetical air quality conditions (e.g., those in which
concentrations just meet a particular air quality standard) provided underlying data exist to
generate such estimates. Further, exposure models that account for variability in human
physiology can also realistically estimate pollutant intake dose by using activity-specific
ventilation rates. Each of these important features of O3 exposure cannot realistically be
measured for a study group or population of interest over wide ranging temporal and spatial
scales, particularly when considering time, cost, and other constraints, and serve as the
justification for using a modeling approach to estimate exposure and health risks.

3D.1.3 2014 Ozone Exposure and Risk Assessment

The 2014 HREA included two types of risk analyses. The first type of risk analysis,
exposure-based risk, used health effect information obtained from controlled human exposure
studies (summarized in the IRP, section 5.1.1.1). The second type, epidemiologic-based risk,
used concentration-response functions derived from epidemiologic studies (IRP, section 5.1.1.2).
Because we used only the exposure-based risk analysis approach (see section 3D. 1.4 below; IRP,
section 5.1.2), it is only these results that are succinctly summarized in this section.6'7

6	Details regarding all of the risk analyses performed for the prior review can be found in chapters 5 (exposure-based

health benchmark risk), 6 (exposure-based lung function risk), and 7 (epidemiologic-based risk) of the 2014
HREA.

7	We note that the CASAC comments on the draft PA included several related to development of risk estimates from

epidemiological study results (Cox, 2020). Because an epidemiologic-based risk analysis was not performed for
this review, the issues raised by those comments are not considered here.

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For the 2014 HREA, two exposure-based risk analyses8 were performed in a set of 15
urban study areas9 and for five different air quality scenarios: unadjusted ambient air O3
conditions, air quality adjusted to just meet the then-existing standard (75 ppb, annual 4th highest
daily maximum 8-hr average concentration, averaged over a 3-year period), and air quality
adjusted to just meet potential alternative O3 standards having the same form and averaging
times, with levels of 70, 65 and 60 ppb.10 The scenarios were based on air quality from two 3-
year periods: 2006-2008 and 2008-2010. The first exposure-based risk analysis involved
comparison of population exposures, while at elevated exertion, to benchmark concentrations.
The exposure-to-benchmark comparison characterizes the extent to which individuals in at-risk
populations could experience exposures of concern (i.e., average exposure concentrations at or
above specific benchmarks while at moderate or greater exertion levels) while engaging in their
daily activities in study areas with air quality adjusted to just meet the then-existing standard and
other O3 air quality conditions. Results were characterized using three benchmark concentrations
(60, 70, and 80 ppb O3), exposures to which in controlled human exposure studies yielded
different occurrences and severity of respiratory effects in the human subjects (2014 HREA,
section 5.2.8). The second exposure-based risk analysis involves estimated population
occurrences of ambient air Cb-related lung function decrements. The lung function risk analysis
provides estimates of the extent to which populations in such areas could experience decrements
in lung function. Based on the range of health effects considered clinically relevant and the
potential for varied responses in healthy individuals versus people with asthma, the lung function
risk analysis reported estimates for risk of lung function decrement at or above three different
magnitudes, i.e., forced expiratory volume in one second (FEVi) reductions of at least 10%,
15%, and 20% (2014 HREA, section 6.2.1).

Key observations and insights from the O3 exposure-to-benchmark comparison and lung
function risks, in addition to important caveats and limitations, were addressed in Section II.B of
the Final Rule notice (80 FR 65312 to 65315, October 26, 2015). The exposure-based analyses in

8	For the primary analysis results in the 2014 HREA, population exposures were used to estimate health benchmark

and lung function risks using an individual-based approach. In addition, a population-based E-R function
approach was used to estimate lung function risk but done mainly for comparison with the individual-based
approach and with prior review assessment results.

9	The 15 urban study areas assessed were Atlanta, Baltimore, Boston, Chicago, Cleveland, Dallas, Denver, Detroit,

Houston, Los Angeles, New York, Philadelphia, Sacramento, St. Louis, and Washington, DC.

10	These scenarios reflect air quality with design values that equal the level of the now-current standard and two
others having levels just above and below the current standard. The air quality data were generated using a
combined ambient monitor data and modeling approach similar to that used for the current assessment. These
simulations were intended to be illustrative and do not reflect any consideration of specific control programs
designed to meet the specified standards. Further, these simulations were not intended to represent predictions of
when, whether, or how areas might meet a specified standard.

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the 2014 HREA, and most particularly the exposure to benchmarks analysis were important
considerations in the 2015 decision on revisions to the primary O3 standard (80 FR 65362-65365,
October 26, 2015).

3D.1.4 Current Analysis

As described in the IRP (section 5.1.2.2), the quantitative analyses for focus on the
comparison to benchmark exposure-based risk analysis approach, based on the controlled human
exposure studies. In part, this is because substantial updates to data, information, models, and
tools are available, ensuring that the new exposure and risk estimates are both improved and
appropriately targeted. Additionally, estimates from the exposure-based analyses, particularly the
comparison of daily maximum exposures to benchmark concentrations, were most informative to
the Administrator's decision in the 2015 review (IRP, section 3.1.2). This largely reflected the
EPA conclusion that "controlled human exposure studies provide the most certain evidence
indicating the occurrence of health effects in humans following specific O3 exposures," and
recognition that "effects reported in controlled human exposure studies are due solely to O3
exposures, and interpretation of study results is not complicated by the presence of co-occurring
pollutants or pollutant mixtures (as is the case in epidemiologic studies)" (80 FR 65343, October
26, 2015). In the 2015 review, the Administrator placed relatively less weight on the air quality
epidemiologic-based risk estimates, in recognition of an array of uncertainties, including, for
example, those related to exposure measurement error (80 FR 65346, October 26, 2015).

3D.1.4.1 Aspects updated since 2014

A number of aspects of the exposure-based risk analyses were updated since the 2014
HREA. The updates were based on important uncertainties characterized in the 2015 review and
having newly available data, information, models, and tools that could provide risk estimates in
which we have greater confidence that was the case for the risks estimated in the 2015 review, as
summarized in Appendix 5A of the IRP. These updates include:

•	Air quality

-	More recent (2015-2017) ambient air monitoring data from US EPA's Air Quality
System (AQS) having unadjusted concentrations at or near the current standard
(section 3D.2.3.2);

-	Updated photochemical model (CAMx version 6.5)11 to adjust ambient air
concentrations to just meet the air quality scenarios to be assessed (section
3D.2.3.3).

•	Exposure and risk model

11 CAMx is the Comprehensive Air Quality Model with Extensions. This model is briefly described in Appendix 3C.

Additional information and model download can be found at http://www.camx.com/.

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-	More recent (2010) U.S. Census demographics and commuting data (section
3D.2.2.1);

-	More recent (2013-2017) asthma prevalence for census tracts in all study areas
(section 3D.2.2.2);

-	Updated equations to estimate resting metabolic rate (RMR) (section 3D.2.2.3.2)
and associated ventilation rate (Ve) (section 3D.2.2.3.3);

-	Improved matching of controlled human exposure study duration (6.6-hr) and
target ventilation rate to that estimated for simulated individuals (7-hr duration,
distribution accounting for resting ventilation) and used for benchmark
comparisons and population-based E-R lung function risk (section 3D.2.2.3.3 and
3D.2.8.1);

-	More recent (2015-2017) meteorological data to reflect the assessment years
(section 3D.2.4)

-	Increased number of diary-days and added new activity descriptions to activity
pattern data base (section 3D.2.5.1);

-	Most recent MSS-FEVi model (McDonnell et al., 2013) to estimate individual
lung function risk (section 3D.2.8.2.2);

-	New evaluations of important uncertainties (section 3D.3.4.2): form of E-R
function, E-R function risk confidence intervals, low exposure concentration
contribution to lung function risk, influence of ventilation rate on lung function
risk, influence of variability parameter settings in MSS-FEVi model.

3D.2 POPULATION EXPOSURE AND RISK APPROACH

This section describes the data, information, models, and tools used to characterize
exposure and health risk associated with O3 in ambient air for three air quality scenarios. As
summarized above in section 3D. 1.4, the overall analysis approach is based on linking the health
effects information observed in controlled human exposure studies to estimated population-based
exposures that reflect our current understanding of concentrations of O3 in the ambient air.

Population exposures and risks were estimated using the EPA's Air Pollution Exposure
Model (APEX), version 5. APEX is a multipollutant, population-based, stochastic,
microenvironmental model that can be used to estimate human exposure via inhalation for
criteria and toxic air pollutants. APEX is designed to estimate human exposure to these
pollutants at the local, urban, and consolidated metropolitan level. In this analysis, we used
APEX to estimate exposure and risk in eight study areas, the details of which are provided in the
following subsections. Additional information not provided here regarding all of APEX modules,
algorithms, and modeling options can be found in the APEX User's Guide (U.S. EPA, 2019a;
U.S. EPA, 2019b).

Briefly, APEX calculates the exposure time-series for a user-specified duration and
number of individuals. Collectively and by design, these simulated individuals are intended to be

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a representative random sample of the population in the chosen study area. To this end,
demographic data from the decennial census are used so that appropriate model sampling
probabilities can be derived considering personal attributes such as age and sex and used to
properly weigh the distribution of individuals in any given geographical area. For the exposure
and risk analyses performed here, the core demographic geographical units for estimating
exposure are census tracts. For each simulated person, the following general steps are performed:

•	Select personal attribute variables and choose values to characterize the simulated
individual (e.g., age, sex, body weight, disease status);

•	Construct an activity event sequence (a minute-by-minute time-series) by selecting a
sequence of appropriate daily activity diaries for the simulated individual (using
demographic and other influential variables);

•	Calculate the pollutant concentrations in the microenvironments (MEs) that simulated
individuals visit;

•	Calculate the simulated individual's exposure, and simultaneously, their breathing
rate for each exposure event and summarize for the selected exposure metric.

A simulated individual's complete time-series of exposures (i.e., exposure profile),
representing intra-individual variability in exposures, is combined with the exposure profiles for
all simulated individuals in each study area and summarized to generate the population
distribution of exposures, representing inter-individual variability in exposures. As described
above regarding air quality and in the sections that follow describing APEX model inputs and
approaches to estimating exposure, the overarching goal of the exposure and risk analysis is to
account for the most significant factors contributing to inhalation exposure and risk, i.e., the
temporal and spatial distribution of people and pollutant concentrations throughout the study area
and among the microenvironments. The population distributions of exposures are then combined
with the health effects information to characterize associated risk via two types of metrics: a
comparison to benchmark concentrations and lung function risk. The details of the model input
data and general approaches used for estimating exposure and risk are described in the sections
that follow.

3D.2.1 Urban Study Areas

To identify a list of urban areas for the current analysis, we first considered the list of 15
urban study areas evaluated in the 2014 HREA, which represented a range of geographic areas,
encompassing variability in air quality, climate, and population demographics. We also
considered other candidate study areas (e.g., Phoenix). As was done for the 2014 HREA, we
developed criteria to select urban study areas for the current exposure and risk analysis. Those
criteria are as follows:

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•	Have at least 10 ambient air monitors having complete year data for the 2015-2017
period;

•	Combined statistical area (CSA)/metropolitan statistical area (MSA) ambient air
monitor design values are between 60-80 ppb, thus having minimal adjustment
needed to just meet the current 8-hr O3 NAAQS;

•	CSA/MSA population between 2 to 10 million;

•	Anticipated reasonable air quality model performance12; and

•	Reasonable geographic distribution across continental U.S.

Based on these selection criteria, we chose the eight study areas listed in Table 3D-1 (and
shown in Figure 3D-1) to develop our population exposure estimates. Included also are the nine
other study areas considered but not selected for the current exposure and risk analysis. We
recognize the Sacramento study area does not meet the design value criterion (i.e., 86 ppb is
outside the range of values considered), however we relaxed this criterion to include a study area
in the Pacific/West region of the U.S and because exposure and risk was evaluated in the 2014
HREA (as opposed to using Los Angeles which was also evaluated in the 2014 HREA but has a
2015-17 design value of 112 ppb).

We broadly defined the study areas using geographic coordinates to center the overall
exposure modeling domain for the APEX modeling (Table 3D-2). A wide city radius (i.e., 30
km) along with standard political/statistical county aggregations (e.g., whether in a CSA/MSA)
were then used to identify the specific counties that comprise each study area. As a result, 131
counties containing 9,725 census tracts were used to define the air quality domain in the eight
study areas.13 As done for prior exposure-based assessments, ambient air O3 concentrations were
estimated to census tracts to capture spatial heterogeneity that may exist within each study area
(see Appendix 3C) and to link with the population input data sets (section 3D.2.2).

12	While we expect air quality models to effectively capture relationships between ozone and its chemical precursors
in most areas, there are known situations (e.g. documented influence of stratospheric ozone intrusions) that may
be more challenging for air quality models to represent. We therefore excluded some of these more challenging
areas from this analysis (see Table 3D-1).

13	The identification of specific counties and census tracts are provided in the APEX ambient air concentration input
files for each study area. The approach used to estimate O3 concentrations is summarized in section 3D.2.3 below
and is described fully in the Appendix 3C of this PA.

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•Sacramento

Detroit# Boston#

L- •

St. Louis#	Philadelphia

Phoenix	*

•	•	Atlanta

Dallas

&

Figure 3D-1. Locations of the eight study areas selected for the current O3 exposure and
risk analysis.

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Table 3D-1. Criteria used to identify and select urban study areas for inclusion in the O3
exposure and risk analyses.

Selected

for
Analysis?

Study Area

Census
Division A

U.S. Climate
Region B

CSA/MSA
Population
c (millions)

CSA/MSA
Land Area
D (Km2)

Ambient

Air
Monitors
(n)

Desic

n Values E
(PPb)

2017

2008, 2010

Yes

Atlanta

South Atlantic

Southeast

6.6

26,873

11

75

95, 80

Boston

New England

Northeast

8.3

22,780

22

73

82, 76

Dallas

West S Central

South

8.0

36,411

20

79

91,86

Detroit

East N Central

Upper Midwest

5.4

14,972

11

73

82, 75

Philadelphia

Mid Atlantic

Northeast

7.2

15,391

19

80

92, 83

Phoenix

Mountain

Southwest

4.9

37,725

28

76

81,77

Sacramento

Pacific

West

2.6

20,709

18

86

99, 99

St. Louis

West N Central

Ohio Valley

2.9

23,504

12

72

82, 77

No

Baltimore

South Atlantic

Northeast

2.8

6,738

5

75

91,89

Chicago F

East N Central

Ohio Valley

9.9

21,941

21

78

78, 74

Cleveland

East N Central

Ohio Valley

3.5

9,322

15

74

84, 77

DenverF

Mountain

Southwest

3.6

33,824

10

79

86, 78

Houston

West S Central

South

7.2

27,744

19

81

91,84

Los AngelesF

Pacific

West

18.8

87,943

41

112

119, 112

New York F

Mid Atlantic

Northeast

23.5

30,544

36

83

89, 82

Salt Lake City F

Mountain

Southwest

2.6

46,517

10

78

82, 74

Washington DC

South Atlantic

Southeast

6.2

14,341

15

71

87, 81

A U.S Census Division data are found at: https://www.ncdc.noaa.gov/monitoring-references/maps/us-census-divisions.php.

B U.S. Climate Region data are found at: https://www.ncdc.noaa.gov/monitoring-references/maps/us-climate-regions.php.
c U.S. Census CSA/MSA population data are found at: https J/www.census.gov/data/tabies/time-series/demo/popest/2010s-totai-metro-and-micro-
statisticai-areas.html.

D U.S. Census land area data taken from "G001 Geographic Identifiers, 2010 SF1 100% data file" available at:
https://factfinder.census.gov/faces/nav/jsf/pages/searchresuits.xhtmi?refresh=t.

E Ozone ambient air monitor design values (see .xlsx sheet Table6. Monitor Trends') are found at: https://www.epa.gov/air-trends/air-quality-design-
vaiues.

F Potential air quality modeling/adjustment issues: VOC-limited (Chicago, Denver), stratospheric O3 issues (Denver), low monitor density (Salt Lake
City), monitor issues (New York), and high DVs (Los Angeles).

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Table 3D-2. General description of ambient air quality domains for the eight study areas.

CSA/MSA

Coordinates

Counties A
(n)

Tracts
(n)

Longitude
(degrees)

Latitude
(degrees)

Name

ID#

Abbrev.

Atlanta-Athens-Clarke County-
Sandy Springs, GA-AL

122

ATL

-84.3880

33.7490

39

1,077

Boston-Worcester-Providence,
MA-RI-NH-CT

148

BOS

-71.0589

42.3601

19

1,753

Dallas-Fort Worth, TX-OK

206

DAL

-96.7970

32.7767

21

1,422

Detroit-Warren-Ann Arbor, Ml

220

DET

-83.0458

42.3314

10

1,583

Philadelphia-Reading-Camden,
PA-NJ-DE-MD

428

PHI

-75.1652

39.9526

16

1,725

Phoenix-Mesa, AZ

429

PHX

-112.0740

33.4484

2

988

Sacramento-Roseville, CA

472

SAC

-121.4944

38.5816

7

539

St. Louis-St. Charles-Farmington,
MO-IL

476

STL

-90.2003

38.6303

17

638

A Delineations promulgated by the Office of Management and Budget (OMB) in February of 2013 (see Appendix 3C, section 3C.2).

3D.2.2 Simulated Populations

APEX stochastically generates a user-specified number of simulated people to represent
the population in the study area. The number of simulated individuals can vary and is dependent
on the size of the population to be represented. For the current analysis, the number of simulated
individuals was set at 60,000 for each of the children and adult study groups (which includes
people with asthma for both of these study groups) to represent population residing within each
study area (i.e., between 2 and 10 million). Each simulated person is represented by a personal
profile. The personal profile includes specific attributes such as an age, a home tract, a work tract
(or is not employed), housing characteristics, physiological parameters, and so on. The profile
does not correspond to any particular individual that resides in the study area, but rather
represents a simulated person. Accordingly, while a single profile does not, in isolation, provide
information about the study population, a distribution of profiles represents a random sample
drawn from the study area population. As such, the statistical properties of the distribution of
simulated profiles are meant to reflect statistical properties of the population in the study area.

APEX generates population-based exposures using several population databases. Based
on the geographic boundaries defining the study areas and the study groups of interest, APEX
simulates representative individuals using appropriate geographic, demographic, and health
status information provided by existing population-based surveys. For the current exposure and
risk analysis, population input data sets are organized by U.S. census tracts.

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Several updates were made to the APEX model inputs and algorithms for use in
simulating the populations of interest in this exposure and risk analysis and are described in the
following sections: population demographic data that are based on the 2010 census (section
3D.2.2.1), asthma prevalence rates based on the 2013-2017 National Health Interview Survey
(NHIS) that vary by age, sex and geographic location (section 3D.2.2.2), and data and equations
used to approximate personal attributes such as body weight, resting metabolic rate, and
breathing rate (section 3D.2.2.3).

3D.2.2.1 Demographics

As briefly described in section 3D.2.1 (and more fully in section 3D.2.3 below and in
Appendix 3C), ambient air concentrations were modeled to census tracts in each study area to
capture spatial heterogeneity in ambient air O3 concentrations. Population data were generated
using the same spatial scale to also account for variability in population demographics. Tract-
level population counts were obtained from the 2010 Census of Population and Housing
Summary File l.14 Summary File 1 contains what the Census program calls "the 100-percent
data," which is the compiled information from the questions asked of all (100% of) people and
housing units in the U.S. Three national-based APEX input files15 are used for the current
exposure and risk analysis as follows.

•	Population sectors US 2010.txt\ census tract identifiers (IDs), latitudes and
longitudes in degrees.

•	Population female All 20I0.lxl\ census tract IDs, tract-level population counts for
females, stratified by 23 age groups.16

•	Population male All 2010.txt: census tract IDs, tract-level population counts for
males, stratified by the same 23 age groups as done for females.

3D.2.2.2 Asthma Prevalence

The four population study groups included in this exposure assessment are adults (19 to
90 years old),17 children (5 to 18 years old),18 and those within each of the two groups having

14	Technical documentation - 2010 Census Summary File 1—Technical Documentation/prepared by the U.S. Census
Bureau, Revised 2012 - available at: http://www.census.gov/prod/cen2010/doc/sfl.pdf.

15	The names of all APEX files are provided here to link the brief description with the appropriate APEX input file.

16	The age groups in this file are: 0-4, 5-9, 10-14, 15-17, 18-19, 20-20, 21-21, 22-24, 25-29, 30-34, 35-39, 40-44, 45-
49, 50-54, 55-59, 60-61, 62-64, 65-66, 67-69, 70-74, 75-79, 80-84, >84.

17	The upper limit for adults was set to age 90 due to the limited information available in CHAD for modeling
activity patterns and physiological processes for adults >90.

18	As in other NAAQS reviews, we do not estimate exposures and risk for children younger than 5 years old due to
the more limited information contributing relatively greater uncertainty in modeling their activity patterns and
physiological processes than children between the ages of 5 to 18.

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asthma, based on their identification as an at-risk population (section 3.3.2 of the main
document; ISA, section IS.4.4.2). To best approximate the number (and percent) of individuals
comprising the latter two population groups in each study area, we considered several influential
variables that could affect asthma prevalence. It is widely recognized that there are significant
differences in asthma prevalence based on age, sex, U.S. region, and family income level, among
other factors.19 There is spatial heterogeneity in family income level across census geographic
areas (and also across age groups)20 and spatial variability in local scale ambient air
concentrations of O3 (e.g., Appendix 3C, Figures 3C-91 through 3C-106). Thus, we accounted
for these particular attributes of this study group and their spatial distribution across each of the
study areas to better estimate the variability in population-based O3 exposures and risks for these
at-risk population groups.

With regard to asthma prevalence, the data are used to identify if a simulated individual
residing within a modeled census geographic area has asthma. The data are not used for selection
of any other personal attribute nor in the selection of activity pattern data. Thus, our primary
objective with these data was to generate census tract-level prevalence that reflect variability in
asthma prevalence contributed by several known influential attributes (i.e., age, sex, family
income level, geographic location). Two data sets were identified and linked together to estimate
asthma prevalence used for this exposure and risk analysis: asthma prevalence and population
data.

First, asthma prevalence data were obtained from the 2013-2017 National Health
Interview Survey (NHIS) and are stratified by NHIS defined regions (Midwest, Northeast, South,
and West), age, and sex.21 These asthma prevalence data are particularly useful given that age is
expressed as a continuous variable, a feature not found in other asthma prevalence data that are
available (e.g., state or county level data). We explored variables that were available in the NHIS
data set that contributed to variability in asthma prevalence and that could be used to extrapolate
the asthma prevalence to a finer geographic scale than the NHIS-provided four regions. The
linking variable had to be common with variables available in the population demographic data.
Based on this criterion, we selected family income level to poverty thresholds (i.e., whether the
family income was considered at/below or above a factor of 1.5 of the U.S. Census estimate of
poverty level for the given year) and used that as an additional variable to stratify the NHIS
asthma prevalence.

19	For example, see the Center for Disease Control report "National Surveillance of Asthma: United States, 2001-
2010", available at: https://www.cdc.gov/nchs/data/series/sr_03/sr03_035.pdf.

20	For example, see the U.S. Census report "Income and Poverty in the United States: 2016", available at:
https://www.census.gov/content/dam/Census/library/publications/2017/demo/P60-259.pdf.

21	Information about the NHIS is available at: http://www.cdc.gov/nchs/nhis.htm.

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Then, we obtained population data from the 2017 Census American Community Survey
(ACS) to estimate family income level to poverty thresholds at the census tract level and
stratified by several ages and age groups.22 By combining the NHIS and U.S. Census population
data sets, we developed census tract level asthma prevalence for children (by age in years) and
adults (by age groups), also stratified by sex (male, female) that were weighted by the individual
census tract population and family income level proportions. Finally, we adjusted the census
tract-level asthma prevalence data based on individual state-level prevalence data from the 2013-
2016 Behavioral Risk Factor Surveillance System (BRFSS).23 This was done because overall, the
asthma prevalence data reported from BRFSS were consistently higher than that derived from
the NHIS data, particularly when considering adults, and thus resulted in an upward adjustment
to the initially derived NHIS census tract level data set. A detailed description of how the NHIS,
U.S. Census, and BRFSS data were processed and combined to create the data set used for input
to APEX is provided in Attachment 1. The national-based APEX input file is used for the current
exposure and risk analysis as follows:

• asthmajprev 1317tract 053119 adjusted, txt: census tract IDs, tract-level asthma
prevalence (in fractional form) stratified by sex, 18 single year ages (for ages < 18),24
and 7 age groups (for ages > 17).

The asthma prevalence varies for the different ages and sexes of children and adults25 that
reside in each census tract of each study area. We evaluated the spatial distribution of the asthma
prevalence using the tracts that comprise the air quality domain in each study area. We first
separated the estimates for children from those for adults and calculated the distribution of
asthma prevalence for the tracts, stratified by sex (Table 3D-3). These summary statistics
represent the range of age- and sex-specific probabilities for the census tracts comprising each
study area that are used by APEX to estimate the number of individuals that have asthma.

22	Census tract level data is the finest scale geographical unit having family income information. The family
income/poverty ratio threshold used was 1.5, that is the surveyed person's family income was considered either <
or > than a factor of 1.5 of the U.S. Census estimate of poverty level for the given year.

23	Table C2.1 (for each adults and children) was downloaded to obtain the 2013-2016 BRFSS current asthma
prevalence by state and sex, available at: https://www.cdc.gov/asthma/brfss/default.htm. Table CI was also
downloaded to obtain the asthma prevalence for the two age groups not stratified by sex. Accessed 5/3/19.

24	The census data only had children for single years up to and including age 17, after that age they are provided in
groups. The upper portion of this age range differs from those considered as children in estimating exposures (i.e.,
in our exposure assessment children are considered upwards to 18 years old). To simulate the number of children
with asthma age 18, estimated prevalence from the first adult group were used (i.e., individuals age 18-24).

25	While prevalence was estimated for all ages of children (in single years 5-17), for adults they were estimated for
seven age groups: 18-24 years, 25-34 years, 35-44 years, 45-54 years, 55-64 years, 65-74 years, and >75 years old
(see Attachment 1 for more information).

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1	Table 3D-3. Descriptive statistics for children and adult asthma prevalence, using all

2	census tracts within eight consolidated statistical areas (CSAs) in the APEX

3	asthma prevalence file.

CSA Name - ID#
(# tracts)

and

Population group

Sex

Asthma Prevalence across all ages (or age groups) and census tracts A

Mean

Standard
Deviation

Minimum

Median

95th
percentile

99th
percentile

Maximum

Atlanta-122
(1,077)

adult

female

11.1%

1.8%

7.7%

11.1%

14.0%

15.9%

20.9%

male

5.5%

0.8%

4.3%

5.4%

7.1%

7.5%

7.9%

child

female

9.7%

1.7%

6.5%

9.6%

12.9%

13.9%

15.0%

male

14.1%

1.7%

10.6%

14.0%

16.8%

17.6%

18.3%

Boston-148
(1,753)

adult

female

13.8%

1.8%

10.5%

13.5%

17.3%

20.5%

28.9%

male

7.6%

0.9%

5.4%

7.5%

9.1%

10.0%

12.9%

child

female

9.4%

2.0%

5.6%

9.5%

12.4%

13.5%

17.1%

male

15.4%

2.5%

8.7%

15.1%

19.5%

20.8%

23.4%

Dallas-206
(1,422)

adult

female

9.3%

1.5%

6.5%

9.3%

11.8%

13.5%

16.5%

male

4.9%

0.7%

3.8%

4.9%

6.4%

6.8%

9.7%

child

female

7.6%

1.3%

5.0%

7.4%

10.0%

10.9%

13.5%

male

11.0%

1.4%

8.3%

11.0%

13.2%

13.8%

18.1%

Detroit-220
(1,583)

adult

female

13.3%

2.5%

7.8%

13.4%

17.8%

20.6%

25.6%

male

7.9%

2.2%

1.0%

7.6%

12.4%

14.7%

19.0%

child

female

8.6%

1.5%

6.4%

8.2%

11.6%

12.5%

13.2%

male

13.3%

3.0%

7.7%

12.7%

19.9%

23.6%

25.5%

Philadelphia-
428
(1,725)

adult

female

12.1%

2.3%

8.2%

12.0%

16.4%

19.8%

26.5%

male

6.5%

0.9%

4.6%

6.4%

8.1%

9.0%

11.4%

child

female

9.1%

1.9%

5.6%

9.2%

12.0%

13.1%

15.3%

male

13.6%

2.4%

8.2%

13.3%

17.8%

19.2%

21.1%

Phoenix-429
(988)

adult

female

11.6%

1.6%

8.6%

11.7%

14.4%

16.0%

19.7%

male

7.0%

1.5%

5.1%

7.1%

9.1%

11.7%

16.7%

child

female

7.6%

1.5%

4.6%

8.0%

9.5%

9.6%

9.6%

male

11.5%

1.8%

8.5%

11.6%

14.8%

15.9%

17.1%

Sacramento-
472
(539)

adult

female

10.4%

1.4%

7.7%

10.5%

12.7%

14.0%

16.5%

male

5.7%

1.1%

4.2%

5.9%

7.3%

9.0%

13.6%

child

female

8.5%

1.7%

5.2%

9.0%

10.7%

10.9%

10.9%

male

10.8%

1.7%

8.1%

10.9%

13.7%

14.8%

16.2%

St. Louis-476
(638)

adult

female

11.8%

2.1%

6.8%

11.9%

15.0%

17.4%

21.5%

male

6.5%

1.8%

0.9%

6.5%

9.9%

11.8%

14.5%

child

female

9.2%

2.0%

5.3%

9.1%

12.9%

14.2%

15.6%

male

11.1%

2.4%

6.5%

10.7%

15.9%

19.3%

21.9%

A Prevalence is based on single year ages (children) or age groups (adults) and sex derived from 2013-2017 CDC NHIS asthma prevalence
and considering U.S. census tract level family income/poverty ratio data. Data presented are not population-weighted and represent the
distribution of applied probabilities used by APEX for tracts having a non-zero population. Note, upper and lower percentiles could represent
prevalence for a single year age/sex residing in a single tract within a study area.

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In general and consistent with broadly defined national asthma prevalence (e.g., Table 3-
1 of the main document), male children have higher rates than female children26 and adult
females have higher rates than adult males.27 The overall asthma prevalence for children was
similar to that estimated for adults, largely the result of having a greater BRFSS adjustment
applied to adult females compared to that applied to children of either sex.28 As described above,
and by design (i.e., in using age, sex, and family income variables) there is wide ranging spatial
variability in the estimated asthma prevalence. For instance, the Boston, Detroit, and
Philadelphia study areas have some of the highest asthma prevalence for boys and adult women
considering most of the descriptive statistics, with rates of 25% or higher in one or more census
tracts for a given year of age (Table 3D-3). In contrast, the Dallas study area exhibits some of the
lowest asthma prevalence (and low variability) for any of the four age/sex groups compared to
the other study areas.

There are other personal attributes shown to influence asthma prevalence, such as race,
ethnicity, obesity, smoking, health insurance, and activity level (e.g., Zahran and Bailey, 2013).
The set of variables chosen to stratify asthma prevalence for use in this exposure and risk
analysis (i.e., age, sex, and family income level) was based on maximizing the potential range in
asthma prevalence variability, maximizing the number of survey respondents comprising a
representative subset study group, and having the ability to link the set of attributes to variables
within the Census population demographic data sets. Many of the additional influential factors
identified here are not available in the census population data and/or have limited representation
in the asthma prevalence data (e.g., the survey participant does/does not have health insurance, or
they did/did not provide a response to a question regarding their body weight). Race is perhaps
the only attribute common to both the prevalence and population data sets that could be an
important influential factor and was not directly used to calculate asthma prevalence. However,
the use of race in calculating asthma prevalence, either alone or in combination with family
income level, would further stratify the NHIS analytical data set and appreciably reduce the
number of individuals of specific age, sex, race, and family income level, potentially reducing
the confidence in calculated asthma prevalence based on having so few data in a given

26	Population weighted asthma prevalence, when not categorized by the eight study areas, is greater in boys (mean of

11.1%) than that of girls (mean of 7.3%). Nationally, asthma prevalence for boys is 9.5%, for girls is 7.3% (Table
3-1 of the PA).

27	Population weighted asthma prevalence, when not categorized by the eight study areas, is greater in women (mean
of 12.0%) than that of men (mean of 6.5%). Nationally, asthma prevalence for women is 9.8%, for men is 5.4%
(Table 3-1 of the PA).

28	Population weighted asthma prevalence, when not categorized by the eight study areas and sex, is similar for
children (mean of 9.2%) and adults (mean of 9.3%). Nationally, asthma prevalence for children is 8.4% and for
adults is 7.7% (Table 3-1 of the PA).

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stratification. Because family income level already strongly influences asthma prevalence across
all races and stratifies the NHIS data into only two subgroups (i.e., above or below the poverty
threshold) in comparison to the larger number of subgroups a race variable might yield, family
income was chosen as the next most important variable beyond age and sex to rely on for
weighting the spatial distribution of asthma prevalence.

3D.2.2.3 Personal Attributes

In addition to using the above demographic information to construct the simulated
individuals, each modeled person is assigned anthropometric and physiological attributes by
APEX. All of these variables are treated probabilistically, accounting for interdependences
where possible, and reflecting variability in the population. It is not the intention of this
document to provide detailed description of all the model inputs in each of the files and the data
used in their derivation, and where additional details exist, appropriate reference materials are
provided. We describe further a few APEX model inputs that have been recently updated and
that are available for use in this exposure and risk analysis. These are new statistical distributions
for estimating body weight, equations for estimating resting metabolic rate, and equations for
estimating activity-specific ventilation rate. Each of these data and algorithms are important,
particularly the ventilation rate (section 3D.2.2.3.3), because the health response observed in the
controlled human exposure studies is concomitant with elevated breathing rate. Brief
descriptions of the data used to develop these generalized (i.e., non-03 specific) input files are
provided in the sections below. For additional detail, see U.S. EPA (2018) Appendices G and H,
and the data within the APEX input files.

3D.2.2.3.1 Body Weight and Surface Area

Anthropometric attributes utilized by APEX in various assessments for estimating
exposures or doses can include height, body weight (BW), and body surface area (BSA). Two
key personal attributes determined for each individual in this assessment are BW and BSA, both
of which are used in the calculation of a number of other variables associated with estimating
exposures (e.g., ventilation rate).

Regarding the estimation of body weight, a new APEX input file was recently generated
using 2009-2014 National Health and Nutrition Examination Survey (NHANES) data.29 Briefly,
body weight and height data for surveyed individuals were obtained and stratified by sex and
single years for ages 0 - 79; all ages above 80 were combined as a single age group. Statistical
form of the age- and sex-specific body weight and height distributions were evaluated using a

29 NHANES questionnaire datasets for 2009-2010, 2011-2012, 2013-2014 are available at

https://wwwn.cdc.gov/nchs/nhanes/Default.aspx. Details regarding the data used and the derivation of the APEX
input file data distributions is found in U.S. EPA (2018), Appendix G.

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log-likelihood statistic. Body weight was found to best fit a lognormal distribution; height was
found to best fit a normal distribution. Because height and body weight are not independent, the
joint distributions of height and logarithm of body weight were fit assuming a bivariate normal
distribution. Then, parameters defining the joint distributions30 were smoothed using a natural
cubic spline to have them represent continuous functions of age rather than vary discontinuously.
In addition, having the smoothed parameters could be used to extrapolate information obtained
from the single age year distributions (ages 0 - 79) to approximate statistical distributions of
body weight for ages >80. To do so, a linear function was fit to ages 70 and above to extrapolate
the parameter values (and hence the statistical distributions of body weight) up to age 100.

These body weight distributions are randomly sampled by APEX to estimate an age and
sex-specific body weight for each simulated individual. Comparison of the new distributions to
the body weight distributions previously used by APEX and developed from the 1999-2004
NHIS indicate, for both sexes and across all ages, simulated body weight is about two percent
greater using the updated distributions. This difference is expected given the consistent trend of
increasing body weight that has occurred in the U.S. population over the past few decades.

Age- and sex-specific body surface area, a variable used in conjunction with breathing
rate to approximate moderate or greater exertion (section 3D.2.2.3.3) is estimated for each
simulated individual (Equation 3D-1) and is based on an equation provided in Burmaster (1998):

BSA = e2-2781 x BW0-6821	Equation 3D-1

One standard APEX input file is used for the current O3 exposure and risk analysis:

• Physiology051619 Ufixedtxt: Provides parameters for estimating body weight (log BW,
standard deviation of BW, lower and upper bounds of BW, by single age years 0-100 and
by two sexes) and regression coefficients used in estimating BSA for all sexes and ages.

3D.2.2.3.2 Energy Expenditure and Oxygen Consumption Rates

Energy expended by different individuals engaged in different activities can have an
important role in pollutant-specific exposure and/or dose. For example, energy expenditure is
related to ventilation rate, which is an important variable in estimating exposure and risk given
that the 03-induced lung function response has been documented to occur under conditions of
elevated ventilation (section 3.3.1.1 of the main document). In addition, because we are also
interested in exposures that occur over relatively short durations (i.e., < 8 hours), estimating
activity-specific ventilation rate (Ve) has always been an important motivation behind the
development of the algorithm used by APEX. The fundamental basis for Ve algorithm is founded
in energy expenditure which, for our modeling purposes here, can be related to an individual's

30 Five parameters were used for each age and sex: mean log(BW), standard deviation of log(BW), mean height,
standard deviation of height, and body weight-height correlation coefficients.

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resting metabolic rate (RMR) or the energy expended while an individual is at complete rest,
along with the energy expended while an individual performs activities involving greater
exertion, termed here as metabolic equivalents of work (METs) (McCurdy, 2000). The
approaches used by APEX for estimating RMR and METs are described below, beginning first
with the update to the equations used for estimating a simulated individual's RMR.

Since the 2014 HREA,31 we have reviewed recent RMR literature and other published
sources containing individual data and have compiled the associated individual RMR
measurements, along with associated influential attributes such as age, sex, and body weight,
where available. Data from these individual studies were then combined with RMR data reported
in the Oxford-Brookes database (Henry, 2005; IOM, 2005) and screened for duplicate entries. In
addition, observations missing values for RMR, BW, age, or sex were deleted, resulting in a
dataset containing 16,254 observations (9,377 males and 6,877 females). Using this new RMR
dataset and having a goal of updating the previous RMR equations and reducing discontinuities
in RMR between age groups, new equations were developed.

Details regarding the data, the derivation, and performance evaluation of the new
equation that APEX uses to estimate RMR are provided in U.S. EPA (2018), Appendix H.
Briefly, the equations follow the general format of a multiple linear regression (MLR) model,
using age and body weight as independent variables to estimate each simulated individual's
RMR, along with a residual error term (f).32 It is known that RMR and BW, as well as RMR and
age, are not exactly linearly related; the algorithms developed here use BW (in kg), age (in
years), and the natural logarithms of BW and (age+1)33 as follows in Equation 3D-2, with their
parameter estimates provided in Table 3D-4.

RMR = /?0 + /?iBW + /?2 log(BW) + (33Age + /?3log (Age) + et Equation 3D-2

When comparing observed versus predicted values, the new RMR equations have a bias
of less than 0.5%, compared to the previously used APEX equations which had a bias of between
1-2%. Further, the discontinuities in RMR seen across particular age group boundaries using the

31	The algorithm used to estimate RMR for the 2014 HREA was based on analyses by Schofield (1985) who used
clinical subject data from studies conducted as far back as 60 years prior to that publication. In addition, the
Schofield (1985) RMR equations contained abrupt discontinuities at some of the equation boundaries (e.g.,
between age 59 and 60). As a result, we felt it was important to obtain newly available study data to develop
RMR equations that better represent a more recent population and having fewer discontinuities.

32	The residual error term largely accounts for the estimation of inter-personal variability in RMR for individuals
having the same body weight and age. There are other potentially influential sources of variability that are not
explicitly accounted for by the equation (e.g., seasonal influences on RMR) and thus remain as an uncertainty.

33	The "+1" modifier allows APEX to round age upwards instead of downwards to whole years, which is necessary
to avoid undefined log(0) values.

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previous equations have been reduced when using these updated equations in APEX. One

standard APEX input file is used for the O3 exposure and risk analysis:

• Physiology051619 Ufixedtxt: Regression coefficients used to estimate RMR (kcal day"1)
for two sexes and six age groups.

Table 3D-4. Regression parameters used to estimate RMR by sex and age groups.

Sex

Age
Group

Subjects
(n)

BW

log(BW)

Age

log(Age)

Intercept

Standard
Deviation

male

0-5

625

13.19

270.2

-18.34

131.3

-208.5

69.10

6-13

1355

10.21

260.2

13.04

-205.7

333.4

115.3

14-24

4123

0.207

1078.0

115.1

-2794.0

3360.6

161.1

25-54

2531

2.845

729.6

3.181

-191.6

-1067

178.2

55-99

743

9.291

264.8

-5.288

181.5

-705.9

163.6

female

0-5

625

11.94

261.5

-22.31

120.9

-183.6

64.16

6-13

1618

5.296

409.1

40.37

-524.9

392.7

99.43

14-29

2657

0.968

676.9

40.89

-1002

772.7

143.1

30-53

1346

4.935

355.4

16.28

-896.0

2225

145.3

54-99

631

2.254

445.9

5.464

-489.9

944.2

124.5

Units: RMR = kilocalories/day; BW = kilograms; Age = years

Following the estimation of an age- and sex-specific RMR for simulated individuals, the
next variable used for estimating ventilation rate involved an approximation of the energy
expended for activities an individual performs throughout their day. As mentioned above,
activity-specific energy expenditure is highly variable and can be estimated using metabolic
equivalents of work (METs), or the ratios of the rate of energy consumption for non-rest
activities to the resting metabolic rate of energy consumption, as follows in Equation 3D-3:

EE = MET X RMR	Equation 3D-3

where,

EE = Energy expenditure (kcal/minute)

MET = Metabolic equivalent of work (unitless)

RMR = Resting metabolic rate (kcal/minute)

Statistical distributions of METs were developed for simulated activities using the
physical-activity compendium (Ainsworth et al., 2011; hereafter "the compendium"). The
compendium contains a point value for the MET associated with each of several hundred
different activities. Activity-specific MET distributions were developed by cross-walking the

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activities described in the compendium with the descriptions of activities in the activity pattern
data base used by APEX (section 3D.2.5). The shape of the statistical distribution (e.g., normal,
lognormal, triangular, point) for each activity was assigned based on the number of
corresponding activities in the compendium and goodness-of-fit statistics. When simulating
individuals, APEX randomly samples from the activity-specific METs distributions to obtain
values for every activity performed. Two standard APEX input files are used for the current O3
exposure and risk analysis:

•	METdistributions 092915.txt: MET distribution number, statistical form, distribution
parameters, lower and upper bounds, activity description

•	MET mapping 071018.txt: activity codes, age group (where applicable), occupation
group, MET distribution number, and activity description used to link of MET
distributions to activities performed

The rate of oxygen consumption (VO2, Liters min"1) for each activity is then calculated
from the energy expended (kcal min"1) using an energy conversion factor (ECF, Liters O2 kcal"1)
as follows in Equation 3D-4:

V02 = EE X ECF	Equation 3D-4

The value of the ECF is randomly selected from a uniform distribution for each person,
U[0.20, 0.21] (Johnson, 2002, adapted from Esmail et al., 1995). One standard APEX input file
is used for the current O3 exposure and risk analysis:

•	Physiology051619 Ufixedtxt: Parameters of the uniform distribution representing the
ECF used for all ages and both sexes.

3D.2.2.3.3 Ventilation Rate

Human activities are variable over time, with a wide range of activities possible within
only a single hour of the day. The type of activity an individual performs, such as sleeping or
jogging (as well as individual-specific factors such as age, weight, RMR) will influence their
ventilation rate. APEX estimates minute-by-minute ventilation rates that account for the
expected variability in the activities performed by simulated individuals. Ventilation rate is
important in this assessment because the lung function responses associated with short-term O3
exposures coincide with moderate or greater exertion (2013 ISA, Table 6-1). In our exposure
modeling approach, APEX generates the complete time-series of activity-specific ventilation
rates and the corresponding time-series of estimated O3 exposures and is directly used for the
individual-based lung function risk (section 3D.2.8.2.2). APEX can then aggregate both the
ventilation rate and exposure concentration for the duration of interest (e.g., 7-hr average), and
they can be used for the benchmark comparison (section 3D.2.8.1) and estimating the
population-based lung function risk (section 3D.2.8.2.1). Thus, the model provides O3 exposure

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estimates for the simulated individuals that pertain to specific target levels for both ventilation
rate and exposure concentration. The approach to estimating activity-specific energy expenditure
and associated ventilation rate involves several algorithms and physiological variables, with
details found in the APEX User's Guide (U.S. EPA, 2019a, U.S. EPA, 2019b).

Using the existing measurement Ve dataset from Graham and McCurdy (2009), new Ve
algorithms were developed for predicting activity specific Ve in the individuals simulated by
APEX (Appendix H of U.S. EPA (2018)). The new Ve algorithms do not directly employ
previously used variables to stratify the data (age groups, sex) and explain variability (age, body
weight, height) in ventilation rate, effectively simplifying and reducing the number of equations.
The new algorithms utilize a new variable, the maximum volume of oxygen consumed (VChm)
as an input.34 Body weight, height, and sex - as well as fitness level (which is often represented
by VChm) - influence oxygen consumption for a particular activity. However, variability for
each of these influential variables are already captured in the algorithm used to estimate each
simulated individual's RMR, and subsequently, the estimation of their activity-specific VO2.35
Thus, the only input variables needed for the new Ve algorithm are VO2 and VChm,36 both of
which are estimated by APEX.

Details for the derivation of and performance evaluation of the new equation that APEX
uses to estimate ventilation rate are provided in U.S. EPA (2018) Appendix H. Briefly, the Ve
dataset contains 6,636 observations, with 4,565 males and 2,071 females. Similar to the earlier
ventilation equation by Graham and McCurdy (2009), a mixed-effects regression (MER) model
was fit because the MER separates residuals into within-person (ew) and between-person (eh)
effects, known as intrapersonal and interpersonal effects, respectively.37 It was found that the
actual values of VO2 and VChm are less relevant than the fraction of maximum capacity,
represented by fi = VCh/VChm. The variable fi may operate non-linearly (for example, fi = 0.9 is
likely more than twice as encumbering as fi = 0.45). A transformation regression approach

34	Use of VO2111 as an explanatory variable in separate related research on metabolic equivalents of task (MET)
values for persons with unusual maximum capacity for work suggests that their MET distributions are modified in
a predictable way by their maximum MET (or, equivalently, by VChm), thus providing support for use of this
variable in the new Ve algorithms Details are provided in Appendix H of U.S. EPA (2018).

35	Oxygen consumption associated with activities performed is based on the activity specific metabolic equivalents
for work (METs), an individual's estimated RMR, and an energy to oxygen conversion factor (Equations 3D-3
and 3D-4 above).

36	Distributions of VC^m used by APEX were derived from 20 published studies reporting individual data and
grouped mean (and standard deviation) data obtained from 136 published studies. Details are provided in Isaacs
and Smith, 2005 (and found in Appendix B of U.S. EPA (2009).

37	N(0, et) is a normal distribution with mean zero and standard deviation ej = 0.09866 meant to capture
/'wterpersonal variability, which is sampled once per person. N(0, ew) is an /'w/rapersonal residual with standard
deviation of ew = 0.07852, which is sampled daily due to natural /'w/rapersonal fluctuations in Ve that occur daily.

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(using PROC TRANSREG; SAS, 2017) was used to determine the most appropriate variable
transformation, indicating a power of 4 to 5 be used when only the log transformed VO2 was
used as the independent variable and described in Equation 3D-5.

yE - q (3.300 + 0.8128xln(V02)+ 0.5126 x (V02+V02m)4+N(0,eb)+N(0,ew))	Equation 3D-5

In comparing the statistical fit of the new equation with the equations used by APEX
previously to estimate ventilation rate, the resulting coefficient of determination (R2 values) for
the new equation (R2 = 0.94) indicates an improved fit compared to that of the previous
equations (R2 = 0.89 - 0.92). Further, because the data were not stratified by age groups (or any
other groupings), there are no discontinuities in predictions made across age boundaries as was
observed when employing the previous equations. Information used in estimating ventilation rate
is found in the following APEX two input files:

•	Physiology051619 Ufixedtxt: parameters describing statistical distributions of
normalized maximum oxygen consumption rate (NVChm) for two sexes by single age
years (0-100) (see, Isaacs and Smith, 2005).

•	Ventilation 062117.txt\ minimum and maximum age ranges, regression coefficients,
between and within error terms used to estimate individual activity-specific
ventilation.

To use this information to estimate health risks for children, the ventilation rates observed
for the adult controlled human exposure study subjects need to be converted into rates that best
reflect the different physiology of children. Consistent with prior REAs (U.S. EPA, 2009, 2014,
2018; Whitfield et al., 1996), we used an equivalent ventilation rate (EVR, L/min-m2), which is
essentially an allometrically normalized ventilation rate (Equation 3D-6), to estimate instances
when any simulated individual reaches a ventilation rate as relatively as high as that of the study
subjects (i.e., termed here as moderate or greater exertion).

EVR =	Equation 3D-6

BSA	n

Before discussing the value used to determine whether a simulated individual is at
moderate or greater exertion, a brief description of the controlled human exposure study protocol
is warranted. Most of the controlled human exposure studies evaluating O3 health effects of
interest for our exposure benchmark analysis (e.g., Adams, 2006; Folinsbee et al., 1988) were
conducted over a 6.6-hr exposure period, thus, the most relevant exposures and associated
breathing rates for the exposure benchmark comparisons would be those occurring on average
over a 6.6-hr period (not an 8-hr period as was used in previous REAs). The typical protocol for
the 6.6-hr controlled human exposure studies employed a mixture of exercise and rest periods
varied across the duration of the study, with an expectation that the study subject achieves, on

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average, a target EVR of 20 L/min-m2 (i.e., a ventilation rate of -35 L/min in females and -40
L/min in males) while exercising using a treadmill or cycle ergometer (e.g., Schelegle et al.,
2009). Most researchers collected the ventilation data during periods of exertion and therefore
reported the exercise-only conditions (e.g., Horstman et al., 1990; Folinsbee et al., 1988).

More specifically, during the 6.6-hr study experiments, 5 hours were used for exercise
(i.e., six 50-minute (min) periods on a treadmill or cycle ergometer), with the remaining 1.6
hours comprised of a series of 10-min rest periods occurring immediately after the exercise along
with a 35-min lunch break before the fourth exercise period. As a result of these rest/lunch
periods, the study subject's actual ventilation rates (and hence EVRs) are expected to be less than
the target/observed exercise levels reported in the controlled human exposure studies. Note, the
simulated individuals used to estimate exposure and risk perform numerous activities throughout
the day, each having varied durations and exertion levels (e.g., jogging, sleeping, eating). As
such, when time-averaging across a simulated exposure period of interest, the period likely
would contain ventilation rates of varying duration and intensity. To better match the ventilation
information obtained from the controlled human exposure studies with that of the simulated
individuals, we accounted for the impact from the rest/lunch time ventilation rate along with that
attained during exercise to estimate an appropriate EVR for the study subjects.

Attachment 2 provides details regarding the data and approach used to estimate the EVR,
an APEX model variable used to identify when a simulated individual is at moderate or greater
exertion. Briefly, the controlled human exposure study data set available used to calculate EVR
was comprised of 177 study subjects, each evaluated for 2 or more exposure levels (i.e., totaling
485 experiments), and having multiple measurements for each exercise period, yielding 4,024
individual EVR data points. Of these six studies providing raw data,38 only Schelegle et al.
(2009) mentioned resting Ve (and hence a resting EVR), with an average value for males and
females estimated as 7.61 and 8.05 L/min-m2, respectively and based on regression equations
provided by Aitken et al. (1986). We calculated total (exercise and rest) EVR for each person
across the 6.6-hr study period as a weighted average based on the observed EVR for the 5 hours
of exercise and the estimated EVR for 1.6 hours of rest/lunch. Descriptive statistics were
calculated and indicated the person-level EVR data were normally distributed, having a mean
value of 17.32 (L/min-m2) and a standard deviation of 1.25 (L/min-m2). To reflect variability
across simulated individuals, an EVR is probabilistically selected from this distribution once per
person and used for the duration of their simulation period. This new approach for assigning a
unique EVR to every simulated individual, one that accounts for rest and exercise periods and

38 The six studies include Folinsbee et al. (1988), Folinsbee et al. (1994), Horstman et al. (1990), Kim et al. (2011),
McDonnell et al. (1991), and Schelegle et al. (2009).

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based on the distribution of ventilation rates achieved by all controlled human exposure study
subjects, more appropriately reflects the EVR variability expected to exist in the simulated
population compared to the approach used in the 2008 and 2015 reviews (e.g., U.S. EPA, 2007a;
U.S. EPA, 2007b; 2014 HREA) that assigned a single lower bound EVR value to all
individuals.39

For practical and tractable modeling reasons, this individual-level EVR threshold is
applied to APEX simulated individuals using a 7-hr averaging time (representing the 6.6-hr
period rounded to whole numbers) in order to better represent the exposure study design than the
previously used 8-hr average. Then, once a simulated individual is identified as having surpassed
their personal 7-hr average EVR threshold in a given day, the level of their simultaneously
occurring 7-hr average O3 exposure is recorded by APEX. Retained for each simulated
individual are the daily maximum 7-hr average exposure concentration(s) that occurred while at
moderate or greater exertion over the assessment period.

3D.2.3 Ambient Air Concentrations

Ambient air concentrations serve as a fundamental input used by APEX to estimate
exposure. There are two important attributes of ambient air concentrations to consider when
estimating population exposure and risk using APEX: spatial and temporal variability. This is
because there can be significant spatial and temporal heterogeneity in O3 concentrations across
each of the study areas and there is substantial flexibility by APEX in handling ambient air
concentrations at varying scales, both temporally (e.g., hourly, daily) and spatially (e.g. 500-
meter grid, census tract).

For this exposure and risk analysis (as done for the 2015 review), we were interested in
having hourly O3 concentrations at the census tract level. Having these temporally and spatially
resolved ambient air concentrations in each study area allows for better utilization of APEX
temporal and spatial capabilities in estimating exposure and risk (e.g., the population data
described in section 3D.2.2 are at a census tract level). Because APEX simulates where
individuals are located and what they are doing at specific times of the day, more realistic
exposure estimates are obtained in simulating the contact of individuals with these temporally
and spatially diverse concentrations.

39 The EVR used in prior REAs (e.g., U.S. EPA, 2007b; U.S. EPA, 2007a; 2014 HREA) was based on a single lower
bound EVR value of 13 L/min-m2 selected from a range provided by Whitfield et al. (1996). For the current
assessment approach, assigning randomly sampled values from an EVR distribution of N{17.32,1.25} still allows
for some simulated individuals to be considered at elevated exertion when exceeding an EVR of-13-14 L/min-
m2 (Appendix 3D, Attachment 2, Table 3) but overall, leads to fewer individuals achieving a moderate or greater
exertion level when compared to simulations employing a single lower bound EVR value of 13 L/min-m2.

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Ambient air monitors for O3 capture the temporal scale of interest (i.e., hourly) and can
provide general information regarding O3 levels across an urban area. However, given their
limited spatial representativeness, i.e., tens of monitors extending across areas >10,000 km2, the
monitors may not fully inform concentration variability that may exist at a finer spatial scale. In
addition, of interest are concentrations that represent a specific air quality scenario (e.g., ambient
air quality that just meets the current standard). In general, due to varying levels of precursor
emissions and meteorological conditions, most monitored 3-year periods do not have O3
concentrations that just meet a specific air quality scenario of interest. Therefore, due to these
two realities, modeling methods are used to achieve the desired temporal and spatial scale along
with estimating ambient air O3 concentrations that represent a specific air quality scenario.

The sections that follow briefly summarize the data and approaches used to estimate the
air quality concentrations used by APEX. A detailed description on the air quality data
collection, processing, adjustment, and evaluation is provided in Appendix 3C. First, section
3D.2.3.1 below provides information for the overall bounding of the modeling domains. The
identification of ambient air monitoring data used as a foundation for representing fine-scale
temporal and broad-scale spatial concentration variability is provided in section 3D.2.3.2. The
approach used to adjust concentrations to just meet air quality scenarios of interest is described
in section 3D.2.3.3. And finally, Section 3D.2.3.4 describes the technique used to interpolate the
concentrations from the monitor locations to the desired spatial scale (i.e., census tracts). It is
these estimated hourly census tract O3 concentrations representing air quality scenarios that serve
as the basic ambient air concentrations from which each simulated individual's
microenvironmental concentrations and exposures are estimated (sections 3D.2.6 and 3D.2.7,
respectively). Multiple unique APEX input files are used for the current exposure and risk
analyses, one for each year and study area, and in the following two formats:

•	concsCSA[number]S[air quality scenario]Y[year].txt\ Tract IDs, hourly
concentrations (ppm), calendar date, by study area and year

•	districtsCSA[number]Y[year].txt\ Tract IDs, latitude, longitude, begin and end date

3D.2.3.1 Spatial and Temporal Boundaries of Modeling Domains

APEX has several options to select air quality data to use for estimating exposure and
risk. For this exposure and risk analysis, we used the list of counties that comprise each
CSA/MSA and their geographic boundaries to define the broad spatial characteristics of each
study area (0). As a result, simulated individuals residing within these counties would be part of
the exposure modeling domain and any ambient air concentrations estimated within these
counties would be used by APEX. Figure 3D-2 to Figure 3D-5 depict the spatial extent of the
exposure and risk modeling domain in each study area, along with a visualization of tract-level

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population density and location of meteorological stations (see section 3D.2.4). The air radius for
APEX, a variable used to define the modeling domain, was set at 30 km to include all air quality
receptors (i.e., census tracts) within each county to model exposures and risks.

For each study area, three years of recent air quality were selected to estimate exposures.
The exposure periods are the O3 seasons40 for which routine hourly O3 monitoring data were
available, and defined by 40 CFR part 58, Appendix D, Table D-3. These periods are designed to
reasonably capture variability in ambient air O3 concentrations and meteorology and include the
high concentration events occurring in each area. Having this range of air quality data across
multiple years allows us to realistically estimate a range of exposures, rather than using a single
year of air quality. The number of O3 monitors in operation did not vary from year to year, thus,
the overall spatial representation of each study area by the ambient air monitors (and that using
the statistically interpolated data) remained constant for each year over the simulation period.

40 In this current analysis and for practical purposes, even though there are different durations of monitoring data
available across the study areas (i.e., some areas perform a full year of monitoring, others less than a full year), an
O3 season is considered to be synonymous with a year and exposure results are reported on a per year basis.

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Table 3D-5. List of states, counties, and O3 seasons that define the air quality and
exposure spatial and temporal modeling domain in each study area.

Study Area

State Abbreviation: County ListA

O3 season B

Atlanta

GA: Barrow, Bartow, Butts, Carroll, Cherokee, Clarke, Clayton, Cobb, Coweta,
Dawson, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gordon, Gwinnett, Hall,
Haralson, Heard, Henry, Jackson, Jasper, Lamar, Madison, Meriwether, Morgan,
Newton, Oconee, Oglethorpe, Paulding, Pickens, Pike, Polk, Rockdale, Spalding,
Troup, Upson, Walton.

March to
October

Boston

CT: Windham. MA: Barnstable, Bristol, Essex, Middlesex, Norfolk, Plymouth,
Suffolk, Worcester. NH: Belknap, Hillsborough, Merrimack, Rockingham, Strafford.
Rl: Bristol, Kent, Newport, Providence, Washington.

March to
September

Dallas

TX: Bryan, Collin, Cooke, Dallas, Denton, Ellis, Fannin, Grayson, Henderson,
Hood, Hopkins, Hunt, Johnson, Kaufman, Navarro, Palo Pinto, Parker, Rockwall,
Somervell, Tarrant, Wise.

January to
December

Detroit

Ml: Genesee, Lapeer, Lenawee, Livingston, Macomb, Monroe, Oakland, St. Clair,
Washtenaw, Wayne.

March to
October

Philadelphia

DE: Kent, Newcastle. MD: Cecil. NJ: Atlantic, Burlington, Camden, Cape May,
Cumberland, Gloucester, Salem PA: Berks, Bucks, Chester, Delaware,
Montgomery, Philadelphia.

March to
October

Phoenix

AZ: Maricopa, Pinal.

January to
December

Sacramento

CA: El Dorado, Nevada, Placer, Sacramento, Sutter, Yolo, Yuba.

January to
December

St. Louis

IL: Bond, Calhoun, Clinton, Jersey, Macoupin, Madison, Marion, Monroe, St. Clair,
MO: Franklin, Jefferson, Lincoln, St. Charles, St. Francois, St. Louis, Warren, St.
Louis City.

March to
October

A Delineations promulgated by the Office of Management and Budget (OMB) in February of 2013 (see Appendix 3C, section 3C.2).
B These are the regulatorily required monitoring seasons (see section 2.3.1 of the main document).

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Cherokee

Bartow

Forsyth

Gwinnett

Paulding

Oglethorpe

Haralson

DeKalb

Douglas r ' Fu|fon

rockdal

Carroll

Newton

Fayette

Butts

Spalding

Lamar

Meriwether

Upson

Population Density - Year 2010

Atlanta Study Area

Population Density per Square Mile
0 - 600	2.ฐ00 - 3,700 I

600 - 2,000	3,700- 6,200

6,200- 116,000

Walker

Gilmer

DeKalb

Chattooga

Gordon

Cherokee

Pickens

~i

-TT	7^	-y

White	Ozones

Lumpkin	Stephens

	

Dawson

v Anderson

Banks Franklin Hart

Jackson j Madison	Elbert

Barrow	, r ~

Clarke I

Wilkes

Cleburne

Clay r Randolph \ Heard

Morgan	Greene Taliaferro ,

Warren

Chambers

Jasper I

Hancock

Monroe	Jones

Baldwin

ฆmr Washington

Talbot
	

' DWv fC,-r-7

	Wilkinson py

Ififl Source: US Census Bureau. Esri, DigitalGlobe, GeoEye, Earthstar Geographies,
ฆ CNES/Airbus DS. USDA, USGS, AeroGRID, IGN, and the GIS User Community

Legend:

ฆfjji1 Study Area Center ^ Meteorological Stations I I Modeled Counties

Belknap

Merrimack

Rockingham

Hillsborough

Middlesex

Worcester

Norfolk

Bristol

Providei

(Vashingtoi

Source: US Census Bureau, Esri, DigitalGlobe. GeoEye, Earthstar Geographies,
CNES/Airbus DS, USDA, USGS, AeroGRID, IGN, and the GIS User Community

Kilometers

Population Density - Year 2010

Boston Study Area

m

	

Carroll

.

Grafton

Cumberl

Rutland Windsor

/ if

Sullivan

Bennington

Windham

Cheshire

Franklin

Hampshire

Hampden

Litchfield Hartford TollandLj vvindham
^	

New London

Dukes

Nantucket

New Haven

Legend:

^ Study Area Center ^ Meteorological Stations I I Modeled Counties

Population Density per Square Mile
0 - 600 G3B 2,000 - 3,700 m 6,200 - 116,000
600 - 2,000	3,700- 6,200

3	Figure 3D-2. County boundaries, census tract population densities, and meteorological

4	stations in the Atlanta (top) and Boston (bottom) study areas.

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Marshall

Cooke

Grayson

Fannin

Collin

F ockwa

Parker

Hood

Johnson

Somervel

Henderson

Navarro

Population Density - Year 2010

Dallas Study Area

Young

Wise

Palo Pinto

Hunt

Hopkins

Rains

Wood

Kaufman

Van Zandt

——

Eastland

Erath

Comanche

Bosque

Upshur

Smith

McLennan	Limestone

Source: US Census Bureau, Esri, DigitalGlobe,
GeoEye. Earthstar Geographies. CNES/Airbus DS,
USDA, USGS, AeroGRID, IGN. and the GIS User
Community

Legend:

[jf3 Study Area Center ~ Meteorological Stations I I Modeled Counties

Population Density per Square Mile
0-600	2,000 - 3,700 m| 6,200 - 116,000

600 - 2,000	3,700- 6,200

Jefferson

Wichita

Clay

Montague

Carter

Love

Choctaw

Lamar

McCurtain

Red River

Population Density - Year 2010

Detroit Study Area

Figure 3D-3. County boundaries, census tract population densities, and meteorological
stations in the Dallas (top) and Detroit (bottom) study areas.

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Lehigh

[Hunterdon Somerset

Berks

Middlesex

Bucks

Monmouth

Mercer

lontgomery

ฉb ester

Burlington

Ocean

loucester

Salem

Atlantic

imberland

;Carolin<

Kilometers

Schuylkill

Dauphin

Lebanon

Union

—~

Lancaster

Baltimore

N

Harford

Kent

!ป H

Anne Arundel

\ *3 /-
f.?ar. / /nEs

Sussex.

I Source: US Census Bureau, Esri, DigitalGlobe, GeoEye, Earthstar Geographies,
ICNES/Airbus DS, USDA, USGS, AeroGRID. IGN, and the GIS User Community

Population Density - Year 2010

Philadelphia Study Area

Legend:

ijf1 Study Area Center ~ Meteorological Stations	Modeled Counties

Population Density per Square Mile

0 - 600	2,000 - 3,700 ^

600 - 2,000	3.700- 6,200

6,200- 116,000 ป•*=

Population Density - Year 2010

Phoenix Study Area

Population Density per Square Mile
0-600 [ 3| 2,000 - 3,700 I
600 - 2,000	3,700- 6,200

6,200-116,000

Legend:

Study Area Center	Meteorological Stations ~ Modeled Counties

Pinal

ฆ Kilometers |L

Pima Source: US Census Bureau, Esri, DigitalGlobe, GeoEye, Earthstar Geographies,
CNES/Airbus DS, USDA, USGS, AeroGRID, IGN, and the GIS User Community

Navajo

	

Yavapai

Maricopa

Figure 3D-4. County boundaries, census tract population densities, and meteorological
stations in the Philadelphia (top) and Phoenix (bottom) study areas.

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Population Density - Year 2010

Sacramento Study Area

Legend:

jjf1 Study Area Center ^ Meteorological Stations I I Modeled Counties

Population Density per Square Mile

0 - 600	2000 _ 3>700	6'200 _ 116,000

600 - 2,000	3,700- 6,200

San Joaquin

Tuolumne

ฆSource: US Census Bureau, Esri, DigitalGlobe, GeoEye, Earthstar Geographies,
nCNES/Airbus DS, USDA, USGS, AeroGRID, IGN, and the GIS User Community

Glenn

Colusa

Washoe

Calaveras

Population Density - Year 2010

St. Louis Study Area

_zzr

Christian jJf;

She,by

ฆ i- • -v • - - <586
	I			

Montgomery

Source: US Census Bureau, Esri, DigitalGlobe, GeoEye, Earthstar Geographies,
[CNES/Airbus DS, USDA, USGS, AeroGRID, IGN, and the GIS User Community

Legend:

{Jf1 Study Area Center ~ Meteorological Stations I I Modeled Counties

Population Density per Square Mile

0 - 600	2 000 • 3'700	6'200 " 116,000

600 - 2,000	3,700- 6,200

Figure 3D-5. County boundaries, census tract population densities, and meteorological
stations in the Sacramento (top) and St. Louis (bottom) study areas.

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3D.2.3.2 Ambient Air Monitoring Data

We used hourly O3 concentrations from ambient air monitors in each study area for the
2015-2017 period to develop the air quality surface used for estimating exposure and risk (Table
3D-6; details in Appendix 3C, section 3C.3).41 Design values for monitors in each study area
were used to determine the direction and magnitude of adjustments needed to just meet the
current standard and the other two air quality scenarios (section 3D.2.3.3). The two other air
quality scenarios are O3 concentrations for which the highest design value in the area is just
above or just below the current standard level: 75 ppb and 65 ppb. Ambient air monitors outside
each study area, but within 50 km, were also used to improve spatial interpolation of air quality
near the edges of the study areas (section 3D.2.3.4). All available ambient air O3 monitor data
were used to develop the adjusted air quality surfaces, however design values were not
calculated for monitors having incomplete data.

41 Briefly, hourly O3 concentration data for all U.S. monitoring sites for 2015-2017 were retrieved from the EPA's
Air Quality System (AQS) database. Monitors within the CSA boundary for each urban study area were identified
and used to determine the NOx emissions changes necessary to meet the air quality scenarios of interest (section
3D.2.3.3). Monitors within 50 km of the CSA boundary were identified to provide additional data for spatial
interpolation (section 3D.2.3.4).

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1	Table 3D-6. List of ambient air monitor IDs, range of O3 design values, and number of

2	monitors in each study area.

Study Area

State: Ambient Air Monitor IDs A

O3 Design
Values (ppb)
(# of
monitors)

Atlanta

GA: 130590002, 130670003,130770002, 130850001, 130890002, 130970004,
131210055,131350002, 131510002, 132230003,132319991, 132470001

63-75
(12)

Boston

CT: 090159991 MA: 250010002, 250051004, 250051006, 250092006,
250094005, 250095005, 250170009, 250213003, 250230005, 250250042,
250270015, 250270024 NH: 330012004, 330111011, 330115001, 330131007,
330150014, 330150016, 330150018 Rl: 440030002, 440071010, 440090007

59-73
(23)

Dallas

OK: 400130380 TX: 480850005, 481130069, 481130075, 481130087,
481210034, 481211032, 481390016, 481391044, 482210001, 482311006,
482510003, 482570005, 483491051, 483670081, 483970001, 484390075,
484391002, 484392003, 484393009, 484393011

61 -79
(21)

Detroit

Ml: 260490021, 260492001, 260910007, 260990009, 260991003, 261250001,
261470005, 261610008, 261619991, 261630001, 261630019, 261630093,
261630094

66-73
(13)

Philadelphia

DE: 100010002, 100031007,100031010, 100031013, 100032004 MD:
240150003 NJ: 340010006, 340070002, 340071001, 340110007, 340150002
PA: 420110006, 420110011, 421010004, 420170012, 420290100, 420450002,
420910013, 421010024, 421010048

64-80
(20)

Phoenix

AZ: 040130019, 040131003, 040131004, 040131010, 040132001, 040132005,
040133002, 040133003, 040134003, 040134004, 040134005, 040134008,
040134010, 040134011, 040135100, 040137003, 040137020, 040137021,
040137022, 040137024, 040139508, 040139702, 040139704, 040139706,
040139997, 040213001, 040213003, 040213007, 040217001, 040218001

63-76
(30)

Sacramento

CA: 060170010, 060170012, 060170020, 060570005, 060570007, 060610003,
060610004, 060610006, 060611004, 060612002, 060670002, 060670006,
060670010, 060670011, 060670012, 060670014, 060675003, 061010003,
061010004, 061130004, 061131003

63-86
(21)

St. Louis

IL: 170830117, 170831001, 171170002, 171190008, 171191009, 171193007,
171199991, 171630010 MO: 290990019, 291130003, 291130004, 291831002,
291831004, 291890005, 291890014, 295100085

65-72
(16)

A Bold font indicates monitor(s) design value used to adjust ambient air concentrations to just meet selected air quality scenarios. From
Appendix 3C, Tables 3C-20 to 3C-27. Italic font indicates monitor did not meet completeness criteria to calculate a design value.

3

4	3D.2.3.3 Model Adjusted Concentrations at Monitor Locations to Represent Air

5	Quality Scenarios

6	Details of the approach used to develop the three air quality scenarios (design values of

7	70, 65 and 75 ppb) are provided in Appendix 3C, sections 3C.4 and 3C.5. Briefly, the ambient

8	air concentrations described above in section 3D.2.3.2 were adjusted to just meet the current

9	standard (70 ppb, annual 4th highest daily maximum 8-hr average concentration, averaged over a

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3-year period) and two other air quality scenarios (75 and 65 ppb, annual 4th highest daily
maximum 8-hr average concentration, averaged over a 3-year period)42 using a model-based O3
methodology that adjusts the observed hourly O3 concentrations to reflect the expected spatially
and temporally varying impacts of changes in NOx emissions. The methodology is similar to that
used for the 2014 HREA and employs a photochemical air quality model combined with a tool
that calculates modeled sensitivities of O3 to precursor emission changes.

For the current analysis, the Comprehensive Air Quality Model with Extensions
(CAMx)43 served as the chemical transport model,44 with 2016 selected as the base year for
determining the adjustments needed for the 2015-2017 ambient air monitoring data. Model
inputs include meteorological data,45 emissions,46 and initial and boundary conditions.47 The
evaluation of modeled versus observed O3 concentrations for 2016 indicated CAMx generally
reproduced the observed spatial and temporal patterns, with the exception of concentration
underestimates occurring in winter across almost all regions (Appendix 3C, section 3C.4.2).

The CAMx model was instrumented with the Higher order Decoupled Direct Method
(HDDM) to calculate modeled nonlinear sensitivities of O3 to emission changes (Appendix 3C,
section 3C.5). The photochemical modeling outputs included both modeled O3 concentrations
and sensitivities of O3 concentrations to changes in NOx emissions for each hour in a single year
at all ambient air monitor locations (Appendix 3C, sections 3C.4 and 3C.5). Linear regression
was used with these single-year 2106 model outputs to create relationships between the
sensitivities and O3 concentrations for each hour of each of the four seasons at each monitoring
location. The relationships between hourly sensitivities and hourly O3 for each season were then
used with three years of ambient air monitoring data at each location to predict hourly
sensitivities for the complete 3-year record at each monitoring location. From these, we

42	In these scenarios, the air quality conditions were adjusted such that the monitor location with the highest
concentrations in each area had a design value just equal to either 75 ppb or 65 ppb.

43	The Comprehensive Air Quality Model with Extensions and associated documentation is found at
www.camx.com.

44	The 2014 HREA used the Community Multiscale Air Quality Modeling System (CMAQ) to model air quality.

45	Horizontal wind components (i.e., speed and direction), temperature, moisture, vertical diffusion rates, and rainfall
rates for each 12 Km grid cell in each vertical layer was derived from version 3.8 of the Weather Research and
Forecasting Model (WRF; http://wrf-model.org). For details, see PA, Appendix 3C, section 3C.4.1.4.

46	Emissions from electric generating units, other point sources, area sources, agricultural sources (ammonia only),
anthropogenic fugitive dust sources, nonroad mobile sources, onroad mobile sources, and biogenic sources are
based on the alpha version of the Inventory Collaborative 2016 emissions modeling platform

(http://views.cira.colostate.edu/wiki/wiki/9169). For details, see PA, Appendix 3C, section 3C.4.1.5.

47	Initial and lateral boundary concentrations for the 12 km domain are provided by the hemispheric version of the
Community Multi-scale Air Quality model (H-CMAQ) v5.2.1. The H-CMAQ model was run for 2016 with a
horizontal grid resolution of 108 km and 44 vertical layers up to 50 hPa. For details, see PA, Appendix 3C,
section 3C.4.1.6.

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calculated hourly O3 concentrations at each monitor location based on iteratively increasing NOx
reductions to determine the adjustments necessary for the monitor location with the highest
design value in each study area to just meet the target value, e.g., 70 ppb for the current standard
scenario (Appendix 3C, section 3C.5). For the 75 ppb air quality scenario, we note that three
areas required an increase in NOx emissions as their highest O3 design values were below 75
ppb. For the other five study areas and that same air quality scenario and for all study areas with
the other two air quality scenarios (i.e., 65 and 70 ppb), emission reductions were required
(Table 3D-7).

Table 3D-7. Range of the percent NOx emission changes needed to adjust air quality in the
eight study areas for the three air quality scenarios.

Design Value for
each Air Quality
Scenario

Range of NOx Emission Changes
Applied Across the Eight Study Areas

75 ppb

+18% to -45%

70 ppb

-13% to -58%

65 ppb

-38% to -72%

From Appendix 3C, Table 3C-19.

3D.2.3.4 Interpolation of Adjusted Monitor Concentrations to the Census Tracts
Comprising Each Study Area

As described above, model-based relationships between O3 and NOx emissions were
used to adjust hourly O3 concentrations at the ambient air monitor locations (section 3D.2.3.2) to
represent conditions in which the study area just meets the selected air quality scenario (section
3D.2.3.3). Simulated O3 concentrations were then needed at a finer spatial scale than that given
by the monitor sites to better represent the spatial heterogeneity in O3 concentrations across
locations frequented by the simulated population (and during the times frequented) across the
study area. To accomplish this in each of the eight study areas, the adjusted hourly O3
concentrations at monitoring sites were interpolated to census tract centroids using the Voronoi
Neighbor Averaging (VNA; Appendix 3C, section 3C.6). Nearby monitoring concentrations, for
each hour, inform the estimation of O3 for a given census tract using inverse distance weighting.
In so doing, both spatial and temporal gaps in the desired air quality surface are filled
simultaneously, resulting in a final dataset of ambient air O3 concentration estimates with high
temporal and spatial resolution (hourly concentrations in 500 to 1700 census tracts) for each of
the eight study areas and for years 2015 to 2017 (Appendix 3C, section 3C.7).

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3D.2.3.5 Evaluation of Temporal and Spatial Characteristics of the Simulated Air
Quality Surfaces

We applied the above described approaches to simulate air quality surfaces that represent
fine-scale temporal (i.e., hourly) and spatial (i.e., census tract) variability in O3 concentrations
for the three air quality scenarios in each study area. Then, characteristics of the simulated air
quality surfaces were evaluated for trends and patterns that would be informative for interpreting
the simulated exposure and risk results. For example, Figure 3D-6 illustrates the temporal
variability across the three years of monitoring data, stratified by hour-of-day (left panel) and
month (right panel), in Philadelphia for the ambient air measurements, and for the three
simulated air quality scenarios (following the model-based adjustment at each monitor location).

O itnodHrcf

•	?0 ppb standard

•	65 ppb ittndafd

! 8

o

ฆIII

0 9

1 2 3 4 5 6 7

month

m

10 11 12

Figure 3D-6. Hourly O3 distributions by hour-of-day (left panel) and month (right panel) at
ambient air monitoring sites in Philadelphia for observed air quality (black),
air quality adjusted to meet the current standard (70 ppb, blue) and two other
design values (75 ppb, red; and 65 ppb, green). From Appendix 3C, Figures 3C-
71 and 3C-79, respectively.

The diurnal and seasonal temporal patterns for the three air quality scenarios are similar
to the monitor observations, with highest O3 concentrations during the during late
moming/afternoon hours and during spring/summer months. In addition, the upper end of the O3
concentration distributions decrease from observed values (black) to values adjusted to meet the
current standard of 70 ppb (blue) and decrease further when adjusted to meet a design value of
65 ppb (green). These decreases can be seen when evaluating the highest O3 hours-of-the day
and represented by the data points that extend beyond the whiskers of the boxplots. Further, the

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overall pattern flattens when decreasing the level of the O3 standard, considering both the diurnal
and monthly distributions. Regarding the diurnal pattern, O3 increases during early morning
hours are associated with VOC-limited and NOx titration conditions near NOx sources during
rush-hour periods. Lower O3 concentrations in the winter months result from lower solar
insolation rates and a reduction in total photochemical activity. See the accompanying Appendix
3C (Section 3C.7.2 and Figures 3C-67 through 3C-82) for details for temporal characteristics of
all eight study areas.

We also evaluated the hourly O3 concentrations by considering the overall shape of the
concentration distribution using the census-tract resolution interpolated data. Even though both
the temporal and spatial attributes may be conflated in such a presentation, a histogram can be
useful in illustrating important features of the distribution (e.g., skewness, kurtosis, upper
percentile tails) that may be influential in estimated exposures and risks. For example, Figure
3D-7 illustrates the overall shape48 of the hourly concentration distribution in each of the eight
study areas for the air quality scenario just meeting the current standard. The distribution for all
study areas are skewed to the right, generally representing a lognormal form.

There are notable differences across the collection of study areas. For example, the
distributions for Boston, Dallas, Philadelphia, and Sacramento are slender (i.e., leptokurtic),
showing much higher peaks around the mean value, relative to the other four study areas,

Atlanta, Detroit, Phoenix, and St. Louis which exhibit relatively flatter (i.e., platykurtic)
distributions, and the latter three of which, show an increased frequency of upper percentile
concentrations. Phoenix, in particular, exhibits the greatest right-most shift in the hourly O3
concentration distribution and would reflect other areas of the U.S. having a similar distribution
of ambient air O3 concentrations. Also, there are only limited instances of hourly O3
concentrations >70 ppb in all study areas for the air quality scenario just meeting the current
standard (Figure 3D-7). This is consistent with recent (unadjusted) ambient air monitoring data,
whereas hourly O3 concentrations are rarely at or above 100 ppb when design values are <70 ppb
(i.e., <0.02% frequency; see Appendix 2A, Table 2A-4). This is important to note because these
distinct features of the O3 concentration distribution, along with the spatial and temporal
intersection of concentrations with population demographics and activity patterns, play an
important role in contributing to variation in the estimated population exposures and risks
presented in section 3D.3 below.

48 Figure 3D-7 is intended to illustrate the differences in the shape of the distributions. All histograms have the exact
same range of values for the x-axis, i.e., the midpoint concentrations range from 0 to 70 ppb, in 2 ppb increments
(maximum value represents frequency of all hourly concentrations >70 ppb. Because there are varied distribution
shapes, the range of values for the y-axis differ across the study areas. The actual value of the y-axis is
unimportant in this context because of interest here are the relative differences that exist across the concentration
distributions (e.g., frequency of high O3 concentrations relative to the occurrence of low O3 concentrations).

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11

nrjn Atlanta

jdlll llll

1 Boston

. dl II

~j Dallas

111 1111 lllllh..-	

! i ! I 1 1 In0n0cina™-n

11111111111

	caiiUiJULlLlULlJ	ILLL

[1 Detroit

J

Philadelphia

n 111111111111

nin Phoenix

flflOrinnnj-in

11111II111lllln..— _

rinnn

j.	

Sacramento

A

St. Louis

Frequency
	~



nnnnn. _

il^

Hourly Ambient O3 (0 to 70+ ppb)

2	Figure 3D-7. Histograms of hourly Os concentrations (ppb, x-axis) for the air quality scenario just meeting the current O3

3	standard in the eight study areas. The x-axis midpoint concentrations range from 0 to 70 ppb, in 2 ppb increments

4	(rightmost, maximum histogram bar for all study areas represents the frequency of all hourly concentrations >70 ppb)

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Regarding spatial variability, Figure 3D-8 displays census tract design values for each of
the three air quality scenarios in Philadelphia. A decline in the highest ambient air O3
concentrations is predicted across the study area when considering air quality scenarios at lower
design values.

Meeting 75 ppb

Meeting 70 ppb

Meeting 65 ppb

Figure 3D-8. Calculated design values for census tracts in the Philadelphia study area,
derived from a VNA interpolation of CAMx/HDDM adjusted O3
concentrations. Figure modified from Appendix 3C, Figure 3C-99.

3D.2.4 Meteorological Data

Temperature data are used by APEX in selecting human activity data and in estimating
air exchange rates (AERs) for indoor residential microenvironments (MEs). When developing
profiles, APEX uses temperature data from the closest weather station to each Census tract.
Hourly surface temperature measurements were obtained from the National Oceanic and
Atmospheric Administration (NOAA) Integrated Surface Hourly (ISH) data files.49 The weather
stations used for each study area are given in Table 3D-8, along with general locations provided
in Figure 3D-2 to Figure 3D-5.

In general, the occurrence of missing temperature data was limited to a few hours per
year. Missing hourly temperature data were estimated by the following procedure. Where there
were consecuti ve strings of missing values (data gaps) of 9 or fewer hours, missing values were
estimated by linear interpolation between the observed values at the ends of the gap. Remaining
missing values at a meteorological station were estimated by fitting linear regression models for
each hour of the day, with each of the other monitors, and choosing the model which maximizes
R2, for each hour of the day, subject to the constraints that R2 be greater than 0.40 and the
number of regression data values (days) is at least 100. If there no suitable regression models to
fill the missing values, for gaps of 12 or fewer hours, missing values were estimated by linear

49 See: ftp://ftp.ncdc.noaa.gov/pub/daia/noaa/isd-HM

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1	interpolation between the valid values at the ends of the gap. Any remaining missing values were

2	replaced with the value at the closest station for that hour. Because there were limited instances

3	of missing data, there were negligible differences between the statistically filled and the original

4	temperature data with missing values.

5	Table 3D-8. Study area meteorological stations, locations, and hours of missing data.











Number of hours with

Study Area

Station Name

WBAN A

Latitude

Longitude

missing temperature







2015

2016

2017



HARTSFI ELD-JACKSON ATLANTA

13874

33.630

-84.442

6

4

5

Atlanta

FULTON CO-BROWN FLD ARPT

03888

33.779

-84.521

34

84

220

DEKALB-PEACHTREE AIRPORT

53863

33.875

-84.302

13

6

47



DOBBINS AIR RESERVE BASE

13864

33.917

-84.517

171

142

58



LAURENCE G HANSCOM FLD

14702

42.470

-71.289

55

164

19

Boston

BEVERLY MUNICIPAL AIRPORT

54733

42.584

-70.918

56

8

7

GEN E L LOGAN INTERNATIONAL

14739

42.361

-71.010

5

4

5



NORWOOD MEMORIAL AIRPORT

54704

42.191

-71.174

17

38

17



DALLAS LOVE FIELD AIRPORT

13960

32.852

-96.856

5

5

5

Dallas

DALLAS/FT WORTH INTERNAT

03927

32.898

-97.019

5

5

5



DALLAS EXECUTIVE AIRPORT

03971

32.681

-96.868

27

14

36



DETROIT METRO WAYNE COUNTY

94847

42.231

-83.331

462

547

619

Detroit

GROSSE ILE MUNICIPAL AIRPORT

54819

42.099

-83.161

484

397

44

DETROIT CITY AIRPORT

14822

42.409

-83.010

25

22

69



OAKLAND CO. INTNL AIRPORT

94817

42.665

-83.418

16

11

17



WINGS FIELD AIRPORT

64752

40.100

-75.267

150

241

324

Philadelphia

SOUTH JERSEY REGIONAL ARPT

93780

39.941

-74.841

na

90

69

PHILADELPHIA INTERNATIONAL

13739

39.873

-75.227

5

6

5



NE PHILADELPHIA AIRPORT

94732

40.079

-75.013

28

13

51

Phoenix

PHOENIX SKY HARBOR INTL

23183

33.428

-112.004

13

8

6

SCOTTSDALE AIRPORT

03192

33.623

-111.911

9

19

10



SACRAMENTO EXECUTIVE

23232

38.507

-121.495

10

21

87

Sacramento

SACRAMENTO MCCLELLAN AFB

23208

38.667

-121.400

366

368

89



SACRAMENTO INTL AIRPORT

93225

38.696

-121.590

28

53

41



SCOTT AIR FORCE BASE/MIDAMER

13802

38.550

-89.850

110

49

45

St. Louis

LAMBERT-ST LOUIS INTERNAT

13994

38.753

-90.374

11

7

7



ST LOUIS DOWNTOWN AIRPORT

03960

38.571

-90.157

12

49

7

A Weather Bureau Army Navy (WBAN) number of the meteorological stations,
"na" is no data available

6

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Multiple unique APEX input files are used for the current exposure and risk analyses, one
for each year and study area, and in the following two formats:

•	METdataCSA [number]Y[year].txt: meteorological station IDs, hour of day, hourly
temperature (ฐF) for each meteorological station, by study area and year

•	METlocsCSA[number]Y[year].txt: meteorological station IDs, latitudes and
longitudes, start and stop dates of temperature data

3D.2.5 Construction of Human Activity Pattern Sequences

Exposure models use human activity pattern data to estimate exposure to pollutants.
Different human activities, such as outdoor exercise, indoor reading, or driving a motor vehicle
can lead to different pollutant exposures, intakes and doses. This may be due to differences in the
pollutant concentration in the varied locations where different activities are performed as well as
to differences in the energy expended in performing the activities (because energy expended
influences inhalation and thus may influence pollutant intake). To model exposures to ambient
air pollutants, it is critical to have information on the locations where people spend time and the
activities performed in such locations. The following subsections describe the activity pattern
data, population commuting data, and the approaches used to simulate where individuals might
be and what they might be doing.

After the basic demographic variables are identified by APEX for a simulated individual
in the study area, values for the other variables are selected as well as the development of the
activity patterns that account for the places the simulated individual visits and the activities they
perform. The following subsections describe the population data we used in the assessment to
assign key features of the simulated individuals, and approaches used to simulate the basic
physiological functions important to the exposure estimates for this exposure and risk analysis.

3D.2.5.1 Consolidated Human Activity Database

The Consolidated Human Activity Database (CHAD) provides time series data on human
activities through a database system of collected human diaries, or daily time location activity
logs (U.S. EPA, 2019c). The purpose of CHAD is to provide a basis for conducting multi-route,
multi-media exposure assessments (McCurdy, 2000). The data contained within CHAD come
from multiple surveys with variable, study-specific structure (e.g., real time minute-by-minute
recording of diary events versus a recall method using time-block-averaging). Common to all of
the peer-reviewed studies, individuals provided information on their locations visited and
activities performed for each surveyed day. Personal attribute data for the surveyed individuals,
such as age and sex, are included in CHAD and are used as variables to link to the population
data. The latest version of CHAD contains data for nearly 180,000 individual diary days. Most of
the CHAD data are from studies conducted since 2000, several of which are newly included or

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1	updated since the 2014 HREA.50 Table 3D-9 provides the survey study information including the

2	geographic coverage, year, and the number of diaries available for use by APEX.51

3

4	Table 3D-9. Overview of Studies Included in the APEX Activity Data Files.

Study Name
(abbreviation)

Geographic
Coverage

Study Year

Number of Diary Days A

Age Range

Reference

Ages 5-18

Any Age

min

max

American Time

Use Survey,
Bureau of Labor
Statistics (BLS)

Entire US

2003-11

7,559

123,932

15

85

US Bureau of Labor
Statistics (2014)

Baltimore
Retirement Home
Study (BAL)

Baltimore
County, MD

1997-98

0

390

72

93

Williams et al. (2000)

California Activity
Pattern Studies
(CAA, CAC, CAY)

California

CAA: 1987-88

36

1,570

18

94

Wiley et al. (1991a),
Wiley et al. (1991b)

CAC: 1989-90

680

1,197

0

11

CAY: 1987-88

182

182

12

17

Cincinnati Activity
Patterns Study
(CIN)

Cincinnati,
OH

1985

736

2,595

0

86

Johnson (1989)

Detroit Exposure

and Aerosol
Research Study
(DEA)

Detroit, Ml

2004-2007

5

336

18

74

Williams et al. (2009)

Denver, Colorado
Personal Exposure
Study (DEN)

Denver, CO

1982-1983

7

784

18

70

Johnson (1984);
Johnson et al. (1986)

EPA Longitudinal
Studies (EPA)

Central NC

1999-2000,
2002, 2006-08,
2012-2013

0

1,780

0

72

Isaacs et al. (2013)

Los Angeles
Ozone Exposure
Study: Elementary

School/High
School (LAE, LAH)

Los
Angeles, CA

1989-1990

49

49

10

12

Roth Associates
(1988); Spier et al.
(1992)

43

43

13

17

National Human
Activity Pattern
Study (NHAPS):
Air/Water (NHA,
NHW)

48 states

1992-1994

659

4,723

0

93

Klepeiset al. (1995);
Tsang and Klepeis
(1996)

713

4,663

0

93

50	CHAD updates since the 2014 HREA include expansion of activity codes, revision to the METs distributions,
filling missing temperatures, characterizing ambiguous location entries, etc. See U.S. EPA, 2019c and
Attachment 3.

51	Following stated updates to improve the CHAD diary information, some diaries in the CHAD master database
remain unusable for exposure and risk modeling. Most commonly this is from having excessive missing or
unknown location or activity data (e.g., >3 hours/day).

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Study Name
(abbreviation)

Geographic
Coverage

Study Year

Number of Diary Days A

Age Range

Reference

Ages 5-18

Any Age

min

max

Population Study

of Income
Dynamics PSID 1,
II, III (ISR)

Whole US

I: 1997

3,302

5,327

0

13

University of
Michigan, 2016

II: 2002-2003

4,816

4,825

5

19

111:2007-2008

2,633

2,690

10

19

National-scale
Activity Study
(NSA)

7 US metro
areas

2009

0

6,820

35

92

Knowledge Networks
(2009)

RTI Ozone
Averting Behavior
Study (OAB)

35 US metro
areas

2002-2003

1,941

2,872

2

12

Mansfield et al.
(2009)

RTP Particulate
Matter Panel Study
(RTP)

Wake and
Orange
Counties,
NC

2000-2001

0

874

55

85

(Williams et al.,
2003a, 2003b),
Williams et al., 2001

Study of Use of
Products and
Exposure-related
Behaviors (SUP)

California

2006-2010

1,293

8,831

1

88

Bennett et al. (2012)

Seattle Study
(SEA)

Seattle, WA

1999-2001

317

1,645

6

91

Liu et al. (2003)

Valdez Air Health
Study (VAL)

Valdez, AK

1990-1991

72

387

11

71

Goldstein et al.
(1992)

Washington, DC
Study (WAS)

Washington,
DC

1982-1983

11

695

18

98

Hartwell et al. (1984);

Johnson et al.
(1986); Settergren et
al. (1984)

All Studies, Areas, and Years (TOTAL):

25,054

177,210

0

98



A The APEX activity data file differs from that of the CHAD master database by removing what are considered as unusable diaries for our
exposure and risk analyses (-2,000 diary days). The four criteria used to screen the CHAD master database are as follows: 1) Daily
maximum temperature is missing, 2) daily average temperature is missing, 3) the day-of-week is missing, and 4) at least 3 hours of events
have activity or location codes of "unknown" and/or "missing".

1

2	Three standard APEX input files are used for the current exposure and risk analyses to

3	create the activity pattern profiles for all simulated individuals.

4	• CHADEvents 060419A.txt: CHAD ID, clock hour (hhmm), duration of event

5	(minutes), CHAD activity code, and CHAD location code, serving as a daily

6	sequence of locations visited, activities performed, and their duration

7	• CHADQuest 060419A.txt. CHAD ID, day-of-week, sex, race, employment status,

8	age, maximum daily temperature, average temperature, occupation, missing time

9	(minutes), record count, commute time (see also section 3D.2.5.2)

10	• CHADSTATSOutdoor 060419A.txt: CHAD ID, total daily time spent outdoors

11	(minutes) (see also section 3D.2.5.4)

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3D.2.5.2 Commuting and Employment Data

Exposures can vary across a study area based on spatial heterogeneity in ambient air
concentrations and how that corresponds with a simulated individual's activity pattern and
geographic location. APEX approximates home-to-work commuting flows between census
designated areas for each employed individual, and thus accounts for differing ambient air
concentrations that may occur in these geographic locations. APEX has a national commuting
database originally derived from 2010 Census tract level data collected as part of the U.S. DOT
Census Transportation Planning Package. The data used to generate the APEX commuting file
are from the "Part 3-The Journey to Work" files. The Census files contain counts of individuals
commuting from home to work locations at a number of geographic scales. These data have been
processed to calculate fractions (and hence commute probabilities) for each tract-to-tract flow to
create the national commuting data distributed with APEX. This database contains commuting
data for each of the 50 states and Washington, D.C. This dataset does not differentiate people
that work at home from those that commute within their home tract. A companion file to the
commuting flow file is the commuting times file, i.e., an estimate of the usual amount of time in
minutes it takes for commuters to get from home to work each day and tract-to-tract commuting
distances. The commuting times file information is used to select CHAD activity pattern data
from individuals having time spent inside vehicles similar to the census commute times and
associated distances travelled. Two standard APEX input files are used for the current exposure
and risk analysis, as listed here.

•	Commuting times US 2010.txt: census block IDs, count of all employed
individuals, count of employed individuals that do not work at home, 7 groups of
block-level one-way commuting times (in minutes)

•	Commuting floxv US 20I0.txt: census tract IDs, tract-to-tract commute cumulative
probabilities (in fractional form), commute distance (km)

Another population-based file associated with commuting is the employment file. This
APEX input file contains the probability of employment separately for males and females by age
group (starting at age 16) and by census tract (the only census unit available for this type of
data). The 2010 Census collected basic population counts and other data using the short form but
collected more detailed socioeconomic data (including employed persons) from a relatively
small subset of people using the 5-year American Community Survey (ACS).52 The ACS dataset

52 2010 U.S. Census American FactFinder: http://factfinder2.census.gov/. For instance, to obtain the table ID
B23001 "Sex by age by employment status for the population 16 years and over", the following steps were
performed. First, select the "guided search option", choose "information about people" and select "employment

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provides the number of people in the labor force, which were stratified by sex/age/tract,
considering both civilian workers and workers in the Armed Forces. The data were stratified by
sex and age group and were processed so that each sex-age group combination is given an
employment probability fraction (ranging from 0 to 1) within each census tract. Children under
16 years of age were assumed to be unemployed. One national-based APEX input file is used for
the current exposure and risk analyses as follows:

• Employment US 2010. txt: census tract IDs, employment probabilities (in
fractional form), stratified by 13 age groups.53

3D.2.5.3 Assignment of Activity Pattern Data to Individuals

Once APEX identifies the basic personal attributes of a simulated individual (section
3D.2.2) and daily air temperatures (section 3D.2.4), activity pattern data obtained from CHAD
(section 3D.2.5.1) are then selected based on age, sex, temperature category, and day of the
week. These attributes are considered first-order attributes in selecting CHAD diaries when
modeling human exposures (Graham and McCurdy, 2004). The particular locations people visit,
amount of time spent there, and frequency of these visits can also be influenced by local weather
conditions. When considering seasonal temperature ranges (i.e., cold/not cold during cool
months; hot/not hot during warm months), (Graham and McCurdy, 2004) found daily maximum
temperature (DMT) influences time spent outdoors. Participation rate and amount of time
outdoors was found lower on cold DMT days compared to the other three temperature
categories, while the participation rate on hot days was less than that on not hot days. Because of
these findings, we use a similar DMT range (<55, 55-83, >84 ฐF) to select activity pattern data
that best match each study area's meteorological data for every day of the simulated individual's
exposure profile. This information for the selecting of activity pattern data is found in the
following APEX input file, varying by study area and simulation year:

• Functions 03 CSAfnumber] 040219.txt: probabilities and interval definitions
associated with a few input variables. For activity diary selection - day of week
intervals (weekend or weekday) by three temperature ranges.

While there may be other important attributes that may influence activity patterns (e.g.,
obesity, disease status), there are limits to our ability to link to all the possible personal attributes

(labor force) status", "sex" and "age". For geography type select "census tract - 140" for each state. Tables
containing the employment numbers were downloaded and used to calculate the employment probabilities for
each age group.

53 The age groups in this file are: 16-19, 20-21, 22-24, 25-29, 30-34, 35-44, 45-54, 55-59, 60-61, 62-64, 65-69, 70-
74, and >75.

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that may be of interest in modeling an individual's activities to the CHAD data. This is largely
because CHAD is a compilation of data collected from numerous individual activity pattern
studies conducted over several decades, many of which had a unique survey design. As a result,
there is a varying amount of missing personal attribute data for the surveyed individuals in
CHAD. For instance, there are only a limited number of CHAD diaries with survey-requested
health information (e.g., the health status of respondents). Specifically regarding whether or not a
survey participant had asthma, very few of the available diaries have either a 'yes' or 'no'
response to this health condition. When considering the 177,210 diary days used by APEX, there
are only 4,935 diary days from individuals having asthma (of which 3,133 are children ages 5-
18),54 representing a small fraction of the CHAD data. On its own, having approximately 5,000
diaries may appear to be a large number of diaries, however, following a grouping of the diaries
by their first-order attributes when developing simulated profiles (e.g., age, sex, day-of-week,
etc., daily temperature), would likely result in fewer than 100 diaries available for simulating a
single day for a particular individual. Accordingly, the selection of diaries to use for APEX-
simulated individuals does not consider health status (i.e., any diary is used, regardless of
whether the individual indicated they did or did not have asthma, or that information was
unknown).

This restriction in the number of diaries from individuals having asthma is not considered
to be a significant limitation for estimating exposures for simulated individuals with asthma. In
general, modeling people with asthma similarly to healthy individuals (i.e., using the same time-
location-activity profiles) is supported by the activity analyses reported by van Gent et al. (2007)
and Santuz et al. (1997). Other researchers, for example, Ford et al. (2003), have shown
significantly lower leisure time activity levels in asthmatics when compared with individuals
who have never had asthma. Based on these inconsistent findings, we evaluated this issue in the
2014 HREA and, using the available activity pattern data in the CHAD database, we compared
participation in afternoon outdoor activities at elevated exertion levels among people having
asthma, people not having asthma, and unknown health status (2014 HREA, Appendix G,
section 5G-1.4). The 2014 HREA analysis indicated health status had little to no impact on the
participation in afternoon activities at elevated exertion levels. A similar analysis was repeated
here to include the diary data currently used by APEX, not just those that would be included in
the simulations for the 2014 HREA (i.e. -50,000 diaries).

Of interest in this current risk and exposure analysis are instances when individuals
experience their highest O3 exposures. As shown in 2014 HREA, the highest exposures occur

54 The American Time Use Survey, a study contributing the largest number of diaries (n=124,517) to CHAD, did not
include a question for whether a surveyed individual has asthma.

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when individuals spend time outdoors, particularly during the afternoon hours (2014 HREA,
Appendix 5G section 5G-2). To prepare the APEX activity dataset for analysis here, afternoon
hours were characterized as the time between 12 PM and 8 PM and only those persons that spent
some time outdoors were retained. As is done by APEX in simulating individuals, level of
exertion was estimated by sampling from the specific METs distributions assigned for each
person's activity performed. Then, we identified activities having a METs value of greater than
three as instances where a person was at moderate or greater exertion levels (U.S. DHHS, 1999).
Afternoon outdoor time was then stratified by exertion level, summed for two study groups of
interest (i.e., children and adults), and presented in percent form within Table 3D-10.

Regarding the diaries for children of interest for these exposure and risk analyses (ages 5-
18), about 13% are from an individual having asthma, 48% are from those who do not have
asthma, and the remaining portion of children's diaries have unknown health status. About 1% of
CHAD diaries for adults are from individuals with asthma and about 11% are from those who do
not have asthma. Far fewer children's diaries are from persons whose asthma status is unknown
(40%) compared to adults (88%), and the proportions are smaller still in terms of the total
available person-days. On average, about 42% of all children having known asthma status spent
some afternoon time outdoors, and the percent is actually higher for children with asthma
(48.4%>) than for children not having asthma (40.5%). About half of the adults whose asthma
status was known spent afternoon time outdoors with a participation rate generally similar for
adults having asthma and adults not having asthma. Participation in outdoor events for children
having unknown asthma status varied little from that of persons with known asthma status.
Contrary to this, there were fewer adults with unknown asthma status that participated in outdoor
events (29%) when compared to those having known asthma status.

The amount of afternoon time spent outdoors by the persons that did so varied little
across the two study groups and two asthma classifications. Children, on average, spend
approximately 2XA hours of afternoon time outdoors, 80% of which is at a moderate or greater
exertion level, regardless of their asthma status. For children whose asthma status is unknown,
slightly more afternoon time is spent outdoors (about 150 minutes) but the percent of afternoon
time at moderate or greater exertion levels is slightly lower (about 69%). As seen with children,
adults spend approximately 7}A hours of afternoon time outdoors regardless of their asthma
status. However, the percent of afternoon time at moderate or greater exertion levels for adults
(about 55%>) is lower than that observed for children.

Based on this updated analysis and additional comparisons of CHAD diary days with
literature reported values of outdoor time participation at varying activity levels (see 2014
HREA), there are strong similarities in outdoor time, outdoor event participation, and activity
levels achieved among the two study groups and with those reported in independent studies of

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people with asthma. Thus, we conclude the use of any CHAD diary, regardless of
known/unknown asthma status, is reasonable for purposes of simulating people with asthma in
this exposure and risk analysis.

Table 3D-10. Comparison of time spent outdoors and exertion level by asthma status for
children and adult diaries used by APEX.



CHAD: Children (5 to 18)A

CHAD: Adults (>18) B

Has Asthma?

Yes

No

Unknown

Yes

No

Unknown

Total Person Days (n)

3,133

11,948

9,973

1,279

16,323

127,377

Number of Person Days with Time
Spent Outdoors (% participation)

1,517
(48.4%)

4,840
(40.5%)

4,054
(40.6%)

569
(44.5%)

7,900
(48.4%)

36,949
(29.0%)

Overall Percent of Afternoon Hours
Spent Outdoors (%)

29.0%

27.3%

31.8%

28.3%

28.9%

27.2%

Overall Percent of Afternoon Time
Outdoors at Moderate or Greater
Exertion (%)

81.6%

81.1%

69.1%

55.4%

55.1%

62.3%

A CHAD studies for where a survey questionnaire response of whether or not child had asthma include CIN, ISR, NHA, NHW, OAB, and
SEA (see Table 3D-9 for study names).

B CHAD studies for where survey a questionnaire response of whether or not adult had asthma include CIN, EPA, ISR, NHA, NHW, NSA,
and SEA.

We also evaluated how temperature influences the amount of afternoon time spent
outdoors while at moderate or greater exertion by children (5-18 years) and adults (19-90 years).
This differs from analyses in Graham and McCurdy (2004) in which all outdoor time at any
exertion level was evaluated and the number of diary days available in CHAD was much less at
that time (-23,000 diary days). Also, in this current analysis, each CHAD/APEX diary day was
grouped by both DMT (<55, 55-83, or >84 ฐF) and day-type (weekday or weekend). Total
available diary days for each of these groups is provided in Table 3D-11. Then, afternoon time
outdoors (12:00 PM to 8:00 PM) was summed and place into one of five hourly groupings (0, 0-
<'/2, !/2-<2, 2-<4, and >4 hours per day) and the percent of diary days in each group was
calculated, the results of which are provided in Figure 3D-9 for children and adults.

Overall, the greatest proportion of diary days would be characterized as not having any
afternoon time spent outdoors at moderate or greater exertion (46 - 76%), with adults
consistently having a greater frequency of not spending afternoon time outdoors than children
(Figure 3D-9). Afternoon time outdoors at moderate or greater exertion for both children and
adults is less likely to occur on cold days (DMT <55 ฐF), with progressively increased frequency
of outdoor time with increasing temperatures for both day-types. Children are more frequently
spending afternoon time outdoors at elevated exertion levels, particularly when considering the
largest duration assessed (e.g., for durations of time outdoors >2 hours, the percent of child diary
days is greater than adults by a factor of 1.3 to 2.7).

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1	Table 3D-11. Number of diary days in CHAD for children and adults, grouped by

2	temperature and day-type categories.

Daily
Maximum
Temperature
(ฐF)

Children (5-18 years)
Diary Days (n)

Adult (19-90 years)
Diary Days (n)

Weekday

Weekend

Weekday

Weekend

<55

3,883

3,504

19,316

17,136

55-83

6,823

5,800

36,034

32,982

>84

3,460

1,584

23,865

15,646

The number of diary days here can be used along with Figure 3D-9 to estimate the number of
diaries available in each time/hour group. The total number of diary days for this analysis is
170,033 and differs from CHAD/APEX (n=177,210) because of the age range selected.

3

Children (ages 5-18), Weekdays	Adults (ages 19+), Weekdays

sฐ% ,

I

s60%

| so,

o 40%	-^|

l: 1^11 #> |P#J.T -

10% 9 V ^ 55-83	^ ^ ~ =5-83 | |

0% <55	<55 ^ ฎ

0 Sl/Z 1/2-2 2-4 >4	0 ฃ1/2 1/2-2 2-4 >4 g |

^ Afternoon Time Outdoors at Moderate or Greater Exertion (hours)	Afternoon Time Outdoors at Moderate or Greater Exertion (hours)

Children (ages 5-18), Weekends	Adults (ages 19+), Weekends

^	Afternoon Time Outdoors at Moderate or Greater Exertion (hours) Afternoon Time Outdoors at Moderate or Greater Exertion (hours)

6	Figure 3D-9. Percent of children (5-18 years) and adults (19-90 years) having afternoon

7	time outdoors while at moderate or greater exertion, categorized by daily

8	maximum temperature (ฐF) and time (hours/day) groups.

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3D.2.5.4 Method for Longitudinal Activity Pattern Sequence

In order to estimate population exposure over a full year, a year-long activity sequence
needed to be created for each simulated individual based on CHAD, which is largely a cross-
sectional activity database of 24-hr records. On average, the typical surveyed subject provided in
CHAD has about two days of diary data. For this reason, the construction of a season-long
activity sequence for each individual requires some combination of repeating the same data from
one subject and using data from multiple subjects. The best approach would reasonably account
for the day-to-day and week-to-week repetition of activities common to individuals and
recognizing even these diary sequences are not entirely correlated, while maintaining realistic
variability among individuals comprising each study group.

APEX provides three methods of assembling composite diaries: a basic method, a
diversity and autocorrelation (D&A) method, and a Markov-chain clustering (MCC) approach.
We have selected the diversity and autocorrelation (D&A) method for this assessment based on
our consideration of the assessment objectives, an evaluation of differences in results produced
by the three methods, and consideration of flexibility provided by each approach with regard to
specifying key variable values, as discussed below. First a brief description of each method is
provided below.

The basic method involves randomly selecting an activity diary for the simulated
individual from a user-defined diary pool (e.g., age, sex). While the method is adequate for
estimating a mean short-term exposure for a population as a whole, it is less useful for estimating
how often individuals in a population may experience peak O3 exposures over a year.

The D&A method is a complex algorithm for assembling longitudinal diaries that
attempts to realistically simulate day-to-day (within-person correlations) and between-person
variation in activity patterns (and thus their exposures to the extent they are influenced by spatial
and temporal variability in ambient air and microenvironmental O3 concentrations). This method
was designed to capture the tendency of individuals to repeat activities, based on reproducing
realistic variation in a key diary variable, which is a user selected function of diary variables. The
method targets two statistics: a population diversity statistic (D) and a within-person
autocorrelation statistic (A). The/) statistic reflects the relative importance of within and
between-person variance in the key variable. The A statistic quantifies the lag-one (day-to-day)
key variable autocorrelation. Values of D and A for the key variable are selected by the model
user and set in the APEX parameters file, and the method algorithm constructs longitudinal
diaries that preserve these parameters. Further details regarding this methodology can be found
in Glen et al. (2008).

The Markov-chain clustering (MCC) approach is similarly complex in attempting to
recreate realistic patterns of day-to-day variability. First, cluster analysis is employed to divide

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the daily activity pattern records into three groups based on time spent in, for example, five
microenvironments: indoor-residence, other indoors, outdoor-near roads, other outdoors, and
inside vehicles. For each simulated individual, a single time-activity record is randomly selected
from each cluster. Then the Markov process determines the probability of a given time-activity
pattern occurring on a given day based on the time-activity pattern of the previous day and
cluster-to-cluster transition probabilities (and are estimated from the available multi-day time-
activity records), thus constructing a long-term sequence for a simulated individual. Details
regarding the MCC method and supporting evaluations are provided in U.S. EPA (U.S. EPA,
2019a, U.S. EPA, 2019b).

Che et al. (2014) performed an evaluation of the impact of the three APEX methods on
PM2.5 exposure estimates. As expected, little difference was observed across the methods with
regard to estimates of the mean exposures of simulated individuals. Differences were observed,
however, in the number of multiday exposures exceeding a selected benchmark concentration.
With regard to the number of simulated individuals experiencing 3 or more days above
benchmark concentrations, the MCC method estimates were approximately 12-14% greater than
either the random or D&A methods. For the number of persons experiencing at least one
exposure of concern, however, the MCC method estimates were approximately 4% lower than
those of the other two methods. For additional context, we note that, using all methods, there is
an order of magnitude difference in the number of persons exposed at least once versus three or
more times, indicating that, overall, the occurrence of simulated multiday exposures are rare
events regardless of method selection.

Che et al. (2014) concludes that while the MCC method produces a higher number of
multiday exposures, there remains a question whether the MCC method has greater accuracy
relative to the other two methods. We note this conclusion applies to both the estimations of
single day and multiday exposures, as there is an inverse relationship between the two when
simulating exposures using APEX and a finite set of activity pattern data. Thus, the MCC
method produces a smaller number of single day exposures above benchmarks relative to the
other two methods, estimations also subject to a degree of uncertainty.

In the absence of having a robust data set (e.g., multiday/week diary data from a random
population) to better evaluate the accuracy of any of the methods, we considered selection of the
longitudinal approach for this assessment from a practical perspective, guided by a balancing of
the single day and multiday exposures that can be estimated by each method. In so doing, we
selected the D&A approach, recognizing that the D&A method allows for flexibility in the
selection of the key influential variable and its setting values, and also the ability to directly
observe the impact of changes to these values on model outputs.

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The key variable selected for this exposure and risk analysis is the amount of time an
individual spends each day outdoors, as that is the most important determinants of exposure to
high levels of O3 (2014 HREA, Appendix 5G, section 5G-2). In their evaluation, Che et al.
(2014) varied the values of D and A for this variable to determine the impact to estimated
exposures. Compared to their base level simulation (i.e., D=0.19 and A=0.22), increasing both D
and A by 100% increased the number of persons having at least three exposures above the
selected benchmark by about 4%, while also reducing the percent of persons experiencing at
least one day above benchmarks by less than 1% (Che et al., 2014). In recognizing uncertainty in
the parameterization of D and A (i.e., based on Xue et al., 2004) a limited field study of a small
subset of the population, children 7-12) and that the Che et al., 2014 base level simulation D&A
values produced a lower estimate of repeated exposures compared with the MCC method, we
have used values of 0.5 for D and 0.2 for A for all ages to potentially increase representation of
multiday exposures without significantly reducing the percent of the population experiencing at
least one day at or above benchmark concentrations.

3D.2.6 Microenvironmental Concentrations

In APEX, exposure of simulated individuals occurs in microenvironments (MEs) rather
than assuming people are exposed continuously and consistently to ambient air. To best estimate
personal exposures, it is important to maintain the spatial and temporal sequence of MEs people
inhabit and to appropriately represent the time series of concentrations that occur within them.
Two methods are available in APEX for calculating pollutant concentrations within MEs: a mass
balance model and a transfer factor approach. In both approaches, ME concentrations depend on
the ambient (outdoor) air O3 concentrations and ambient air temperatures, as well as statistical
distributions to parameterize the variables used by each approach. Further, the statistical
distributions of some of the key variables depend on values of other variables in the model. For
example, the distribution of air exchange rates inside an individual's residence depends on the
type of heating and air conditioning present, which are also probabilistic inputs to the model. The
value of a variable can be set as a constant for the entire simulation (e.g., house volume remains
identical throughout the exposure period), or APEX can sample a new value hourly, daily, or
seasonally from user-specified statistical distributions. APEX also allows the user to specify
diurnal, weekly, or seasonal patterns for certain ME parameters. Details regarding the two
methods can be found in (U.S. EPA, 2019a, U.S. EPA, 2019b) and are briefly described below.

The mass balance method, used for the indoor MEs, assumes that an enclosed
microenvironment (e.g., a room within a home) is a single well-mixed volume in which the air
concentration is approximately spatially uniform (Figure 3D-10). The concentration of an air
pollutant in such a microenvironment is estimated using (1) inflow of air into the

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microenvironment, (2) outflow of air from the microenvironment, (3) removal of a pollutant
from the microenvironment due to deposition, filtration, and chemical degradation, and (4)
emissions from sources of a pollutant inside the microenvironment (not used for this exposure
and risk analysis). Considering the microenvironment as a well-mixed fixed volume of air, the
mass balance equation for a pollutant in the microenvironment can be written in terms of
concentration as follows in Equation 3D-7:

dC(t)

= C - c

dt	in	out

c

removal

Equation 3D-7

where,

C(t) = Concentration in the microenvironment at time t
C = Rate of change in C(t) due to air entering the microenvironment
C OHt = Rate of change in C(t) due to air leaving the microenvironment
C removai = Rate of change in C(t) due to all internal removal processes

Microenvironment

Air
outflow

Indoorsources

Air
inflow

Removal due to:
•Chemical reactions
•Deposition
•Filtration

Figure 3D-10. Illustration of the mass balance model used by APEX to estimate
concentrations within indoor microenvironments.

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The factors model (used for the outdoor and inside vehicle MEs) is simpler than the mass
balance model. In this method, the value of the ME concentration is not dependent on the ME
concentration during the previous time step. Rather, this model uses Equation 3D-8 to calculate
the concentration in an ME from the ambient air quality data:

Cmean Cambient ^ fproximity ^ fpollutant	Equation 3D-8

where,

Cmean = Mean concentration over the time step in a microenvironment (ppm)
Cambient = The concentration in the ambient (outdoor) air (ppm)
fproximity = Proximity factor (unitless)

fpollutant = fraction of ambient air pollutant entering microenvironment (unitless)

Based on findings from the 2014 HREA, we have specified seven MEs to simulate in this
assessment, largely based on two factors: the expectation of a particular ME leading to exposures
of interest and the availability of factors needed to reasonably model the ME. The 2014 HREA
indicated that high (>50 ppb) 8-hr daily maximum O3 exposures occurred while individuals spent
much larger amounts of afternoon time outdoors compared with those experiencing low (< 50
ppb) exposure levels (2014 HREA, Appendix 5G, Figure 5G-5). Given that finding and the
objective for the exposure assessment (i.e., understanding how often and where maximum O3
exposures occur), we recognized the added efficiency of minimizing the number of MEs
compared to that done in the 2014 HREA (i.e., 28 microenvironments), particularly reducing the
number of lower-exposure indoor MEs that were parameterized and included at that time.

Accordingly, we aggregated the number of MEs to seven and estimate exposures of
ambient air origin that occur within a core group of indoor, outdoor, and inside vehicle MEs.

Four indoor MEs (indoor-residence, indoor-restaurant, indoor-school, and indoor-other55) were
modeled based on having specific air exchange rate data available for each (section 3D.2.6.1).
All outdoor locations were assumed to have O3 concentrations equivalent to ambient air,
however there were two MEs used to do so, distinguished by whether or not they occurred near
roads. The outdoor near road ME was modeled separately due to the expected decrease in
concentrations occurring in that ME relative to that of ambient air concentrations. And finally, an
inside-vehicle ME was modeled based on the expectation that it would lead to some instances of
relatively lower exposures compared with ambient air concentrations. Table 3D-12 lists the
seven microenvironments selected for this analysis and the exposure calculation method used for

55 The indoor-other ME is comprised of all non-residential MEs, thus could include office buildings, stores, etc.
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each. The variables and their associated parameters used to calculate ME concentrations are
summarized in subsequent sections below.

Table 3D-12. Microenvironments modeled and calculation method used.

Microenvironment (ME)

APEX ME

Calculation

Variables A

Indoor-Residence

1

Mass balance

AER & RM

Indoor-Restaurant

2

Mass balance

AER & RM

Indoor-School

3

Mass balance

AER & RM

Indoor-Other

4

Mass balance

AER & RM

Outdoor - General

5

Factors

None

Outdoor - Near road

6

Factors

PR

Inside-Vehicle

7

Factors

PE

A AER = air exchange rate, RM = removal rate, PR = proximity factor, PE = fraction of pollutant
entering microenvironment, None = ME concentration is equal to ambient air concentration.

The seven microenvironments were mapped to the 115 CHAD locations56 because using
such a large number of MEs would go well beyond the practical scale needed for the exposure
and risk analyses. Note that the ambient air concentration used in calculating ME concentration
for each exposure event varies temporally and spatially. For example, commuters (i.e., employed
individuals who do not work at home) are assigned to either their home tract or work tract
concentration, depending on whether the population probabilities and commuting database
produce either a home or work event. Additionally, depending on the particular ME (i.e., other
than home or work), the mapping of CHAD locations to the seven MEs also uses an identifier
that designates the relative location in the air quality surface from which the ambient air
concentration (used to calculate the ME concentration) is selected. For this assessment, such
locations would include the Census tract for a simulated individual's home (H), work (W), near
work (NW), near home (NH), last (L, either NH or NW), other (O, average of all), or unknown
(U, last ME determined) location. Specific designations are provided in the APEX ME mapping
file, with selection based on known factors and professional judgement. For example, when an
individual is in their home, the ambient air concentration in the home tract is used to calculate
their ME concentration. When the individual is at work, the tract the individual commuted to is
used to calculate their ME concentration. Travel inside vehicles used the ambient air
concentration data from the tract used to calculate the prior ME concentration. Most other MEs
(both indoor and outdoor) use ambient air concentration data selected from near home tracts.

56 The location codes indicate specific MEs that extend beyond simple aggregations of indoor, in-vehicle, and
outdoor locations where people spend time. For example, CHAD has a location code for when individuals spent
time inside their residence while in the kitchen.

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Status attribute variables are also important in estimating ME concentrations, and can
include, but are not limited to, housing type, whether the house has air conditioning, and whether
the car has air conditioning. Because outdoor MEs are expected to contribute the most to an
individuals' highest O3 exposure (and potential health risk) and the status attribute variables
pertain to indoor MEs, the setting of these particular variables will have limited impact to the
exposure and risk results generated here. In this assessment, a number of temperature ranges are
used in selecting the particular distribution for estimating air exchange rates (AERs). Maximum
daily temperature is also used in diary selection to best match the study area meteorological data
for the simulated individual (Graham and McCurdy, 2004) and air conditioning use.

Multiple APEX input files (the first and third in the list below), of the same general
format, are used for estimating ME concentrations in each study area. A single APEX ME
mapping file is used for all study areas. These ME input files contain the parameter settings for
all variables described in the subsections that follow.

•	ME descriptions O3 7MEs CSA[number].txt\ defines ME calculation method,

conditional variables used (e.g., temperature categories - see functions file), distribution
type, distribution parameters (mean, standard deviation, minimum, maximum) for AERs,
decay rates, proximity factors, and PE fractions used to estimate O3 in 7 MEs.

•	Microenvironmentmappings 07 MEs.txt: maps 115 CHAD locations to the 7 APEX
MEs and assigns the tract-level ambient air concentrations to use for each location.
Contains CHAD location code, CHAD description, APEX ME number, and ambient air
concentration location identifier

•	Functions 03 CSAfnumber] 040219.txt: variables used for selecting AER - air
conditioning (A/C) prevalence (home has A/C, does not have A/C) by five temperature
ranges for air exchange rate (<50, 50-67, 68-76, 77-85, or >85 ฐF). (see section 3D.2.6.1)

3D.2.6.1 Indoor Microenvironments

As described above, all four indoor MEs (indoor-residential, indoor-restaurant, indoor-
school, and indoor-other) were modeled using a mass balance model. The three variables used to
calculate ME concentrations, air exchange rates (section 3D.2.6.1.1), air conditioning prevalence
(section 3D.2.6.1.2), and ozone removal rate (section 3D.2.6.1.3) are described below.

3D.2.6.1.1 Air Exchange Rates

Distributions of air exchange rates (AERs, hr1) for the indoor residential ME were
developed using data from several studies. The analysis of these data and the development of
most of the distributions used in the modeling were originally described in detail in the 2007
exposure analysis (U.S. EPA (2007a), Appendix A) and updated in the 2014 HREA (see
Appendix 5E). Briefly, AER distributions for the residential microenvironments depend on the
type of air conditioning (A/C) and on the outdoor temperature, among other variables for which
we do not have sufficient data to estimate. AER distributions were found vary greatly across

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cities, A/C types, and temperatures, so that the selected AER distributions for the modeled cities
should also depend on these attributes. For example, the mean AER for residences with A/C
ranges from 0.38 in Research Triangle Park, NC at temperatures > 25 ฐC upwards to 1.244 in
New York, NY considering the same temperature range (2014 HREA, Appendix 5E). For each
combination of A/C type, city, and temperature with a minimum of 11 AER values, exponential,
lognormal, normal, and Weibull distributions were fit to the AER values and compared.
Generally, the lognormal distribution was the best-fitting of the four distributions, and so, for
consistency, the fitted lognormal distributions are used for all the cases.

There were a number of limitations in generating study-area specific AER stratified by
temperature and A/C type. For example, AER data and derived distributions were available only
for selected cities, and yet the summary statistics and comparisons demonstrate that the AER
distributions depend upon the city as well as the temperature range and A/C type. As a result,
city-specific AER distributions were used where possible; otherwise staff selected AER data
from a similar city. Another important limitation of the analysis was that distributions were not
able to be fitted to all of the temperature ranges due to limited number of available measurement
data in these ranges. A description of how these limitations were addressed can be found in the
2014 HREA, Appendix 5E. The AER distributions used for the exposure modeling are given in
Table 3D-13 (Residences with A/C) and Table 3D-14 (Residences without A/C).

Table 3D-13. Air exchange rates (AER, hr1) for indoor residential microenvironments with
A/C by study area and temperature.

Study Area

Daily Mean
Temperature
(ฐC)

Lognormal Distribution
GM, GSD, min, max
(hr1)

Original AER Study Data
Used

Atlanta

<10

0.962, 1.809, 0.1, 10

Research Triangle Park, NC

10-20

0.562, 1.906, 0.1, 10

20-25

0.397, 1.889, 0.1, 10

>25

0.380, 1.709, 0.1, 10

Boston, Philadelphia

<10

0.711,2.108, 0.1, 10

New York, NY

10-25

1.139, 2.677, 0.1, 10

>25

1.244, 2.177, 0.1, 10

Dallas, Phoenix

<20

0.407, 2.113, 0.1, 10

Houston, TX

20-25

0.467, 1.938, 0.1, 10

25-30

0.422, 2.258, 0.1, 10

>30

0.499, 1.717, 0.1, 10

Detroit

<10

0.744, 1.982, 0.1, 10

Detroit, Ml or New York, NY

10-20

0.811,2.653, 0.1, 10

20-25

0.785, 2.817, 0.1, 10

>25

0.916, 2.671,0.1, 10

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Study Area

Daily Mean
Temperature
(ฐC)

Lognormal Distribution
GM, GSD, min, max
(hr1)

Original AER Study Data
Used

Sacramento

<25

0.503, 1.921,0.1, 10

Sacramento

>25

0.830, 2.353, 0.1, 10

St. Louis

<10

0.921, 1.854, 0.1, 10

St. Louis

10-20

0.573, 1.990, 0.1, 10

20-25

0.530, 2.427, 0.1, 10

25-30

0.527, 2.381,0.1, 10

>30

0.609, 2.369, 0.1, 10

1

2	Table 3D-14. Air exchange rates (AER, hr1) for indoor residential microenvironments

3	without A/C by study area and temperature.

Study Area

Daily Mean
Temperature
(ฐC)

Lognormal Distribution
GM, GSD, min, max
(hr1)

Original AER Study Data
Used

Atlanta, St. Louis

<10

0.923, 1.843, 0.1, 10

St. Louis

10-20

0.951,2.708, 0.1, 10

>20

1.575, 2.454, 0.1, 10

Boston, Philadelphia

<10

1.016, 2.138, 0.1, 10

New York, NY

10-20

0.791,2.042, 0.1, 10

>20

1.606, 2.119, 0.1, 10

Dallas, Phoenix

<10

0.656, 1.679, 0.1, 10

Houston, TX

10-20

0.625, 2.916, 0.1, 10

>20

0.916, 2.451,0.1, 10

Detroit

<10

0.791, 1.802, 0.1, 10

Detroit, Ml or New York, NY

10-20

1.056, 2.595, 0.1, 10

20-25

1.545, 2.431,0.1, 10

>25

1.860, 2.437, 0.1, 10

Sacramento

<10

0.526, 3.192, 0.1, 10

Sacramento

10-20

0.665, 2.174, 0.1, 10

20-25

1.054, 1.711,0.1, 10

>25

0.827, 2.265, 0.1, 10

4

5	The AER distribution (hr1) used for indoor restaurants in all study areas is a fitted

6	lognormal distribution, having a geometric mean = 3.712, geometric standard deviation = 1.855

7	and bounded by the lower and upper values of the sample data set {1.46, 9.07}. This distribution

8	was developed using data from Bennett et al. (2012) who measured AER in restaurants (details

9	on derivation provided in the 2014 HREA, Appendix 5E). The AER distribution (hr1) used for

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1	indoor schools in all study areas is a fitted Weibull distribution,57 having a threshold (t) = 0,

2	shape (C) = 1.26, and scale (a) = 1.75, bounded by a lower and upper range {0, 10}. This

3	distribution was developed from Lagus Applied Technology, 1995, Shendell et al., 2004, and

4	Turk et al., 1989 who measured AER in schools (raw data provided in Table 3D-15).

5

6	Table 3D-15. Individual air exchange rate data (hr1) obtained from three studies used to

7	develop an AER distribution used for schools in all study areas.

Individual Air

Exchange Rate Data (hr1)

Lagus Applied Technology (1995)

Shendell etal. (2004)

Turk etal. (1989)

0.56

1.34

1.92

2.71

0.1

0.3

0.6

0.8

0.74

1.46

2.26

2.76

0.1

0.4

0.6

1.3

0.76

1.48

2.26

2.81

0.1

0.4

0.6

1.8

0.8

1.58

2.27

2.82

0.1

0.4

0.9

2

0.98

1.61

2.29

2.83

0.2

0.4

0.9

2.2

1.15

1.61

2.33

2.87

0.2

0.4

1.2

2.2

1.19

1.67

2.38

2.93

0.2

0.4

1.3

3

1.21

1.67

2.4

3.03

0.2

0.5

1.3



1.22

1.73

2.53

3.23

0.2

0.5

1.4



1.23

1.8

2.53

3.7

0.3

0.6

1.8



1.23

1.84

2.57

4.38

0.3

0.6

2.9



1.27

1.9

2.68

5.03

0.3

0.6

5.4



1.33

1.91

2.71

8.72





8

9	The AER distribution (hr1) used for indoor other in all study areas is a fitted lognormal

10	distribution, having a geometric mean = 0.949, geometric standard deviation = 1.857 and

11	bounded by the lower and upper values of the sample data set {0.30, 4.02}. This distribution was

12	developed using data from Bennett et al. (2012) who measured AER in non-residential buildings

13	(details on derivation provided in the 2014 HREA, Appendix 5E).

14	3D.2.6.1.2 Air Conditioning Prevalence

15	The selection of an AER distribution for the indoor residence ME is conditioned on the

16	presence or absence of A/C. We assigned this housing attribute to indoor residential

17	microenvironments using A/C prevalence data from the American Housing Survey (AHS).58 The

57	Of the three statistical distributions evaluated (lognormal, gamma, Weibull), results of a Cramer-von Mises
goodness of fit test indicated the data distribution was not statistically different than a Weibull distribution.

58	2015 and 2017.xlsx files were downloaded from https://www.census.gov/programs-
surveys/ahs/data/interactive/ahstablecreator.html for Atlanta, Boston, Dallas, Detroit, Philadelphia, and Phoenix
(accessed on 3/4/2019). The most recent data available for Sacramento and St. Louis was 2011 and available at

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1	A/C prevalence data were assigned to our study areas where the AHS data best matched our

2	exposure simulation years and or study area. In all study areas and for each year, housing units

3	containing either central or 3 or more room AC were summed, followed by the calculation of the

4	A/C prevalence. If multiple years were available, these data were averaged to generate the final

5	A/C prevalence (unitless) for each study area (Table 3D-16). For the other three indoor MEs

6	(indoor-restaurant, indoor-school, and indoor-other) mechanical ventilation was assumed to be

7	present in all buildings (i.e., A/C prevalence = 1.0).

8	Table 3D-16. A/C prevalence from US Census American Housing Survey (AHS) data by

9	study area.

Study Area

Total Housing
Units
(x1,000)

Central AC
(x1,000)

Room AC
3 or more
(x1,000)

Year

AC
Prevalence
(unitless)

Mean AC
Prevalence
(unitless)

No AC
Prevalence
(unitless)

Atlanta

1982.8

1875.2

27.3

2015

0.96

0.96

0.04

2109

2001

22.7

2017

0.96

Boston

1838.4

649

311.9

2015

0.523

0.531

0.469

1854

674.6

322.1

2017

0.538

Dallas

2471.2

2323.1

49.9

2015

0.96

0.966

0.034

2565

2444

46.7

2017

0.971

Detroit

1709

1267.1

34

2015

0.761

0.761

0.239

1723

1280

31.1

2017

0.761

Philadelphia

2216.1

1395.4

295.9

2015

0.763

0.776

0.224

2308

1516

303.1

2017

0.788

Phoenix

1644

1591.3

7.4

2015

0.972

0.968

0.032

1686

1619

6.7

2017

0.964

Sacramento

783.7

677.5

4.6

2011

0.87

0.87

0.13

St. Louis

1115.2

1013.1

23.2

2011

0.929

0.929

0.071

10

11	3D.2.6.1.3 Ozone Decay and Deposition Rates

12	As done for the 2014 HREA, a distribution for combined O3 decay and deposition rates

13	was obtained from the analysis of measurements from a study by Lee et al. (1999). This study

14	measured decay rates in the living rooms of 43 residences in Southern California. Measurements

15	of decay rates in a second room were made in 24 of these residences. The 67 decay rates range

16	from 0.95 to 8.05 hr"1. A lognormal distribution was fit to the measurements from this study,

https://www.census.gov/programs-surveys/ahs/data/201 l/ahs-2011-summary-tables/ahs-metropolitan-summary-
tables.html (accessed on 4/2/2019).

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yielding a geometric mean of 2.51 hr"1 and a geometric standard deviation of 1.53 hr"1. These
values are constrained to lie between 0.95 and 8.05 hr"1. This combined O3 decay and deposition
rate distribution was used for all four indoor microenvironments.

3D.2.6.2 Outdoor Microenvironments

As mentioned above, the two outdoor MEs (outdoor-general and outdoor-near road) used
the factors approach to estimate ME concentrations. The factors approach uses two variables in
combination with ambient air O3 concentrations: a proximity factor and a factor expressing the
fraction of a pollutant entering (PE factor) an ME, and these are discussed below.

Proximity factors are used to adjust ambient air O3 concentrations, based on the ME
location relative to that of the ambient air concentration. For the outdoor-general ME, there is no
adjustment used (proximity = 1.0); it is assumed that wherever an individual is outdoors, the
individual experiences the ambient air O3 concentrations for the tract they are present in at that
time (e.g., at home, at work, or nearby census tract). For the outdoor-near road ME, a proximity
factor is used, recognizing that ambient air concentrations measured away from roadways tend to
increase with distance. As done for the 2014 HREA, we employed the distribution for local roads
(i.e., a normal distribution {0.755, 0.203}, bounded by 0.422 and 1.0) derived from the
Cincinnati Ozone Study (American Petroleum Institute, 1997, Appendix B; Johnson et al., 1995),
based on the assumption that most of the outdoors-near-road ozone exposures will occur
proximal to local roads (see Table 3D-17 and details below in section 3D.2.6.3).

PE factors are used to adjust for the percent of a pollutant entering a ME. PE factors for
the outdoor-general and outdoor-near road MEs, because they are effectively aligned with the
ambient air O3 concentrations, are set equivalent to 1.

3D.2.6.3 Inside-Vehicle Microenvironments

As done for the 2014 HREA, for the in-vehicle ME, proximity and PE factor distributions
were obtained from the Cincinnati Ozone Study (American Petroleum Institute, 1997, Appendix
B; Johnson et al., 1995). This field study was conducted in the greater Cincinnati metropolitan
area in August and September 1994. Vehicle tests were conducted according to an experimental
design specifying the vehicle type, road type, vehicle speed, and ventilation mode. Vehicle types
were defined by the three study vehicles: a minivan, a full-size car, and a compact car. Road
types were interstate highways (interstate), principal urban arterial roads (urban), and local roads
(local). Nominal vehicle speeds (typically met over 1-min intervals within 5 mph) were at 35
mph, 45 mph, or 55 mph. Ozone concentrations were measured inside the vehicle, outside the
vehicle, and at six fixed-site monitors in the Cincinnati area. Table 3D-17 lists the parameters of
the normal distributions developed for proximity and PE factors (both are unitless) for in-vehicle
microenvironments used in this exposure and risk analysis.

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1	A daily conditional variable was used to select the three proximity factor distributions to

2	use in estimating the inside-vehicle ME concentrations. The 2015-2017 Vehicle Miles of Travel

3	(VMT) data available from the U.S. Department of Transportation (DOT) were used to generate

4	these daily conditional variables.59 For local and interstate road types, the VMT for the same

5	DOT categories were used. For urban roads, the VMT for all other DOT road types were

6	summed (i.e., other freeways/expressways, other principal arterial, minor arterial, and collector).

7	Table 3D-18 summarizes the conditional variables used for each study area to select for the

8	proximity factor distribution used to estimate inside-vehicle ME concentrations.

9	Table 3D-17. Parameter values for distributions of penetration and proximity factors used
10 for estimating in-vehicle ME concentrations.

ME Factor

Road Type

Arithmetic

Mean
(unitless)

Standard
Deviation
(unitless)

Lower Bound A
(unitless)

Upper Bound
(unitless)

PE

All

0.300

0.232

0.100

1.0

Proximity

Local

0.755

0.203

0.422

1.0

Urban

0.754

0.243

0.355

1.0

Interstate

0.364

0.165

0.093

1.0

A A 5th percentile value estimated using a normal approximation as Mean -1.64 x standard deviation.

11

12	Table 3D-18. VMT (2015-2017) derived conditional probabilities for interstate, urban, and

13	local roads used to select inside-vehicle proximity factor distributions in each

14	study area.

Study Area

Conditional Probabilities for Vehicle Proximity Factors (unitless)

Interstate

Urban

Local

Atlanta

0.339

0.392

0.269

Boston

0.416

0.455

0.129

Dallas

0.496

0.453

0.051

Detroit

0.357

0.531

0.112

Philadelphia

0.361

0.523

0.116

Phoenix

0.364

0.542

0.094

Sacramento

0.456

0.433

0.111

St. Louis

0.460

0.363

0.177

59 Data were downloaded (accessed on 3/13/2019) from U.S. Department of Transportation (DOT) Federal Highway
Administration (FHA) Highway Statistics Series Publications. The three individual years (2015-2017) of data
were downloaded from dropdown menu available at: https://www.fhwa.dot.gov/policyinformation/statistics.cfm.

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3D.2.7 Estimating Exposure

APEX estimates the complete time series of exposure and breathing rate for every
simulated individual. This is because APEX accounts for important factors that influence
exposure and include the magnitude, duration, frequency of exposures, and the breathing rate of
individuals at the time of exposure. APEX can summarize exposure data using standardized time
metrics (e.g., hourly or daily average, daily maximum 7-hr average), as is needed for comparison
to benchmark concentrations (section 3D.2.8.1) or can output the minute-by-minute exposure
concentrations and simultaneous breathing rate, as is needed for the lung function risk modeling
(section 3D.2.8.2.2). As a reminder, calculated exposures are distinct from that of ambient air
concentrations by accounting for simulated individual's time-location-activity patterns and O3
concentration decay/variation occurring within the occupied microenvironments. Further,
exposures (and hence health risks) are estimated for four groups of individuals residing in each
study area: children (individuals aged 5 to 18 years), children with asthma, adults (individuals
older than 18 years), and adults with asthma.

3D.2.8 Estimating Risk

We derived two types of metrics to characterize potential population health risk: a
comparison of simulated exposures to benchmark concentrations (section 3D.2.8.1) and by using
simulated exposures to estimate lung function risk (section 3D.2.8.2). As done in the 2015
review, these two approaches are based on the body of evidence from the controlled human
exposure studies reporting lung function decrements (as measured by changes in FEV1)60 along
with supporting health evidence from Cb-related epidemiologic studies. As discussed in
Appendix 3 of the ISA, there is a significant body of controlled human exposure studies
reporting lung function decrements and respiratory symptoms in adults associated with 1- to 6.6-
hr exposures to O3, all but a few of which were available in the 2015 review and no new studies
that included 6.6-hour exposures were available (ISA, Appendix 3, section 3.1.4.1.1; 2013 ISA,
section 6.2.1.1). The exposure studies of greatest interest are those that have exposed subjects
during exercise (ISA, Appendix 3; 2013 ISA, section 6.2.1.1). In general, the 1- to 2-hr exposure
studies utilize an intermittent exercise protocol in which subjects rotate between periods of
exercise and rest, though a limited number of these studies use a continuous exercise regime. A
quasi-continuous exercise protocol is common to the 6.6-hr exposure studies where subjects

60 There are other respiratory responses resulting from O3 exposures that were measured in these studies, including
increased lung inflammation, increased respiratory symptoms, increased airway responsiveness, and impaired
host defenses. While the available quantitative information is inadequate to reasonably model these other health
endpoints, nevertheless the observed responses remain informative in characterizing overall risks.

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complete six 50-min periods of exercise followed by 10-min rest periods (along with a 35-min
lunch/rest period) (ISA, Appendix 3, section 3.1.4.1.1).

For lung function risk, we estimate risk of an 03-related decrement at or above 10%, 15%
and 20%. These sizes of decrements have been used in the risk assessments for reviews
completed in 2015, 2008 and 1997 (2014 HREA; U.S. EPA, 2007a, U.S. EPA, 2007b; Whitfield
et al., 1996). In the 2015 review, the CASAC concurred with the EPA's use in the 2014 HREA
of estimated FEVi decrements of >15% as a scientifically relevant surrogate for adverse health
outcomes in active healthy adults, and an FEVi decrement of >10% as a scientifically relevant
surrogate for adverse health outcomes for people with asthma and lung disease (Frey, 2014, p.

3).

3D.2.8.1 Comparison to Benchmark Concentrations

For the comparison of simulated exposures to benchmark concentrations that reflect
observations from the 6.6-hr controlled human exposure studies, APEX estimates the daily
maximum 7-hr average O3 exposure61 for every simulated individual, stratified by exertion level
at the time of exposure. This indicator was selected based on controlled human exposure studies
where reported adverse health responses were associated with exposure to O3 and while the study
subject was exercising.62 A 7-hr average exposure concentration is more appropriate than using
an 8-hr average (as was done for the prior REAs) because it aligns more closely to the 6.6-hr
durations of the controlled human exposure studies on which the benchmark concentrations are
based.63 The 7-hr average exposure concentrations experienced by simulated individuals while at
moderate or greater exertion (EVR >17.32 ฑ 1.25 L/min-m2 body surface area; see above section
3D.2.2.3.3) are then compared to the benchmark concentrations.

Benchmark concentrations used in this assessment include O3 exposure concentrations of
60, 70 and 80 ppb; the same benchmarks used for the 2014 HREA (based on there being no new
6.6-hr controlled human exposure studies that might inform consideration of alternatives).
Estimating the occurrence of ambient air-related 7-hr average O3 exposures at and above these

61	Only the maximum 7-hr average O3 exposure concentration is retained by APEX for each day simulated, per
person.

62	Health responses observed in the controlled human exposure studies are from 6.6-hr exposures to O3, that
involved quasi-continuous exercise. Therefore, it is possible that the effects observed at benchmark levels
identified using a 6.6-hr exposure could occur at slightly lower concentrations for a comparable 7-hr exposure and
occur at still lower concentrations for a comparable 8-hr exposure. From a practical perspective, there would be a
greater number of individuals estimated at or above a particular benchmark when averaging exposures across a
6.6-hr period than when compared to simulations using 7-hr or 8-hr averaging (the latter of which was used in the
prior assessments and recognized specifically in the 2014 HREA, section 5.2.8, footnote 18).

63	Note that the 8-hr averaging time for ambient air O3 concentrations associated with the current standard remains
the same as used in prior assessments. The only difference is that for the current exposure and risk analysis, 8-hr
ambient air O3 concentrations are now evaluated with a more appropriate exposure and risk metric (i.e., a 7-hr
average exposure benchmark).

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benchmark levels is intended to provide perspective on the potential for public health impacts of
03-related health effects observed in human clinical and toxicological studies, but for which
available data do not support development of E-R functions, precluding their evaluation in
quantitative risk assessments (e.g., lung inflammation, increased airway responsiveness, and
decreased resistance to infection), as well as lung function decrements which are currently
evaluated in quantitative risk assessments. The 80 ppb benchmark concentration represents an
exposure where multiple controlled human exposure studies (of the 6.6-hr, with exercise design)
demonstrate a range of 03-related respiratory effects including lung inflammation and airway
responsiveness, as well as respiratory symptoms, in healthy adults. The 70 ppb benchmark
concentration reflects a study that found statistically significant decrements in lung function as
well as increased respiratory symptoms. The 60 ppb benchmark level represents the lowest
exposure level at which statistically significant decrements in lung function, but not respiratory
symptoms, have been observed in studies of healthy individuals (see Table 3-2 of the main
document).64 This is summarized in Table 3D-19 below. Further details on the body of evidence
supporting the selection of these benchmark levels is described in the ISA, Appendix 3 and
summarized in the section 3.3 of the main document and Appendix 3 A.

APEX then calculates two general types of exposure estimates for the population of
interest: the estimated number of people exposed to a specified O3 concentration level and, the
number of days per year that they are so exposed, while at moderate or greater exertion. The
former highlights the number of individuals exposed one or more times per year (i.e., at least
once) at or above a selected benchmark level. The latter is expressed as multiday exposures, that
is, the number of times per year each simulated individual experiences a daily maximum
exposure at or above a benchmark. These same exposure results are also used in estimating
population-based lung function risk (section 3D.2.8.2.1).

64 Prolonged exposure to 40 ppb O3 results in a small decrease in group mean FEVi that is not statistically different
from responses following exposure to filtered air (Adams, 2002; Adams, 2006).

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Table 3D-19. Responses reported in 6.6-hr controlled human exposure studies at a given
benchmark concentration.

Benchmark
Concentration
(ppb)

Responses Reported in Controlled Human Exposure Studies A

Decrements in Lung Function, and Other Effects

Respiratory Symptoms

>80

Prolonged exposure to an average O3 concentration of 80 ppb, 100
ppb, or 120 ppb O3 results in statistically significant group mean
decrements in FEV1 ranging from 6 B to 8%, 8 to 14%, and 10 to
16%, respectively.0 Statistically significant increases in multiple
inflammatory response indicators and in airway responsiveness.

Statistically significant
increases in respiratory
symptoms (ISA, section
3.1.4.2.1).

>70

Prolonged exposure to an average O3 concentration of 70 ppb
results in a statistically significant group mean decrement in FEV1
of about 6%.'0

>60

Prolonged exposure to an average O3 concentration of 60 ppb
results in group mean FEV1 decrements ranging from 1.7% to
3.5%.E Based on data from multiple studies, the weighted average
group mean decrement was 2.5%. In some analyses, these group
mean decrements in lung function were statistically significantF
while in other analyses they were not. G Statistically significant
increases in sputum neutrophils, an indicator of inflammatory
response.

None of studies at this
exposure concentration
have observed a
statistically significant
increase in symptom
scores (ISA, section
3.1.4.2.1).

A Information is drawn from Table 3A-1 of Appendix 3A for 6.6-hr exposure protocol with exercise EVR of 20 L/min/m2 (see also ISA, Figure
3-3). These studies have been performed with healthy adult subjects.

B Measurements collected at 80 ppb exposure for 30 subjects as part of the Kim et al. (2011) study that were presented only in Figure 5 of
McDonnell et al. (2012) indicate a group mean decrement of 3.5%.

c Folinsbee et al. (1994), Horstman et al. (1990), McDonnell et al. (1991), Adams (2002), Adams (2006), Adams (2000), Adams and Ollison
(1997), Schelegle et al. (2009).

D Schelegle et al. (2009).

E Adams (2002), Adams (2006), Schelegle et al. (2009), and Kim et al. (2011).

F Brown et al. (2008), Kim et al. (2011). In an analysis of the Adams (2006) data, Brown et al. (2008) addressed the more fundamental
question of whether there were statistically significant differences in responses before and after the 6.6-hr exposure period and found the
study group average effect on FEV1 at 60 ppb to be small, but statistically significant using several common statistical tests, even after
removal of potential outliers.

G Adams (2006), Schelegle et al. (2009).

3D.2.8.2 Lung Function Risk

We used two approaches to estimate health risk. As done for the lung function risk
assessments conducted during prior O3 NAAQS reviews, the first approach used a Bayesian
Markov Chain Monte Carlo technique to develop probabilistic population-based Exposure-
Response (E-R) functions. These population-based E-R functions were then combined with the
APEX estimated population distribution of 7-hr maximum exposures for people at or above
moderate exertion (EVR >17.32 ฑ 1.25 L/min-m2 body surface area) to estimate the number of
people expected to experience lung function decrements. The second approach is based on the
McDonnell-Stewart-Smith (MSS) FEVi model (McDonnell et al., 2013). The MSS model uses
the time-series of O3 exposure and corresponding ventilation rates for each APEX simulated

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individual to estimate their personal time-series of FEVi reductions, selecting the daily
maximum reduction for each person. As done for the exposure benchmark analysis, APEX
calculates, for the population of interest, the estimated number of simulated individuals expected
to experience an FEVi response at or above a selected level and the number of days per year that
may occur per person. A key difference between these approaches is that the population-based E-
R method directly approximates a population distribution of FEVi reductions while the MSS
model estimates FEVi reductions at the individual level (which are then aggregated to a
population level). Each of these approaches is discussed in detail below.

3D.2.8.2.1 Population-based E-R function

For developing the population-based E-R function, we used the exact same E-R function
as used for the 2014 HREA given CAS AC advice on the approach used for the 2008 O3 review
(Henderson, 2006) and that there were no new controlled human exposure study data to justify
the generating of a new E-R function for this current analysis. Briefly, data from several
controlled human exposure studies that evaluated 6.6-hr exposures at moderate exertion were
combined and used to estimate E-R functions. Considering the above discussion and as done in
the 2014 HREA, we separated the controlled human exposure study data into three lung function
decrement categories. The mid- to upper-end of the range of moderate levels of functional
responses and higher (i.e., FEVi decrements >15% and >20%) are included to generally
represent potentially adverse lung function decrements in active healthy adults, while for people
with asthma or lung disease, a focus on moderate functional responses (FEVi decrements down
to 10%) may be appropriate (Table 3D-20 and Figure 3D-11).65 The controlled human exposure
study data in this table were first corrected on an individual basis for study effects in clean
filtered air to remove any systemic bias that might be present in the data attributable to the
effects of the experimental procedures and extraneous responses (e.g., exercise, diurnal
variability, etc.) (2013 ISA, pp. 6-4 and 6-5). This is done by subtracting the FEVi decrement in
filtered air from the FEVi decrement (at the same time point) during exposure to O3. An example
of this calculation is given in the 2014 HREA, Appendix 6D.

65As in past reviews, the EPA has summarized study results with regard to multiple magnitudes of lung function
decrement, including 10%, recognizing that 10% has been used in clinical settings to detect a FEVi change likely
indicative of a response rather than intrasubject variability, e.g., for purposes of identifying subjects with
responses to increased ventilation (Dryden, 2010^.

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1	Table 3D-20. Summary of controlled human exposure study data stratified by

2	concentration level and lung function decrements, corrected for individual

3	response that occurred while exercising in clean air, ages 18-35.

Study, Grouped by
Average O3 Exposure

Protocol

Study
Subjects
(n)

Subjecl

s Responc

ing (n)A

AFEV1
>10%

AFEV1
>15%

AFEV1
>20%

0.040 ppm O3

Adams (2002)

Square-wave (constant level), face mask

30

2

0

0

Adams (2006)

Variable levels (exercise avg = 0.040 ppm)

30

0

0

0

0.060 ppm O3

Adams (2006)

Square-wave

30

2

0

0

Variable levels (exercise avg = 0.060 ppm)

30

2

2

0

Kimet al. (2011)

Square-wave

59

3

1

0

Schelegle et al. (2009)

Variable levels (exercise avg =0.060 ppm)

31

4

2

1

0.070 ppm O3

Schelegle et al. (2009)

Variable levels (exercise avg= 0.070 ppm)

31

6

3

2

0.080 ppm O3

Adams (2002)

Square-wave, face mask

30

6

5

2

Adams (2003)

Square-wave, chamber

30

6

2

1

Square-wave, face mask

30

5

2

2

Variable levels (exercise avg=0.080 ppm),
chamber

30

6

1

1

Variable levels (exercise avg=0.080 ppm),
face mask

30

5

1

1

Adams (2006)

Square-wave

30

7

2

1

Variable levels (exercise avg=0.080 ppm)

30

9

3

1

F-H-M1

Square-wave

60

17

11

8

Kimet al. (2011)

Square-wave

30

4

1

0

Schelegle et al. (2009)

Variable levels (exercise avg=0.080 ppm)

31

10

5

4

0.0870 ppm O3

Schelegle et al. (2009)

Variable levels (exercise avg=0.087 ppm)

31

14

10

7

0.100 ppm O3

F-H-M1

Square-wave

32

13

11

6

0.120 ppm O3

Adams, 2002

Square-wave, chamber

30

17

12

10

Square-wave, face mask

30

21

13

7

F-H-M B

Square-wave

30

18

15

10

A Data from 2014 HREA, Table 6-3 and were originally compiled by Abt (2013). Individual subject responses were corrected using pre- and
post-exposure observations.

B F-H-M combines data from Folinsbee et al. (1988), Horstman et al. (1990), and McDonnell et al. (1991).

4

5

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80

70

60

50

to 40

>-

o

30

20

10

A Adams (2006)

X Adams (2003)

+ Adams (2002)

= Kimetal (2011)

*5" Schelegle (2009)

ฆ • Folinsbee; Horstman; McDonnell

a10% ฃ15% >20%

+

0.030

&

0.040

O

o

~
~

~

0.050 0.060 0.070 0.080 0.090
OZONE (PPM)

0.100

0.110

+

~

+
+

m

+

0.120

0.130

Figure 3D-11. Controlled human exposure data for FF.Vi responses in individual study
subjects.

A Bayesian Markov Chain Monte Carlo (BMCMC) approach (Lunn et al., 2012)
developed as part of an earlier O3 exposure and risk analysis (U.S. EPA, 2007a, U.S. EPA,
2007b, section 3.1.2) was modified for the 2014 HREA and used to generate the population-
based E-R functions using the updated controlled human exposure study data (Abt, 2013).66
Briefly, we considered both linear and logistic functional forms in estimating the E-R function
and chose a 90 percent logistic/10 percent piecewise-linear split using a BMCMC approach. For
each of the three measures of lung function decrement, we first assumed a 90 percent probability
that the E-R function has the following 3-parameter logistic form indicated by Equation 3D-9:67

a t' (1 t' v)

y{x', a, /?, y) =-	\	7-—	Equation 3D-9

' (1 c )(1 c" v ; )	1

66 In some of the controlled human exposure studies, subjects were exposed to a given O3 concentration more than
once - for example, using a constant (square-wave) exposure pattern in one protocol and a variable (triangular)
exposure pattern in another protocol. However, because there were insufficient data to estimate subject-specific
response probabilities, we assumed a single response probability (for a given definition of response) for all
individuals and treated the repeated exposures for a single subject as independent exposures in the binomial
distribution.

m The 3-parameter logistic function is a special ease of the 4-parameter logistic, in which the function is forced to go
through the origin, so that the probability of response to 0.0 ppm is 0.

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where x denotes the O3 concentration (in ppm) to which the individual is exposed, y
denotes the corresponding response (decrement in FEVi > 10%, > 15% or > 20%), and a, /?, and
y are the three parameters whose values are estimated.

We then assumed a 10 percent probability that the E-R function has the following 2-piece
linear with threshold (hockey stick) form68 indicated by Equation 3D-10:

The selection of the 90 percent logistic/10 percent piecewise-linear split was based
largely on the results of sensitivity analyses in the 2007 O3 risk assessment combined with
CAS AC advice on the model form (U.S. EPA, 2007b),69 and from model fit determined in the
2014 HREA.70 Therefore, as done for the 2014 HREA, we are using only the 90/10 E-R function
in the current analysis to estimate risk. Further, because there were no newly available controlled
human exposure study data for 6.6-hr duration exposures since the 2014 HREA, we used the
exact same 90/10 E-R function derived at that time, the overall approach of which is briefly
described below.

To generate the E-R functions, prior distributions needed to be specified to estimate the
posterior distribution for each of the unknown parameters (Box and Tiao, 1973). For the logistic
functional form, we assumed lognormal priors and used Max likelihood estimates (MLE) of the
means and variances for the 3 parameters. For the linear functional form, we assumed normal
priors using ordinary least square (OLS) estimates for the means and variances for the
parameters.

For each of the two functional forms (logistic and linear), we derived the posterior
distributions using the binomial likelihood function and prior distributions for each of the
unknown parameters. Specifically, we used three Markov chains (each chain corresponds to a set

68	The 2-piece linear models estimate no occurrences below about 40 ppb for the 10% lung function decrement and
below about 60 ppb for the 15% and 20% lung function decrements based on the limited available data at those
exposure levels. Note that as these two-piece linear model forms are combined with a second model form
(logistic) for the final model, their contribution to estimated responses is low.

69	The 1997 risk assessment used a linear form consistent with the advice from the CASAC 03 panel at the time that
a linear model reasonably fit the available data at exposures of 0.08, 0.10, and 0.12 ppm. Following the addition
of exposures data at 0.06 and 0.04 ppm in the 2007 assessment, a logistic model was found to provide a good fit
to the data. The CASAC O3 panel for that review noted that there are only limited data at the two lowest exposure
levels and, as a result, a linear model could not entirely be ruled out, resulting in the combined model based on
both the logistic and linear forms (U.S. EPA, 2007b).

70	Analyses using the updated data available for the 2014 HREA determined that for each of the three E-R curves,
the 90/10 logistic/linear mix has smaller error in fit (weighted RMSE) relative to the other two E-R curves
evaluated: one having a 80/20 logistic/linear mix and the other having a 50/50 mix.

Equation 3D-10

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of initial parameter values) and for each chain we used 4,000 iterations as the "burn-in" period71
followed by 96,000 iterations for the estimation. Each iteration corresponds to a set of estimates
for the parameters of the (logistic or linear) exposure-response function. We then examined the
outputs using the options WinBUGS provides to check convergence and auto-correlation (e.g.,
trace plot, auto correlation). Finally, we combined 8,100 sets of values from the logistic model
runs (the last 2,700 iterations from each chain) with 900 sets of values from the linear model runs
(the last 300 iterations from each chain) to obtain a single combined distribution for each
predicted value, reflecting the 90 percent/10 percent assumptions stated above (WinBUGS v
1.4.3; Lunn et al., 2012).

We selected the median (50th percentile) E-R function from the 9,000 sets of functions to
estimate the risk for changes in FEVi >10%, >15%, and >20% (Figure 3D-12). The original E-R
data to which the curves were fit are also provided in the figure, along with the derived E-R
function data used to combine with the daily maximum 7-hr exposures for the simulated
population, while at moderate exertion (section 3D.2.8.1). The population at-risk is estimated by
multiplying the expected response rate by the number of people exposed in the relevant
population (and stratified by 7-hr average exposures, in 0.01 ppm increments), as shown in
Equation 3D-11:

The number of 0.01 ppm intervals was maximally set to 16 (Figure 3D-12), however,
given the adjusted air quality scenarios, the midpoint values used in the risk calculation typically
ranged from 0.05 to 0.095 ppm. Conventional rounding was applied to the sum of the calculated
risk value.72

71	Markov chain Monte Carlo (MCMC) simulations require an initial adaptive "burn-in" set of iterations, which are
not used as part of the E-R curve output but allow the BMCMC sampling to stabilize.

72	For calculated risks (i.e., the summed number of people at each daily maximum 7-hr average exposure interval)
where the tenths value was less than 0.5, data were rounded down to the next lowest integer. For calculated risks
where the tenths value was greater than or equal to 0.5, data were rounded up to the next highest integer.

Equation 3D-11

where:

ej	= (the midpoint of) the/h interval of personal exposure to O3

Pj	= fraction of the population with O3 exposures of e, ppm

RRk | Cj	= kth response rate at O3 exposure concentration e,

N	= number of intervals (categories) of O3 personal exposure concentration.

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Oj

FEVi

FEV,

FEV,

(ppm)

>10%

>15%

>20%



0

0



0 005

0 0008

0 0001

0

0,010

0 0019

0 0002



0015

0 0035

0 0004



0 020

0 0056

0,0007

0.0001

0 025

0 0084

0 0011

00002

0.030

0 0123

0 0018

0 0003

0 035

0 0176

0,0029

0 0006

0 040

0 0249

0 0045

0 001 1

0 045

0 0362

0 0070

0.0019

0 050

0.0495

0.0109

0 0033

0 055

OQSSS-1

^oier

0 0060

0 060

0 0883

0 0260

0 0108

0 065

0 1160

0 0404

0 0180

0 070

0 1497

0.0595

0 0296

0 075

01905

0 0880

0 0476



0 2378

0 1212

0 0738

0 085

0 2894

0.1642

0 1083

0 090

0 3415

0 2115

0 1482

0 095

0 3948

0 2614

0 1879

0 100

0 4474

0 3116

0 2219

0 105

0 4961

0 3560

0 2493

0 110

0 5393

0 3922

0 2704

0.115

0.5756

0 4199

0 2853

0 120

0 6055

0 4408

0 2952

0 125

0 6292

0 4567

0 3012

0 130

0 6477

0 4695

0 3047

0 135

0 6639

0 4789

0 3068

0 140

0 6774

0 4867

0 3082

0 145

0 6893

0.4912

0 3089

0 150

0 6999

0.4941

0 3093

0 155

0 7084

0 4959

0 3096

0 160

0 7133

0 4968

0 3097

80-i
j| 70*

At

>m%

ULJ
U.

W 50i>

0

3e 40%
m

* jon

Gfo
&S

c m

g.

Wi

1	mi

m

-Mtidiift fit function

ฆ Study Oat* !n mVim.il

0.04	0,08	0,12

6.6-hr Ozone Exposure {pptnj

0 16

80*
7(1*

M

^60%

UJ

u*

W S0!-i

ฃ 40'r<'

i :,uh;eiiซ/

i

ฃ w"

0 04	0.08	0,12

6.6-hr Ozone Exposure (ppm)

0 16

Figure 3D-12. Median value of Bayesian fit population-based E-R function data (left panel)
and illustrative curves (right panel) for FEVi decrements >10% (top panel),
>15 (middle panel), >20% (bottom panel). Drawn from the 2014 HREA, Table
6A-1 with processing and model development described by Abt (2013).

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From a practical perspective, the population-based E-R function risk approach takes into
account that there is a fraction of the population that could experience a lung function decrement
at any daily maximum 7-hr average exposure level (i.e., from the minimum to the maximum,
including the level of the exposure benchmarks), having a low probability of decrements
resulting from low exposures and higher probability at the highest exposures. That said, the
approach allows for decrements to occur at exposures below those tested/observed in the
controlled human exposure studies, albeit a small population fraction (e.g., see the response
frequency for exposures below 60 ppb in Figure 3D-12), recognizing there is potential for
variability in the degree of sensitivity between the controlled human exposure study subjects and
the simulated population. Note also that because there is a strict limit on attaining a particular
ventilation rate for the simulated individuals (i.e., 7-hr average exposures for individuals must
simultaneously occur at moderate or greater exertion, section 3D.2.2.3.3), there may be some
potential to underestimate lung function responses if they were to occur at the higher end of the
exposure distribution (i.e., where exposures are >60 ppb) that coincide with breathing rates just
below those specified by the moderate or greater exertion requirement.

3D.2.8.2.2 The McDonnell-Stewart-Smith (MSS) Model

The McDonnell-Stewart-Smith (MSS) model, a statistical model to estimate FEVi
responses for individuals associated with short-term exposures to O3, was developed using
controlled human exposure data73 from studies using varying exposure durations and varying
exertion levels and breathing rates (McDonnell et al., 2007). Following the development of the
model by McDonnell et al., 2007), Schelegle et al. (2009) found a delay in response when
modeling FEVi decrements as a function of accumulated dose and estimated a threshold
associated with the delay. McDonnell et al. (2012) refit a 2010 version of the model that included
a body mass index (BMI) variable (McDonnell et al., 2010), adding data from eight additional
studies74 and incorporating a threshold parameter into the model, which allows for modeling a
delay in response until accumulated dose (i.e., accounting for decreases over time according to
first order reaction kinetics) reaches a threshold value. The threshold is not a concentration
threshold and does not preclude responses at low concentration exposures.

The MSS model was first used for estimating lung function risk in the 2014 HREA and
was based on the revised version of the model available at that time (McDonnell et al., 2012).
Another version of the MSS model has become available since the 2015review, which differs
from the prior model in that it assumes that the intra-subject variance term (Var(s)) increases

73	Data were from 15 controlled human exposure studies that included 531 volunteers (ages 18 to 35), exposed to O3
on a total of 864 occasions (McDonnell et al., 2007).

74	Data from these eight additional studies included 201 individuals.

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with the response (McDonnell et al., 2013).75 Therefore, with a fixed ventilation rate, Var(s) in
this most recent version of the MSS model will be larger for higher exposure concentrations and
smaller for lower exposure concentrations. The most recent version of the MSS model is the
model described here and is the model used in this risk analysis.

The lung function model is conceptually a two-compartment model (Figure 3D-13). The
accumulated amount O3 (exposure concentration x ventilation rate, used to represent dose) is
modeled in the first compartment and modified by an exponential decay factor to yield an
intermediate quantity X. The response (FEVi reduction) of the individual to X is modeled in the
second compartment as a sigmoid-shaped function of the net accumulated dose. A threshold
parameter imposes the constraint that there is no response while the value of X is below the
threshold value.

Figure 3D-13. Conceptual representation of the two-compartment model used by the MSS
model. C is exposure concentration, V is ventilation rate, t is time, X is an
intermediate quantity, a is a decay constant. Adapted from Figure 1 in
McDonnell et al. (1999).

X is given by the solution of the differential Equation 3D-12:

J- = C(t)V(tf* - psX(t)	Equation 3D-12

X(t) increases with "normalized dose" (C-l^6) overtime for an individual and allows for
removal of "normalized dose" with a half-life of 1 Ifis through the 2nd term in Equation 3D-12.

75 The MSS model used for the 2014 HREA (McDonnell et al., 2012) assumed intra-subject variability was constant
for all exposures and responses. It had been shown previously that FEVi response varies within individuals
experiencing the same exposure and that the range of variation in response increases with higher exposure and
response (McDonnell et al., 1983). Evaluations based on a goodness-of-fit test and visual inspection of observed
versus predicted values indicate the most recent MSS model that better accounts for intra-subject variation is
improved in its estimation capabilities when compared to the previous MSS model (McDonnell et al., 2013).

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The response function M is described in Equation 3D-13:

MiJk = (ft + jMifc + Bat) {1+/? -fort;* ~ 17^}	Equation 3D-13

where,

Tijk = max {0, Xyk - /M	Equation 3D-14

P9 is a threshold parameter which allows X to increase up to the threshold before the
median response is allowed to exceed zero. By construction, when X = 0, then M=0. Because P3
and P4 are positive, when X > 0 then M > 0. Because X is never negative, neither is M. This
model calculates the percent FEVi decrement due to O3 exposure (compartment 2) as:

%AFEVlijk = eu< Mtjk + Etjk	Equation 3D-15

Kar(ฃฃyk) = vt + v2 eUi Mijk	Equation 3D-16

Note that a positive value of %AFEV1 means a decrease in effective lung volume or a
decrement in lung function. The above variance structure also allows for negative %AFEV1
values or an increase in lung volume, i.e., an improvement in lung function. The indices ij,k in
Equations 3D-12 to 3D-16 refer to the ith subject at the jth time for the k'h exposure protocol for
that subject, while the variables are defined as:
t = time (minutes)
to = time at the start of the event
ti = time at the end of the event
C(t) = O3 exposure (ppm) at time t during the event
Vi/t) = expired minute volume (L min"1) at time t
BSA = body surface area (m2),

V(t) = VE(t)/BSA (L/min-m2) at time t

Aik = age (years) of the ith subject in the k'h exposure protocol minus 23.8, the mean
age of the subjects

Bik = the body mass index (BMI, kg/m2) of the ith subject in the k'h exposure protocol

minus 23.1, the mean BMI of the subjects
Ui = subject-level zero-mean Gaussian random effect error/variability term (between-

individual variability not otherwise captured by the model)

Sijk = Gaussian error/variability term, which includes measurement error and within-
individual variability not otherwise captured by the model

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vi, V2= constants used to parameterize the variance of o,,/,. vi captures the intra-

individual noise in FEVi that is not due to ozone exposure, while K? captures the
remaining intra-individual variability in FEVi.

Pi to f$9 unitless fitted model parameters (constant for all simulated individuals)

In general, this model would be considered a non-linear random-effects model (Davidian
and Giltinan, 2003). The best fit values (based on maximum likelihood) of the Ps and the
variances {eyk} were estimated from fits of the model to the clinical data (see McDonnell et al.,
2013) and are provided in Table 3D-21.

Table 3D-21. Estimated coefficients for the MSS lung function model.

Values for MSS Model Coefficients Used in Equations 3D-12 to 3D-17 A

Pi

P2

Ps

P4



Pe

Ps

P9

Vi

V2

var(U)B

9.763

-0.4315

0.01281

30.92

0.002921

0.9525

0.4890

32.94

9.112

2.166

1.123

A Based on "Model 3" from McDonnell et al. (2013).













B The random sampling from the var(U) distribution was limited to ฑ 2 standard deviations.







As described above in estimating exposure, APEX uses activity pattern data to represent
a sequence of events that simulate the movement of a modeled person through geographical
locations and microenvironments during the simulation period. Each of these events are defined
by a geographic location, start time, duration, microenvironment visited, and activity performed.
Events in APEX are intervals of constant activity and exposure concentration, where an
individual is in one microenvironment and can range in duration from 1 to 60 minutes. In APEX,
because the exposure concentration C(l), exertion level, and normalized ventilation rate V(t) are
constant over an event, Equation 3D-17 provides an analytic solution for each event:

X(ti) = X(t0)e-^(ti-to) +^r-V(t1)f36(l - e-/?s(ti-to))	Equation 3D-17

PS

Note that C(t\) and V(h) denote the (constant) values of C(t) and V(t) during the event76
from time to to time t\. In APEX, values of Ui and Syk are drawn from Gaussian distributions with
mean zero and variances var( I J) and var(e), constrained to be within ฑ2 standard deviations from
the means (when sampled values fall outside of this range, they are discarded and resampled).

76 Events in APEX are intervals of constant activity and concentration, where an individual is in one

microenvironment. Events range in duration from one to 60 minutes. C(t\) and V(t\) denote the (constant) values
of C(t) and V(t) during the event from time to to time t\.

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The values of Ut are chosen once for each individual and remain constant for individuals
throughout the simulation. Values for Bijk are sampled daily for each individual.

We are using this model to estimate lung function decrements for people ages 5 and
older. However, this model was developed using only data from individuals aged 18 to 35 and
the age adjustment term [(3i + (32 (Age & - 23.8)] in the numerator of Equation 3D-13 is not
appropriate for all ages.77 Clinical studies data for children which could be used to fit the model
for children are not available at this time. In the absence of data, we are extending the model to
ages 5 to 18 by holding the age term constant at the age 18 level. Since the response increases as
age decreases in the range 18 to 35, this trend may extend into ages of children, in which case the
responses of children could be underestimated. However, the slope of the age term in the MSS
model is estimated based on data for ages 18 to 35 and does not capture differences in age trend
within this range; in particular, we do not know at what age the response peaks, which could be
above or below age 18. The evidence from clinical studies indicates that the responsiveness of
children to O3 is about the same as for young adults (ISA, Appendix 3, section 3.1.4.1.1) This
suggests that the age term for children should not be higher than the age term for young adults
(2014 HREA).78

Because the responses to O3 continuously declines from age 18 to 55 and for ages >55 the
response is generally considered minimal,79 here we assume the MSS model age term for ages 35
to 55 linearly decreases to zero and set it to zero for ages >55.80 To extend the age term to ages
outside the range of ages the MSS model is based on (ages 18-35), we re-parameterized the age
term in the numerator of Equation 3D-13 by [Pi + (32(ai Age + 012)], for different ranges of ages
(ai and 012 depend on age), requiring that these terms match at each boundary to form a piecewise
linear continuous function of age. As a result, the values of ai and 012 for four age ranges are
provided in Table 3D-22.

77	Note that the effect of age is also accounted for by using age-specific ventilation rate and body surface area. In
addition, APEX lung function risk for different age groups is also influenced by the time spent outdoors and the
activities engaged in by those groups, which vary by age.

78	See 2014 HREA Chapter 6 (sections 6.4.2 and 6.5.3) and Appendices 6D and 6E for details.

79	There is a recent 3-hr controlled human exposure study (EVR = 15-17 L/min-m2 during six 15-min exercise
periods) performed on healthy adults (ages 59.9 ฑ 4.5) that found 3-hr O3 exposures of 120 ppb yielded a
statistically significant reduction FEVi when compared to the filtered air response (Arjomandi et al., 2018). How
this relates to the magnitude and duration of exposures and ventilation rates of interest in this exposure and risk
analysis remain uncertain at this time.

80	"In healthy individuals, the fastest rate of decline in O3 responsiveness appears between the ages of 18 and

35 years ... During the middle age period (35-55 years), O3 sensitivity continues to decline, but at a much lower
rate. Beyond this age (>55 years), acute O3 exposure elicits minimal spirometric changes." (2013 ISA, p. 6-22)

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Table 3D-22. Age term parameters for application of the MSS model to all ages.

Age Range

Pi

P2

ai

0(2

5-17

9.763

-0.4315

0

-5.8

18-35

9.763

-0.4315

1

-23.8

36-55

9.763

-0.4315

0.5714

OO
CO
I

>55

0

-0.4315

0

0

See Table 3D-21 for related MSS model coefficients.

As described above for the population-based E-R function risk approach (section
3D.2.8.2.1), the individual-based MSS model risk approach also allows for decrements to occur
at exposures below those tested/observed in the controlled human exposure studies, however, for
this approach there is not a strict limit on the ventilation per se. Indeed, FEVi decrements are
more likely to occur with high breathing rates (and concomitant with high exposures), but it is
not necessary that an individual's 7-hr average EVR reach their particular threshold (EVR
>17.32 ฑ 1.25 L/min-m2) for an individual to experience an adverse response as is used for both
the exposure benchmarks and the E-R function risk approach. The time-series of exposures,
breathing rate, and FEVi will vary with each diary event, with FEVi non-linearly dependent on
exposure levels/breathing rate from both the prior and current exposure/breathing events. That
said in doing so, the MSS approach could overstate risk when including instances where both the
exposures and ventilation rates are less than that tested/observed in the controlled human
exposure studies.

3D.2.9 Assessing Variability/Co-Variability and Characterizing Uncertainty

An important issue associated with any population exposure and risk assessment is the
assessment of variability and characterization of uncertainty. Variability refers to the inherent
heterogeneity in a population or variable of interest (e.g., residential air exchange rates). The
degree of variability cannot be reduced through further research, only better characterized with
additional measurement. Uncertainty refers to the lack of knowledge regarding the values of
model input variables (i.e., parameter uncertainty), the physical systems or relationships used
(i.e., use of input variables to estimate exposure or risk or model uncertainty), and in specifying
the scenario that is consistent with purpose of the assessment (i.e., scenario uncertainty).
Uncertainty is, ideally, reduced to the maximum extent possible through improved measurement
of key parameters and iterative model refinement.

Section 3D.2.9.1 summarizes how variability and co-variability are addressed in the
current exposure and risk analysis and is based on the above described input data and model
algorithms used. Section 3D.2.9.2 summarizes the overall approach used for the uncertainty

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characterization. The outcome of the updated uncertainty characterization, which builds upon the
important uncertainties identified in the IRP (Appendix 5A) and addressed in this current
exposure and risk analyses, is discussed below in section 3D.3.4.

3D.2.9.1 Variability and Co-variability Assessment

The goal in addressing variability in this exposure and risk analysis is to ensure that the
estimates of exposure and risk reflect the variability of O3 concentrations in ambient air,
population characteristics, associated O3 exposures, physiological characteristics of simulated
individuals, and potential health risk across the study areas and for the simulated at-risk
populations. The details regarding many of the variability distributions used as model inputs are
described above, while details regarding the variability addressed within its algorithms and
processes are found in the APEX User Guides (U.S. EPA, 2019a, U.S. EPA, 2019b).

APEX is designed to account for variability in the model input data, including the
physiological variables that are important inputs to determining exertion levels and associated
ventilation rates. APEX simulates individuals and then calculates O3 exposure and lung function
risk for each of these simulated individuals. This collection of probabilistically sampled
individuals represents the variability of the target population, and by accounting for several types
of variability, including demographic, physiological, and human behavior, APEX is able to
represent much of the variability in the exposure and risk estimates. For example, variability may
arise from differences in the population residing within census tracts (e.g., age distribution) and
the activities that may affect population exposure to O3 (e.g., time spent outdoors, performing
moderate or greater exertion level activities outdoors). The range of exposure and associated risk
estimates are intended to reflect such sources of variability, although we note that the range of
values obtained reflects the input parameters, algorithms, and modeling system used, and may
not necessarily reflect the complete range of the true exposure or risk values.

We note also that correlations and non-linear relationships between variables input to the
model can result in the model producing inaccurate results if the inherent relationships between
these variables are not preserved. APEX is designed to account for co-variability, or linear and
nonlinear correlation among the model inputs, provided that enough is known about these
relationships to specify them. This is accomplished by providing inputs that enable the
correlation to be modeled explicitly within APEX. For example, there is a non-linear relationship
between the outdoor temperature and air exchange rate in homes. One factor that contributes to
this non-linear relationship is that windows tend to be closed more often when temperatures are
at either low or high extremes than when temperatures are moderate. This relationship is
explicitly modeled in APEX by specifying different probability distributions of air exchange
rates for different ambient air temperatures. Note that where possible, we identified and

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incorporated the observed variability in input data sets rather than employing standard default
assumptions and/or using point estimates to describe model inputs. In any event, APEX models
variability and co-variability in two ways:

•	Stochastically. The user provides APEX with probability distributions characterizing the
variability of many input parameters. These are treated stochastically in the model and
the estimated exposure distributions reflect this variability. For example, the rate of O3
decay in houses can depend on a number of factors which we are not able to explicitly
model at this time, due to a lack of data. However, we can specify a distribution of
removal rates that reflects observed variations in O3 decay. APEX randomly samples
from this distribution to obtain values that are used in the mass balance model. Further,
co-variability can be modeled stochastically through the use of conditional distributions.
If two or more parameters are related, conditional distributions that depend on the values
of the related parameters are input to APEX. For example, the distribution of air
exchange rates (AERs) in a house depends on the outdoor temperature and whether or not
air conditioning (A/C) is in use. In this case, a set of AER distributions is provided to
APEX for different ranges of temperatures and A/C use, and the selection of the
distribution in APEX is driven by the temperature and A/C status at that time.

•	Explicitly. For some variables used in modeling exposure, APEX models variability and
co-variability explicitly and not stochastically. For example, the complete series of hourly
ambient air O3 concentrations and hourly temperatures are used in the exposure and risk
calculations. These are input to the model continuously in the time period modeled at
different spatial locations, and in this way the variability and co-variability of hourly O3
concentrations and hourly temperatures are modeled explicitly.

Important sources of the variability and co-variability accounted for by APEX and used
for this exposure and risk analysis are provided in Table 3D-23 and Table 3D-24, respectively.

Table 3D-23. Summary of how variability was incorporated into the exposure and risk
analysis.

Component

Variability Source

Summary

Ambient Air
Concentration Input
(Appendix 3C)

CAMx Air Quality
Modeling

Spatial: model results are output at 12 km spatial resolution for the full
CONUS domain.

Temporal: model results are calculated and archived at hourly resolution
for the full 2016 calendar year.

CAMx/HDDM
estimates of 1-hr
ambient air O3
concentrations

Spatial: simulations of O3 response to changes in emissions predicted to
multiple monitors in eight geographically representative study areas.
Temporal: hourly C>3for each of three years (2015-2017).

Ambient air monitor
hourly

concentrations

Spatial: local ambient air monitor sites used to interpolate adjusted O3
concentrations to census tracts, including monitors outside of the study
area.

Temporal: pattern of hourly O3 concentrations at census tracts also
informed by local ambient air monitors.

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Component

Variability Source

Summary



Population data

Individuals are randomly sampled from U.S. census tracts used in each
study area, stratified by age (single years) and sex probabilities (U.S.
Census Bureau, 2012).



Employment

Work status is randomly generated from U.S. census tracts, stratified by
age and sex employment probabilities (U.S. Census Bureau, 2012).

Simulated
Individuals

Activity pattern data

Data diaries used to represent locations visited and activities performed
by simulated individuals are randomly selected from CHAD (nearly
180,000 diaries) using six diary pools stratified by two day-types
(weekday, weekend) and three temperature ranges (< 55.0 ฐF, between
55.0 and 83.9 ฐF, and >84.0 ฐF). CHAD diaries capture real locations that
people visit and the activities they perform, ranging from 1-min to 1-hr in
duration (U.S. EPA, 2019c).

Commuting data

Employed individuals are probabilistically assigned ambient air
concentrations originating from either their home or work block based on
U.S. Census derived tract-level commuter data (U.S. DOT, 2012; U.S.
Census Bureau, 2012).



Longitudinal
profiles

A sequence of diaries is linked together for each individual that preserves
both the inter- and intra-personal variability in human activities (Glen et
al„ 2008).



Asthma prevalence

Asthma prevalence is stratified by sex, single age years for children (5-
17), seven adult age groups, (18-24, 25-34, 35-44, 45-54, 55-64, 65-74,
and, >75), three regions (Midwest, Northeast, and South), and U.S.
Census tract level poverty ratios (Attachment 1).



Resting metabolic
rate

Five age-group and two sex-specific regression equations, use body mass
and age as independent variables (U.S. EPA (2018), Appendix H).



Metabolic
equivalents by
activity

Randomly sampled from distributions developed for specific activities
(some age-specific) (U.S. EPA, 2019c)



Oxygen uptake per
unit of energy
expended

Randomly sampled from a uniform distribution to convert energy
expenditure to oxygen consumption (U.S. EPA, 2019a, U.S. EPA, 2019b).

Physiological
Factors Relevant to
Ventilation Rate

Body mass

Randomly selected from population-weighted lognormal distributions with
age- and sex-specific geometric mean (GM) and geometric standard
deviation (GSD) derived from the National Health and Nutrition
Examination Survey (NHANES) for the years 2009-2014 (U.S. EPA
(2018), Appendix G).

Body surface area

Sex-specific exponential equations using body mass as an independent
variable (Burmaster, 1998).



Height

Randomly sampled from population-weighted normal distributions
stratified by single age years and two sexes developed from 2009-2014
NHANES data (U.S. EPA (2018), Appendix G).



Ventilation rate

Event-level activity-specific regression equation using oxygen
consumption rate (VO2) and maximum VO2 as independent variables, and
accounting for intra- and inter-personal variability (U.S. EPA (2018),
Appendix H).



Fatigue and EPOC

APEX approximates the onset of fatigue, controlling for unrealistic or
excessive exercise events in an individual's activity time-series while also
estimating excess post-exercise oxygen consumption (EPOC) that may
occur following vigorous exertion activities using several equations and

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Component

Variability Source

Summary





input variable distributions (Isaacs etal., 2007; U.S. EPA, 2019a; U.S.
EPA, 2019b).

Equivalent
ventilation rate

A randomly sampled value is selected for each simulated individual from a
normal distribution derived from the controlled human exposure study
data. This approach accounts for interpersonal variability in exertion level
that occur during exposure events that include exercise and rest periods
(Attachment 2).

Microenvironmental
Approach

General

Seven total microenvironments are represented, including those expected
to be associated with high exposure concentrations (i.e., outdoors and
outdoor near-road). There is variability in particular microenvironmental
algorithm inputs. This results in differential exposures for each individual
(and event) because people spend varying amounts of time within each
microenvironment and ambient air concentrations vary within and among
study areas.

Spatial Variability

Ambient air concentrations used in microenvironmental algorithms vary
spatially within (i.e., census tracts) and among study areas (U.S.
geographic regions).

Temporal
Variability

All exposure calculations are performed at the event-level when using
either factors or mass balance approach (durations can be as short as
one minute). For the indoor microenvironments, using a mass balance
model accounts for O3 concentrations occurring during a previous hour
(and of ambient air origin) to calculate a current event's indoor O3
concentrations.

Air exchange rates

For residences, several lognormal distributions are sampled for up to five
daily mean temperature ranges, study area region (2014 HREA Appendix
5E) and using study-area specific A/C prevalence rates from AHS survey
data (U.S. Census Bureau, 2019). For restaurants, a lognormal
distribution is sampled based on Bennett et al. (2012). For schools, a
Weibull distribution is sampled based on data from Lagus Applied
Technology (1995), Shendell et al. (2004), and Turk et al. (1989).

Removal rates

Values randomly selected from a lognormal distribution for the three
indoor microenvironments modeled (Lee et al., 1999).

PE and PROX
factors

Penetration and proximity factors randomly sampled from probability
distributions for inside-vehicle and near-road microenvironments
(American Petroleum Institute (1997), Appendix B; Johnson et al., 1995).

Lung Function Risk

Population-based
Exposure

Response Function

A continuous E-R function was derived using data from several controlled
human exposure studies and a logit-linear modeling approach. The full
distribution of population exposures was stratified by fine-scale bins (10
ppb) and linked to the continuous E-R function to estimate lung function
risk.

Individual-based
MSS model

Calculation accounts for variability in age, body mass, and the continuous
time-series of exposures and breathing rates. Residual terms (U and D)
addresses intra- and inter-variability in responses across the simulated
population.

1

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1 Table 3D-24. Important components of co-variability in exposure modeling.

Type of Co-variability

Modeled
by APEX?

Treatment in APEX / Comments

Within-person correlations A

Yes

Sequence of activities performed, microenvironments
visited, and general physiological parameters (body
mass, height, ventilation rates).

Between-person correlations

No

Perhaps not important, assuming the same likelihood of
the population of individuals either avoiding or
experiencing an exposure event based on a social
(group) activity.

Correlations between profile variables and
microenvironment parameters

Yes

Profiles are assigned microenvironment parameters.

Correlations between demographic
variables and activities

Yes

Census tract demographic variables, appropriately
weighted and stratified by age and sex, are used in
activity diary selection.

Correlations between activities and
microenvironment parameters

No

Perhaps important, but do not have data. For example,
frequency of opening windows when cooking or smoking
tobacco products.

Correlations among microenvironment
parameters in the same microenvironment

Yes

Modeled with joint conditional variables.

Correlations between demographic
variables and air quality

Yes

Modeled with the spatially varying census tract
demographic variables (age and sex) and census tract air
quality data input to APEX.

Correlations between meteorological
variables and activities

Yes

Daily varying temperatures are used in activity diary
selection.

Correlations between meteorological
variables and microenvironment parameters

Yes

The distributions of microenvironment parameters can be
functions of temperature.

Correlations between drive times in CHAD
and commute distances traveled

Yes

CHAD diary selection is weighted by commute times for
employed persons during weekdays.

Consistency of occupation/school
microenvironmental time and time spent
commuting/busing for individuals from one
working/school day to the next.

No

Simulated individuals are assigned activity diaries
longitudinally without regard to occupation or school
schedule (note though, longitudinal variable used to
develop annual profile is time spent outdoors).

A The term correlation is used to represent linear and nonlinear relationships.

2

3	3D.2.9.2 Approach for Uncertainty Characterization

4	While it may be possible to capture a range of exposure or risk values by accounting for

5	variability inherent to influential factors, the true exposure or risk for any given individual within

6	a study area may be unknown, although it can be estimated. To characterize health risks,

7	exposure and risk assessors commonly use an iterative process of gathering data, developing

8	models, estimating exposures and risks, evaluating results for correctness and identifying areas

9	for potential improvement, given the goals of the assessment, scale and complexity of the
10	assessment performed, and limitations of the input data available. However, important

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uncertainties often remain in any one of the data sets, tools, and approaches used and emphasis is
then placed on characterizing the nature of that uncertainty and its impact on exposure and risk
estimates.

The overall approach used for this exposure and risk generally follows that described by
WHO (2008) but varies in that a greater focus has been placed on evaluating the direction and
the magnitude of the uncertainty. This refers to qualitatively rating how the source of
uncertainty, in the presence of alternative information, may affect the estimated exposures and
health risk results. Following the identification of key uncertainties, we subjectively scale the
overall impact of the identified uncertainty by considering the relationship between the source of
uncertainty and the exposure concentrations (e.g., low, medium, or high potential impact). Also
to the extent possible, we include an assessment of the direction of influence, indicating how the
source of uncertainty may be affecting exposure or risk estimates (e.g., the uncertainty could lead
to over-estimates, under-estimates, or both directions). Further, and consistent with the WHO
(2008) guidance, we discuss the uncertainty in the knowledge-base (e.g., the accuracy of the data
used, recognition of data gaps) and, where possible, particular assessment design decisions (e.g.,
selection of particular model forms). The output of the uncertainty characterization is a summary
that describes, for each identified source of uncertainty, the magnitude of the impact and the
direction of influence the uncertainty may have on the exposure and risk results.

We further recognize that uncertainties associated with APEX exposure modeling have
been previously characterized in the REAs for nitrogen dioxide (NO2), carbon monoxide (CO)
and sulfur dioxide (SO2) conducted for recent primary NAAQS reviews, along with other
pollutant-specific issues (U.S. EPA, 2008, 2010, 2014, 2018), all complementary to quantitative
uncertainty characterizations conducted for the 2007 O3 exposure assessment by Langstaff
(2007). Conclusions drawn from each of these characterizations are also considered here in light
of new information, data, tools, and approaches used in this exposure and risk analysis.

3D.3 POPULATION EXPOSURE AND RISK RESULTS

Exposure and risk results are presented here for simulated populations residing in the
eight study areas - Atlanta, Boston, Dallas, Detroit, Philadelphia, Phoenix, Sacramento, and St.
Louis - for a three-year air quality scenario in which air quality conditions just meet the current
primary 8-hr O3 standard (70 ppb, annual 4th highest daily maximum 8-hr average concentration,
averaged across 3-years) and two other air quality scenarios (i.e., design values of 75 and 65
ppb). Hourly concentrations of O3 in ambient air for the three hypothetical air quality scenarios
are estimated at census tracts in each study area as described in section 3D.2 above. Population
exposure and risk associated with these concentrations is estimated using the APEX model
simulations (section 3D.2) and is briefly described with the following.

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APEX uses the hourly air quality surface in each study area, along with U.S. census tract
population demographics, to estimate the number of days per year each simulated individual in a
particular study area experiences a daily maximum 7-hr average O3 exposure at or above
benchmark levels of 60, 70, and 80 ppb (section 3D.2.8.1). These short-term exposures were
evaluated for children (5-18 years old), adults (>18 years old), and those with asthma within each
of these two study groups when the exposure corresponded with moderate or greater exertion
(i.e., the individual's EVR >17.32 ฑ 1.25 L/minute-m2).

Then, individuals expected to experience a lung function decrement (i.e., reduction in
FEVi >10%, >15%, >20%) were estimated using two approaches. The first approach linked the
population-based daily maximum 7-hr exposures while at moderate or greater exertion with an
exposure-response function derived from controlled human exposure study data (section
3D.2.8.2.1). The second lung function risk approach, considered an individual-based approach
here, used the McDonnell-Stewart-Smith (MSS) FEVi model (McDonnell et al., 2013) (section
3D.2.8.2.2). The MSS uses the time-series of O3 exposure and corresponding ventilation rates for
each APEX simulated individual to estimate their personal time-series of FEVi reductions,
selecting the daily maximum reduction for each person. The number of individuals estimated to
experience decrements are then aggregated to the population level. Again, of interest for both of
these lung function risk approaches is the number of days per year each simulated individual in a
particular study area experiences a lung function decrement.

Study area characteristics and the composition of the simulated population are provided
in section 3D.3.1. Exposure results are presented in a series of tables that allow for simultaneous
comparison of the exposure and risk metrics across the eight study areas and three simulation
years. Two types of results are provided for each study area: the percent (and number) of the
simulated population exposed at or above selected benchmarks, stratified by the number of
occurrences (i.e., days) in a year (section 3D.3.2) and the percent (and number) of the simulated
population experiencing a reduction in FEVi >10%, >15%, >20%, also stratified by the number
of days in a year (section 3D.3.3). Tables summarizing all of the exposure and risk results for
each study area are provided in Attachment 4.

3D.3.1 Characteristics of the Simulated Population and Study Areas

The eight study areas differ in population, geographic size, and demographic features
(Table 3D-25). In each of the eight study areas, APEX simulated O3 exposures and risks for
60,000 individuals,81 the demographic features of which were based on the information

81 While precisely 60,000 children and 60,000 adults were simulated as part of each APEX model run, the number of
individuals estimated to be exposed are appropriately weighted to reflect the actual population residing within the
census tracts that comprise each respective study area.

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associated with the hundreds to thousands of census tracts within each area (as described in
section 3D.2.1 above).

Asthma prevalence in each modeling domain was estimated based on the 2013-2017
NHIS asthma prevalence data and the demographic characteristics for each study area (e.g., age,
sex and family income) using the methodology summarized in section 3D.2.2.2. Accordingly,
the percent of the simulated populations with asthma within the exposure modeling domain
varied by study area (Table 3D-25). The Dallas, Phoenix, and Sacramento study areas had the
lowest percent of children with asthma (9.2 to 9.6%), while Atlanta and Boston had the highest
percent of children with asthma (11.8 to 12.3%). The Dallas study area had the lowest percent of
adults with asthma (7.2%), while Boston and Detroit had the highest percent of adults with
asthma (both 10.9%). The statistics presented here are the aggregate of the study area as a whole,
within which asthma prevalence varied widely as the modeling approach fully accounted for the
variation in asthma prevalence across census tracts with demographic factors such as family
income to poverty ratios, age, and sex (and as described in section 3D.2.2.2).82 Nationally,
asthma prevalence is 7.9%; for children it is 8.4% and for adults it is 7.7% (Chapter 3, Table 3-
1). The asthma prevalence for children, adults, and the total population estimated for each of the
eight study areas are all greater than that of the national asthma prevalence, except for adults in
Dallas which has a slightly lower asthma prevalence. This suggests that overall, the at-risk
population simulated in the eight study areas could represent at-risk populations in other U.S.
urban areas that have a similarly above average asthma prevalence.

82 Representing the variation in asthma prevalence that occurs at the census tract level provides a level of resolution
for identification of at-risk individuals that is directly compatible with the resolution of the spatially varying
ambient air concentrations. In this way, the population in census tracts with higher concentrations is represented
appropriately with regard to asthma prevalence and exposures of the at-risk individuals with asthma are not
under-repre sented.

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1 Table 3D-25. Summary of study area features and the simulated population.

Study Area
(Land Area - km2)A

Population

Group
(age range)

Simulated
Population

Simulated
Population with
Asthma

% of Simulated
Population with
Asthma

Atlanta
(30,655)

Children (5-18)

1,210,594

142,400

11.8

Adults (19-90)

4,226,009

359,375

8.5

All (5-90)

5,436,603

501,775

9.2

Boston
(25,117)

Children (5-18)

1,365,267

167,617

12.3

Adults (19-90)

5,870,125

642,224

10.9

All (5-90)

7,235,392

809,841

11.2

Dallas
(42,664)

Children (5-18)

1,418,728

130,421

9.2

Adults (19-90)

4,688,180

336,898

7.2

All (5-90)

6,106,908

467,319

7.7

Detroit
(16,884)

Children (5-18)

1,040,588

116,899

11.2

Adults (19-90)

3,932,484

427,221

10.9

All (5-90)

4,973,072

544,119

10.9

Philadelphia
(18,959)

Children (5-18)

1,309,547

146,982

11.2

Adults (19-90)

5,228,541

503,305

9.6

All (5-90)

6,538,088

650,287

9.9

Phoenix
(34,799)

Children (5-18)

849,200

81,396

9.6

Adults (19-90)

2,980,062

269,845

9.1

All (5-90)

3,829,262

351,240

9.2

Sacramento
(18,871)

Children (5-18)

465,845

45,208

9.7

Adults (19-90)

1,715,065

138,253

8.1

All (5-90)

2,180,910

183,461

8.4

St. Louis
(23,019)

Children (5-18)

546,393

56,039

10.3

Adults (19-90)

2,146,037

203,039

9.5

All (5-90)

2,692,430

259,078

9.6

All Study Areas
Combined

Children (5-18)

8,206,162

886,960

10.8

Adults (19-90)

30,786,503

2,880,160

9.4

All (5-90)

38,992,665

3,767,120

9.7

A From Appendix 3C, Table 3C-1.

2	3D.3.2 Exposures at or above Benchmark Concentrations

3	The exposure to benchmark comparisons are presented in a series of tables focusing on

4	the benchmark levels (i.e., people experiencing daily maximum 7-hr average O3 exposures >60,

5	70, and 80 ppb while at moderate or greater exertion). The full range of ambient air O3

6	concentrations for a 3-year O3 season (2015-2017) were used by APEX, providing a range of

7	estimated exposures. Adjusted air quality surfaces used to represent three air quality scenarios

8	were developed using 2015-2017 design values modeled sensitivities to changes in precursor

9	emissions (section 3D.2.3.3), and then interpolated to census tract centroids (section 3D.2.3.4).

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Exposures were estimated for four study groups of interest (i.e., school-age children (5-18),
school-age children with asthma, adults (19-90), and adults with asthma).

In this exposure and risk analysis, we are primarily interested in O3 exposures associated
with the ambient air quality adjusted to just meet the current standard (70 ppb, annual 4th highest
daily maximum 8-hr average concentration, averaged over a 3-year period). Provided are the
percent and number of people in each study group estimated to experience 7-hr exposures at or
above the benchmarks, while at moderate or greater exertion (section 3D.3.2.1). For each
exposure metric and study group, the occurrence of single-day (at least one day per year) and
multi-day (at least 2, 4, or 6 days per year) exposures are presented. Exposure results for the two
other adjusted air quality scenarios (the 75 ppb and 65 ppb scenarios) are presented in sections
3D.3.2.2 and 3D.3.2.3, respectively. These two sections present only the percent of each study
group estimated to experience exposures at or above benchmarks while at moderate or greater
exertion, for single-day and multiday exposures during a year, and not also the number of
simulated individuals in each study group. The complete exposure results associated with all
simulated years, air quality scenarios, the four study groups, and eight study areas are found in
Attachment 4.

In general, and for all air quality scenarios, the percent of children estimated to
experience exposures at or above any of the benchmarks is consistently higher than that
estimated for adults. This is expected because children spend a greater amount of time outdoors,
and at a greater frequency, while at moderate or greater exertion when compared to adults (2014
HREA, sections 5.4.1 and 5.4.2). Estimated exposures for healthy people are similar to people
with asthma when considered on a percent of population basis. This is because similar diary data
are used to simulate the activity patterns of each study group, justified by evaluations that
indicated similarities in time spent outdoors, participation rate, and exertion level for people with
asthma when compared to healthy individuals (section 3D.2.5.3). When considering the
estimated exposures in terms of population counts, while children comprise about 20% of the
simulated population (Table 3D-25), the number of children experiencing exposures at or above
the benchmarks is greater than that of adults. Again, this a direct result of the differences in time
spent outdoors performing activities at elevated exertion. And finally, Detroit, Phoenix, and St.
Louis have a higher percent of individuals at or above benchmark levels relative to the other
study areas, likely influenced by their having an hourly O3 concentration distribution shape that,
overall, is more skewed to the right and/or has heavy tails at the uppermost percentiles (Figure
3D-7).

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3D.3.2.1 Air Quality Just Meeting the Current Standard

With air quality adjusted to just meet the current standard, 0 to <0.1% of people in all
study groups were estimated to experience at least one daily maximum 7-hr exposure per year at
or above the 80-ppb benchmark (Table 3D-26). The occurrence of 7-hr O3 exposures at or above
70-ppb are also limited, even considering the worst year air quality in the three-year period, with
1% or fewer children (and children with asthma) in all study areas estimated to experience at
least one daily maximum 7-hr exposure per year at or above the 70-ppb benchmark. For the same
benchmark, 0.2% or fewer adults (and adults with asthma) were estimated to experience similar
exposures when considering the worst air quality year. When considering the 60-ppb benchmark,
on average, between about 3 to 9% of children (and children with asthma) experienced at least
one daily maximum 7-hr exposure at or above that benchmark, while during the worst air quality
year, the range in percent of children exposed extends slightly upwards (about 4 to 11%),
indicating limited variability in ambient air concentrations across the three-year period. Again,
there were fewer adults (and adults with asthma) exposed considering this same benchmark, on
average ranging from 0.2 to 1.5% of this study group and the worst air quality year ranging from
0.2 to 1.8%.

The number of simulated people in each study group estimated to experience at least one
7-hr exposure per year at or above the benchmarks is provided in Table 3D-27. As noted above,
there are few simulated people expected to experience a 7-hr exposure at or above the 80-ppb
benchmark, at most about 1,200 children and 500 adults when considering the worst year in a
single study area. Regarding the 70-ppb benchmark, on average, between about 700 to 8,300
children are estimated to experience at least one 7-hr exposure at or above that benchmark, while
the range for adults is about half that of children (400 to about 3,700), the range of which
considers the eight study areas. When considering the worst year, fewer than 12,000 children and
7,700 adults are estimated to experience at least one 7-hr exposure at or above the 70-ppb
benchmark in each study area. On average, the number of children estimated to experience at
least one 7-hr O3 exposure at or above the 60-ppb benchmark could be as high as nearly 70,000
in a few study areas, while for adults the number is just below 45,000. During the worst air
quality year, the estimated number of people experiencing at least one exposure at or above this
same benchmark could be as high as about 100,000 for children and 63,000 for adults. As a
whole, the patterns for people with asthma are similar though having smaller counts, the value of
which is dictated by the asthma prevalence in each area (Table 3D-25). In general, the number of
children with asthma at or above a benchmark would be about 10.8% of that estimated for all
children, while the number adults with asthma at or above a benchmark is about 9.4% of that
estimated for all adults.

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1	Multiday exposures are limited when considering air quality adjusted to just meet the

2	current standard. For example, there are no children estimated to experience at least two days

3	with 7-hr O3 exposures at or above the 80-ppb benchmark and <0.1% at or above the 70-ppb

4	benchmark (Table 3D-28 and Table 3D-29). When considering the worst air quality year, <5% of

5	children (and <0.4% of adults) are estimated to experience at least two days with 7-hr O3

6	exposures at or above the 60-ppb benchmark. There are no people estimated to experience at

7	least four days with 7-hr O3 exposures at or above the 70-ppb benchmark except in one study

8	area (Table 3D-30 and Table 3D-31), and <0.5% experience at least six days with 7-hr O3

9	exposures at or above the 60-ppb benchmark (Attachment 4).

10

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1	Table 3D-26. Percent of people estimated to experience at least one exposure at or above

2	benchmarks while at moderate or greater exertion, for air quality adjusted to

3	just meet the current standard.

Study
Group

Study Area

60 ppb Benchmark (7-hr)A
(% per Year)

70 ppb Benchmark (7-hr)A
(% per Year)

80 ppb Benchmark (7-hr)A
(% per Year)



Avg

Min

Max

Avg

Min

Max

Avg

Min

Max



Atlanta

3.3

1.4

5.2

0.4

0.1

0.8

<0.1

0

0.1



Boston

4.4

3.4

6.0

0.6

0.4

0.9

<0.1

<0.1

<0.1



Dallas

4.9

2.4

6.8

0.4

0.2

0.7

<0.1

0

<0.1

Children

Detroit

6.7

5.0

9.2

0.5

0.1

0.9

<0.1

0

<0.1

Philadelphia

4.1

3.9

4.2

0.4

0.3

0.4

<0.1

0

<0.1



Phoenix

8.2

6.0

10.6

0.2

<0.1

0.6

0

0

0



Sacramento

3.2

2.3

3.9

0.2

0.1

0.3

0

0

0



St. Louis

6.0

4.1

8.7

0.4

0.1

0.9

<0.1

0

<0.1



Atlanta

3.6

1.5

5.8

0.5

0.1

0.9

<0.1

0

0.1



Boston

5.1

3.7

7.0

0.7

0.5

1.0

<0.1

0

0.1

Children

with
Asthma

Dallas

5.3

2.2

7.4

0.4

0.3

0.7

<0.1

0

<0.1

Detroit

7.3

5.4

10.0

0.5

0.1

0.9

0

0

0

Philadelphia

4.3

4.1

4.4

0.4

0.4

0.4

0

0

0

Phoenix

8.8

6.6

11.2

0.3

0

0.7

0

0

0



Sacramento

3.3

2.6

4.0

0.2

0.1

0.3

0

0

0



St. Louis

6.0

3.9

9.0

0.3

<0.1

0.8

<0.1

0

<0.1



Atlanta

0.5

0.2

0.8

0.1

<0.1

0.1

<0.1

0

<0.1



Boston

0.5

0.3

0.8

0.1

<0.1

0.1

<0.1

<0.1

<0.1



Dallas

0.8

0.3

1.2

<0.1

<0.1

0.1

<0.1

0

<0.1

Adults

Detroit

1.0

0.8

1.6

0.1

<0.1

0.2

0

0

0

Philadelphia

0.5

0.5

0.5

<0.1

<0.1

<0.1

<0.1

0

<0.1



Phoenix

1.5

1.1

1.8

<0.1

<0.1

0.1

0

0

0



Sacramento

0.4

0.3

0.5

<0.1

<0.1

<0.1

0

0

0



St. Louis

0.9

0.5

1.3

<0.1

<0.1

0.1

0

0

0



Atlanta

0.4

0.2

0.6

<0.1

0

<0.1

0

0

0



Boston

0.4

0.2

0.7

<0.1

0

0.1

<0.1

0

<0.1



Dallas

0.6

0.2

0.9

<0.1

0

0.1

0

0

0

Adults with

Detroit

0.8

0.6

1.2

0.1

<0.1

0.2

0

0

0

Asthma

Philadelphia

0.4

0.3

0.5

<0.1

0

0.1

0

0

0



Phoenix

1.3

1.0

1.5

<0.1

0

<0.1

0

0

0



Sacramento

0.2

0.2

0.2

<0.1

<0.1

<0.1

0

0

0



St. Louis

0.7

0.4

1.2

<0.1

0

0.1

0

0

0

Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals exposed at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a value of "<0.1".

4

March 2023

3D-101 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-27. Number of people estimated to experience at least one exposure at or above

2	benchmarks while at moderate or greater exertion, for air quality adjusted to

3	just meet the current standard.

Study
Group

Study Area

60 ppb Benchmark (7-hr)A
(# per Year)

70 ppb Benchmark (7-hr)A
(# per Year)

80 ppb Benchmark (7-hr)A
(# per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

39909

17291

63455

5199

1069

9947

464

0

1211

Boston

59549

46465

81939

8305

5438

11923

372

91

592

Dallas

69794

34499

96261

5864

3168

9718

173

0

284

Detroit

69627

52203

95509

5093

1492

9487

29

0

52

Philadelphia

53117

51116

54674

4656

4191

5151

44

0

87

Phoenix

69569

50754

89775

1953

269

4784

0

0

0

Sacramento

14928

10645

18378

727

272

1203

0

0

0

St. Louis

32841

22320

47609

2331

446

4863

12

0

36

Children

with
Asthma

Atlanta

5152

2078

8333

666

141

1271

67

0

202

Boston

8518

6166

11605

1145

796

1616

61

0

114

Dallas

6952

2908

9813

576

355

946

8

0

24

Detroit

8544

6209

11776

578

121

1110

0

0

0

Philadelphia

6264

6024

6504

597

524

655

0

0

0

Phoenix

7171

5336

9143

226

0

552

0

0

0

Sacramento

1517

1157

1871

93

54

155

0

0

0

St. Louis

3364

2195

4927

191

18

437

3

0

9

Adults

Atlanta

21318

9790

34160

2512

282

5001

117

0

352

Boston

30362

19274

48429

3391

2152

5283

294

98

489

Dallas

36646

14611

54461

2318

1328

4141

26

0

78

Detroit

40920

30215

62264

3692

1049

7668

0

0

0

Philadelphia

26375

25184

27973

1597

1481

1830

29

0

87

Phoenix

44552

33178

54585

745

149

1788

0

0

0

Sacramento

7318

4688

9176

400

229

600

0

0

0

St. Louis

18981

11016

28185

942

72

2075

0

0

0

Adults
with
Asthma

Atlanta

1385

775

2113

70

0

141

0

0

0

Boston

2544

1370

4207

294

0

685

65

0

98

Dallas

2109

781

3047

104

0

234

0

0

0

Detroit

3299

2425

5047

306

66

655

0

0

0

Philadelphia

2179

1569

2614

87

0

261

0

0

0

Phoenix

3377

2831

3973

50

0

99

0

0

0

Sacramento

295

257

343

38

29

57

0

0

0

St. Louis

1395

787

2325

72

0

179

0

0

0

A These values represent the population of individuals exposed in each study area. Values equal to zero are indicated by "0" (there are no
individuals exposed at the level).

March 2023

3D-102 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-28. Percent of people estimated to experience at least two exposures at or above

2	benchmarks while at moderate or greater exertion, for air quality adjusted to

3	just meet the current standard.

Study
Group

Study Area

60 ppb Benchmark (7-hr)A
(% per Year)

70 ppb Benchmark (7-hr)A
(% per Year)

80 ppb Benchmark (7-hr)A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max



Atlanta

0.6

0.1

1.1

<0.1

0

<0.1

0

0

0



Boston

0.8

0.5

1.4

<0.1

<0.1

<0.1

0

0

0



Dallas

1.2

0.4

2.1

<0.1

<0.1

0.1

0

0

0

Children

Detroit

1.7

1.0

2.8

<0.1

<0.1

0.1

0

0

0

Philadelphia

0.8

0.7

0.9

<0.1

<0.1

<0.1

0

0

0



Phoenix

2.9

1.7

4.3

<0.1

0

<0.1

0

0

0



Sacramento

0.6

0.3

0.9

<0.1

0

<0.1

0

0

0



St. Louis

1.5

0.7

2.6

<0.1

<0.1

<0.1

0

0

0



Atlanta

0.7

0.1

1.2

<0.1

0

<0.1

0

0

0



Boston

1.0

0.6

1.6

<0.1

0

<0.1

0

0

0

Children

with
Asthma

Dallas

1.2

0.3

2.2

<0.1

0

0.1

0

0

0

Detroit

1.9

1.1

2.9

<0.1

0

<0.1

0

0

0

Philadelphia

0.9

0.8

0.9

<0.1

0

<0.1

0

0

0

Phoenix

3.2

1.8

4.9

<0.1

0

0.1

0

0

0



Sacramento

0.6

0.4

0.9

<0.1

0

<0.1

0

0

0



St. Louis

1.3

0.6

2.2

<0.1

0

<0.1

0

0

0



Atlanta

<0.1

<0.1

0.1

0

0

0

0

0

0



Boston

<0.1

<0.1

0.1

<0.1

0

<0.1

0

0

0



Dallas

0.1

<0.1

0.1

<0.1

0

<0.1

0

0

0

Adults

Detroit

0.1

0.1

0.2

<0.1

0

<0.1

0

0

0

Philadelphia

<0.1

<0.1

<0.1

<0.1

0

<0.1

0

0

0



Phoenix

0.3

0.2

0.4

<0.1

0

<0.1

0

0

0



Sacramento

<0.1

<0.1

0.1

<0.1

0

<0.1

0

0

0



St. Louis

0.1

<0.1

0.2

0

0

0

0

0

0



Atlanta

<0.1

0

0.1

0

0

0

0

0

0



Boston

<0.1

0

0.1

<0.1

0

<0.1

0

0

0

Adults
with
Asthma

Dallas

<0.1

<0.1

<0.1

0

0

0

0

0

0

Detroit

0.1

<0.1

0.1

0

0

0

0

0

0

Philadelphia

<0.1

0

<0.1

0

0

0

0

0

0

Phoenix

0.3

0.1

0.4

<0.1

0

<0.1

0

0

0



Sacramento

<0.1

0

0.1

0

0

0

0

0

0



St. Louis

0.1

<0.1

0.2

0

0

0

0

0

0

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals exposed at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a value of "<0.1".

4

5

March 2023

3D-103 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-29. Number of people estimated to experience at least two exposures at or above

2	benchmarks while at moderate or greater exertion, for air quality adjusted to

3	just meet the current standard.

Study
Group

Study Area

60 ppb Benchmark (7-hr)A
(# per Year)

70 ppb Benchmark (7-hr)A
(# per Year)

80 ppb Benchmark (7-hr)A
(# per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max



Atlanta

7365

1675

13801

155

0

282

0

0

0



Boston

11317

6690

18477

341

91

660

0

0

0



Dallas

17135

5226

29273

276

24

757

0

0

0

Children

Detroit

17829

10805

28894

243

69

520

0

0

0

Philadelphia

10142

9210

11764

124

65

175

0

0

0



Phoenix

24952

14153

36643

94

0

269

0

0

0



Sacramento

2601

1281

4278

16

0

31

0

0

0



St. Louis

8305

4071

14325

67

9

155

0

0

0



Atlanta

1002

202

1715

20

0

40

0

0

0



Boston

1669

1047

2617

30

0

68

0

0

0

Children

with
Asthma

Dallas

1600

378

2861

39

0

118

0

0

0

Detroit

2180

1301

3469

11

0

17

0

0

0

Philadelphia

1288

1113

1375

15

0

44

0

0

0

Phoenix

2609

1444

3977

24

0

71

0

0

0



Sacramento

282

179

396

5

0

8

0

0

0



St. Louis

713

337

1211

3

0

9

0

0

0



Atlanta

1925

211

3592

0

0

0

0

0

0



Boston

2446

1076

4794

98

0

196

0

0

0



Dallas

3724

1250

6798

26

0

78

0

0

0

Adults

Detroit

5178

2884

9438

44

0

131

0

0

0

Philadelphia

1917

1656

2266

29

0

87

0

0

0



Phoenix

8361

4718

11324

33

0

50

0

0

0



Sacramento

572

257

972

10

0

29

0

0

0



St. Louis

2587

858

4435

0

0

0

0

0

0



Atlanta

94

0

211

0

0

0

0

0

0



Boston

261

0

489

33

0

98

0

0

0

Adults
with
Asthma

Dallas

104

78

156

0

0

0

0

0

0

Detroit

328

197

590

0

0

0

0

0

0

Philadelphia

58

0

174

0

0

0

0

0

0

Phoenix

745

397

1142

17

0

50

0

0

0



Sacramento

38

0

86

0

0

0

0

0

0



St. Louis

191

72

358

0

0

0

0

0

0

A These values represent the population of individuals exposed in each study area. Values equal to zero are indicated by "0" (there are no
individuals exposed at the level).

March 2023

3D-104 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-30. Percent of people estimated to experience at least four exposures at or above

2	benchmarks while at moderate or greater exertion, for air quality adjusted to

3	just meet the current standard.

Study
Group

Study Area

60 ppb Benchmark (7-hr)A
(% per Year)

70 ppb Benchmark (7-hr)A
(% per Year)

80 ppb Benchmark (7-hr)A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max



Atlanta

<0.1

<0.1

0.1

0

0

0

0

0

0



Boston

<0.1

<0.1

0.1

0

0

0

0

0

0



Dallas

0.1

<0.1

0.3

0

0

0

0

0

0

Children

Detroit

0.2

0.1

0.3

0

0

0

0

0

0

Philadelphia

0.1

<0.1

0.1

0

0

0

0

0

0



Phoenix

0.7

0.3

1.1

<0.1

0

<0.1

0

0

0



Sacramento

<0.1

<0.1

0.1

0

0

0

0

0

0



St. Louis

0.2

<0.1

0.3

0

0

0

0

0

0



Atlanta

<0.1

0

0.1

0

0

0

0

0

0



Boston

<0.1

0

0.1

0

0

0

0

0

0

Children

with
Asthma

Dallas

0.2

<0.1

0.4

0

0

0

0

0

0

Detroit

0.1

<0.1

0.2

0

0

0

0

0

0

Philadelphia

<0.1

<0.1

0.1

0

0

0

0

0

0

Phoenix

0.8

0.3

1.3

0

0

0

0

0

0



Sacramento

0.1

0

0.2

0

0

0

0

0

0



St. Louis

0.1

0

0.3

0

0

0

0

0

0



Atlanta

<0.1

0

<0.1

0

0

0

0

0

0



Boston

<0.1

0

<0.1

0

0

0

0

0

0



Dallas

<0.1

0

<0.1

0

0

0

0

0

0

Adults

Detroit

<0.1

0

<0.1

0

0

0

0

0

0

Philadelphia

<0.1

0

<0.1

0

0

0

0

0

0



Phoenix

<0.1

<0.1

<0.1

0

0

0

0

0

0



Sacramento

0

0

0

0

0

0

0

0

0



St. Louis

<0.1

0

<0.1

0

0

0

0

0

0



Atlanta

0

0

0

0

0

0

0

0

0



Boston

0

0

0

0

0

0

0

0

0

Adults
with
Asthma

Dallas

0

0

0

0

0

0

0

0

0

Detroit

0

0

0

0

0

0

0

0

0

Philadelphia

0

0

0

0

0

0

0

0

0

Phoenix

<0.1

<0.1

0.1

0

0

0

0

0

0



Sacramento

0

0

0

0

0

0

0

0

0



St. Louis

0

0

0

0

0

0

0

0

0

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals exposed at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a value of "<0.1".

4

5

March 2023

3D-105 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-31. Number of people estimated to experience at least four exposures at or above

2	benchmarks while at moderate or greater exertion, for air quality adjusted to

3	just meet the current standard.

Study
Group



60 ppb Benchmark (7-hr)A

70 ppb Benchmark (7-hr)A

80 ppb Benchmark (7-hr)A

Study Area

(# per Year)

(# per Year)

(# per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max



Atlanta

538

61

1190

0

0

0

0

0

0



Boston

471

137

865

0

0

0

0

0

0



Dallas

1986

260

4422

0

0

0

0

0

0

Children

Detroit

1665

746

3035

0

0

0

0

0

0

Philadelphia

662

349

1157

0

0

0

0

0

0



Phoenix

5997

2633

9554

5

0

14

0

0

0



Sacramento

158

8

411

0

0

0

0

0

0



St. Louis

862

209

1803

0

0

0

0

0

0



Atlanta

67

0

101

0

0

0

0

0

0



Boston

76

0

137

0

0

0

0

0

0

Children

with
Asthma

Dallas

213

24

473

0

0

0

0

0

0

Detroit

162

52

243

0

0

0

0

0

0

Philadelphia

58

22

109

0

0

0

0

0

0

Phoenix

637

212

1033

0

0

0

0

0

0



Sacramento

23

0

70

0

0

0

0

0

0



St. Louis

73

0

155

0

0

0

0

0

0



Atlanta

47

0

141

0

0

0

0

0

0



Boston

33

0

98

0

0

0

0

0

0



Dallas

104

0

234

0

0

0

0

0

0

Adults

Detroit

109

0

262

0

0

0

0

0

0

Philadelphia

29

0

87

0

0

0

0

0

0



Phoenix

646

199

894

0

0

0

0

0

0



Sacramento

0

0

0

0

0

0

0

0

0



St. Louis

60

0

143

0

0

0

0

0

0



Atlanta

0

0

0

0

0

0

0

0

0



Boston

0

0

0

0

0

0

0

0

0

Adults
with
Asthma

Dallas

0

0

0

0

0

0

0

0

0

Detroit

0

0

0

0

0

0

0

0

0

Philadelphia

0

0

0

0

0

0

0

0

0

Phoenix

83

50

149

0

0

0

0

0

0



Sacramento

0

0

0

0

0

0

0

0

0



St. Louis

0

0

0

0

0

0

0

0

0

A These values represent the population of individuals exposed in each study area. Values equal to zero are indicated by "0" (there are no
individuals exposed at the level).

4

5

March 2023

3D-106 External Review Draft v2 - Do Not Quote or Cite


-------
1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

3D.3.2.2 Additional Air Quality Scenario: 75 ppb

When considering air quality adjusted so that the design value at the highest monitor
location in each urban study area is equal to 75 ppb, there will be a greater percent and number
of people estimated to experience 7-hr O3 exposures at or above each of the benchmarks. For
example, estimated exposures to O3 concentrations at or above the 80-ppb benchmark are
limited, but not insignificant. When considering the worst air quality year, upwards to 0.6% of
children (and similarly for children with asthma) are estimated to experience at least one day
with a 7-hr exposure at or above the 80-ppb benchmark, while on average, most study areas had
at least 0.1% of children experiencing such an exposure (Table 3D-32). On average, between
about 1 to 2% of children (and similarly for children with asthma) would experience at least one
day with a 7-hr exposure at or above the 70-ppb benchmark, while for the worst air quality year
upwards to 3.4% of children (and 3.9% children with asthma) would experience such an
exposure. On average, between about 7 to 17% of children (and similarly for children with
asthma) would experience at least one day with a 7-hr exposure at or above the 60-ppb
benchmark, while for the worst year upwards to about 18% of children (and about 19% of
children with asthma) would experience such an exposure.

Under the 75 ppb air quality scenario, multiday exposures to the 80 ppb benchmark are
few, but not entirely eliminated as was shown with the exposure results considering air quality
adjusted to just meet the current standard. A small percent (<0.1%) of children are estimated to
experience at least two days with 7-hr exposures at or above the 80-ppb (Table 3D-33). On
average, between 0.1 to 0.3% of children (and 0.1 to 0.4% of children with asthma) would
experience at least two days with 7-hr exposures at or above the 70-ppb benchmark, while for the
worst year upwards to 0.7% of children (and 0.8% of children with asthma) would experience
such an exposure. When considering the worst air quality year, between about 3 to 10% of
children (and 3 to 11% of children with asthma) and 0.2 to 1.2% of adults (and 0.1 to 1. 1% of
adults with asthma) are estimated to experience at least two days with 7-hr O3 exposures at or
above the 60-ppb benchmark. On average, all study areas (and study groups) have a small
percent (<0.1 %) estimated to experience at least four days with 7-hr O3 exposures at or above the
70-ppb benchmark (Table 3D-34), and at most 2% of children (and 2.3% of children with
asthma) are estimated experience at least six days with 7-hr O3 exposures at or above the 60-ppb
benchmark for the worst air quality year (Attachment 4).

March 2023

3D-107 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-32. Percent of people estimated to experience at least one exposure at or above

2	benchmarks while at moderate or greater exertion, for the 75 ppb air quality

3	scenario.

Study
Group

Study Area

60 ppb Benchmark (7-hr)A
(% per Year)

70 ppb Benchmark (7-hr)A
(% per Year)

80 ppb Benchmark (7-hr)A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

7.7

4.8

10.7

1.5

0.4

2.8

0.3

<0.1

0.6

Boston

6.6

5.0

8.8

1.3

0.9

1.9

0.1

0.1

0.1

Dallas

8.3

4.7

11.5

1.3

0.7

2.1

0.1

<0.1

0.1

Detroit

11.0

8.6

13.9

1.9

0.9

3.4

0.1

<0.1

0.1

Philadelphia

8.6

8.2

8.8

1.4

1.2

1.5

0.1

<0.1

0.1

Phoenix

15.7

13.2

17.9

2.0

0.9

3.4

<0.1

0

0.1

Sacramento

7.5

6.3

8.9

1.1

0.8

1.4

<0.1

<0.1

<0.1

St. Louis

10.6

8.5

13.0

1.7

0.8

3.2

0.1

0

0.1

Children

with
Asthma

Atlanta

8.5

5.2

11.8

1.7

0.4

3.1

0.3

<0.1

0.6

Boston

7.6

5.7

9.8

1.4

1.0

2.2

0.1

0.1

0.2

Dallas

8.9

4.6

11.9

1.4

0.9

2.2

0.1

<0.1

0.1

Detroit

12.0

9.6

15.0

2.1

1.1

3.9

<0.1

0

0.1

Philadelphia

9.4

9.1

9.6

1.5

1.3

1.6

0.1

<0.1

0.1

Phoenix

17.1

14.4

19.2

2.1

1.0

3.8

0.1

0

0.2

Sacramento

7.8

6.9

9.3

1.1

0.9

1.5

0.1

<0.1

0.1

St. Louis

10.6

8.4

13.2

1.6

0.6

3.2

0.1

0

0.1

Adults

Atlanta

1.3

0.8

1.8

0.2

0.1

0.4

<0.1

0

0.1

Boston

0.9

0.5

1.3

0.1

0.1

0.2

<0.1

<0.1

<0.1

Dallas

1.4

0.7

2.1

0.2

0.1

0.3

<0.1

0

<0.1

Detroit

1.7

1.3

2.3

0.3

0.2

0.5

<0.1

0

<0.1

Philadelphia

1.2

1.1

1.4

0.2

0.1

0.2

<0.1

<0.1

<0.1

Phoenix

3.2

2.6

3.6

0.3

0.2

0.4

<0.1

0

<0.1

Sacramento

1.1

0.9

1.3

0.1

0.1

0.2

<0.1

0

<0.1

St. Louis

1.7

1.2

2.1

0.2

0.1

0.4

<0.1

0

<0.1

Adults
with
Asthma

Atlanta

0.9

0.6

1.1

0.2

0.1

0.3

<0.1

0

<0.1

Boston

0.6

0.4

1.0

0.1

<0.1

0.1

<0.1

0

<0.1

Dallas

1.1

0.5

1.5

0.1

<0.1

0.1

<0.1

0

<0.1

Detroit

1.5

1.1

1.7

0.2

0.1

0.4

<0.1

0

<0.1

Philadelphia

1.0

0.7

1.2

0.1

0.1

0.1

0

0

0

Phoenix

2.7

2.3

3.0

0.2

0.1

0.4

0

0

0

Sacramento

0.9

0.7

1.2

0.1

0.1

0.1

<0.1

0

<0.1

St. Louis

1.3

1.0

1.8

0.2

<0.1

0.4

<0.1

0

<0.1

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals exposed at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a value of "<0.1".

March 2023

3D-108 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-33. Percent of people estimated to experience at least two exposures at or above

2	benchmarks while at moderate or greater exertion, for the 75 ppb air quality

3	scenario.

Study
Group

Study Area

60 ppb Benchmark (7-hr)A
(% per Year)

70 ppb Benchmark (7-hr)A
(% per Year)

80 ppb Benchmark (7-hr)A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max



Atlanta

2.5

1.1

4.0

0.2

<0.1

0.4

<0.1

0

<0.1



Boston

1.7

1.1

2.6

0.1

<0.1

0.2

<0.1

0

<0.1



Dallas

2.9

1.1

4.8

0.1

<0.1

0.3

<0.1

0

<0.1

Children

Detroit

4.0

2.5

5.8

0.2

<0.1

0.4

<0.1

0

<0.1

Philadelphia

2.8

2.5

3.0

0.1

0.1

0.2

<0.1

0

<0.1



Phoenix

8.0

6.0

9.9

0.3

0.1

0.7

<0.1

0

<0.1



Sacramento

2.4

1.7

3.4

0.1

<0.1

0.2

0

0

0



St. Louis

3.9

2.7

5.4

0.2

<0.1

0.4

<0.1

0

<0.1



Atlanta

2.7

1.1

4.2

0.2

<0.1

0.4

<0.1

0

<0.1



Boston

2.0

1.3

3.0

0.1

<0.1

0.2

0

0

0

Children

with
Asthma

Dallas

2.9

1.0

4.8

0.1

0

0.3

0

0

0

Detroit

4.4

2.8

6.4

0.2

<0.1

0.4

0

0

0

Philadelphia

3.0

2.8

3.1

0.1

0.1

0.1

0

0

0

Phoenix

8.9

6.7

11.0

0.4

0.2

0.8

0

0

0



Sacramento

2.6

1.9

3.8

0.1

<0.1

0.2

0

0

0



St. Louis

3.6

2.5

4.9

0.1

0

0.3

0

0

0



Atlanta

0.2

0.1

0.4

<0.1

<0.1

<0.1

0

0

0



Boston

0.1

0.1

0.2

<0.1

<0.1

<0.1

0

0

0



Dallas

0.2

0.1

0.5

<0.1

<0.1

<0.1

0

0

0

Adults

Detroit

0.3

0.2

0.5

<0.1

<0.1

<0.1

0

0

0

Philadelphia

0.2

0.1

0.2

<0.1

<0.1

<0.1

0

0

0



Phoenix

1.0

0.7

1.2

<0.1

<0.1

<0.1

0

0

0



Sacramento

0.2

0.1

0.2

<0.1

<0.1

<0.1

0

0

0



St. Louis

0.3

0.2

0.5

<0.1

<0.1

<0.1

0

0

0



Atlanta

0.1

<0.1

0.2

<0.1

0

<0.1

0

0

0



Boston

0.1

<0.1

0.1

<0.1

0

<0.1

0

0

0

Adults
with
Asthma

Dallas

0.1

<0.1

0.2

0

0

0

0

0

0

Detroit

0.3

0.2

0.5

<0.1

0

<0.1

0

0

0

Philadelphia

0.1

<0.1

0.2

0

0

0

0

0

0

Phoenix

0.8

0.6

1.1

<0.1

0

<0.1

0

0

0



Sacramento

0.1

0.1

0.2

0

0

0

0

0

0



St. Louis

0.3

0.1

0.4

<0.1

0

<0.1

0

0

0

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals exposed at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a value of "<0.1".

March 2023

3D-109 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-34. Percent of people estimated to experience at least four exposures at or above

2	benchmarks while at moderate or greater exertion, for the 75 ppb air quality

3	scenario.

Study
Group



60 ppb Benchmark (7-hr)A

70 ppb Benchmark (7-hr)A

80 ppb Benchmark (7-hr)A

Study Area

(% per Year)

(% per Year)

(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max



Atlanta

0.4

0.1

0.9

<0.1

0

<0.1

0

0

0



Boston

0.1

0.1

0.2

<0.1

0

<0.1

0

0

0



Dallas

0.6

0.1

1.2

<0.1

0

<0.1

0

0

0

Children

Detroit

0.7

0.3

1.2

<0.1

0

<0.1

0

0

0

Philadelphia

0.4

0.3

0.6

<0.1

0

<0.1

0

0

0



Phoenix

3.0

2.0

4.1

<0.1

<0.1

<0.1

0

0

0



Sacramento

0.4

0.2

0.8

<0.1

0

<0.1

0

0

0



St. Louis

0.8

0.4

1.2

<0.1

0

<0.1

0

0

0



Atlanta

0.5

0.1

0.9

<0.1

0

<0.1

0

0

0



Boston

0.1

0.1

0.2

0

0

0

0

0

0

Children

with
Asthma

Dallas

0.5

0.1

1.1

0

0

0

0

0

0

Detroit

0.6

0.2

1.0

<0.1

0

<0.1

0

0

0

Philadelphia

0.4

0.3

0.6

0

0

0

0

0

0

Phoenix

3.3

2.2

4.4

<0.1

0

0.1

0

0

0



Sacramento

0.4

0.2

0.8

0

0

0

0

0

0



St. Louis

0.6

0.3

1.1

0

0

0

0

0

0



Atlanta

<0.1

0

<0.1

0

0

0

0

0

0



Boston

<0.1

<0.1

<0.1

0

0

0

0

0

0



Dallas

<0.1

0

<0.1

0

0

0

0

0

0

Adults

Detroit

<0.1

<0.1

<0.1

0

0

0

0

0

0

Philadelphia

<0.1

<0.1

<0.1

0

0

0

0

0

0



Phoenix

0.1

0.1

0.2

<0.1

0

<0.1

0

0

0



Sacramento

<0.1

<0.1

<0.1

0

0

0

0

0

0



St. Louis

<0.1

<0.1

<0.1

0

0

0

0

0

0



Atlanta

0

0

0

0

0

0

0

0

0



Boston

<0.1

0

<0.1

0

0

0

0

0

0

Adults
with
Asthma

Dallas

0

0

0

0

0

0

0

0

0

Detroit

<0.1

0

<0.1

0

0

0

0

0

0

Philadelphia

0

0

0

0

0

0

0

0

0

Phoenix

0.1

0.1

0.1

0

0

0

0

0

0



Sacramento

0

0

0

0

0

0

0

0

0



St. Louis

<0.1

0

0.1

0

0

0

0

0

0

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals exposed at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a value of "<0.1".

March 2023

3D-110 External Review Draft v2 - Do Not Quote or Cite


-------
1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

3D.3.2.3 Additional Air Quality Scenario: 65 ppb

With increasing stringency (i.e., lowering) of the design value used to represent the air
quality scenario, there is a reduction in the percent and number of simulated individuals
experiencing 7-hr exposures at or above the benchmarks. Under the 65 ppb air quality scenario,
in 6 of the 8 study areas, there are no people estimated to experience at least one benchmark at or
above the 80-ppb benchmark (Table 3D-35). Exposures at or above the 70-ppb benchmark are
also limited, with at most 0.2% of children (and 0.3% of children with asthma) estimated
experience one such exposure during the worst air quality year. On average, between 0.4 to 2.3%
of children (and 0.5 to 2.5% of children with asthma) and between 0.1 to 0.4% of adults (and
<0.1 to 0.3% of adults with asthma) are estimated to experience at least one 7-hr O3 exposure at
or above the 60-ppb benchmark, while during the worst air quality year, upwards to 3.7% of
children (and 4.3% of children with asthma) would experience such an exposure.

Multiday exposures at or above the 70-ppb benchmark are nearly eliminated under the 65
ppb air quality scenario, with only three study areas having at most, <0.1% of children (and no
children with asthma) estimated to experience 7-hr exposures at or above that benchmark for at
least two days (Table 3D-36). When considering the worst air quality year, <0.5% of children
(and 0.6%) of children with asthma) and <0.1% of adults (and similarly for adults with asthma)
are estimated to experience at least two days with 7-hr O3 exposures at or above the 60-ppb
benchmark. There are no people in any of the study areas estimated to experience at least four
days with 7-hr O3 exposures at or above the 70-ppb benchmark (Table 3D-37), and there no
simulated individuals estimated to experience at least six days with 7-hr O3 exposures at or
above the 60-ppb benchmark in all but two study areas (Attachment 4).

March 2023

3D-111 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-35. Percent of people estimated to experience at least one exposure at or above

2	benchmarks while at moderate or greater exertion, for the 65 ppb air quality

3	scenario.

Study
Group

Study Area

60 ppb Benchmark (7-hr)A
(% per Year)

70 ppb Benchmark (7-hr)A
(% per Year)

80 ppb Benchmark (7-hr)A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max



Atlanta

1.0

0.3

1.7

0.1

<0.1

0.1

<0.1

0

<0.1



Boston

1.8

1.1

2.5

0.2

0.1

0.2

<0.1

0

<0.1



Dallas

2.1

0.9

2.8

0.1

0.1

0.1

0

0

0

Children

Detroit

2.3

1.4

3.7

<0.1

<0.1

0.1

0

0

0

Philadelphia

1.5

1.4

1.6

<0.1

<0.1

<0.1

0

0

0



Phoenix

1.8

0.9

3.0

0

0

0

0

0

0



Sacramento

0.4

0.3

0.6

0

0

0

0

0

0



St. Louis

1.6

0.7

3.1

<0.1

0

<0.1

0

0

0



Atlanta

1.1

0.3

1.9

0.1

<0.1

0.2

<0.1

0

<0.1



Boston

2.1

1.3

3.1

0.2

0.1

0.3

<0.1

0

<0.1

Children

with
Asthma

Dallas

2.2

1.1

2.9

0.1

<0.1

0.1

0

0

0

Detroit

2.5

1.5

4.3

<0.1

0

<0.1

0

0

0

Philadelphia

1.6

1.3

1.9

<0.1

<0.1

<0.1

0

0

0

Phoenix

2.1

1.0

3.4

0

0

0

0

0

0



Sacramento

0.5

0.3

0.6

0

0

0

0

0

0



St. Louis

1.5

0.6

3.0

<0.1

0

<0.1

0

0

0



Atlanta

0.1

<0.1

0.3

<0.1

0

<0.1

0

0

0



Boston

0.2

0.1

0.3

<0.1

<0.1

<0.1

<0.1

0

<0.1



Dallas

0.3

0.1

0.4

<0.1

<0.1

<0.1

0

0

0

Adults

Detroit

0.4

0.2

0.6

<0.1

0

<0.1

0

0

0

Philadelphia

0.2

0.2

0.2

<0.1

<0.1

<0.1

0

0

0



Phoenix

0.3

0.2

0.4

0

0

0

0

0

0



Sacramento

0.1

<0.1

0.1

0

0

0

0

0

0



St. Louis

0.2

0.1

0.4

<0.1

0

<0.1

0

0

0



Atlanta

0.1

<0.1

0.1

0

0

0

0

0

0



Boston

0.1

<0.1

0.2

<0.1

0

<0.1

0

0

0

Adults
with
Asthma

Dallas

0.2

<0.1

0.3

<0.1

0

<0.1

0

0

0

Detroit

0.3

0.2

0.5

<0.1

0

<0.1

0

0

0

Philadelphia

0.1

0.1

0.2

0

0

0

0

0

0

Phoenix

0.2

0.1

0.4

0

0

0

0

0

0



Sacramento

<0.1

<0.1

0.1

0

0

0

0

0

0



St. Louis

0.2

<0.1

0.5

<0.1

0

<0.1

0

0

0

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals exposed at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a value of "<0.1".

March 2023

3D-112 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-36. Percent of people estimated to experience at least two exposures at or above

2	benchmarks while at moderate or greater exertion, for the 65 ppb air quality

3	scenario.

Study
Group

Study Area

60 ppb Benchmark (7-hr)A
(% per Year)

70 ppb Benchmark (7-hr)A
(% per Year)

80 ppb Benchmark (7-hr)A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max



Atlanta

0.1

<0.1

0.2

<0.1

0

<0.1

0

0

0



Boston

0.2

0.1

0.3

<0.1

0

<0.1

0

0

0



Dallas

0.3

<0.1

0.5

0

0

0

0

0

0

Children

Detroit

0.3

0.1

0.5

<0.1

0

<0.1

0

0

0

Philadelphia

0.1

0.1

0.2

0

0

0

0

0

0



Phoenix

0.3

0.1

0.5

0

0

0

0

0

0



Sacramento

<0.1

<0.1

<0.1

0

0

0

0

0

0



St. Louis

0.2

<0.1

0.4

0

0

0

0

0

0



Atlanta

0.1

0

0.2

0

0

0

0

0

0



Boston

0.2

0.1

0.3

0

0

0

0

0

0

Children

with
Asthma

Dallas

0.3

<0.1

0.5

0

0

0

0

0

0

Detroit

0.2

0.1

0.4

0

0

0

0

0

0

Philadelphia

0.2

0.1

0.2

0

0

0

0

0

0

Phoenix

0.3

0.1

0.6

0

0

0

0

0

0



Sacramento

<0.1

0

<0.1

0

0

0

0

0

0



St. Louis

0.1

<0.1

0.3

0

0

0

0

0

0



Atlanta

<0.1

0

<0.1

0

0

0

0

0

0



Boston

<0.1

<0.1

<0.1

0

0

0

0

0

0



Dallas

<0.1

<0.1

<0.1

0

0

0

0

0

0

Adults

Detroit

<0.1

<0.1

0.1

0

0

0

0

0

0

Philadelphia

<0.1

<0.1

<0.1

0

0

0

0

0

0



Phoenix

<0.1

<0.1

<0.1

0

0

0

0

0

0



Sacramento

<0.1

<0.1

<0.1

0

0

0

0

0

0



St. Louis

<0.1

0

<0.1

0

0

0

0

0

0



Atlanta

0

0

0

0

0

0

0

0

0



Boston

<0.1

0

<0.1

0

0

0

0

0

0

Adults
with
Asthma

Dallas

0

0

0

0

0

0

0

0

0

Detroit

<0.1

0

0.1

0

0

0

0

0

0

Philadelphia

0

0

0

0

0

0

0

0

0

Phoenix

<0.1

0

<0.1

0

0

0

0

0

0



Sacramento

0

0

0

0

0

0

0

0

0



St. Louis

<0.1

0

<0.1

0

0

0

0

0

0

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals exposed at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a value of "<0.1".

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1	Table 3D-37. Percent of people estimated to experience at least four exposures at or above

2	benchmarks while at moderate or greater exertion, for the 65 ppb air quality

3	scenario.

Study
Group

Study Area

60 ppb Benchmark (7-hr)A
(% per Year)

70 ppb Benchmark (7-hr)A
(% per Year)

80 ppb Benchmark (7-hr)A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max



Atlanta

<0.1

0

<0.1

0

0

0

0

0

0



Boston

<0.1

0

<0.1

0

0

0

0

0

0



Dallas

<0.1

<0.1

<0.1

0

0

0

0

0

0

Children

Detroit

<0.1

<0.1

<0.1

0

0

0

0

0

0

Philadelphia

<0.1

0

<0.1

0

0

0

0

0

0



Phoenix

<0.1

<0.1

<0.1

0

0

0

0

0

0



Sacramento

0

0

0

0

0

0

0

0

0



St. Louis

<0.1

0

<0.1

0

0

0

0

0

0



Atlanta

<0.1

0

<0.1

0

0

0

0

0

0



Boston

0

0

0

0

0

0

0

0

0

Children

with
Asthma

Dallas

0

0

0

0

0

0

0

0

0

Detroit

<0.1

0

<0.1

0

0

0

0

0

0

Philadelphia

0

0

0

0

0

0

0

0

0

Phoenix

<0.1

0

0.1

0

0

0

0

0

0



Sacramento

0

0

0

0

0

0

0

0

0



St. Louis

0

0

0

0

0

0

0

0

0



Atlanta

0

0

0

0

0

0

0

0

0



Boston

0

0

0

0

0

0

0

0

0



Dallas

0

0

0

0

0

0

0

0

0

Adults

Detroit

0

0

0

0

0

0

0

0

0

Philadelphia

0

0

0

0

0

0

0

0

0



Phoenix

0

0

0

0

0

0

0

0

0



Sacramento

0

0

0

0

0

0

0

0

0



St. Louis

0

0

0

0

0

0

0

0

0



Atlanta

0

0

0

0

0

0

0

0

0



Boston

0

0

0

0

0

0

0

0

0

Adults
with
Asthma

Dallas

0

0

0

0

0

0

0

0

0

Detroit

0

0

0

0

0

0

0

0

0

Philadelphia

0

0

0

0

0

0

0

0

0

Phoenix

0

0

0

0

0

0

0

0

0



Sacramento

0

0

0

0

0

0

0

0

0



St. Louis

0

0

0

0

0

0

0

0

0

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals exposed at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a value of "<0.1".

4

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36

3D.3.2.4 Comparison with 2014 HREA Exposure Results

We compared the exposure results for the current exposure and risk analysis with those
generated for the 2014 HREA. Table 3D-38 presents the percent of children experiencing at least
one exposure at or above the three benchmarks for the two assessments and Table 3D-39
presents the similar comparison for two or more exposures. Results are presented for all study
areas, and for the seven study areas common to both assessments. In general, the comparison
indicates similarity between the two assessments, particularly for the highest benchmark and
when focusing on the summary for all areas in each assessment. Such a focus is appropriate
given the purpose of the assessments in providing estimates across a range of study areas to
inform decision making with regard to the exposures and risks that may occur across the U.S. in
areas that just meet the current standard. For the lower benchmarks and particularly in comparing
for the seven areas common to both assessments, the current assessment estimates are slightly
lower than the 2014 HREA results, most notably for the highest single year, likely reflecting the
greater variation in ambient air concentrations in some study areas in the 2014 HREA. This is
supported by recent analyses that show changes to the distribution of ambient air O3
concentrations over time occur primarily as reductions to the highest and lowest concentrations
(Downey et al., 2015; Simon et al., 2012).

In addition to generally lower baseline O3 concentrations and lower variability in the
concentrations in the three air quality scenarios for the current assessment compared to 2014
HREA, there were also two important differences in the exposure modeling approach. The first is
the use, in the current assessment, of an EVR distribution (17.32 ฑ 1.25 L/minute-m2) to indicate
when a simulated individual is at moderate or greater exertion (section 3D.2.2.3.3) rather than
using a lower value for all simulated individuals (13 L/minute-m2; 5th percentile). The current
approach would be expected to result in far fewer individuals reaching the exertion level
concomitant with the exposure level of interest, thus reducing the percent of the population at or
above benchmarks. The second difference is the focus on 7-hr average exposures (compared to
the benchmarks) in this assessment rather than 8-hr averages. With this change, it would be
expected that there would be more simulated individuals at or above a given benchmark
concentration. While these two changes to the exposure modeling approach compete in their
overall influence on the exposure results, it would be expected that the change to using the EVR
distribution would have a greater impact.

As suggested above, the difference between the two assessments in the highest year
estimates is likely a function of the baseline ambient air concentrations in the study areas. As a
reminder, the 2014 HREA used air quality scenarios developed from adjusting 2006-2010
ambient air concentrations, and some study areas had design values in that time period that were
well above the then-existing standard (and more so for the current standard). In the current

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1	exposure analysis, we selected study areas that had 2015-2017 design values close to the current

2	standard, requiring less of an adjustment for the current standard (70 ppb) air quality scenario.

3

4	Table 3D-38. Comparison of current assessment to 2014 HREA for percent of children

5	estimated to experience at least one exposure at or above benchmarks while at

6	moderate or greater exertion.

Air Quality
Scenario
(DV, ppb)

Average Percent (%) of Simulated Children with at least One Day per Year
at or above Specified Benchmark Exposure Concentration
(highest in single season)

All areas A

7 common areas A

Current PAB

2014 HREA c

Current PAB

2014 HREA c

Benchmark Exposure Concentration of 80 ppb

75

<0.1B -0.3(0.6)

0 -0.3(1.1)

<0.1 -0.3(0.6)

0.1 -0.3(1.1)

70

0 - <0.1 (0.1)

0-0.1 (0.2)

0 - <0.1 (0.1)

0 B-0.1 (0.2)

65

0 - <0.1 (<0.1)

0(0)

0 - <0.1 (<0.1)

0(0)

Benchmark Exposure Concentration of 70 ppb

75

1.1-2.0(3.4)

0.6-3.3(8.1)

1.1-1.9(3.4)

1.6-3.3(8.1)

70

0.2-0.6(0.9)

0.1-1.2(3.2)

0.2-0.6(0.9)

0.4-1.2(3.2)

65

0 -0.2(0.2)

0 - 0.2 (0.5)

0B -0.2(0.2)

0.1 -0.2(0.5)

Benchmark Exposure Concentration of 60 ppb

75

6.6-15.7 (17.9)

9.5-17.0(25.8)

6.6-11.0 (13.9)

10.3-16.3(25.8)

70

3.2-8.2(10.6)

3.3-10.2 (18.9)

3.2-6.7(9.2)

5.8-10.2 (16.9)

65

0.4-2.3(3.7)

0 -4.2(9.5)

0.4-2.3(3.7)

2.4-3.9(7.6)

A Footnote 9 contains the names of the 15 study areas evaluated for the 2014 HREA. The seven study areas common
to both include the eight evaluated in this assessment with exception of Phoenix.

B For the current analysis, calculated percent is rounded to the nearest tenth decimal using conventional rounding.
Values equal to zero are designated by "0" (there are no individuals exposed at that level). Small, non-zero values that
do not round upwards to 0.1 (i.e., <0.05) are given a value of "<0.1"

c For the 2014 HREA, calculated percent was rounded to the nearest tenth decimal using conventional rounding.
Values that did not round upwards to 0.1 (i.e., <0.05) were given a value of "0".

7

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1	Table 3D-39. Comparison of current assessment to 2014 HREA for percent of children

2	estimated to experience at least two exposure at or above benchmarks while

3	at moderate or greater exertion.

Air Quality
Scenario
(DV, ppb)

Average Percent (%) of Simulated Children with at least Two Days per
Year at or above Specified Benchmark Exposure Concentration
(highest in single season)

All areas A

7 common areas A

Current PAB

2014 HREA c

Current PAB

2014 HREA c

Benchmark Exposure Concentration of 80 ppb

75

0 - <0.1 (<0.1)

0(0.1)

0 - <0.1 (<0.1)

0 (0.1)

70

0(0)

0(0)

0(0)

0(0)

65

0(0)

0(0)

0(0)

0(0)

Benchmark Exposure Concentration of 70 ppb

75

0.1-0.3(0.7)

0.1 -0.6(2.2)

0.1-0.2(0.4)

0.2-0.6(2.2)

70

<0.1 (0.1)

0-0.1 (0.4)

<0.1 (0.1)

0-0.1 (0.4)

65

0 - <0.1 (<0.1)

0(0)

0 - <0.1 (<0.1)

0(0)

Benchmark Exposure Concentration of 60 ppb

75

1.7-8.0(9.9)

3.1-7.6 (14.4)

1.7-4.0(5.8)

3.7-7.0(13.8)

70

0.6 - 2.9 (4.3)

0.5-3.5(9.2)

0.6-1.7(2.8)

1.5-3.2(7.1)

65

<0.1-0.3(0.5)

0-0.8(2.8)

<0.1 -0.3(0.5)

0.3-0.7(2.0)

A Footnote 9 contains the names of the 15 study areas evaluated for the 2014 HREA. The seven study areas common
to both include the eight evaluated in this assessment with exception of Phoenix.

B For the current analysis, calculated percent is rounded to the nearest tenth decimal using conventional rounding.
Values equal to zero are designated by "0" (there are no individuals exposed at that level). Small, non-zero values that
do not round upwards to 0.1 (i.e., <0.05) are given a value of "<0.1"

c For the 2014 HREA. calculated percent was rounded to the nearest tenth decimal using conventional rounding.
Values that did not round upwards to 0.1 (i.e., <0.05) were given a value of "0".

4

5	3D.3.3 Lung Function Risk

6	As described above, lung function risk was estimated using two approaches. The first, a

7	population-based risk approach (i.e., using E-R functions, section 3D.2.8.2.1), combined the

8	population distribution of daily maximum 7-hr exposures occurring while at moderate or greater

9	exertion with continuous E-R functions derived from the controlled human exposure study data

10	(Table 3D-20 and Figure 3D-12). Note that the E-R function risk approach uses the full

11	distribution of daily maximum 7-hr exposures, from the minimum to the maximum exposures

12	(i.e., not simply including the upper level exposures or benchmarks). It is, however, necessary

13	that the daily maximum exposure did occur at a 7-hr EVR >17.32 ฑ 1.25 L/min-m2. The results

14	for the population-based (E-R function) risk approach, represented as percent (or counts) of the

15	population estimated to experience lung function decrements (i.e., >10%, >15%, and >20%

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23

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26

27

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30

31

32

33

34

35

reduction in FEVi) is provided in section 3D.3.3.1. A similar format to that provided for the
benchmark results above is followed, focusing largely on the air quality scenario for just meeting
the current standard and presenting the percent (and counts) of the population estimated to
experience lung function decrements while at elevated exertion.

The second risk approach, an individual-based risk approach (i.e., the MSS model,
section 3D.2.8.2.2), calculates the decrements in lung function continuously for each simulated
person using their unique time-series of O3 exposures, simultaneously occurring breathing rates,
and personal attributes (e.g., age, body mass). Note that when using the MSS model risk
approach, the estimated reduction in FEV 1 considers the prior and current exposures/breathing
rates and has no hard restriction on either the exposure or exertion level. As such, lung function
decrements could also occur at exposures and/or breathing rates below that observed in the
controlled human exposure studies. The results for the individual-based (MSS model) risk
approach are found in section 3D.3.3.2. The complete results for both of the risk approaches can
be found in Attachment 4.

3D.3.3.1 Population-based (E-R Function) Risk Approach

As was observed with the exposure benchmarks and considering any of the air quality
scenarios, a smaller percent (and number) of adults are estimated to experience lung function
decrements when compared to children (Table 3D-40 to Table 3D-51). Again, this is driven
largely by the difference in time spent outdoors at elevated exertion. Even though there is limited
variability across the eight study areas, Detroit, Phoenix, and St. Louis generally exhibited higher
risk estimates relative to the other study areas for instances where risk estimates were above 1%
(e.g., where FEVi reductions >10%). This is expected given the observation made above
regarding the results for the exposure to benchmark comparison and its relationship with the
overall distribution of O3 concentrations in ambient air (Figure 3D-7).

In general, when comparing E-R function risk estimates to the benchmark results, the
attenuation of the percent estimated to experience lung function decrements is at a lesser rate
than that observed for the percent of the population at or above the benchmark levels, with
increasing stringency of the design values, and when considering the number of times per year
either might occur. For example, while as much as 0.9% of children (and 1.0% of children with
asthma) are estimated to experience at least one FEVi reduction >15% while at elevated exertion
with air quality just meeting the current standard (Table 3D-40), on average between 0.2 to 0.4%
of children (and similarly for children with asthma) in all 8 study areas are estimated to
experience at least four such decrements (Table 3D-44) when considering the same air quality
scenario. For comparison, while as much as 0.9% of children (and 1.0% of children with asthma)
are estimated to experience at least one exposure at or above the 70 ppb benchmark while at

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elevated exertion for air quality just meeting the current standard (Table 3D-26), there are no
children (and similarly for children with asthma) estimated to experience at least four such
exposures in all but one study area (Table 3D-30) when considering the same air quality
scenario. This relative decreased rate of change observed for the E-R function risk results is
likely a function of the broader range (and low level) of exposures used in the calculation
compared to that represented by the exposure benchmarks.

The risks of lung function decrements in the 75 ppb air quality scenario, which allows
higher O3 concentrations, are of course greater (Table 3D-46 through Table 3D-48) than those
for air quality adjusted to just meet the current standard (Table 3D-40 through Table 3D-45),
differing by at most a few tenths of a percentage point for both the 15% and 20% reduction in
FEVi. A similar pattern is exhibited when comparing the lung function results for the current
standard to those for the 65 ppb air quality scenario (Table 3D-49 through Table 3D-51). A few
tenths of a percentage point lower risks are estimated for the lower design value scenario
compared to those estimated for the current standard.

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1	Table 3D-40. Percent of people estimated to experience at least one lung function

2	decrement at or above the indicated level, for air quality adjusted to just meet

3	the current standard, using the population-based (E-R function) risk

4	approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

2.2

1.9

2.5

0.5

0.4

0.6

0.2

0.1

0.2

Boston

2.2

2.0

2.3

0.5

0.5

0.6

0.2

0.2

0.2

Dallas

2.4

2.1

2.6

0.6

0.5

0.7

0.2

0.2

0.3

Detroit

2.5

2.3

2.8

0.7

0.6

0.8

0.3

0.2

0.3

Philadelphia

2.3

2.2

2.4

0.6

0.5

0.6

0.2

0.2

0.2

Phoenix

3.1

2.9

3.3

0.8

0.7

0.9

0.3

0.3

0.4

Sacramento

2.2

2.2

2.3

0.5

0.5

0.6

0.2

0.2

0.2

St. Louis

2.5

2.3

2.8

0.7

0.6

0.8

0.2

0.2

0.3

Children

with
Asthma

Atlanta

2.3

2.0

2.6

0.6

0.5

0.7

0.2

0.1

0.3

Boston

2.4

2.2

2.6

0.6

0.6

0.7

0.2

0.2

0.3

Dallas

2.6

2.3

2.8

0.7

0.5

0.8

0.2

0.2

0.3

Detroit

2.7

2.6

3.0

0.7

0.6

0.8

0.3

0.2

0.3

Philadelphia

2.4

2.4

2.5

0.6

0.6

0.6

0.2

0.2

0.2

Phoenix

3.3

3.1

3.6

0.9

0.8

1.0

0.3

0.3

0.4

Sacramento

2.3

2.3

2.4

0.5

0.5

0.6

0.2

0.2

0.2

St. Louis

2.6

2.3

2.8

0.7

0.6

0.8

0.2

0.2

0.3

Adults

Atlanta

0.6

0.6

0.7

0.1

0.1

0.2

<0.1

<0.1

0.1

Boston

0.6

0.5

0.6

0.1

0.1

0.1

<0.1

<0.1

<0.1

Dallas

0.7

0.6

0.7

0.2

0.1

0.2

0.1

<0.1

0.1

Detroit

0.6

0.6

0.7

0.2

0.1

0.2

0.1

<0.1

0.1

Philadelphia

0.6

0.6

0.6

0.1

0.1

0.1

<0.1

<0.1

<0.1

Phoenix

0.9

0.9

1.0

0.2

0.2

0.2

0.1

0.1

0.1

Sacramento

0.6

0.6

0.6

0.1

0.1

0.1

<0.1

<0.1

<0.1

St. Louis

0.7

0.6

0.7

0.1

0.1

0.2

0.1

<0.1

0.1

Adults
with
Asthma

Atlanta

0.5

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Boston

0.4

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Dallas

0.6

0.5

0.6

0.1

0.1

0.1

<0.1

<0.1

<0.1

Detroit

0.5

0.5

0.6

0.1

0.1

0.1

<0.1

<0.1

<0.1

Philadelphia

0.5

0.5

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Phoenix

0.7

0.7

0.8

0.2

0.2

0.2

0.1

0.1

0.1

Sacramento

0.5

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

St. Louis

0.6

0.5

0.6

0.1

0.1

0.1

<0.1

<0.1

0.1

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

5

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3D-120 External Review Draft v2 - Do Not Quote or Cite


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1	Table 3D-41. Number of people estimated to experience at least one lung function

2	decrement at or above the indicated level, for air quality adjusted to just meet

3	the current standard, using the population-based (E-R function) risk

4	approach.

Study
Group



>10% reduction in FEViA

>15% reduction in FEVi A

>20% reduction in FEVi A

Study Area

(# per Year)

(# per Year)

(# per Year)



Avg

Min

Max

Avg

Min

Max

Avg

Min

Max



Atlanta

26149

22779

29781

6369

5064

7768

2273

1634

2966



Boston

29437

27715

31856

7433

6804

8442

2746

2457

3254



Dallas

34128

30101

37100

8615

7070

9837

3153

2412

3760

Children

Detroit

26489

24402

28928

6978

6122

8030

2642

2220

3174

Philadelphia

30134

28919

31014

7406

7050

7661

2655

2510

2750



Phoenix

26169

24400

28193

6930

6199

7770

2614

2250

3029



Sacramento

10458

10047

10800

2484

2321

2632

859

784

932



St. Louis

13912

12540

15144

3594

3069

4143

1345

1093

1630



Atlanta

3322

2885

3793

814

646

989

289

202

383



Boston

4027

3686

4323

1024

910

1160

387

341

455

Children

with
Asthma

Dallas

3389

2956

3712

859

686

993

315

236

378

Detroit

3208

2931

3503

844

728

971

318

260

382

Philadelphia

3594

3448

3732

880

829

917

320

306

327

Phoenix

2684

2463

2901

713

623

807

269

226

311



Sacramento

1043

1009

1095

246

233

264

85

78

93



St. Louis

1439

1302

1530

370

319

419

137

109

164



Atlanta

26671

24018

29934

5658

4789

6691

1808

1409

2254



Boston

33036

30818

35514

7011

6261

7925

2218

1859

2642



Dallas

32817

29848

35083

7215

6095

8126

2370

1875

2813

Adults

Detroit

25452

23857

27527

5921

5309

6816

2054

1770

2491

Philadelphia

32243

30936

33288

6826

6449

7146

2150

2004

2266



Phoenix

28046

26622

29304

6639

6109

7102

2284

2036

2483



Sacramento

10719

10490

10891

2239

2144

2315

677

629

715



St. Louis

14271

12662

15165

3207

2683

3577

1073

858

1252



Atlanta

1714

1550

1902

352

282

423

117

70

141



Boston

2870

2544

3131

587

489

685

196

196

196

Adults
with
Asthma

Dallas

1953

1797

2110

443

391

469

130

78

156

Detroit

2338

2163

2491

524

459

590

175

131

197

Philadelphia

2585

2527

2701

552

523

610

174

174

174

Phoenix

2020

1937

2086

480

447

497

166

149

199



Sacramento

629

600

657

133

114

143

29

29

29



St. Louis

1132

1037

1180

250

215

286

84

72

107

A These values represent the population of individuals exposed in each study area. Values equal to zero are indicated by "0" (there are no
individuals experiencing decrements at the level).

5

6

March 2023

3D-121 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-42. Percent of people estimated to experience at least two lung function

2	decrements at or above the indicated level, for air quality adjusted to just

3	meet the current standard, using the population-based (E-R function) risk

4	approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

1.4

1.3

1.6

0.3

0.3

0.4

0.1

0.1

0.1

Boston

1.3

1.3

1.4

0.3

0.3

0.3

0.1

0.1

0.1

Dallas

1.6

1.5

1.7

0.4

0.3

0.4

0.1

0.1

0.1

Detroit

1.6

1.5

1.8

0.4

0.3

0.4

0.1

0.1

0.1

Philadelphia

1.5

1.4

1.6

0.3

0.3

0.3

0.1

0.1

0.1

Phoenix

2.2

2.1

2.4

0.5

0.5

0.6

0.2

0.2

0.2

Sacramento

1.5

1.5

1.6

0.3

0.3

0.3

0.1

0.1

0.1

St. Louis

1.7

1.5

1.8

0.4

0.3

0.4

0.1

0.1

0.1

Children

with
Asthma

Atlanta

1.6

1.4

1.7

0.3

0.3

0.4

0.1

0.1

0.1

Boston

1.5

1.4

1.6

0.3

0.3

0.4

0.1

0.1

0.1

Dallas

1.7

1.6

1.9

0.4

0.3

0.4

0.1

0.1

0.1

Detroit

1.8

1.6

1.9

0.4

0.4

0.4

0.1

0.1

0.1

Philadelphia

1.6

1.6

1.7

0.4

0.3

0.4

0.1

0.1

0.1

Phoenix

2.4

2.2

2.6

0.6

0.5

0.6

0.2

0.2

0.2

Sacramento

1.6

1.6

1.6

0.3

0.3

0.4

0.1

0.1

0.1

St. Louis

1.7

1.5

1.8

0.4

0.3

0.4

0.1

0.1

0.1

Adults

Atlanta

0.4

0.3

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Boston

0.3

0.3

0.3

0.1

0.1

0.1

<0.1

<0.1

<0.1

Dallas

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Detroit

0.4

0.3

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Philadelphia

0.4

0.3

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Phoenix

0.6

0.6

0.6

0.1

0.1

0.1

<0.1

<0.1

<0.1

Sacramento

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

St. Louis

0.4

0.3

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Adults
with
Asthma

Atlanta

0.3

0.3

0.3

0.1

<0.1

0.1

<0.1

<0.1

<0.1

Boston

0.3

0.2

0.3

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Dallas

0.3

0.3

0.4

0.1

<0.1

0.1

<0.1

<0.1

<0.1

Detroit

0.3

0.3

0.3

0.1

0.1

0.1

<0.1

<0.1

<0.1

Philadelphia

0.3

0.3

0.3

0.1

0.1

0.1

<0.1

<0.1

<0.1

Phoenix

0.5

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Sacramento

0.3

0.3

0.3

<0.1

<0.1

0.1

<0.1

<0.1

<0.1

St. Louis

0.3

0.3

0.3

0.1

0.1

0.1

<0.1

<0.1

<0.1

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

5

March 2023

3D-122 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-43. Number of people estimated to experience at least two lung function

2	decrements at or above the indicated level, for air quality adjusted to just

3	meet the current standard, using the population-based (E-R function) risk

4	approach.

Study
Group



>10% reduction in FEViA

>15% reduction in FEVi A

>20% reduction in FEVi A

Study Area

(# per Year)

(# per Year)

(# per Year)



Avg

Min

Max

Avg

Min

Max

Avg

Min

Max



Atlanta

17291

15395

19450

3632

3047

4277

1110

868

1372



Boston

18378

17430

19432

3891

3572

4278

1206

1069

1388



Dallas

22897

20572

24757

5036

4256

5722

1624

1277

1939

Children

Detroit

17100

15973

18384

3896

3503

4370

1295

1127

1509

Philadelphia

19992

18901

20909

4263

3972

4518

1324

1222

1419



Phoenix

18937

17748

20310

4529

4076

5039

1566

1359

1797



Sacramento

7200

6972

7415

1511

1436

1592

461

427

497



St. Louis

9222

8351

9790

2076

1803

2295

680

565

783



Atlanta

2219

1977

2462

464

383

545

148

121

182



Boston

2526

2321

2662

539

478

592

159

137

182

Children

with
Asthma

Dallas

2278

2034

2483

496

402

567

158

118

189

Detroit

2064

1890

2220

468

416

520

156

139

173

Philadelphia

2416

2292

2532

517

480

546

160

153

175

Phoenix

1948

1797

2109

467

410

524

161

142

184



Sacramento

717

699

753

153

148

163

49

47

54



St. Louis

941

856

1002

210

182

228

67

55

73



Atlanta

15542

14157

17468

2841

2465

3310

751

634

916



Boston

18654

17904

19274

3326

3131

3522

848

783

881



Dallas

19091

17893

19925

3542

3204

3829

990

859

1094

Adults

Detroit

14135

13567

14747

2731

2556

2949

765

721

852

Philadelphia

18939

18126

19607

3457

3224

3660

930

871

959



Phoenix

17781

16986

18625

3708

3427

3973

1142

1043

1242



Sacramento

6536

6489

6574

1182

1172

1201

305

286

314



St. Louis

8203

7261

8870

1586

1323

1753

453

358

501



Atlanta

1010

916

1127

188

141

211

70

70

70



Boston

1631

1468

1761

261

196

294

98

98

98

Adults
with
Asthma

Dallas

1120

1094

1172

208

156

234

78

78

78

Detroit

1311

1245

1376

262

262

262

66

66

66

Philadelphia

1452

1394

1569

261

261

261

87

87

87

Phoenix

1275

1192

1341

265

248

298

83

50

99



Sacramento

391

372

400

67

57

86

29

29

29



St. Louis

656

608

715

131

107

143

36

36

36

A These values represent the population of individuals exposed in each study area. Values equal to zero are indicated by "0" (there are no
individuals experiencing decrements at the level).

5

6

March 2023

3D-123 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-44. Percent of people estimated to experience at least four lung function

2	decrements at or above the indicated level, for air quality adjusted to just

3	meet the current standard, using the population-based (E-R function) risk

4	approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

1.0

0.9

1.1

0.2

0.2

0.2

<0.1

<0.1

0.1

Boston

0.8

0.8

0.9

0.2

0.1

0.2

<0.1

<0.1

<0.1

Dallas

1.1

1.0

1.1

0.2

0.2

0.2

0.1

0.1

0.1

Detroit

1.0

1.0

1.1

0.2

0.2

0.2

0.1

0.1

0.1

Philadelphia

1.0

0.9

1.1

0.2

0.2

0.2

0.1

<0.1

0.1

Phoenix

1.6

1.5

1.7

0.4

0.3

0.4

0.1

0.1

0.1

Sacramento

1.1

1.0

1.1

0.2

0.2

0.2

0.1

0.1

0.1

St. Louis

1.1

1.0

1.2

0.2

0.2

0.2

0.1

0.1

0.1

Children

with
Asthma

Atlanta

1.0

1.0

1.2

0.2

0.2

0.2

0.1

<0.1

0.1

Boston

0.9

0.9

1.0

0.2

0.2

0.2

<0.1

<0.1

0.1

Dallas

1.2

1.1

1.2

0.2

0.2

0.3

0.1

0.1

0.1

Detroit

1.1

1.0

1.2

0.2

0.2

0.2

0.1

0.1

0.1

Philadelphia

1.1

1.0

1.1

0.2

0.2

0.2

0.1

<0.1

0.1

Phoenix

1.7

1.6

1.8

0.4

0.4

0.4

0.1

0.1

0.1

Sacramento

1.1

1.1

1.1

0.2

0.2

0.2

0.1

0.1

0.1

St. Louis

1.1

1.0

1.2

0.2

0.2

0.2

0.1

<0.1

0.1

Adults

Atlanta

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Boston

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Dallas

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Detroit

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Philadelphia

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Phoenix

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Sacramento

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

St. Louis

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Adults
with
Asthma

Atlanta

0.2

0.2

0.2

<0.1

<0.1

<0.1

0

0

0

Boston

0.1

0.1

0.2

<0.1

<0.1

<0.1

0

0

0

Dallas

0.2

0.2

0.2

<0.1

<0.1

<0.1

0

0

0

Detroit

0.2

0.2

0.2

<0.1

<0.1

<0.1

0

0

0

Philadelphia

0.2

0.2

0.2

<0.1

<0.1

<0.1

0

0

0

Phoenix

0.3

0.3

0.3

0.1

0.1

0.1

<0.1

<0.1

<0.1

Sacramento

0.2

0.2

0.2

<0.1

<0.1

<0.1

0

0

0

St. Louis

0.2

0.2

0.2

<0.1

<0.1

<0.1

0

0

0

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

5

March 2023

3D-124 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-45. Number of people estimated to experience at least four lung function

2	decrements at or above the indicated level, for air quality adjusted to just

3	meet the current standard, using the population-based (E-R function) risk

4	approach.

Study
Group

Study Area

>10% reduction in FEViA
(# per Year)

>15% reduction in FEVi A
(# per Year)

>20% reduction in FEVi A
(# per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

11501

10371

12953

2179

1876

2542

592

484

726

Boston

11476

11127

11673

2131

2025

2207

561

523

592

Dallas

15259

14022

16197

3011

2648

3334

851

709

993

Detroit

10816

10180

11429

2174

1994

2359

636

572

711

Philadelphia

13227

12310

13969

2539

2314

2728

698

611

764

Phoenix

13597

12823

14564

2972

2703

3284

948

835

1076

Sacramento

4935

4814

5023

944

908

978

256

241

272

St. Louis

6041

5446

6411

1214

1056

1302

352

291

382

Children

with
Asthma

Atlanta

1486

1352

1654

282

242

323

81

61

101

Boston

1585

1502

1661

296

273

319

83

68

91

Dallas

1529

1395

1632

299

260

331

87

71

95

Detroit

1306

1197

1387

260

243

277

75

69

87

Philadelphia

1593

1484

1702

306

284

327

80

65

87

Phoenix

1406

1316

1500

311

283

340

99

85

113

Sacramento

489

474

512

96

93

101

26

23

31

St. Louis

619

565

674

124

109

137

33

27

36

Adults

Atlanta

8969

8382

10072

1455

1338

1690

329

282

423

Boston

10534

10175

10762

1630

1565

1663

359

294

391

Dallas

10965

10548

11252

1823

1719

1875

417

391

469

Detroit

7865

7537

8127

1311

1245

1376

328

328

328

Philadelphia

10922

10457

11241

1772

1656

1830

407

349

436

Phoenix

11093

10629

11672

2069

1937

2235

563

497

646

Sacramento

3992

3916

4059

648

629

657

143

143

143

St. Louis

4626

4113

5043

775

680

858

179

143

215

Adults
with
Asthma

Atlanta

587

563

634

70

70

70

0

0

0

Boston

913

783

978

131

98

196

0

0

0

Dallas

651

625

703

78

78

78

0

0

0

Detroit

721

655

786

131

131

131

0

0

0

Philadelphia

813

784

871

116

87

174

0

0

0

Phoenix

778

745

844

149

149

149

50

50

50

Sacramento

229

229

229

29

29

29

0

0

0

St. Louis

358

322

393

60

36

72

0

0

0

A These values represent the population of individuals exposed in each study area. Values equal to zero are indicated by "0" (there are no
individuals experiencing decrements at the level).

5

March 2023

3D-125 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-46. Percent of people estimated to experience at least one lung function

2	decrement at or above the indicated level, for the 75 ppb air quality scenario,

3	using the population-based (E-R function) risk approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

2.8

2.4

3.2

0.8

0.6

1.0

0.3

0.2

0.4

Boston

2.4

2.3

2.7

0.7

0.6

0.8

0.3

0.2

0.3

Dallas

2.8

2.4

3.1

0.8

0.6

0.9

0.3

0.2

0.4

Detroit

3.0

2.7

3.4

0.9

0.8

1.0

0.4

0.3

0.5

Philadelphia

2.9

2.7

3.0

0.8

0.8

0.8

0.3

0.3

0.3

Phoenix

3.8

3.5

4.1

1.1

1.0

1.3

0.5

0.4

0.6

Sacramento

2.8

2.7

2.9

0.8

0.7

0.8

0.3

0.3

0.3

St. Louis

3.1

2.7

3.3

0.9

0.8

1.0

0.4

0.3

0.4

Children

with
Asthma

Atlanta

3.0

2.6

3.5

0.9

0.7

1.1

0.4

0.2

0.5

Boston

2.7

2.5

3.0

0.8

0.6

0.9

0.3

0.2

0.4

Dallas

3.0

2.6

3.3

0.8

0.7

1.0

0.3

0.3

0.4

Detroit

3.3

3.0

3.6

1.0

0.8

1.1

0.4

0.3

0.5

Philadelphia

3.1

2.9

3.1

0.9

0.8

0.9

0.3

0.3

0.4

Phoenix

4.1

3.7

4.4

1.2

1.1

1.4

0.5

0.4

0.6

Sacramento

2.9

2.8

2.9

0.8

0.7

0.8

0.3

0.3

0.3

St. Louis

3.1

2.7

3.4

0.9

0.7

1.0

0.4

0.3

0.4

Adults

Atlanta

0.8

0.7

0.9

0.2

0.2

0.2

0.1

0.1

0.1

Boston

0.6

0.6

0.7

0.1

0.1

0.2

<0.1

<0.1

0.1

Dallas

0.8

0.7

0.9

0.2

0.2

0.2

0.1

0.1

0.1

Detroit

0.7

0.7

0.8

0.2

0.2

0.2

0.1

0.1

0.1

Philadelphia

0.7

0.7

0.8

0.2

0.2

0.2

0.1

0.1

0.1

Phoenix

1.1

1.0

1.2

0.3

0.3

0.3

0.1

0.1

0.1

Sacramento

0.7

0.7

0.8

0.2

0.2

0.2

0.1

0.1

0.1

St. Louis

0.8

0.7

0.8

0.2

0.2

0.2

0.1

0.1

0.1

Adults
with
Asthma

Atlanta

0.6

0.5

0.7

0.1

0.1

0.2

<0.1

<0.1

0.1

Boston

0.5

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Dallas

0.6

0.6

0.7

0.2

0.1

0.2

0.1

<0.1

0.1

Detroit

0.6

0.6

0.7

0.2

0.1

0.2

0.1

<0.1

0.1

Philadelphia

0.6

0.6

0.6

0.1

0.1

0.2

0.1

0.1

0.1

Phoenix

0.9

0.8

0.9

0.2

0.2

0.2

0.1

0.1

0.1

Sacramento

0.6

0.5

0.6

0.1

0.1

0.1

<0.1

<0.1

<0.1

St. Louis

0.6

0.6

0.7

0.2

0.1

0.2

0.1

0.1

0.1

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

4

March 2023

3D-126 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-47. Percent of people estimated to experience at least two lung function

2	decrements at or above the indicated level, for the 75 ppb air quality scenario,

3	using the population-based (E-R function) risk approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

1.8

1.6

2.0

0.4

0.3

0.5

0.1

0.1

0.2

Boston

1.5

1.4

1.6

0.3

0.3

0.4

0.1

0.1

0.1

Dallas

1.9

1.6

2.1

0.4

0.4

0.5

0.2

0.1

0.2

Detroit

1.9

1.7

2.1

0.5

0.4

0.5

0.2

0.1

0.2

Philadelphia

1.9

1.8

1.9

0.4

0.4

0.5

0.2

0.1

0.2

Phoenix

2.7

2.5

2.9

0.7

0.6

0.8

0.3

0.2

0.3

Sacramento

1.9

1.8

1.9

0.4

0.4

0.5

0.1

0.1

0.2

St. Louis

2.0

1.8

2.1

0.5

0.4

0.5

0.2

0.1

0.2

Children

with
Asthma

Atlanta

1.9

1.7

2.2

0.5

0.4

0.5

0.2

0.1

0.2

Boston

1.7

1.5

1.8

0.4

0.3

0.4

0.1

0.1

0.2

Dallas

2.0

1.8

2.2

0.5

0.4

0.6

0.2

0.1

0.2

Detroit

2.0

1.9

2.2

0.5

0.5

0.6

0.2

0.2

0.2

Philadelphia

2.0

1.9

2.1

0.5

0.4

0.5

0.2

0.1

0.2

Phoenix

2.9

2.7

3.1

0.8

0.7

0.9

0.3

0.3

0.3

Sacramento

1.9

1.9

2.0

0.5

0.4

0.5

0.1

0.1

0.2

St. Louis

2.0

1.8

2.1

0.5

0.4

0.5

0.2

0.1

0.2

Adults

Atlanta

0.4

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Boston

0.3

0.3

0.3

0.1

0.1

0.1

<0.1

<0.1

<0.1

Dallas

0.4

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Detroit

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Philadelphia

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Phoenix

0.7

0.6

0.7

0.2

0.1

0.2

0.1

<0.1

0.1

Sacramento

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

St. Louis

0.4

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Adults
with
Asthma

Atlanta

0.3

0.3

0.3

0.1

0.1

0.1

<0.1

<0.1

<0.1

Boston

0.3

0.2

0.3

0.1

<0.1

0.1

<0.1

<0.1

<0.1

Dallas

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Detroit

0.3

0.3

0.3

0.1

0.1

0.1

<0.1

<0.1

<0.1

Philadelphia

0.3

0.3

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Phoenix

0.5

0.5

0.6

0.1

0.1

0.1

<0.1

<0.1

0.1

Sacramento

0.3

0.3

0.3

0.1

0.1

0.1

<0.1

<0.1

<0.1

St. Louis

0.4

0.3

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

4

March 2023

3D-127 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-48. Percent of people estimated to experience at least four lung function

2	decrements at or above the indicated level, for the 75 ppb air quality scenario,

3	using the population-based (E-R function) risk approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

1.2

1.0

1.3

0.2

0.2

0.3

0.1

0.1

0.1

Boston

0.9

0.9

0.9

0.2

0.2

0.2

<0.1

<0.1

0.1

Dallas

1.2

1.1

1.3

0.3

0.2

0.3

0.1

0.1

0.1

Detroit

1.2

1.1

1.3

0.3

0.2

0.3

0.1

0.1

0.1

Philadelphia

1.2

1.1

1.3

0.3

0.2

0.3

0.1

0.1

0.1

Phoenix

1.9

1.8

2.0

0.5

0.4

0.5

0.2

0.1

0.2

Sacramento

1.3

1.2

1.3

0.3

0.2

0.3

0.1

0.1

0.1

St. Louis

1.3

1.1

1.4

0.3

0.2

0.3

0.1

0.1

0.1

Children

with
Asthma

Atlanta

1.3

1.2

1.4

0.3

0.2

0.3

0.1

0.1

0.1

Boston

1.0

1.0

1.1

0.2

0.2

0.2

0.1

0.1

0.1

Dallas

1.3

1.2

1.4

0.3

0.2

0.3

0.1

0.1

0.1

Detroit

1.2

1.2

1.3

0.3

0.2

0.3

0.1

0.1

0.1

Philadelphia

1.3

1.2

1.4

0.3

0.3

0.3

0.1

0.1

0.1

Phoenix

2.0

1.9

2.2

0.5

0.4

0.6

0.2

0.2

0.2

Sacramento

1.3

1.3

1.3

0.3

0.3

0.3

0.1

0.1

0.1

St. Louis

1.3

1.1

1.4

0.3

0.2

0.3

0.1

0.1

0.1

Adults

Atlanta

0.2

0.2

0.3

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Boston

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Dallas

0.3

0.2

0.3

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Detroit

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Philadelphia

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Phoenix

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Sacramento

0.3

0.3

0.3

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

St. Louis

0.2

0.2

0.3

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Adults
with
Asthma

Atlanta

0.2

0.2

0.2

<0.1

<0.1

<0.1

0

0

0

Boston

0.1

0.1

0.2

<0.1

<0.1

<0.1

0

0

0

Dallas

0.2

0.2

0.2

<0.1

<0.1

<0.1

0

0

0

Detroit

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

0

<0.1

Philadelphia

0.2

0.2

0.2

<0.1

<0.1

<0.1

0

0

0

Phoenix

0.3

0.3

0.3

0.1

0.1

0.1

<0.1

<0.1

<0.1

Sacramento

0.2

0.2

0.2

<0.1

<0.1

<0.1

0

0

0

St. Louis

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

0

<0.1

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

4

March 2023

3D-128 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-49. Percent of people estimated to experience at least one lung function

2	decrement at or above the indicated level, for the 65 ppb air quality scenario,

3	using the population-based (E-R function) risk approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

1.7

1.5

1.9

0.4

0.3

0.4

0.1

0.1

0.1

Boston

1.8

1.7

1.9

0.4

0.4

0.4

0.1

0.1

0.2

Dallas

2.0

1.8

2.1

0.5

0.4

0.5

0.2

0.1

0.2

Detroit

2.0

1.9

2.2

0.5

0.4

0.5

0.2

0.1

0.2

Philadelphia

1.9

1.8

2.0

0.4

0.4

0.4

0.1

0.1

0.1

Phoenix

2.4

2.3

2.6

0.6

0.5

0.6

0.2

0.2

0.2

Sacramento

1.7

1.7

1.7

0.3

0.3

0.4

0.1

0.1

0.1

St. Louis

2.0

1.8

2.1

0.4

0.4

0.5

0.1

0.1

0.2

Children

with
Asthma

Atlanta

1.8

1.6

2.0

0.4

0.3

0.5

0.1

0.1

0.2

Boston

2.0

1.9

2.1

0.4

0.4

0.5

0.1

0.1

0.2

Dallas

2.2

2.0

2.3

0.5

0.4

0.5

0.2

0.1

0.2

Detroit

2.2

2.1

2.4

0.5

0.5

0.6

0.2

0.2

0.2

Philadelphia

2.0

2.0

2.1

0.5

0.4

0.5

0.1

0.1

0.1

Phoenix

2.6

2.4

2.8

0.6

0.5

0.7

0.2

0.2

0.2

Sacramento

1.7

1.7

1.8

0.4

0.3

0.4

0.1

0.1

0.1

St. Louis

2.0

1.8

2.2

0.5

0.4

0.5

0.1

0.1

0.2

Adults

Atlanta

0.5

0.5

0.6

0.1

0.1

0.1

<0.1

<0.1

<0.1

Boston

0.5

0.5

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Dallas

0.6

0.6

0.6

0.1

0.1

0.1

<0.1

<0.1

<0.1

Detroit

0.5

0.5

0.6

0.1

0.1

0.1

<0.1

<0.1

<0.1

Philadelphia

0.5

0.5

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Phoenix

0.8

0.7

0.8

0.2

0.2

0.2

<0.1

<0.1

0.1

Sacramento

0.5

0.5

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

St. Louis

0.6

0.5

0.6

0.1

0.1

0.1

<0.1

<0.1

<0.1

Adults
with
Asthma

Atlanta

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Boston

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Dallas

0.5

0.5

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Detroit

0.5

0.5

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Philadelphia

0.4

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Phoenix

0.6

0.6

0.6

0.1

0.1

0.1

<0.1

<0.1

<0.1

Sacramento

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

St. Louis

0.5

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

4

March 2023

3D-129 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-50. Percent of people estimated to experience at least two lung function

2	decrements at or above the indicated level, for the 65 ppb air quality scenario,

3	using the population-based (E-R function) risk approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

1.1

1.0

1.3

0.2

0.2

0.2

0.1

<0.1

0.1

Boston

1.1

1.1

1.2

0.2

0.2

0.2

0.1

0.1

0.1

Dallas

1.4

1.3

1.5

0.3

0.2

0.3

0.1

0.1

0.1

Detroit

1.4

1.3

1.4

0.3

0.3

0.3

0.1

0.1

0.1

Philadelphia

1.3

1.2

1.4

0.3

0.2

0.3

0.1

0.1

0.1

Phoenix

1.8

1.7

1.9

0.4

0.4

0.4

0.1

0.1

0.1

Sacramento

1.2

1.2

1.2

0.2

0.2

0.2

0.1

0.1

0.1

St. Louis

1.4

1.2

1.4

0.3

0.2

0.3

0.1

0.1

0.1

Children

with
Asthma

Atlanta

1.2

1.1

1.4

0.2

0.2

0.3

0.1

0.1

0.1

Boston

1.3

1.2

1.3

0.2

0.2

0.3

0.1

0.1

0.1

Dallas

1.5

1.4

1.6

0.3

0.3

0.3

0.1

0.1

0.1

Detroit

1.5

1.4

1.5

0.3

0.3

0.3

0.1

0.1

0.1

Philadelphia

1.4

1.3

1.5

0.3

0.3

0.3

0.1

0.1

0.1

Phoenix

1.9

1.8

2.1

0.4

0.4

0.5

0.1

0.1

0.1

Sacramento

1.2

1.2

1.3

0.2

0.2

0.2

0.1

0.1

0.1

St. Louis

1.4

1.2

1.4

0.3

0.2

0.3

0.1

0.1

0.1

Adults

Atlanta

0.3

0.3

0.3

0.1

<0.1

0.1

<0.1

<0.1

<0.1

Boston

0.3

0.3

0.3

<0.1

<0.1

0.1

<0.1

<0.1

<0.1

Dallas

0.4

0.3

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Detroit

0.3

0.3

0.3

0.1

0.1

0.1

<0.1

<0.1

<0.1

Philadelphia

0.3

0.3

0.3

0.1

0.1

0.1

<0.1

<0.1

<0.1

Phoenix

0.5

0.5

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Sacramento

0.3

0.3

0.3

0.1

0.1

0.1

<0.1

<0.1

<0.1

St. Louis

0.3

0.3

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Adults
with
Asthma

Atlanta

0.2

0.2

0.3

<0.1

<0.1

<0.1

<0.1

0

<0.1

Boston

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Dallas

0.3

0.3

0.3

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Detroit

0.3

0.3

0.3

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Philadelphia

0.3

0.2

0.3

<0.1

<0.1

0.1

<0.1

<0.1

<0.1

Phoenix

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Sacramento

0.2

0.2

0.2

<0.1

<0.1

<0.1

0

0

0

St. Louis

0.3

0.2

0.3

<0.1

<0.1

0.1

<0.1

<0.1

<0.1

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

4

March 2023

3D-130 External Review Draft v2 - Do Not Quote or Cite


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1	Table 3D-51. Percent of people estimated to experience at least four lung function

2	decrements at or above the indicated level, for the 65 ppb air quality scenario,

3	using the population-based (E-R function) risk approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

0.8

0.7

0.9

0.1

0.1

0.2

<0.1

<0.1

<0.1

Boston

0.7

0.7

0.7

0.1

0.1

0.1

<0.1

<0.1

<0.1

Dallas

0.9

0.9

1.0

0.2

0.2

0.2

<0.1

<0.1

0.1

Detroit

0.9

0.8

0.9

0.2

0.2

0.2

<0.1

<0.1

<0.1

Philadelphia

0.9

0.8

0.9

0.2

0.1

0.2

<0.1

<0.1

<0.1

Phoenix

1.3

1.2

1.4

0.3

0.2

0.3

0.1

0.1

0.1

Sacramento

0.8

0.8

0.9

0.1

0.1

0.2

<0.1

<0.1

<0.1

St. Louis

0.9

0.8

1.0

0.2

0.1

0.2

<0.1

<0.1

<0.1

Children

with
Asthma

Atlanta

0.8

0.8

0.9

0.1

0.1

0.2

<0.1

<0.1

<0.1

Boston

0.8

0.8

0.8

0.1

0.1

0.2

<0.1

<0.1

<0.1

Dallas

1.0

0.9

1.1

0.2

0.2

0.2

<0.1

<0.1

0.1

Detroit

0.9

0.9

1.0

0.2

0.2

0.2

<0.1

<0.1

<0.1

Philadelphia

0.9

0.9

1.0

0.2

0.1

0.2

<0.1

<0.1

<0.1

Phoenix

1.4

1.3

1.5

0.3

0.3

0.3

0.1

0.1

0.1

Sacramento

0.9

0.9

0.9

0.2

0.2

0.2

<0.1

<0.1

<0.1

St. Louis

0.9

0.8

1.0

0.2

0.1

0.2

<0.1

<0.1

<0.1

Adults

Atlanta

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Boston

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Dallas

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Detroit

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Philadelphia

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Phoenix

0.3

0.3

0.3

0.1

0.1

0.1

<0.1

<0.1

<0.1

Sacramento

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

St. Louis

0.2

0.2

0.2

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Adults
with
Asthma

Atlanta

0.1

0.1

0.1

<0.1

<0.1

<0.1

0

0

0

Boston

0.1

0.1

0.1

<0.1

<0.1

<0.1

0

0

0

Dallas

0.2

0.2

0.2

<0.1

<0.1

<0.1

0

0

0

Detroit

0.2

0.1

0.2

<0.1

<0.1

<0.1

0

0

0

Philadelphia

0.1

0.1

0.2

<0.1

<0.1

<0.1

0

0

0

Phoenix

0.2

0.2

0.3

<0.1

<0.1

<0.1

<0.1

<0.1

<0.1

Sacramento

0.1

0.1

0.1

<0.1

<0.1

<0.1

0

0

0

St. Louis

0.2

0.1

0.2

<0.1

<0.1

<0.1

0

0

0

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

4

5

March 2023

3D-131 External Review Draft v2 - Do Not Quote or Cite


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1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

3D.3.3.2 Individual-based (MSS Model) Risk Approach

Lung function decrements estimated using the individual-based (MSS model) risk
approach are about a factor of four or greater than those estimated using the population-based (E-
R function) risk approach (Table 3D-52 through Table 3D-63). The estimated risk of at least one
lung function decrement at or above 15% could be as high as 7.8% of children (and 8.7% of
children with asthma) considering the worst year air quality and air quality just meeting the
current standard, with the average across the 3-year period ranging from about 4.1% to 7.1% of
children (and 4.5 to 8.2% of children with asthma) across the eight study areas (Table 3D-52).
Recall that when using the E-R approach for the same air quality scenario, only about 1% of
children were estimated to experience a decrement at or above 15% in the worst single year,
worst area, and between 0.5 to 0.9% on average across the three years. This difference in
estimated risks is generally similar to the comparison of the two approaches provided in the 2014
HREA (2014 HREA, Table 6-8) and is directly a result of the differences that exist between the
approaches. While both of these risk approaches allow for exposures at and below that observed
in the controlled human exposure studies, the MSS model does not have a strict restriction
regarding the magnitude of the ventilation rate or its duration. The impact of these important
model inputs (i.e., exposure, ventilation rate, and their duration) on the E-R and MSS risk results
is discussed further in section 3D.3.4.

March 2023

3D-132 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-52. Percent of people estimated to experience at least one lung function

2	decrement at or above the indicated level, for air quality adjusted to just meet

3	the current standard, using the individual-based (MSS model) risk approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

13.2

11.7

15.1

4.1

3.4

5.0

1.7

1.3

2.1

Boston

13.2

12.4

14.1

4.4

4.0

5.0

1.9

1.6

2.3

Dallas

14.6

13.1

15.7

4.9

4.0

5.4

2.1

1.6

2.5

Detroit

15.6

14.4

16.9

5.4

4.8

6.1

2.4

2

2.7

Philadelphia

14.5

13.6

15.0

4.6

4.3

4.8

1.9

1.8

1.9

Phoenix

20.4

19.4

21.8

7.1

6.4

7.8

3.1

2.7

3.6

Sacramento

14.3

13.8

14.7

4.4

4.3

4.7

1.8

1.7

2

St. Louis

15.4

14.0

16.3

5.2

4.5

5.9

2.2

1.9

2.7

Children

with
Asthma

Atlanta

14.4

12.5

16.6

4.5

3.4

5.9

1.9

1.5

2.6

Boston

13.9

12.9

14.7

4.8

4.4

5.4

2

1.7

2.4

Dallas

15.7

13.6

16.9

5.4

4.5

5.9

2.5

1.8

2.8

Detroit

16.8

15.3

18.4

6.2

5.7

6.9

2.7

2.3

3.3

Philadelphia

15.2

15.0

15.5

4.8

4.6

5.3

1.9

1.8

2.1

Phoenix

22.0

20.4

23.3

8.2

7.6

8.7

3.5

3

3.9

Sacramento

14.7

14.2

15.0

4.5

4.3

4.8

1.8

1.6

2.1

St. Louis

15.8

14.5

16.5

5.4

4.7

5.8

2.4

2

2.8

Adults

Atlanta

2.5

2.3

2.8

0.7

0.6

0.8

0.3

0.2

0.4

Boston

2.3

2.1

2.5

0.6

0.6

0.7

0.3

0.2

0.3

Dallas

2.9

2.6

3.1

0.8

0.7

1.0

0.3

0.3

0.4

Detroit

2.6

2.5

2.8

0.8

0.7

0.9

0.3

0.3

0.4

Philadelphia

2.5

2.4

2.6

0.7

0.7

0.7

0.3

0.3

0.3

Phoenix

4.4

4.1

4.8

1.4

1.3

1.5

0.6

0.6

0.6

Sacramento

2.6

2.6

2.6

0.7

0.6

0.7

0.3

0.3

0.3

St. Louis

2.7

2.3

2.9

0.8

0.7

0.9

0.3

0.3

0.4

Adults
with
Asthma

Atlanta

2.3

2.2

2.4

0.6

0.6

0.7

0.2

0.1

0.3

Boston

2.0

1.8

2.4

0.5

0.4

0.6

0.2

0.1

0.3

Dallas

2.5

2.1

2.9

0.7

0.5

1.0

0.3

0.1

0.5

Detroit

2.5

2.2

2.6

0.7

0.6

0.8

0.4

0.2

0.5

Philadelphia

2.2

2.1

2.4

0.6

0.4

0.7

0.2

0.1

0.3

Phoenix

3.5

3.1

3.8

1.1

1.0

1.2

0.5

0.4

0.6

Sacramento

2.0

2.0

2.1

0.6

0.5

0.6

0.2

0.2

0.3

St. Louis

2.6

2.2

2.9

0.7

0.6

0.8

0.3

0.2

0.4

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

4

March 2023

3D-133 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-53. Number of people estimated to experience at least one lung function

2	decrement at or above the indicated level, for air quality adjusted to just meet

3	the current standard, using the individual-based (MSS model) risk approach.

Study
Group

Study Area

>10% reduction in FEViA
(# per Year)

>15% reduction in FEVi A
(# per Year)

>20% reduction in FEVi A
(# per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

159429

141680

182558

49769

40676

60328

20378

15233

25685

Boston

179806

168747

192821

60125

55225

68218

26251

22368

31924

Dallas

207221

185830

222622

68911

57317

76942

29588

22747

34853

Detroit

162690

149480

176362

56695

50434

63632

24708

21037

28547

Philadelphia

189412

178688

196192

60159

56856

62400

24692

23615

25449

Phoenix

173383

164589

185182

60104

54688

65827

26306

22773

30302

Sacramento

66574

64364

68293

20665

20024

21871

8473

7904

9286

St. Louis

84339

76632

89017

28337

24351

32356

12185

10309

14507

Children

with
Asthma

Atlanta

20513

17776

23929

6356

4802

8434

2670

2078

3733

Boston

23353

21366

24529

8002

7259

9056

3390

2844

3959

Dallas

20485

17781

22298

7093

5911

7779

3208

2388

3689

Detroit

19702

17603

21662

7226

6521

8151

3197

2653

3902

Philadelphia

22393

21869

23135

7115

6701

7923

2859

2575

3099

Phoenix

17885

16460

18994

6690

6114

7119

2854

2434

3199

Sacramento

6625

6328

6972

2058

1941

2244

807

699

978

St. Louis

8852

8278

9234

3008

2650

3206

1327

1157

1512

Adults

Atlanta

105509

97903

117483

29535

25779

35639

11692

8804

15284

Boston

135567

121022

149395

37732

32286

41874

16110

12229

18295

Dallas

133978

119705

144083

39563

33442

44694

15680

13127

19222

Detroit

104123

97067

110175

30411

26872

33426

11994

10159

13764

Philadelphia

131672

124004

135506

36048

35118

37123

14175

14030

14466

Phoenix

131520

121636

143440

41440

40132

43658

17367

16887

18327

Sacramento

43953

43734

44306

11643

10948

12291

4840

4802

4888

St. Louis

57287

48965

62593

17168

13985

19207

6974

5508

8226

Adults
with
Asthma

Atlanta

8123

7677

8875

2278

2043

2395

751

493

1127

Boston

12980

11447

15067

3229

2348

3816

1337

881

1663

Dallas

8413

6876

9611

2344

1563

3360

912

391

1641

Detroit

10508

9241

11273

3059

2359

3474

1529

852

1966

Philadelphia

11241

10631

12026

2905

1917

3399

1220

436

1656

Phoenix

9520

8543

10232

2980

2632

3328

1358

1093

1738

Sacramento

2811

2716

2887

762

715

800

305

229

343

St. Louis

5258

4435

5687

1503

1288

1610

548

322

715

A These values represent the population of individuals exposed in each study area. Values equal to zero are indicated by "0" (there are no
individuals experiencing decrements at the level).

4

March 2023

3D-134 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-54. Percent of people estimated to experience at least two lung function

2	decrements at or above the indicated level, for air quality adjusted to just

3	meet the current standard, using the individual-based (MSS model) risk

4	approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

7.7

6.7

9.1

2.1

1.7

2.6

0.8

0.6

1.0

Boston

7.4

6.9

7.9

2.1

1.9

2.4

0.8

0.7

0.9

Dallas

8.8

7.8

9.5

2.6

2.0

3.0

1.0

0.7

1.2

Detroit

9.4

8.5

10.3

2.9

2.5

3.3

1.1

0.9

1.3

Philadelphia

8.7

8.0

9.1

2.4

2.3

2.5

0.9

0.8

0.9

Phoenix

13.6

12.8

14.8

4.3

3.8

4.9

1.7

1.5

2

Sacramento

8.7

8.3

8.9

2.4

2.3

2.5

0.8

0.8

0.9

St. Louis

9.3

8.2

10.0

2.8

2.3

3.1

1.1

0.9

1.2

Children

with
Asthma

Atlanta

8.3

6.9

10.2

2.2

1.7

3.3

0.8

0.6

1.2

Boston

8.0

7.7

8.6

2.3

2.1

2.5

0.9

0.9

0.9

Dallas

9.6

8.1

10.5

3.1

2.4

3.5

1.1

0.8

1.4

Detroit

10.3

9.3

11.5

3.3

2.9

3.9

1.3

1.1

1.5

Philadelphia

9.3

8.6

9.7

2.5

2.3

2.6

0.9

0.7

1

Phoenix

14.9

13.7

16.0

4.9

4.4

5.3

2.1

1.8

2.5

Sacramento

8.9

8.4

9.3

2.5

2.2

2.8

0.8

0.5

1.2

St. Louis

9.4

8.5

9.9

2.9

2.5

3.1

1.1

0.9

1.4

Adults

Atlanta

1.2

1.0

1.4

0.3

0.2

0.4

0.1

0.1

0.1

Boston

1.0

0.9

1.1

0.3

0.2

0.3

0.1

0.1

0.1

Dallas

1.4

1.2

1.5

0.3

0.3

0.4

0.1

0.1

0.1

Detroit

1.2

1.1

1.3

0.3

0.3

0.4

0.1

0.1

0.1

Philadelphia

1.2

1.2

1.2

0.3

0.3

0.3

0.1

0.1

0.1

Phoenix

2.4

2.3

2.6

0.7

0.7

0.7

0.3

0.2

0.3

Sacramento

1.2

1.2

1.2

0.3

0.3

0.3

0.1

0.1

0.1

St. Louis

1.3

1.0

1.4

0.3

0.3

0.4

0.1

0.1

0.1

Adults
with
Asthma

Atlanta

1.1

0.9

1.2

0.2

0.2

0.3

0.1

<0.1

0.2

Boston

0.8

0.7

0.9

0.2

0.2

0.3

0.1

<0.1

0.1

Dallas

1.1

0.9

1.4

0.3

0.1

0.4

0.1

<0.1

0.3

Detroit

1.1

1.0

1.2

0.3

0.2

0.4

0.1

0.1

0.2

Philadelphia

1.0

0.9

1.2

0.2

0.1

0.3

0.1

0.1

0.1

Phoenix

2.0

1.8

2.1

0.6

0.5

0.7

0.2

0.2

0.2

Sacramento

1.0

0.9

1.0

0.2

0.2

0.3

0.1

0.1

0.1

St. Louis

1.1

0.9

1.3

0.3

0.2

0.4

0.1

<0.1

0.1

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

5

March 2023

3D-135 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-55. Number of people estimated to experience at least two lung function

2	decrements at or above the indicated level, for air quality adjusted to just

3	meet the current standard, using the individual-based (MSS model) risk

4	approach.

Study
Group



>10% reduction in FEViA

>15% reduction in FEVi A

>20% reduction in FEVi A

Study Area

(# per Year)

(# per Year)

(# per Year)



Avg

Min

Max

Avg

Min

Max

Avg

Min

Max



Atlanta

92853

80585

110689

25537

20338

32040

9308

7042

11904



Boston

100764

94590

107742

29058

25849

32471

10816

9079

12697



Dallas

124935

109975

134637

36832

28658

42869

13738

10475

16410

Children

Detroit

97682

87982

107267

29946

26015

33819

11643

9729

13302

Philadelphia

113291

104546

118929

31574

29508

32913

11226

10324

11677



Phoenix

115472

108372

125399

36615

32468

41342

14766

12596

17210



Sacramento

40342

38712

41406

10991

10559

11848

3822

3540

4371



St. Louis

50799

44731

54612

15129

12704

17175

5795

4826

6775



Atlanta

11850

9725

14608

3208

2361

4681

1123

807

1715



Boston

13433

12788

14267

3846

3390

4210

1517

1434

1570

Children

with
Asthma

Dallas

12532

10570

13785

4051

3121

4587

1490

1017

1773

Detroit

12036

10649

13510

3850

3295

4544

1515

1214

1821

Philadelphia

13612

12572

14449

3660

3318

3841

1317

1091

1484

Phoenix

12091

11025

13049

4015

3552

4331

1703

1429

1996



Sacramento

4040

3773

4294

1121

994

1320

368

233

536



St. Louis

5270

4863

5509

1627

1421

1739

619

501

747



Atlanta

48670

43528

58037

12091

10354

15495

4226

3029

6198



Boston

59908

55473

63495

15426

12621

17513

5479

4305

6164



Dallas

63629

57118

68916

16096

13908

18675

5912

5391

6720

Adults

Detroit

48523

44634

52368

13130

11142

14681

4566

3867

5571

Philadelphia

61406

60128

62830

14146

13856

14640

5025

4706

5316



Phoenix

72697

68690

78624

21043

20513

21655

7665

7152

8642



Sacramento

21086

21038

21152

5203

5088

5260

1906

1887

1944



St. Louis

27183

21174

30545

6927

5437

7762

2528

1896

3040



Atlanta

3804

3381

4367

845

634

986

305

141

563



Boston

5316

4598

5870

1370

978

1859

424

196

587

Adults
with
Asthma

Dallas

3620

2891

4532

938

469

1485

416

156

859

Detroit

4719

4064

5047

1442

983

1704

546

328

852

Philadelphia

5170

4357

6013

1220

610

1569

378

261

436

Phoenix

5281

4818

5612

1639

1341

1788

596

497

646



Sacramento

1324

1258

1429

324

257

400

153

143

172



St. Louis

2313

1860

2611

632

501

787

179

72

286

A These values represent the population of individuals exposed in each study area. Values equal to zero are indicated by "0" (there are no
individuals experiencing decrements at the level).

5

March 2023

3D-136 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-56. Percent of people estimated to experience at least four lung function

2	decrements at or above the indicated level, for air quality adjusted to just

3	meet the current standard, using the individual-based (MSS model) risk

4	approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

4.3

3.6

5.2

1.0

0.8

1.3

0.3

0.2

0.4

Boston

3.9

3.7

4.0

1.0

0.9

1.1

0.3

0.2

0.3

Dallas

5.1

4.4

5.4

1.3

1.0

1.5

0.4

0.3

0.5

Detroit

5.2

4.7

5.7

1.4

1.2

1.5

0.5

0.4

0.5

Philadelphia

4.8

4.3

5.1

1.2

1.0

1.3

0.4

0.3

0.4

Phoenix

8.8

8.2

9.7

2.5

2.2

2.9

0.9

0.8

1.1

Sacramento

5.0

4.8

5.2

1.2

1.1

1.3

0.4

0.3

0.4

St. Louis

5.3

4.5

5.8

1.4

1.2

1.6

0.5

0.4

0.5

Children

with
Asthma

Atlanta

4.7

4.0

6.0

1.2

0.9

1.7

0.3

0.2

0.6

Boston

4.3

4.1

4.4

1.1

0.9

1.3

0.3

0.3

0.4

Dallas

5.7

4.9

6.2

1.4

1.1

1.7

0.5

0.3

0.6

Detroit

5.8

5.4

6.3

1.6

1.4

1.8

0.5

0.4

0.7

Philadelphia

5.1

4.9

5.6

1.3

1.2

1.5

0.4

0.3

0.5

Phoenix

9.8

9.2

10.5

2.9

2.6

3.3

1.1

0.9

1.3

Sacramento

5.1

4.9

5.3

1.2

1.1

1.5

0.5

0.3

0.7

St. Louis

5.4

4.8

5.7

1.5

1.3

1.8

0.5

0.4

0.6

Adults

Atlanta

0.5

0.4

0.6

0.1

0.1

0.2

<0.1

<0.1

0.1

Boston

0.4

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Dallas

0.6

0.5

0.7

0.1

0.1

0.1

<0.1

<0.1

0.1

Detroit

0.5

0.5

0.6

0.1

0.1

0.1

<0.1

<0.1

<0.1

Philadelphia

0.5

0.5

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Phoenix

1.3

1.2

1.4

0.3

0.3

0.4

0.1

0.1

0.1

Sacramento

0.6

0.6

0.6

0.1

0.1

0.1

<0.1

<0.1

<0.1

St. Louis

0.5

0.4

0.6

0.1

0.1

0.1

<0.1

<0.1

0.1

Adults
with
Asthma

Atlanta

0.5

0.4

0.6

0.1

<0.1

0.2

<0.1

0

0.1

Boston

0.3

0.2

0.4

0.1

<0.1

0.1

<0.1

0

<0.1

Dallas

0.5

0.3

0.8

0.2

0.1

0.3

<0.1

<0.1

0.1

Detroit

0.5

0.3

0.6

0.1

<0.1

0.2

0.1

<0.1

0.1

Philadelphia

0.5

0.3

0.6

0.1

<0.1

0.1

<0.1

0

0.1

Phoenix

1.0

0.8

1.0

0.3

0.2

0.3

0.1

<0.1

0.1

Sacramento

0.5

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

0.1

St. Louis

0.5

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

0.1

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

5

March 2023

3D-137 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-57. Number of people estimated to experience at least four lung function

2	decrements at or above the indicated level, for air quality adjusted to just

3	meet the current standard, using the individual-based (MSS model) risk

4	approach.

Study
Group



>10% reduction in FEViA

>15% reduction in FEVi A

>20% reduction in FEVi A

Study Area

(# per Year)

(# per Year)

(# per Year)



Avg

Min

Max

Avg

Min

Max

Avg

Min

Max



Atlanta

51699

44106

63455

12355

9967

15536

3780

2764

5206



Boston

53018

51152

54929

13205

11832

14358

3921

3390

4323



Dallas

71709

62140

77108

18302

14282

21352

6101

4540

7094

Children

Detroit

54058

48613

59001

14453

12574

16025

4839

3885

5584

Philadelphia

62298

56943

66547

15358

13576

16544

4780

4038

5282



Phoenix

74522

69479

81962

21334

18895

24698

7954

6893

9469



Sacramento

23088

22182

24045

5531

5311

5955

1703

1522

1988



St. Louis

28838

24579

31582

7625

6356

8587

2504

2158

2732



Atlanta

6699

5710

8636

1688

1291

2421

450

242

847



Boston

7190

6849

7372

1821

1525

2230

508

432

592

Children

with
Asthma

Dallas

7456

6432

8158

1852

1442

2128

702

426

851

Detroit

6810

6226

7423

1902

1596

2151

613

468

780

Philadelphia

7515

7093

8272

1906

1746

2183

597

458

786

Phoenix

7973

7445

8534

2359

2081

2703

887

750

1033



Sacramento

2290

2174

2453

561

481

683

207

140

303



St. Louis

2996

2741

3151

859

747

965

289

228

319



Atlanta

21999

18947

26553

4625

3029

7325

1432

634

2395



Boston

25307

22111

28079

5609

4403

6457

1859

1174

2544



Dallas

28181

23519

31801

5730

4923

6563

1823

1485

2422

Adults

Detroit

20689

17893

22743

4828

3801

5571

1486

1114

1704

Philadelphia

27218

26840

27450

5810

5403

6100

1743

1394

1917



Phoenix

38294

36555

41423

9553

8791

10828

3311

2732

4172



Sacramento

9862

9547

10119

2201

1972

2344

610

486

715



St. Louis

11708

9156

13520

2647

2182

3076

954

680

1109



Atlanta

1714

1409

2113

376

141

704

164

0

423



Boston

2218

1468

2739

391

294

489

131

0

196

Adults
with
Asthma

Dallas

1693

938

2657

521

313

938

156

78

234

Detroit

2141

1376

2687

546

197

852

240

131

328

Philadelphia

2382

1656

2789

436

174

610

116

0

349

Phoenix

2599

2285

2781

679

497

844

232

50

397



Sacramento

648

515

772

152

114

200

48

29

86



St. Louis

978

751

1109

191

107

250

72

36

143

A These values represent the population of individuals exposed in each study area. Values equal to zero are indicated by "0" (there are no
individuals experiencing decrements at the level).

5

March 2023

3D-138 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-58. Percent of people estimated to experience at least one lung function

2	decrement at or above the indicated level, for the 75 ppb air quality scenario,

3	using the individual-based (MSS model) risk approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

16.4

14.5

18.7

5.8

4.7

7.1

2.6

2.0

3.3

Boston

14.7

13.6

15.9

5.2

4.7

5.9

2.4

2.0

2.9

Dallas

16.7

14.9

18.2

6.0

5.0

6.8

2.7

2.1

3.2

Detroit

17.8

16.2

19.5

6.7

5.9

7.7

3.1

2.6

3.7

Philadelphia

17.5

16.6

18.1

6.2

5.9

6.4

2.8

2.7

2.9

Phoenix

23.6

22.4

25.1

9.0

8.1

9.9

4.2

3.7

4.8

Sacramento

17.2

16.6

17.7

6.0

5.7

6.3

2.7

2.5

2.9

St. Louis

17.8

16.2

18.8

6.6

5.7

7.5

3.0

2.5

3.6

Children

with
Asthma

Atlanta

17.6

15.3

20.2

6.3

4.8

8.2

2.8

2.2

3.8

Boston

15.6

14.2

16.8

5.6

4.9

6.4

2.6

2.1

3.2

Dallas

17.9

15.6

19.7

6.7

5.6

7.5

3.1

2.4

3.6

Detroit

19.1

17.5

20.9

7.6

6.7

8.8

3.5

2.9

4.3

Philadelphia

18.4

18.0

18.7

6.7

6.5

6.9

2.9

2.8

3.1

Phoenix

25.1

23.5

26.4

10.2

9.3

11.0

4.9

4.2

5.3

Sacramento

17.5

16.7

18.2

6.2

6.0

6.4

2.6

2.4

2.8

St. Louis

18.1

16.5

19.0

6.8

6.0

7.3

3.1

2.6

3.6

Adults

Atlanta

3.2

2.9

3.6

1.0

0.8

1.2

0.4

0.3

0.5

Boston

2.6

2.3

2.9

0.7

0.6

0.8

0.3

0.3

0.4

Dallas

3.3

2.9

3.6

1.0

0.9

1.2

0.4

0.4

0.5

Detroit

3.1

2.8

3.3

1.0

0.8

1.1

0.4

0.3

0.5

Philadelphia

3.1

2.9

3.3

0.9

0.9

1.0

0.4

0.4

0.4

Phoenix

5.2

4.8

5.7

1.7

1.7

1.9

0.8

0.7

0.8

Sacramento

3.2

3.1

3.2

0.9

0.9

1.0

0.4

0.4

0.4

St. Louis

3.1

2.7

3.4

1.0

0.8

1.1

0.4

0.3

0.5

Adults
with
Asthma

Atlanta

2.9

2.7

3.3

0.9

0.8

1.0

0.4

0.3

0.4

Boston

2.2

1.9

2.5

0.6

0.4

0.7

0.2

0.1

0.3

Dallas

3.0

2.5

3.2

0.9

0.7

1.2

0.4

0.2

0.6

Detroit

2.9

2.5

3.1

0.9

0.7

1.0

0.4

0.3

0.5

Philadelphia

2.8

2.7

3.1

0.9

0.8

0.9

0.3

0.1

0.4

Phoenix

4.1

3.7

4.4

1.4

1.3

1.5

0.7

0.6

0.7

Sacramento

2.5

2.5

2.6

0.8

0.7

0.9

0.3

0.2

0.3

St. Louis

3.0

2.5

3.3

1.0

0.8

1.0

0.4

0.2

0.5

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

4

March 2023

3D-139 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-59. Percent of people estimated to experience at least two lung function

2	decrements at or above the indicated level, for the 75 ppb air quality scenario,

3	using the individual-based (MSS model) risk approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

10.0

8.7

11.8

3.1

2.5

3.9

1.3

1.0

1.6

Boston

8.4

7.8

9.0

2.6

2.3

2.9

1.0

0.8

1.2

Dallas

10.3

9.0

11.4

3.3

2.6

4.0

1.3

1.0

1.7

Detroit

10.9

9.6

12.2

3.7

3.1

4.2

1.5

1.2

1.8

Philadelphia

10.8

9.9

11.3

3.4

3.2

3.5

1.4

1.2

1.4

Phoenix

16.1

15.2

17.5

5.6

5.0

6.3

2.5

2.1

2.9

Sacramento

10.8

10.4

11.2

3.4

3.2

3.6

1.3

1.2

1.5

St. Louis

11.1

9.7

11.9

3.6

3.0

4.1

1.5

1.3

1.8

Children

with
Asthma

Atlanta

10.8

9.2

13.1

3.4

2.6

4.6

1.3

1.0

1.9

Boston

9.0

8.4

9.9

2.8

2.5

3.1

1.1

1.0

1.2

Dallas

11.1

9.4

12.3

3.7

3.0

4.3

1.5

1.1

1.8

Detroit

11.8

10.5

13.2

4.1

3.5

4.7

1.8

1.3

2.3

Philadelphia

11.5

10.9

11.9

3.5

3.3

3.6

1.4

1.3

1.5

Phoenix

17.4

16.1

18.8

6.4

5.9

6.8

2.9

2.4

3.4

Sacramento

11.1

10.4

11.7

3.5

3.4

3.8

1.3

1.1

1.6

St. Louis

11.2

9.9

11.9

3.8

3.4

4.2

1.7

1.4

2.0

Adults

Atlanta

1.5

1.4

1.8

0.4

0.3

0.5

0.2

0.1

0.2

Boston

1.1

1.0

1.2

0.3

0.3

0.3

0.1

0.1

0.1

Dallas

1.6

1.4

1.7

0.4

0.4

0.5

0.2

0.1

0.2

Detroit

1.4

1.3

1.6

0.4

0.3

0.5

0.2

0.1

0.2

Philadelphia

1.5

1.4

1.5

0.4

0.4

0.4

0.1

0.1

0.2

Phoenix

2.9

2.7

3.1

0.9

0.9

1.0

0.4

0.3

0.4

Sacramento

1.6

1.6

1.6

0.4

0.4

0.4

0.2

0.2

0.2

St. Louis

1.5

1.2

1.7

0.4

0.3

0.5

0.2

0.1

0.2

Adults
with
Asthma

Atlanta

1.3

1.2

1.5

0.4

0.3

0.4

0.1

0.1

0.2

Boston

0.9

0.8

1.1

0.2

0.2

0.3

0.1

<0.1

0.1

Dallas

1.3

1.1

1.6

0.3

0.2

0.5

0.2

0.1

0.3

Detroit

1.3

1.1

1.4

0.4

0.3

0.5

0.2

0.1

0.3

Philadelphia

1.3

1.1

1.4

0.3

0.3

0.4

0.1

0.1

0.2

Phoenix

2.3

2.1

2.5

0.7

0.6

0.8

0.3

0.2

0.4

Sacramento

1.2

1.1

1.3

0.3

0.3

0.4

0.1

0.1

0.2

St. Louis

1.4

1.1

1.6

0.4

0.3

0.5

0.1

0.1

0.2

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

4

March 2023

3D-140 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-60. Percent of people estimated to experience at least four lung function

2	decrements at or above the indicated level, for the 75 ppb air quality scenario,

3	using the individual-based (MSS model) risk approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

5.8

4.9

7.1

1.6

1.3

2.1

0.6

0.4

0.7

Boston

4.5

4.2

4.7

1.2

1.1

1.3

0.4

0.3

0.4

Dallas

6.0

5.1

6.6

1.7

1.3

2

0.6

0.4

0.7

Detroit

6.2

5.4

6.9

1.8

1.6

2.1

0.7

0.5

0.8

Philadelphia

6.2

5.6

6.7

1.7

1.5

1.9

0.6

0.5

0.7

Phoenix

10.6

9.8

11.7

3.4

3.1

3.9

1.4

1.2

1.7

Sacramento

6.4

6.1

6.7

1.8

1.7

1.9

0.6

0.6

0.7

St. Louis

6.5

5.6

7.0

1.9

1.6

2.1

0.7

0.6

0.8

Children

with
Asthma

Atlanta

6.4

5.3

8.0

1.8

1.4

2.6

0.6

0.4

1.0

Boston

5.0

4.7

5.2

1.3

1.2

1.6

0.4

0.3

0.5

Dallas

6.6

5.5

7.3

2.1

1.6

2.4

0.7

0.5

0.9

Detroit

6.9

6.2

7.7

2.1

1.7

2.5

0.8

0.5

0.9

Philadelphia

6.7

6.4

7.3

1.8

1.7

2.0

0.7

0.6

0.7

Phoenix

11.6

10.7

12.6

4.0

3.6

4.5

1.6

1.4

2.0

Sacramento

6.6

6.3

7.0

1.8

1.5

2.1

0.6

0.5

0.9

St. Louis

6.4

5.8

6.8

2.1

1.8

2.4

0.7

0.6

0.9

Adults

Atlanta

0.7

0.6

0.9

0.2

0.1

0.2

0.1

<0.1

0.1

Boston

0.5

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

0.1

Dallas

0.7

0.6

0.8

0.2

0.1

0.2

0.1

<0.1

0.1

Detroit

0.6

0.5

0.7

0.1

0.1

0.2

0.1

<0.1

0.1

Philadelphia

0.7

0.7

0.7

0.2

0.1

0.2

<0.1

<0.1

0.1

Phoenix

1.6

1.5

1.7

0.4

0.4

0.4

0.2

0.1

0.2

Sacramento

0.7

0.7

0.7

0.2

0.2

0.2

0.1

0.1

0.1

St. Louis

0.7

0.5

0.8

0.2

0.1

0.2

0.1

<0.1

0.1

Adults
with
Asthma

Atlanta

0.7

0.6

0.8

0.1

0.1

0.3

0.1

<0.1

0.1

Boston

0.4

0.2

0.4

0.1

0.1

0.1

<0.1

0

<0.1

Dallas

0.6

0.3

0.9

0.2

0.1

0.4

0.1

<0.1

0.1

Detroit

0.5

0.4

0.7

0.2

0.1

0.2

0.1

<0.1

0.1

Philadelphia

0.6

0.5

0.7

0.1

0.1

0.2

<0.1

<0.1

0.1

Phoenix

1.2

1.1

1.2

0.4

0.3

0.4

0.1

<0.1

0.2

Sacramento

0.6

0.5

0.7

0.2

0.1

0.3

0.1

0.1

0.1

St. Louis

0.6

0.4

0.7

0.1

0.1

0.1

0.1

<0.1

0.1

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

4

March 2023

3D-141 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-61. Percent of people estimated to experience at least one lung function

2	decrement at or above the indicated level, for the 65 ppb air quality scenario,

3	using the individual-based (MSS model) risk approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

10.3

9.2

11.7

2.8

2.3

3.4

1.0

0.8

1.3

Boston

10.8

10.4

11.4

3.3

3.1

3.8

1.3

1.2

1.6

Dallas

12.4

11.2

13.0

3.8

3.1

4.1

1.5

1.2

1.6

Detroit

12.9

12.0

13.9

4.0

3.6

4.5

1.6

1.4

1.8

Philadelphia

12.1

11.5

12.6

3.4

3.3

3.6

1.3

1.2

1.3

Phoenix

16.9

16.0

18.1

5.2

4.7

5.7

2.1

1.8

2.4

Sacramento

10.8

10.5

11.1

2.8

2.8

3.0

1.0

0.9

1.1

St. Louis

12.3

11.2

13.2

3.6

3.1

4.2

1.4

1.2

1.7

Children

with
Asthma

Atlanta

11.2

9.6

13.2

3.1

2.5

4.0

1.1

0.8

1.6

Boston

11.6

11.2

12.0

3.6

3.3

4.2

1.4

1.3

1.5

Dallas

13.5

11.8

14.3

4.3

3.6

4.6

1.8

1.3

2.1

Detroit

14.0

12.9

15.3

4.6

4.3

5.2

1.8

1.5

2.2

Philadelphia

12.8

12.6

13.0

3.5

3.3

3.7

1.4

1.3

1.6

Phoenix

18.5

17.1

19.7

6.0

5.4

6.4

2.4

2.1

2.9

Sacramento

11.2

11.0

11.3

2.9

2.8

3.0

1.0

0.7

1.3

St. Louis

12.7

11.8

13.2

3.8

3.2

4.3

1.5

1.3

1.8

Adults

Atlanta

1.9

1.8

2.1

0.5

0.4

0.6

0.2

0.1

0.2

Boston

1.9

1.8

2.1

0.5

0.4

0.5

0.2

0.2

0.2

Dallas

2.4

2.2

2.5

0.6

0.6

0.7

0.2

0.2

0.3

Detroit

2.1

2.0

2.3

0.6

0.5

0.6

0.2

0.2

0.2

Philadelphia

2.1

2.0

2.1

0.5

0.5

0.5

0.2

0.2

0.2

Phoenix

3.6

3.3

3.9

1.0

1.0

1.0

0.4

0.4

0.4

Sacramento

1.9

1.9

1.9

0.4

0.4

0.5

0.2

0.2

0.2

St. Louis

2.1

1.8

2.3

0.5

0.4

0.6

0.2

0.2

0.2

Adults
with
Asthma

Atlanta

1.7

1.5

1.8

0.5

0.4

0.5

0.1

0.1

0.2

Boston

1.6

1.5

1.9

0.4

0.3

0.5

0.2

0.1

0.2

Dallas

2.0

1.7

2.5

0.6

0.4

0.8

0.3

0.1

0.5

Detroit

2.0

1.8

2.1

0.5

0.4

0.6

0.3

0.2

0.3

Philadelphia

1.9

1.7

2.0

0.4

0.3

0.5

0.2

0.1

0.2

Phoenix

2.9

2.5

3.1

0.8

0.8

0.9

0.3

0.2

0.3

Sacramento

1.6

1.5

1.7

0.4

0.3

0.4

0.1

0.1

0.2

St. Louis

2.0

1.8

2.2

0.5

0.4

0.6

0.2

0.1

0.3

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

4

March 2023

3D-142 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-62. Percent of people estimated to experience at least two lung function

2	decrements at or above the indicated level, for the 65 ppb air quality scenario,

3	using the individual-based (MSS model) risk approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

5.7

5.0

6.8

1.4

1.1

1.6

0.4

0.3

0.5

Boston

5.9

5.7

6.1

1.5

1.4

1.7

0.5

0.4

0.6

Dallas

7.3

6.5

7.7

1.9

1.5

2.2

0.7

0.5

0.7

Detroit

7.4

6.8

8.0

2.0

1.8

2.2

0.7

0.6

0.8

Philadelphia

7.0

6.5

7.3

1.7

1.6

1.8

0.6

0.5

0.6

Phoenix

11

10.2

12.0

3.1

2.8

3.5

1.1

1.0

1.3

Sacramento

6.2

6.0

6.5

1.4

1.3

1.5

0.4

0.4

0.5

St. Louis

7.1

6.2

7.7

1.8

1.6

2.1

0.6

0.5

0.7

Children

with
Asthma

Atlanta

6.2

5.3

7.5

1.4

1.1

2.0

0.4

0.3

0.7

Boston

6.3

6.0

6.8

1.6

1.4

1.8

0.6

0.6

0.6

Dallas

8.1

6.9

9.0

2.3

1.9

2.6

0.8

0.5

1.0

Detroit

8.3

7.6

9.0

2.3

2.0

2.8

0.9

0.7

1.0

Philadelphia

7.6

7.1

8.1

1.8

1.7

1.9

0.6

0.6

0.7

Phoenix

12.1

11.2

12.9

3.7

3.4

4.0

1.3

1.1

1.5

Sacramento

6.4

6.1

6.6

1.4

1.2

1.6

0.4

0.3

0.6

St. Louis

7.3

6.7

7.6

2.0

1.7

2.2

0.7

0.6

0.7

Adults

Atlanta

0.8

0.8

1.0

0.2

0.1

0.3

0.1

<0.1

0.1

Boston

0.8

0.8

0.9

0.2

0.2

0.2

0.1

0.1

0.1

Dallas

1.1

1.0

1.2

0.3

0.2

0.3

0.1

0.1

0.1

Detroit

1.0

0.9

1.0

0.2

0.2

0.3

0.1

0.1

0.1

Philadelphia

0.9

0.9

1.0

0.2

0.2

0.2

0.1

0.1

0.1

Phoenix

1.9

1.9

2.1

0.5

0.4

0.5

0.2

0.1

0.2

Sacramento

0.9

0.9

0.9

0.2

0.2

0.2

0.1

0.1

0.1

St. Louis

1.0

0.8

1.1

0.2

0.2

0.2

0.1

0.1

0.1

Adults
with
Asthma

Atlanta

0.7

0.6

0.9

0.2

0.1

0.3

0.1

<0.1

0.1

Boston

0.7

0.6

0.8

0.2

0.1

0.2

0.1

<0.1

0.1

Dallas

0.8

0.7

1.1

0.2

0.1

0.4

0.1

0

0.1

Detroit

0.9

0.7

1.0

0.3

0.2

0.3

0.1

0.1

0.2

Philadelphia

0.8

0.6

0.9

0.2

0.1

0.3

<0.1

<0.1

0.1

Phoenix

1.5

1.5

1.6

0.4

0.3

0.5

0.1

0.1

0.2

Sacramento

0.7

0.6

0.8

0.2

0.1

0.2

<0.1

<0.1

0.1

St. Louis

0.9

0.7

1.0

0.2

0.1

0.3

<0.1

<0.1

0.1

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

4

March 2023

3D-143 External Review Draft v2 - Do Not Quote or Cite


-------
1	Table 3D-63. Percent of people estimated to experience at least four lung function

2	decrements at or above the indicated level, for the 65 ppb air quality scenario,

3	using the individual-based (MSS model) risk approach.

Study
Group

Study Area

>10% reduction in FEViA
(% per Year)

>15% reduction in FEVi A
(% per Year)

>20% reduction in FEVi A
(% per Year)

Avg

Min

Max

Avg

Min

Max

Avg

Min

Max

Children

Atlanta

3.0

2.6

3.7

0.6

0.5

0.8

0.2

0.1

0.2

Boston

3.0

2.9

3.0

0.6

0.6

0.7

0.2

0.2

0.2

Dallas

4.0

3.6

4.3

0.9

0.7

1.0

0.3

0.2

0.3

Detroit

4.0

3.6

4.3

0.9

0.8

1.0

0.3

0.2

0.3

Philadelphia

3.7

3.5

4.0

0.8

0.7

0.9

0.2

0.2

0.2

Phoenix

6.8

6.4

7.5

1.7

1.5

2.0

0.5

0.5

0.6

Sacramento

3.4

3.3

3.5

0.6

0.6

0.7

0.2

0.1

0.2

St. Louis

3.9

3.3

4.2

0.9

0.7

1.0

0.2

0.2

0.3

Children

with
Asthma

Atlanta

3.2

2.7

4.3

0.7

0.4

1.1

0.2

0.1

0.2

Boston

3.4

3.3

3.5

0.8

0.6

0.9

0.2

0.2

0.2

Dallas

4.6

4.0

4.9

1.1

0.8

1.3

0.3

0.2

0.4

Detroit

4.5

4.2

4.7

1.1

0.9

1.1

0.3

0.2

0.3

Philadelphia

3.9

3.6

4.1

0.9

0.8

1.0

0.2

0.2

0.3

Phoenix

7.6

7.2

8.2

2.1

1.9

2.3

0.7

0.5

0.9

Sacramento

3.6

3.3

3.7

0.7

0.6

0.9

0.2

0.1

0.3

St. Louis

4.2

3.8

4.4

1.0

0.8

1.1

0.3

0.2

0.3

Adults

Atlanta

0.4

0.3

0.4

0.1

<0.1

0.1

<0.1

<0.1

<0.1

Boston

0.3

0.3

0.4

0.1

<0.1

0.1

<0.1

<0.1

<0.1

Dallas

0.5

0.4

0.5

0.1

0.1

0.1

<0.1

<0.1

<0.1

Detroit

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Philadelphia

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Phoenix

1.0

1.0

1.0

0.2

0.2

0.3

0.1

0.1

0.1

Sacramento

0.4

0.4

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

St. Louis

0.4

0.3

0.4

0.1

0.1

0.1

<0.1

<0.1

<0.1

Adults
with
Asthma

Atlanta

0.3

0.2

0.4

0.1

<0.1

0.2

<0.1

0

0.1

Boston

0.3

0.2

0.3

<0.1

<0.1

<0.1

<0.1

0

<0.1

Dallas

0.4

0.2

0.6

0.1

<0.1

0.3

<0.1

0

<0.1

Detroit

0.4

0.3

0.5

0.1

<0.1

0.2

<0.1

<0.1

0.1

Philadelphia

0.4

0.3

0.4

<0.1

0

0.1

<0.1

0

<0.1

Phoenix

0.7

0.6

0.8

0.2

0.1

0.3

0.1

0

0.1

Sacramento

0.3

0.3

0.4

0.1

<0.1

0.1

<0.1

0

<0.1

St. Louis

0.3

0.3

0.4

0.1

<0.1

0.1

<0.1

0

<0.1

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated by "0" (there
are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1 (i.e., <0.05) are given a
value of "<0.1

4

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1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

3D.3.4 Uncertainty Characterization

While it may be possible to estimate a range of O3 exposures or risks by accounting for
variability inherent to influential factors, the true exposure or risk for any given individual
residing within a study area is unknown. To characterize health risks, risk assessors commonly
use an iterative process of gathering data, developing models, and estimating exposures and
risks, which is based upon 1) the goals of the assessment, 2) evaluating results for correctness
and identifying areas for potential improvement, 3) scale and complexity of the assessment
performed, and 4) availability and limitations of the input data and information. Uncertainty can
still remain following each iteration and emphasis is then placed on characterizing the nature and
magnitude of that uncertainty and its impact on exposure and risk estimates. A summary of the
overall characterization of uncertainty for the current O3 exposure and risk analysis is provided
in section 3D.3.4.1. The summary is followed by APEX sensitivity analyses in section 3D.3.4.2
that provide additional support to the uncertainty characterization regarding the influence a
number of factors (e.g., contribution of low exposures) have on estimating lung function risk
resulting from O3 exposure.

3D.3.4.1 Summary of the Uncertainty Characterization

The REAs for previous reviews of the O3, NO2, SO2, and CO NAAQS characterized
uncertainty in exposure and risk modeling (Langstaff, 2007; U.S. EPA, 2008, 2009, 2010, 2014,
2018). The mainly qualitative approach used in this and other REAs, also informed by
quantitative sensitivity analyses, is described by WHO (2008). Briefly, we identified key aspects
of the assessment approach that may contribute to uncertainty in the exposure and risk estimates
and provided the rationale for their inclusion. Then, we characterized the magnitude and
direction of the influence on the assessment for each of these identified sources of uncertainty.

Consistent with the WHO (2008) guidance, we scaled the overall impact of the
uncertainty by considering the degree of uncertainty as implied by the relationship between the
source of uncertainty and the exposure and risk estimates. A qualitative characterization of low,
moderate, and high was assigned to the magnitude of influence and knowledge base uncertainty
descriptors, using quantitative observations relating to understanding the uncertainty, where
possible. Where the magnitude of uncertainty was rated low, it was judged that large changes
within the source of uncertainty would have only a small effect on the assessment results (e.g.,
an impact of few percentage points upwards to a factor of two). A designation of medium implies
that a change within the source of uncertainty would likely have a moderate (or proportional)
effect on the results (e.g., a factor of two or more). A characterization of high implies that a
change in the source would have a large effect on results (e.g., an order of magnitude). We also
included the direction of influence, whether the source of uncertainty was judged to potentially

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1	over-estimate ("over"), under-estimate ("wwder"), or have an unknown impact to exposure/risk

2	estimates. A summary of the key findings of the prior uncertainty characterizations that are most

3	relevant to the current O3 exposure and risk analysis are also provided in Table 3D-64.

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1 Table 3D-64. Characterization of key uncertainties in exposure and risk analyses using APEX.

Sources of Uncertainty

Uncertainty Characterization

Newly

Characterized/
New

Information?

Influence of Uncertainty on
Exposure | Risk Estimates

Knowledge-
base
Uncertainty

Comments

Category

Element

Direction

Magnitude

General Aspects of
Assessment Design

Representation of
population groups
with asthma

Unknown

Low - Medium

Medium

Consistent with the ISA identification of people with asthma (and children with asthma in
particular) as an important at-risk population for O3 in ambient air, risk estimates are
developed for people with asthma and are reported separately for children and adults.
Exposure and risk were not estimated for more targeted population groups with asthma
based on additional personal attributes associated with increased asthma prevalence (e.g.,
obesity or African American or Hispanic ethnicity) generally due to limitations in the data
needed to simulate these population groups. Such data limitations affect our ability to
characterize O3 exposure and associated health risks for different population subgroups of
children and adults with asthma, some of which may have higher exposure/risk and others
lower.

Yes. Newly
identified element
of uncertainty

Representation of
population groups
having health
conditions other than
asthma

Unknown

Unknown

Medium

Individuals having health conditions other than asthma have not been explicitly represented
in this exposure and risk assessment as the evidence has not indicated any other
population groups with a health condition that places them at increased risk (ISA, Table IS-
11). Additionally, exposure/risk modeling for other such groups is hampered by data
limitations in accurately defining the size of a particular population group, assigning
appropriate activity pattern data, and estimating how responses observed in the controlled
human exposure study data would quantitatively relate to simulated individuals. For
example, the likelihood of individuals having a health condition such as chronic obstructive
pulmonary disorder exercising for sufficient duration at a ventilation rate needed (e.g., EVR
>17.32 ฑ 1.25 L/min-m2) to receive a dose that would elicit a response is unknown.

Yes. Newly
identified element
of uncertainty

Representation of
older adults

Neither

Low

Low

In the current exposure and risk analysis, older adults (ages 65-95) were simulated as part
of the all adult groups (ages 18-90) and not as a separate population subgroup. In the 2014
HREA, exposures and risks were estimated separately for older adults (2014 HREA,
section 5.6). In those 2014 HREA results, the percent of older adults experiencing
exposures at or above any benchmark tended to be lower than the comparable percentage
for all adults or all adults with asthma, by a few percentage points or less. A similar pattern
would be expected if this group were to have been included in the current analysis.

Yes. Newly
identified element
of uncertainty

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Sources of Uncertainty

Uncertainty Characterization

Newly

Characterized/
New

Information?

Influence of Uncertainty on
Exposure | Risk Estimates

Knowledge-
base
Uncertainty

Comments

Category

Element

Direction

Magnitude



Representation of
outdoor workers

Under

Low - Medium

Medium

In the current exposure and risk analysis, outdoor workers were not evaluated as a
separate population subgroup. In the 2014 HREA, limited analyses were conducted for this
subgroup because of appreciable data limitations and associated uncertainty. The
exposures and risk estimates for this subgroup for the single study area and air quality
scenario assessed indicated a greater percentage of outdoor workers experience single
and multi-day exposures than that estimated for the full adult population, differing by about
a factor of 5 or more depending on the benchmark level and number of days per year
(2014 HREA, section 5.4.3.2). These limited results suggest that results for the full adult
population would likely underestimate exposures and risks for outdoor workers. Important
uncertainties exist in generating the simulated activity patterns for this group, including the
limited number of CHAD diary days available for outdoor workers, assignment of diaries to
proper occupation categories, approximating number of days/week and hours/day
outdoors, etc.

Yes. Newly
identified element
of uncertainty

Ambient Air Monitor
Concentrations

Ambient Air O3
Measurements

Both

Low

Low

Ozone measurements are assumed to be accurate to within 1/2 of the instrument's Method
Detection Limit (MDL), which is 2.5 ppb for most instruments. The EPA requires that
routine quality assurance checks are performed on all instruments. There is a known
tendency for smoke produced from wildfires to cause interference in O3 instruments.
Measurements collected by O3 analyzers were reported to be biased high by 5.1-6.6 ppb
per 100 |jg/m3 of PM2.5 from wildfire smoke (U.S. EPA, 2007b). However, smoke
concentrations high enough to cause significant interferences are infrequent and the overall
impact is expected to be minimal.

No

Air Quality System
(AQS) Database
Quality

Both

Low

Low

All ambient air pollutant measurements available from AQS are certified by both the
monitoring agency and the corresponding EPA regional office. Monitor malfunctions
sometimes occur causing periods of missing data or poor data quality. Monitoring data
affected by malfunctions are usually flagged by the monitoring agency and removed from
AQS. In addition, the AQS database managers run several routines to identify suspicious
data for potential removal.

Yes. Recent year
data used (2015 -
2017)

Temporal
Representation

Both

Low

Low

The temporal scale (hourly) is appropriate for analysis performed. Required O3 monitoring
seasons are used to define the duration of the exposure and risk analyses in each study
area. Monitor data are screened for temporal completeness and considered appropriate
when calculating design values (and used for adjustments needed to meet air quality
scenarios). While some monitoring data used in developing the air quality surface were not
screened for temporal completeness, the inclusion of monitor data somewhat less than
complete is considered a holistic approach that improves the filling of both temporal and
spatial gaps that exist, where present.

No

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Sources of Uncertainty

Uncertainty Characterization

Newly

Characterized/
New

Information?

Influence of Uncertainty on
Exposure | Risk Estimates

Knowledge-
base
Uncertainty

Comments

Category

Element

Direction

Magnitude



Spatial

Representation

Both

Low - Medium

Low - Medium

Overall, the eight study areas have reasonably dense ambient monitoring networks but
vary in size and geographic location. They are however considered adequate to capture
spatial gradients in O3 concentrations that occur in urban areas.

No

Adjusted O3
Concentrations for Air
Quality Scenarios

Modeled

atmospheric state
(CAMx)

Both

Medium

Medium

In the rollback adjustment framework applied in this assessment, the CAMx air quality
model is used to calculate the chemical state of the atmosphere so that the Higher
Decoupled Direct Method (HDDM) tool can archive O3 responsiveness to precursors at all
times and locations within the model domain. Model predictions from CAMx, like all
deterministic photochemical models, have both parametric and structural uncertainty
associated with them. CAMx is regularly updated to include state-of-the-science
parameterizations and processes relevant for atmospheric chemistry and physics. CAMx
model performance is also routinely evaluated against available observational datasets
(See Appendix 3C).

Yes. Recent year
meteorology and
emissions inputs
used (2016)

Ozone response
sensitivities (HDDM)

Both

Medium

Medium

The HDDM approach allows for the approximation of O3 response to alternate emissions
scenarios without re-running the model simulation multiple times using different emissions
inputs. This approximation becomes less accurate for larger emissions perturbations
especially under nonlinear chemistry conditions. However, even at 90% NOx cut
conditions, mean error in predicted O3 using HDDM sensitivities was within 2 ppb across all
urban study areas compared to the brute force simulation (See Appendix 3C).

Yes. Recent year
sensitivities used
(from 2016
simulation)

Voronoi Neighbor
Averaging (VNA)
spatial interpolation

Both

Low - Medium

Low - Medium

The VNA estimates are weighted based on distance from neighboring monitoring sites,
thus the amount of uncertainty tends to increase with distance from the monitoring sites.
Areas having a relatively less dense monitoring network (e.g., Atlanta, St. Louis) may have
greater uncertainty in the air quality surface than areas with a denser network (e.g., Boston,
Philadelphia).

No

APEX: General Input
Databases

Population
Demographics and
Commuting

Both

Low

Low

The U.S. Census data are comprehensive and subject to quality control. Differences in
2010 population data versus modeled years (2015-2017) are likely small when estimating
percent of population exposed. While population counts in most areas have likely increased
(and thus total number exposed and at risk is likely underestimated), it is likely that there
have not been substantive changes to the demographic distributions and commuting
patterns in each study area, thus having minimal impact to the percent of the population
exposed or experiencing lung function decrements.

Yes. Most recent
year data used
(2010)

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Sources of Uncertainty

Uncertainty Characterization

Newly

Characterized/
New

Information?

Influence of Uncertainty on
Exposure | Risk Estimates

Knowledge-
base
Uncertainty

Comments

Category

Element

Direction

Magnitude



Activity Patterns
(CHAD)

Both

Low - Medium

Low - Medium

The CHAD data are comprehensive and subject to quality control. The current version of
CHAD contains an increased number of diaries used to estimate exposure from 2014
HREA. Previously, we evaluated trends and patterns in historical activity pattern data - no
major issues noted with use of historical data to represent current patterns (2014 HREA,
Appendix G, Figures 5G-1 and 5G-2). Compared outdoor event participation and outdoor
time of the larger American Time Use Survey (ATUS) data with all other survey data.
Participation rate in outdoor events by ATUS is lower, likely due to ATUS survey methods
(i.e., a lack of distinction of time spent inside or outside of residence). This finding would
primarily apply to adults (ATUS subjects are ages 16 and older). Comparison of activity
data (outdoor events and exertion level) for people with asthma generally similar to
individuals without asthma (section 3D.2.5.3, Table 3D-10) (see also 2014 HREA,
Appendix G, Tables 5G2 to 5G-5). There is little indication of differences in time spent
outdoors comparing activity patterns across U.S. regions, though sample size may be a
limiting factor in drawing significant conclusions (2014 HREA, section 5.4.1.6). Remaining
uncertainty exists for other influential factors that cannot be accounted for (e.g., SES,
region/local participation in outdoor events and associated amount of time).

Yes. New data
added to CHAD
(ATUS 2003-
2013) (U.S. EPA,
2019c,

Attachment 3)

Meteorological Data

Both

Low

Low

The NOAAISH data are comprehensive and subject to quality control, having very few
missing values. Limited use in selecting CHAD diaries for simulated individuals and AERs
that may vary with temperature. However, while using three years of varying meteorological
conditions, the 2015-2017 MET data set may not reflect the full suite of conditions that
could exist in future hypothetical air quality scenarios or across periods greater than 3-
years.

Yes. Recent year
data used (2015-
2017) (section
3D .2.4)

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Sources of Uncertainty

Uncertainty Characterization

Newly

Characterized/
New

Information?

Influence of Uncertainty on
Exposure | Risk Estimates

Knowledge-
base
Uncertainty

Comments

Category

Element

Direction

Magnitude



Asthma Prevalence:
Selection of "Still"
Rather than "Ever"
Questionnaire
Response

Under

Low

Low

One of the two datasets used to estimate asthma prevalence is 2013-2017 NHIS data. The
NHIS dataset includes several categories describing whether a surveyed individual has
asthma based on a series of questions (Attachment 1). The first question inquires whether
a doctor has "Ever" told the individual they have asthma. This is followed by a question as
to whether they "Still" have asthma. In all instances, those responding "Yes" to the "Still"
question is a subset of those responding "Yes" to the "Ever" question. For estimating
asthma prevalence for the simulated populations, we focused on the dataset for those
answering they "Still" have asthma, consistent with the characterization of asthma
prevalence in the ISA (ISA, Table IS-11), and concluding that this approach would provide
us with the most appropriate estimate of the population of individuals that have asthma and
accordingly (based on the at-risk status of this population group) would likely be at
increased risk of response to O3 exposures. To the extent that some individuals answering
"No" to the "Still" question are at increased risk, our approach would underestimate the at-
risk group. The answers to subsequent questions in the NHIS dataset (regarding whether
the respondent had an asthma attack or asthma-related ER visit during past year) indicate
that the extent to which focusing on "Still" have asthma may underestimate this population
group is likely small. This conclusion is based on the findings that nearly 95% of those
answering "No" to the "Still" have question also did not have an asthma attack or asthma-
related ER visit in the past year, while nearly half of those answering "Yes" did have such
an experience, as well as the fact that nearly 95% of the survey respondents that indicated
they had had an asthma attack or asthma-related ER visit over the past year are captured
by the "Still" have asthma category (Attachment 1). Thus, while it is likely that using the
response for the "Still" question underestimates asthma prevalence for those not having a
physician determined diagnosis, the magnitude of underestimation is likely quite small.

Yes. Newly
identified element
of uncertainty

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Sources of Uncertainty

Uncertainty Characterization

Newly

Characterized/
New

Information?

Influence of Uncertainty on
Exposure | Risk Estimates

Knowledge-
base
Uncertainty

Comments

Category

Element

Direction

Magnitude



Asthma Prevalence:
Weighted by Family
Income

Both

Low

Low - Medium

Data used are from peer-reviewed quality-controlled sources. Use of these data accounts
for variability in important influential variables (poverty status, as well as age, sex, and
region). Regional prevalence from NHIS were adjusted to reflect state-level prevalence
from BRFSS, improving local representation. It is possible however that variability in
microscale prevalence is not entirely represented when considering other potentially
influential variables such as race and obesity, two attributes that can influence asthma
prevalence and can vary spatially (U.S. EPA, 2018, section 4.1.2). Family income level was
used to represent spatial variability in asthma prevalence and may, in some instances,
capture spatial variability in race and obesity (Ogden et al., 2010), and thus to some extent,
reasonably represent the potential influence race and obesity have on asthma prevalence.
However, instances where these influential variables are not fully represented in simulating
the at-risk population, and where populations identified by such variables are associated
with increased asthma prevalence that may spatially intersect with the highest ambient air
concentrations, could lead to uncertainty in estimated exposures and health risk. Further
characterization could be appropriate by comparing with local prevalence rates stratified by
a similar collection of influential variables, where such data exist.

Yes. Recent year
data used (2013-
2017)

(Attachment 1)

APEX:

Microenvironmental
Concentrations

Outdoor Near-road
and Vehicle PE and
PROX Factors

Both

Low

Low - Medium

Uncertainty in mean PROX value used is approximately 15 percentage points (Figure 10
and Table 7 of Langstaff (2007)). Factor may be of greater importance in certain study
areas or under varying conditions, though even with this mean difference, in-vehicle
penetration/decay decreases exposures and hence the importance of in-vehicle
microenvironments. Further, considering that the exposures of interest need to be
concomitant with elevated exertion, the accurate estimation of exposures occurring inside
vehicles is considered relatively unimportant. This uncertainty could be important for
exposure events that occur outdoors near roads (i.e., PE factor = 1) and when simulated
individuals might be at elevated exertion for long durations. That said, the frequency of
these specific events is likely low, but nevertheless unqualified at this time.

No

Indoor: Air Exchange
Rates

Both

Low

Medium

Uncertainty due to random sampling variation via bootstrap distribution analysis indicated
the AER geometric mean (GM) and standard deviation (GSD) uncertainty for a given study
area tends to range from ฑ1.0 GM and ฑ 0.5 GSD hr1 (Langstaff, 2007). Some of the eight
study areas used AER from a geographically similar city. Non-representativeness remains
an important issue as city-to-city variability can be wide ranging (GM/GSD pairs can vary
by factors of 2-3) and data available for city-specific evaluation are limited (Langstaff,
2007). The restaurant and school AER distributions are derived from small samples and
may not be representative of all possible types of restaurants and schools, in general. That
said, indoor microenvironments are considered less likely to contribute to an individual's
daily maximum 7-hr average O3 exposure while at elevated exertion levels and likely does
not contribute substantially to uncertainty in the exposure and risk estimates.

Yes. New
distribution used
for restaurant and
school ME
(section
3D .2.6.1.1).

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Sources of Uncertainty

Uncertainty Characterization

Newly

Characterized/
New

Information?

Influence of Uncertainty on
Exposure | Risk Estimates

Knowledge-
base
Uncertainty

Comments

Category

Element

Direction

Magnitude



Indoor-Residence:
A/C Prevalence

Both

Low

Low

Data were obtained from a reliable source, are comprehensive, and subject to quality
control (U.S. Census Bureau, 2019). For six of the of the eight study areas, A/C prevalence
was available for 2015 and 2017, while for the remaining two study areas (Sacramento and
St. Louis), the most recent year data available was 2011. There is uncertainty associated
with the use of an A/C prevalence derived from a different year than the years simulated in
the two study areas due to changes in housing stock that may occur over time. That said,
indoor microenvironments are considered less likely to contribute to an individual's daily
maximum 7-hr average O3 exposure while at elevated exertion levels and likely do not
contribute substantially to uncertainty in the exposure and risk estimates.

No

Indoor: Removal
Rate

Both

Low

Medium

Greatest uncertainty in the input distribution regarded representativeness, though
estimated as unbiased but correct to within 10% (Langstaff, 2007).

No

APEX: Simulated
Activity Profiles

Longitudinal Profiles

Under

Low - Medium

Medium

The magnitude of potential influence for this uncertainty would be mostly directed toward
estimates of multiday exposures. Simulations indicate the number of single day and
multiday exposures of interest can vary based on the longitudinal approach selected (Che
et al., 2014). As discussed in section 3D.2.5.4, the D&A method provides a reasonable
balance of this exposure feature. Note however, long-term diary profiles (i.e., monthly,
annual) do not exist for a population, thus limiting the evaluation. Further, the general
population-based modeling approach used for main body results does not assign rigid
schedules, for example explicitly representing a 5-day work week for employed people.

No

Commuting

Both

Low

Medium

Method used in this assessment (and used previously in the 2014 HREA) is designed to
link Census commute distances with CHAD vehicle drive times. This is considered an
improvement over the former approach that did not match commute distance and activity
time. While vehicle time is accounted for through diary selection, it is not rigidly scheduled.
However, accurate estimation of exposures occurring while inside vehicles is considered
relatively unimportant because it is unlikely to occur while at elevated exertion.

No

Activity Patterns for
Simulated At-Risk
Population

Both

Low

Low - Medium

Analyses of activity patterns of people with asthma are similar to that of individuals not
having asthma regarding participation rate in outdoor activities and exertion level (section
3D.2.5.3; see also 2014 HREA, Appendix G, Tables 5G-2 to 5G-5).

No

APEX: Physiological
Processes

Body Weight
(NHANES)

Unknown

Low

Low

Comprehensive and subject to quality control, appropriate years selected for simulated
population, though possible small regional variation is possibly not well-represented by
national data (U.S. EPA, 2018, Appendix G.)

Yes. Recent year
data used (2009-
2014) (U.S. EPA
(2018), Appendix
G)

NV02max

Unknown

Low

Low

Upper bound control for unrealistic activity levels rarely used by model, thus likely not very
influential.

No

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Sources of Uncertainty

Uncertainty Characterization

Newly

Characterized/
New

Information?

Influence of Uncertainty on
Exposure | Risk Estimates

Knowledge-
base
Uncertainty

Comments

Category

Element

Direction

Magnitude



Resting Metabolic
Rate (RMR)

Unknown

Low

Low

New, improved algorithm used for the current O3 exposure and risk analysis (U.S. EPA
2018, Appendix H). Comprehensive literature review resulted in construction of large data
base used to derive new RMR equations. Equations consider variables most influential to
RMR (i.e., age, body weight, and sex). There are other factors that could affect intra-
personal variability in RMR such as time-of-day (Haugen et al., 2003) or
seasonal/temperature influences (van Ooijen et al., 2004;Leonard et al., 2014). Variability
from these and other potentially influential factors may be indirectly accounted for by the
residual error term used in the RMR Equation 3D-2 depending on the extent to which these
influential factors varied across the clinical study data that were used to create the RMR
analytical data set. However, because there is inadequate information regarding the
presence of multiple RMR measurements for individual study subjects, we could not
estimate intra-individual variability nor could we use these influential factors, other than age
and sex, as explanatory variables in the RMR equation. Therefore, any influences on
spatial variability in RMR, both within and among the eight study areas, would largely be
driven by the spatial distribution of age and sex.

Yes. Recent data
and new
equations (U.S.
EPA (2018),
Appendix H).

METS Distributions

Over

Low - Medium

Medium

In a prior characterization of uncertainty in METs, APEX estimated daily mean METs range
from about 0.1 to 0.2 units (between about 5-10%) higher than independent literature
reported values (Table 15 of Langstaff, 2007). Some of the diary activities in CHAD
encompassed broad categories (e.g., 'play sports', 'travel, general') and as such METs
distributions were developed using multiple activities, some of which that could vary greatly
in magnitude. Since the 2014 HREA, the list of CHAD activities (and corresponding METs
values) were expanded from 142 to 320, by evaluating available diary comment details and
disaggregating the originally assigned broad activities to more specific activities (see
Attachment 3 and U.S. EPA, 2019c. New distributions were developed using METs
estimates provided by Ainsworth et al. (2011). It is expected that the added specificity and
redevelopment of METs distributions would more realistically estimate activity-specific
energy expenditure. Two important uncertainties remain: the application of literature
provided longer-term average METs values to short-term events and the extrapolation of
METs data provided for adults to children. However, shorter-term values are of greater
importance in this assessment, thus METs could be better characterized where short-term
METS data are available.

Yes. New activity
codes and MET
distributions^.S.
EPA, 2019a, U.S.
EPA, 2019b)

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Sources of Uncertainty

Uncertainty Characterization

Newly

Characterized/
New

Information?

Influence of Uncertainty on
Exposure | Risk Estimates

Knowledge-
base
Uncertainty

Comments

Category

Element

Direction

Magnitude



Ventilation Rates

Unknown

Low

Low - Medium

Predictions made using the prior algorithm showed excellent agreement with independent
measurement data, particularly when considering simulated study group (Graham and
McCurdy, 2009; 2014 HREA Figure 5-23 and Figure 5-24). New algorithm derived using
the same data observed to have improved predictability (U.S. EPA, 2018, Appendix H).
However, a shorter-term comparison (a single hour rather than daily) of predicted versus
measured ventilation rates, while more informative, cannot be performed due to lack of
ventilation rate data at this duration and considering influential factors (e.g., age, particular
activity performed).

Yes. New
equation (U.S.
EPA, 2018,
Appendix H).

Exposure-based risk

EVR

Characterization of
Moderate or Greater
Exertion

Both

Low

Low - Medium

The 2014 HREA recognized that the simulated number of people achieving this level of
exertion could be moderately overestimated, affecting the results for comparison to
benchmarks and the population-based E-R approach used to estimate lung function risk. A
new approach to identifying when individuals may be at moderate or greater exertion was
developed to better address inter-personal variability observed in the controlled human
exposure study subjects (Attachment 2). Uncertainty remains in the extrapolation of the
observations made from adults and proportionally applied to children.

Yes. New
distribution-based
approach
(Attachment 2).

Benchmark
Concentration
Levels for Population
Study Groups

Under

Low

Medium

There is only very limited evidence from controlled human exposure studies of population
groups potentially at greater risk. Compared to the healthy young adults included in the
controlled human exposure studies, members of some populations (e.g., children with
asthma) are considered more likely to experience adverse effects following exposures to
lower O3 concentrations (80 FR 65322,65346, October 26,2015; Frey, 2014, p. 7).
Although not directly characterized in the 2014 HREA, the benchmark levels derived from
the controlled human exposure studies may not be entirely representative of effects likely
to be exhibited by the simulated population and could underestimate the size of the
population at risk and/or the magnitude of adverse effects.

No

Exposure Duration

Under

Low

Low

The exposure duration for the studies from which the benchmark concentrations are drawn
is 6.6-hr (six 50-min exercise periods separated by 10-min rest periods, and with a 35-min
lunch after 3rd hour). For practical reasons, daily maximum exposures were time averaged
over 7 hours (rather than 8 hours previously used) to better relate to the concentrations
used for the controlled human exposure study subjects. The whole number 7, was used
(rather than 6.6) due to logistical and timeline constraints on implementation of a 6.6-hr
duration in the exposure model. Use of 7 hours, while more accurately reflecting the
exposure duration in the controlled human exposure studies, would likely underestimate
risk relative to directly using 6.6 hours, albeit to a limited extent. Use of 7 hours reduces the
magnitude of risk underestimation compared to use of 8 hours (as was done in the prior
REAs).

Yes. A 7-hr
duration for
averaging
exposure
concentrations
was used to
better represent
6.6-hr exposures
(section 3D.2.8.1)

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Sources of Uncertainty

Uncertainty Characterization

Newly

Characterized/
New

Information?

Influence of Uncertainty on
Exposure | Risk Estimates

Knowledge-
base
Uncertainty

Comments

Category

Element

Direction

Magnitude

Lung Function Risk
Estimation

Contribution to Risk
of Exposures at or
Below 40 ppb

Over

Low - Medium

Low - Medium

While there is limited support for O3 being causally linked to lung function responses at the
lowest tested exposure level (i.e.,40 ppb exposures), there are no observations at lower
exposures. Data available at 40 ppb are limited to two studies, in one of which O3 was
administered by facemask and had the only positive response. Because the lung function
risk analysis assumes there is an exposure response relationship at exposures below 40
ppb, the influence of this source of uncertainty could possibly contribute to the
overestimation of risk when including risk resulting from low exposures. The magnitude of
influence appears to be greater for the MSS model estimates when compared to the E-R
function estimates.

Yes. New
evaluation of the
contribution of risk
from low
exposures,
(section 3D.3.4.3)

Extrapolation of E-R
Data from Healthy
Subjects to
Simulated People
with Asthma

Under

Low

Low - Medium

Subjects with asthma in controlled human exposure studies appear to be at least as
sensitive to acute effects of O3 in terms of FEV1 and inflammatory responses as healthy
non-asthmatic subjects (2013 ISA, section 8.2.2). Note however, study subjects with
asthma are typically characterized as having a "mild" condition, thus, there is uncertainty in
how others expressing a more severe condition would respond to similar O3 exposures. In
addition, many epidemiologic studies report greater risk of health effects among individuals
with asthma. Considering each of these elements, a direct extrapolation could understate
the at-risk population.

No

Extrapolation of E-R
Data from Adults 18-
35) to Children and
to Older Adults

Both

Low - Medium

Low

Because the vast majority of controlled human exposure studies investigating lung function
responses were conducted with adult subjects, the lung function risk estimates for children,
ages 5-18, is based on E-R data from adult subjects to estimate responses in children aged
5-18. However, the few available studies of 03-related lung function decrement in children
indicate that children's FEV1 responses are similar to those observed in adults 18-35 years
old (e.g. McDonnell et al., 1985). Regarding older adults, the evidence indicates a decline
in responsiveness with increasing age 18 to 35, followed by a rate of decrease that
dampens for ages 36 to 55, and ultimately leads to limited responsiveness in adults >55
years old (2013 ISA, p. 6-22). A newly available study, Arjomandi et al., 2018, found a
statistically significant reduction in FEV1 (group mean of 1.7%) for older adults (mean age
59.9) following 3-hr exposures of 120 ppb O3 with exercise (EVR of 15-17 L/min-m2),
although statistical significance was not found for 3-hr exposures of 70 ppb. Given the 7-hr
focus of the current assessment as well as the fact that the air quality scenario for the
current standard includes no hours with an ambient air concentration at or above 120 ppb
(Appendix 3C, Figures 3C-67 to 3C-74), the setting of the age term at zero for older adults
appears to remain appropriate for the simulated exposure conditions.

No

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Sources of Uncertainty

Uncertainty Characterization

Newly

Characterized/
New

Information?

Influence of Uncertainty on
Exposure | Risk Estimates

Knowledge-
base
Uncertainty

Comments

Category

Element

Direction

Magnitude



Assumed No
Interaction of other
Co-pollutants on O3-
related Lung
Function Responses

Under

Low

Medium

There are a few studies regarding the potential for an increased response to O3 when
exposure is in the presence of other common pollutants such as particulate matter
(potentially including particulate sulfur compounds), nitrogen dioxide, and sulfur dioxide,
although the studies are limited (e.g., with regard to relevance to ambient air exposure
concentrations) and/or provide inconsistent results.

No

Statistical model for
E-R Function

Both

Low

Low

The selection of statistical model to best reflect the E-R relationship can influence risk
estimates, particularly for instances when large proportions of the simulated population are
exposed to low-level concentrations. The 90/10 logit/linear model (section 3D-2.8.2.1)
yielding an E-R function similar in shape to an E-R function developed using a probit link (a
commonly used fitting method), would tend to estimate lower risk than a function based on
a logistic fit (which would have a relatively higher response at low level exposures). Overall,
the relatively low contribution of low-level exposures to risk when using the E-R function
approach indicates the selection of the 90/10 logit/linear fit to have a limited impact on
uncertainty in risk estimates.

Yes. Section
3D .3.4.2.1

Statistical
Uncertainty in E-R
Function

Both

Low - Medium

Low

A BMCMC approach was used to iteratively generate 9,000 unique E-R functions section
3D.2.8.2.1). We used the median (50th percentile) function for generating population-based
(E-R function) lung function risk in the main body results. A 95% confidence interval for risk
estimates was generated using the 2.5th and 97.5th percentile E-R functions. Overall, the
range of risk estimates using the confidence intervals was small, on the order of a few
percentage points, but increased in relative magnitude when considering the larger lung
function decrements.

Yes. section
3D .3.4.2.2

Contribution of Low-
level Ventilation
Rate in MSS model
Estimated Risk

Over

Low - Medium

Low - Medium

We evaluated the role of ventilation rate in estimating risk with the MSS model approach
(section 3D.2.8.2.2) by comparing risk generated using either of two model conditions: risk
for when simulated individuals experienced decrements at any ventilation rate, or risk for
when ventilation rate was at moderate or greater exertion (the latter reflects the E-R
function risk approach). The MSS model risk estimates were about 20-40% lower when
selecting for simulated individuals at moderate or greater exertion compared with MSS
model risk estimates using individuals at any ventilation rate (Table 3D-69). Even when
including only individuals at higher exertion rates, the MSS model risk estimates are still a
factor of three or more higher than risks estimated using the E-R function risk approach.
Given that the controlled human exposure studies indicate an importance of elevated
ventilation in combination with the studied exposure concentrations, the MSS model likely
overestimates risk.

Yes. section
3D .3.4.2.4

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Sources of Uncertainty

Uncertainty Characterization

Newly

Characterized/
New

Information?

Influence of Uncertainty on
Exposure | Risk Estimates

Knowledge-
base
Uncertainty

Comments

Category

Element

Direction

Magnitude



Variability Parameter
Setting in MSS
Model

Over

Medium

Low - Medium

The value of the MSS model variable U (Equations 3D-15 and 3D-16) is randomly assigned
from a distribution to simulated individuals and is meant to address inter-individual
variability not accounted for by the other MSS model variables. The influence of U was
qualitatively evaluated by examining example time series for two children simulated with
different values for U and for which similar-sized lung function decrements are predicted.
While both children had similar exposure profiles in terms of duration exposed to elevated
concentrations, the ventilation duration at peak concentrations differed. The difference
observed (Figure 3D-18) suggests that random assignment of high U values leads to
simulated individuals being predicted to experience lung function decrements at relatively
lower time-averaged breathing rates as those with a lower U value. Given the difference of
these exposure conditions from those in which such decrements are observed in controlled
human exposure studies, it is likely that the risk is overestimated, and the amount of
overestimation may be similar to that described for ventilation rate in the preceding entry. A
second variable n, a constant, is used by the MSS model to address intra-individual
variability (Equation 3D-16). Because the n is described as representing the non-ozone
related contribution to response variability in the study observations (McDonnell et al.,
2013), a non-zero setting may contribute to over estimates in risk. We found estimated
risks using n set to zero to be about 20-35% lower than when using the default parameter
setting (the setting used for the main results in section 3D.3.3.2).

Yes. section
3D .3.4.2.5

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Sources of Uncertainty

Uncertainty Characterization

Newly

Characterized/
New

Information?

Influence of Uncertainty on
Exposure | Risk Estimates

Knowledge-
base
Uncertainty

Comments

Category

Element

Direction

Magnitude



Statistical and
Model Uncertainty in
MSS model

Both

Low

Low

Glasgow and Smith (2017) evaluated statistical uncertainty in the MSS model employed by
APEX. Multiple sets of lung function risk results were generated using random draws of the
MSS model coefficients (considering their standard errors) and performing APEX
simulations for children ages 5-17 and for 2010 air quality just meeting a design value of 75
ppb in Atlanta. Calculated bounds on the risk estimates could extend to as low as 0% and
>35% of children experiencing at least one decrement >10% (Glasgow and Smith (2017),
Figure 1). While the bounds were wide ranging (and affecting mostly the lowest decrement
size), the reported median risk estimate (18.1%) is similar to that estimated in the 2014
HREA. Note, these central tendency risk values are based on using the best estimates of
the MSS model coefficients and are derived from the existing controlled human exposure
study data. It is possible that with new controlled human study observations, these model
coefficients (and associated standard errors) could possibly change, resulting in a shift of
central tendency risk estimates in either direction (greater or lower frequency of lung
function decrements) while also changing the outer bounds (increasing or decreasing the
confidence intervals). Even so, the outer bounds of any risk estimates, based on the
current MSS model or a newly derived MSS model, are generated by using a distribution of
coefficient values, the bounds of which have a lesser probability of occurrence compared to
those generated using the central tendency values. Further, Glasgow and Smith (2017)
also evaluated MSS model uncertainty using two different parameterizations (one including
BMI as an explanatory variable, the other not). Comparison of median risk values for the
two parameterizations ranged from fractions to a few percentage points, with the largest
difference reported for the lowest decrement and overall, lower values were reported for
the MSS model that includes a BMI variable. We note the risk results generated in our
assessment are based on the MSS model that includes a BMI variable. While uncertainty in
the MSS model risk estimates could be further characterized (e.g., including the type of
analyses reported by Glasgow and Smith, 2017), that would not be expected to change the
overall conclusion that there is relatively greater uncertainty associated with the MSS
model estimates than with the E-R model estimates.

Yes (Glasgow
and Smith (2017))

1

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3D.3.4.2 Targeted Evaluations of Lung Function Risk Models

The intent of the following targeted evaluations is to provide insight into a few of the
important uncertainties identified in section 3D.3.4.1 concerning the lung function risk estimates.
Analyses were designed to inform how the uncertainties may influence the exposure and risks
reported in section 3D.3. Results or estimates generated in these targeted evaluations do not
replace (nor supplement) the results in section 3D.3, nor do they address all aspects of the
exposure and risk assessment. Further, because the main body results indicated children were
estimated to experience lung function decrements more frequently than adults, we focused these
targeted evaluations on simulations with children.

Briefly, we performed five targeted evaluations with each discussed in the following
sections. The first section discusses the statistical model used to represent the E-R function
(section 3D.3.4.2.1). The next section discusses the development and interpretation of confidence
intervals for the lung function risk estimates generated using the population-based E-R function
(section 3D.3.4.2.2). This is followed by a section describing an evaluation of the contribution of
low-level exposures to risk estimated using the population-based E-R function and the individual
MSS model lung function risk approaches (section 3D.3.4.2.3). Section 3D.3.4.2.4 evaluates the
role moderate or greater ventilation has in estimating risk using the MSS model. And finally, a
discussion and evaluation of variability parameters used in the MSS model is presented in
section 3D.3.4.2.5.

3D.3.4.2.1 Statistical Model Used for the E-R Function

There are several approaches available to fit data to a continuous E-R function, for
example, regression models (linear, logistic) and use of curve smoothing techniques (moving
averages, polynomial splines). Logistic regression is commonly used for concentration-,
exposure-, and dose-response relationships when study observations contain a binary dependent
variable (e.g., either yes/no response). A logistic regression can be fit using a varied linking
approach, such as logit or probit, the selection of which can depend on assumptions made
regarding the distribution of responses (logistic or inverse normal, respectively)83 among other
factors (e.g., model fit statistics).

The statistical model selected for the E-R function and used to estimate the frequency of
lung function decrements in this exposure and risk analysis is the same as that used in the 2014
and 2007 REAs and was based on combining logistic (with a logit link) and two-piece linear

83 For example, regarding the development of an E-R function describing lung function decrements associated with
exposure to SO2 for the risk assessment performed in the 2012 review of the SO2 NAAQS (U.S. EPA, 2009), the
CASAC for that review (Samet, 2009) suggested that the distribution of individual response thresholds supported
use of a probit function rather than a logistic function (pp. 14 and 60-63).

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forms in a 90/10 percent proportion, respectively, using a Bayesian Markov Chain Monte Carlo
(BMCMC) modeling approach (section 3D.2.8.2.1). The selection of this model was based on
advice received from the CASAC review in the 2008 O3 NAAQS review (Henderson, 2006) and
evaluation of the curve fit statistics for this function (U.S. EPA, 2007a; 2014 HREA).

Of practical importance for this assessment is how the response curve is extrapolated
from the lowest observed exposure to zero exposure/response. For general context, in comparing
a probit to a logit link in a logistic regression, the probit link would yield a relatively lower
response at the lowest level exposures. The two-piece linear model used in part for developing
the current E-R function resembles a hockey stick, with the paddle representing a zero response
for the lowest exposures, and the handle representing the increased response that coincides with
increasing exposures, beginning at the junction between the paddle and the stick.84 Based on this
statistical form, when combining the logit linked logistic model with a hockey stick type model
(as done for this assessment), it was assumed the 90/10 percent proportion logit/linear E-R form
would have a response curve shape for low-level exposures similar to that using a probit link. To
better evaluate these E-R functions, we fit the controlled human exposure study data (Figure 3D-
12) using a probit link and compared that with the 90/10 logit/linear curve.

As an example, Figure 3D-14 illustrates the E-R functions fit from these two approaches,
using the >15% lung function decrement observations. Plotted for the probit approach is the
curve derived from the best estimate of the model coefficients, along with 95% confidence
intervals derived from the model coefficient variability. For the 90/10 logit/linear approach, the
median (50th percentile) function is plotted, along with 95% confidence intervals derived from
the 2.5th and 97.5th percentile E-R functions obtained from the 9,000 BMCMC model iterations.
As expected, the probit curve is very similar to the 90/10 logit/linear curve, albeit with the
former having a response just below the latter for the lower exposures. The opposite occurs for
exposures above 55 ppb; for those higher exposures, a relatively greater response is indicated
using the 90/10 logit/linear E-R function. Based on there being little difference between the two
curves and only slight off-setting of the response at different exposure levels, it is likely that
applying a probit fit for the E-R function to the population distribution of daily maximum 7-hr
exposures would result in little to no difference from the risk estimates derived with the 90/10
logit/linear E-R function.85

84	The combined two-piece linear/logistic E-R function is used, as described in section 3D.2.8.2.1 above, because of
the limited controlled human exposure study data, and associated uncertainty regarding the response, at low level
exposures (i.e., <60 ppb). Note, the two-piece linear model has a lower percent contribution (10%) compared to
that of the non-threshold logistic model (90%) in deriving the combined E-R function.

85	Evaluation of the E-R functions fit for the 10% decrement indicated that the 90/10 logit/linear curve had a
somewhat higher response than the probit curve at the low-level exposures (and lower response at exposures >55

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15

30%

if 20%

.Q

ozone exposure level (ppb)

Figure 3D-14. Comparison of a probit function curve (blue line) with the Bayesian

logistic/linear function curve (red) in estimating the probability of lung
function decrements >15% (based on data in Table 3D-20). Confidence
intervals for the probit model reflect variability in the regression model
coefficients.

3D.3.4.2.2 Confidence Intervals for the Population-based E-R Function
and Effect on Lung Function Risk Estimates

To estimate lung function risk using the population-based E-R function approach, the
results of which are presented in the main body of this document (section 3D.3.3.1), we selected
the median (50th percentile) E-R function originally developed as part of the 2014 HREA. This
E-R function was derived from Bayesian Markov Chain Monte Carlo (BMCMC) approach that
iteratively combined logistic and linear E-R functions fit to the controlled human exposure study
data in Table 3D-20 (section 3D.2.8.2.1). The selection of the median E-R function to estimate
risk in the current assessment generally assumes the simulated at-risk population is comprised of

ppb). For the 20% decrement, the probit curve was similar to the 90/10 logit/linear curve at low-level exposures,
but slightly higher for exposures between 50 and 70 ppb. Given the smallness of the difference and limited
contribution of the lower exposures to the risk estimates (Table 3D-66), these finding does not imply significant
uncertainty or support generation of new simulations and risk estimates using the probit E-R function.

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individuals that have a similar response frequency as that of the general collection of controlled
human exposure study test subjects.

Because there were two or more studies reporting observed responses at most of the
exposure levels and the BMCMC approach generates numerous E-R functions, statistical
uncertainty in the E-R function can be used to approximate lower and upper bounds to the lung
function risk estimates. To evaluate such bounds here, a 95% confidence interval for lung
function risk was estimated by combining the population distribution of daily maximum 7-hr
exposures (occurring while at moderate or greater exertion) for simulated children in each study
area with the 2.5th and 97.5th percentile population-based E-R functions (2014 HREA, Appendix
6A, Table 6A-1). Lung function risk estimates based on these lower and upper percentile
functions and those based on the median function (for air quality just meeting the existing
standard) are presented, in terms of the minimum and maximum year results, in Table 3D-65 for
each of the three lung function decrements (i.e., FEVi decrements >10, 15, and 20%). The
estimates for the median E-R function are drawn from Table 3D-40. The estimates for the best
and worst air quality years yield the minimum and maximum estimates for each of the three
functions providing a range for estimates based on each of the particular E-R functions.

The range of values for the estimated risk generated by each of the E-R functions as a
result of using different air quality years (i.e., the distance in estimated risk between the
minimum and maximum values) is small, on the order of a few tenths of a percentage point, with
the smallest range of values associated with the largest lung function decrement (Table 3D-65).
In general, the range of the overall 95% confidence interval (i.e., the distance in estimated risk
between the 2.5th and 97.5th values) is also small when considering percentage points. For
example, the lower bound percent of children estimated to experience at least one lung function
decrement >10% for the Atlanta study area is about 1.5% and the upper bound value is about
4.0% (median E-R function value ~ 2.4%). With increasing magnitude of the decrement, the
range of percentage points becomes smaller (e.g., a >20% decrement has a range of about 0.6
percentage points for Atlanta). In terms of relative magnitude, one might consider this range
large (i.e., a factor of 6 or more), but because there are so few children estimated to experience
these large lung function decrements, this interpretation of the confidence interval would be
inappropriate. Further, it would be unreasonable to simply assume that use of the lower and
upper bounds of the E-R functions would appropriately estimate lower and upper bounds of risk
without additional context regarding the controlled human exposure study data, the interpretation
of the bounds on the E-R function, and how these might relate to statistical uncertainty in the risk
estimates.

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1	Table 3D-65. Percent of children estimated to experience at least one lung function

2	decrement at or above the indicated level, for air quality adjusted to just meet

3	the current standard, using the population-based (E-R function) risk

4	approach.

FEVi
Decrement

Study Area

Percent of Children Estimated to Experience at Least One
Decrement per Year using Specified E-R Functions A

Lower Bound (2.5%)
E-R Function

Median (50%)
E-R Function B

Upper Bound (97.5%)
E-R Function

min c

max c

min

max

min

max

>10%

Atlanta

1.0

1.5

1.9

2.5

3.1

4.0

Boston

1.2

1.4

2.0

2.3

3.3

3.8

Dallas

1.2

1.6

2.1

2.6

3.5

4.3

Detroit

1.4

1.8

2.3

2.8

3.9

4.5

Philadelphia

1.3

1.4

2.2

2.4

3.6

3.9

Phoenix

1.8

2.2

2.9

3.3

4.8

5.4

Sacramento

1.2

1.4

2.2

2.3

3.6

3.8

St. Louis

1.4

1.8

2.3

2.8

3.8

4.5

>15%

Atlanta

>0.1

0.2

0.4

0.6

0.7

1.1

Boston

0.1

0.2

0.5

0.6

0.8

1.0

Dallas

0.1

0.2

0.5

0.7

0.8

1.1

Detroit

0.1

0.3

0.6

0.8

1.0

1.2

Philadelphia

0.1

0.1

0.5

0.6

0.9

1.0

Phoenix

0.2

0.3

0.7

0.9

1.2

1.5

Sacramento

0.1

0.1

0.5

0.6

0.9

1.0

St. Louis

0.1

0.3

0.6

0.8

0.9

1.2

>20%

Atlanta

>0.1

0.1

0.1

0.2

0.4

0.7

Boston

>0.1

0.1

0.2

0.2

0.5

0.7

Dallas

>0.1

0.1

0.2

0.3

0.5

0.8

Detroit

0.1

0.1

0.2

0.3

0.7

0.9

Philadelphia

>0.1

>0.1

0.2

0.2

0.6

0.6

Phoenix

0.1

0.1

0.3

0.4

0.8

1.1

Sacramento

>0.1

>0.1

0.2

0.2

0.5

0.6

St. Louis

>0.1

0.1

0.2

0.3

0.6

0.9

A Calculated percent is rounded to the nearest tenth decimal using conventional rounding. Values equal to zero are designated
by "0" (there are no individuals experiencing decrements at that level). Small, non-zero values that do not round upwards to 0.1
(i.e., <0.05) are given a value of "<0.1".

B The median function is used to generate E-R function risk estimates reported in the main body results. Note, these are
identical to the results reported in Table 3D-40.

c The minimum (min) are results for the best air quality year and the maximum (max) are results for the worst air quality year of
the three years simulated.

5

6	As a reminder, while the controlled human exposure study subjects are volunteers (and

7	assumed to be selected at random), it is important to note there are important fundamental biases

8	in their collective composition: none of the individuals have known preexisting health conditions

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(e.g., cardiovascular disease, asthma) and all of the subjects are required to be physically fit
enough to meet a study's exercise target levels. Clearly, not every member of the simulated
population has these attributes, but the risk approach does select for when simulated individuals
are at moderate or greater exertion while exposed, as was done for the controlled human
exposure study subjects. Therefore, representation of potentially sensitive individuals (i.e., those
with pre-existing health conditions) in the study data and thus, in the derived E-R functions, is
absent.

In addition, use of this type of statistical approach to estimate lower and upper bounds of
lung function risk does not suggest that the range of functions could be equally applied to the
simulated population as a whole (e.g., that the entire population could have a risk as low as Xor
as high as 7, based on the 2.5th and 97.5th percentile functions selected, respectively) nor does the
range of E-R functions likely represent individuals that are least sensitive, or more importantly
(given the NAAQS review context for these analyses), those most sensitive to O3 exposure. The
variability in the observed response in study subjects at given O3 exposures can be due to many
factors (e.g., uncertainties in exposure conditions, response/concentration measurements, study
subject sensitivity for healthy individuals, number of subjects per study, etc.). When used in such
an analysis here, one might suggest the lower and upper bounds account for some of these
uncertainties, however, they would be bounded by their collective representativeness and actual
weighting of these uncertainties present in the study observations. In its application, it would be
assumed that the distribution of the features of the study subjects are similarly reflected in the
simulated population, which as described above, is not entirely the case.

Further, the range of functions used to represent lower and upper bounds is derived from
a distribution of functions. If there were a perfect matching of the study subject attributes with
those of the simulated population, the risks estimated using either end of the 95% interval for the
E-R function would certainly have a much smaller likelihood and better apply to a smaller
proportion of the population, than those estimated from using the median E-R function. That
said, even in the absence of perfectly matching the attributes of the controlled human exposure
study subjects with those of the simulated population, the median E-R function may be most
appropriate to estimate lung function risk for the simulated population as a whole. Still, the
median E-R function may be underestimating the number/percent of individuals experiencing
decrements to the extent that the general population includes individuals that would experience
greater decrements than experienced by individuals represented in the controlled human
exposure studies. Further, as recognized in Chapter 3 of the main document, similarly sized
decrements in individuals with compromised respiratory function or in individuals with asthma
may be more likely to elicit other, perhaps more significant, health outcomes.

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3D.3.4.2.3 Contribution of Low-Level Exposures to Lung Function Risk
Estimates

The two approaches used to estimate lung function risk were evaluated to better
understand how the distribution of exposures influences the estimated risk. For the first approach
that used the population-based E-R function to estimate risk, we evaluated the risk contribution
resulting from each of the daily maximum 7-hr exposure levels that occur while at elevated risk.
Because the continuous function used is extrapolated from the lowest observed exposure (40
ppb) in the controlled human exposure studies to zero, of particular interest here were the
contributions from low exposures to the estimated risk where there are no controlled human
study data available (i.e., O3 exposures <40 ppb, 6.6-hrs). Further, because there were only two
studies that included exposures of 40 ppb (one that elicited decrements between 10 and 15% in
two study subjects, with no statistical significance at the group mean level, the other eliciting no
decrement of at least 10% in any subjects), we also evaluated the contribution to estimated risk
resulting from exposures >50 ppb and >60 ppb.

The APEX exposure output for the E-R function approach that were the basis for the
main results reported in section 3D.3.3 are in a format useful for calculating the risk contribution
from each 7-hr average exposure bin (0 to 160 ppb, in 10 ppb increments), thus no new APEX
simulations were needed for this evaluation. However, given the objectives for this evaluation,
time limitations on it, and that new simulations were required to evaluate the MSS model
approach (see below), we focused on three of the eight study areas for this evaluation. These
areas were selected at random (i.e., Atlanta, Dallas, and St. Louis), and simulations were
performed for a single year (2016). The results for this evaluation are provided in Table 3D-66
for the three study areas, three air quality scenarios using 2016 data, and focusing on the risk
contribution to lung function decrements occurring at least one and two days per year. Figure
3D-15 illustrates the same results, but for air quality just meeting the current standard.

There is variability in the risk contribution across the three study areas, variability which
increases with increasing magnitude of the lung function decrement and increasing O3 exposures
across the three air quality scenarios. The risk estimated from 7-hr average exposures below 40
ppb is generally low and is lower for higher magnitudes of the lung function decrement and
higher air quality scenario design value. That said, the majority of risk (84 to 98%) is attributed
to 7-hr average exposures >40 ppb for any of the air quality scenarios. The risk contribution
attributed to 7-hr average exposures >60 ppb varies greatly across the study areas, the magnitude
of the decrements, and the air quality scenarios. For example, on average about 37% of the risk is
contributed by 7-hr average exposures >60 ppb. But in Dallas, the contribution from these
exposures is much less (on average about 22%), while in St. Louis, the contribution is much
more (on average about 50%).

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1	Table 3D-66. Estimated lung function risk contribution resulting from selected 7-hr

2	average O3 exposures in children, using the E-R function risk approach, 2016.

Air Quality
Scenario

7-hr
Exposure

Study
Area

Risk Contribution from Indicated 7-hr Exposure, E-R Function Approach

One Decrement/FEVi Reduction

Two Decrements/FEVi Reduction

>10%

>15%

>20%

>10%

>15%

>20%





Atlanta

6.2%

3.5%

1.8%

10.3%

6.7%

3.8%



<30 ppb

Dallas

6.7%

3.9%

2.1%

10.8%

7.1%

4.2%





St. Louis

5.4%

2.9%

1.4%

9.1%

5.6%

3.0%





Atlanta

19.8%

13.4%

8.1%

30.4%

23.3%

16.2%



<40 ppb

Dallas

20.9%

14.7%

9.2%

31.3%

24.3%

17.2%

65 ppb



St. Louis

16.5%

10.6%

6.1%

25.6%

18.5%

12.0%



Atlanta

54.3%

43.1%

32.2%

75.4%

67.7%

58.2%



<50 ppb

Dallas

58.1%

48.1%

37.6%

76.6%

69.5%

60.6%





St. Louis

43.4%

32.7%

23.3%

62.6%

53.1%

42.7%





Atlanta

88.7%

81.9%

74.4%

98.5%

97.4%

95.9%



<60 ppb

Dallas

94.2%

90.2%

85.6%

99.8%

99.6%

99.4%





St. Louis

83.3%

75.2%

67.7%

96.7%

94.5%

91.8%





Atlanta

4.2%

2.0%

0.9%

7.3%

4.2%

2.1%



<30 ppb

Dallas

5.3%

2.8%

1.4%

8.8%

5.4%

2.9%





St. Louis

3.7%

1.7%

0.7%

6.6%

3.6%

1.7%





Atlanta

12.9%

7.5%

3.9%

21.0%

14.4%

8.8%

Current
Standard
(70 ppb)

<40 ppb

Dallas

16.3%

10.5%

6.0%

25.1%

18.2%

11.9%



St. Louis

11.1%

6.1%

3.1%

18.0%

11.5%

6.6%



Atlanta

35.9%

24.5%

15.7%

53.9%

43.3%

32.9%

<50 ppb

Dallas

45.3%

34.4%

24.5%

63.4%

54.0%

43.7%





St. Louis

29.0%

18.7%

11.6%

44.9%

33.7%

23.8%





Atlanta

72.3%

59.7%

48.7%

91.7%

86.6%

81.2%



<60 ppb

Dallas

85.8%

77.9%

69.8%

97.0%

95.0%

92.6%





St. Louis

61.1%

48.3%

38.5%

82.9%

74.5%

66.5%





Atlanta

2.9%

1.2%

0.4%

5.2%

2.6%

1.2%



<30 ppb

Dallas

4.3%

2.1%

0.9%

7.4%

4.3%

2.2%





St. Louis

2.8%

1.2%

0.4%

5.2%

2.6%

1.1%





Atlanta

8.6%

4.3%

1.9%

14.7%

8.8%

4.7%



<40 ppb

Dallas

13.1%

7.7%

4.0%

21.0%

14.4%

8.8%

75 ppb



St. Louis

8.4%

4.1%

1.9%

14.1%

8.1%

4.2%



Atlanta

23.6%

13.7%

7.6%

37.6%

26.5%

17.6%



<50 ppb

Dallas

35.6%

24.6%

16.0%

52.9%

42.4%

32.2%





St. Louis

21.6%

12.5%

7.0%

34.6%

23.5%

15.1%





Atlanta

52.8%

37.7%

27.0%

75.8%

64.9%

55.2%



<60 ppb

Dallas

75.1%

63.3%

52.7%

92.0%

87.2%

82.1%





St. Louis

47.4%

33.6%

24.4%

69.3%

57.2%

47.3%

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6

Risk Contribution from 7-hr Average Exposures
One Decrement-Current Standard (70 ppb)
E-R Function Risk Approach

100%
90%
80%

c

.2 70%

4-1

J 60%

ฆฃ 50%

O

40%

-Sฃ

.2 30% f
cc

20%

>20% FEV1 Reduction - One Day

ฆ	>15% FEV1 Reduction - One Day

ฆ	ฃ10% FEV1 Reduction - One Day

10%

0% ^

ATL

DAL

STL

		I

Exposures
< 30 ppb

ATL

Exposures
< 40 ppb

Exposures
< 50 ppb

Exposures
< 60 ppb

Risk Contribution from 7-hr Average Exposures
Two Decrements - Current Standard (70 ppb)
E-R Function Risk Approach

100%

1

90%

80%

c

.2 70%

+-ซ

E 60% :

ฆฃ 50% :
O

U 40%

ฆ — 30% 1
CC

20% -

>20% FEV1 Reduction - Two Days
I >15% FEV1 Reduction - Two Days
I >10% FEV1 Reduction - Two Days

10%
0%



ATL DAL

<

Exposures
< 30 ppb

Exposures
< 40 ppb

Exposures
< 50 ppb

I

Exposures
< 60 ppb

Figure 3D-15. Estimated lung function risk contribution resulting from selected 7-hr

average O3 exposures in children, using the E-R function risk approach and
air quality adjusted to just meet the current standard, for one decrement (top
panel) and two decrements (bottom panel), 2016.

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As was done with the E-R function results, we evaluated the influence exposure level has
on risks estimated using the MSS model. New APEX simulations were performed to estimate the
continuous hourly time-series of O3 exposures and FEVi decrements. All simulation conditions
remained the same as done for the main body risk results except that for this evaluation, a single
year of air quality (2016) was used and fewer children were simulated to maintain a tractable
analysis (10,000 rather than the 60,000 done for the main body results). Note, there is little
difference in risks estimated when varying the total number of simulated children (Table 3D-67).
Because the risk estimated using the MSS model is calculated from a cumulative time-series of
O3 exposures (and EVR, along with contributions from other variables used by the MSS model),
we calculated the 7-hr average O3 exposure occurring just prior to the FEVi decrements to allow
for reasonable comparison with the above E-R function risk contribution results.

Table 3D-68 and Figure 3D-16 present the risk contribution resulting from selected 7-hr
average O3 exposures that occur prior to a lung function decrement of interest, estimated using
the MSS model. While the general pattern in the risk contributions across the air quality
scenarios, study areas, and decrements are similar to that described above using the E-R function
approach, there are noteworthy differences between the two risk approaches. First, there is less
variability in the risk contribution values across the study areas and decrements when using the
MSS model risk approach. For example, the overall coefficient of variation (COV; standard
deviation/mean) ranges from 1 to 31% (mean 11%) across study areas when evaluating the MSS
model risk contributions, while the COV ranges from 6 to 49% (mean 26%) for the same
evaluation using the E-R function. Second, the MSS model consistently calculates a greater
percent of lung function decrements that result from low O3 exposures (Table 3D-68) relative to
that estimated when using the E-R function (Table 3D-66). While the majority of risk (84 to
98%), mean 91%) using the E-R function risk approach was attributed to 7-hr average exposures
>40 ppb, when using the MSS model, between 33 to 75% (mean 54%) of risk is attributed to 7-hr
average exposures >40 ppb when considering the three air quality scenarios and all three
decrements. Based on this evaluation, the MSS model more frequently predicts responses to
occur at lower O3 exposures than does the E-R function approach.

Table 3D-67. MSS model risk estimates from varying the number of simulated children.

Study Area
(2016 AQ)

APEX Simulation, 70 ppb AQ Scenario
(number of simulated children)

% of Children Experiencing at least One Decrement

FEVi >10%

FEVi >15%

FEVi >20%

Atlanta
(worst year)

Sensitivity (n = 10,000)

14.6%

5.1%

2.1%

Main Results, Table 3D-52 (n = 60,000)

15.1%

5.0%

2.1%

Dallas
(best year)

Sensitivity (n = 10,000)

13.3%

4.1%

1.7%

Main Results, Table 3D-52 (n = 60,000)

13.1%

4.0%

1.6%

St. Louis
(worst year)

Sensitivity (n = 10,000)

16.3%

5.8%

2.5%

Main Results, Table 3D-52 (n = 60,000)

16.3%

5.9%

2.7%

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Table 3D-68. Estimated lung function risk contribution resulting from selected 7-hr

average O3 exposures in children, using the MSS model risk approach, 2016.

Air Quality
Scenario

7-hr
Exposure

Study
Area

Risk Contribution from Indicated 7-

ir Exposure, MSS Model Approach

One Decrement/FEVi Reduction

Two Decrements/FEVi Reduction

>10%

>15%

>20%

>10%

>15%

>20%

65 ppb

< 30 ppb

Atlanta

33.5%

16.2%

10.1%

33.9%

17.4%

10.4%

Dallas

36.0%

19.6%

8.8%

36.9%

20.6%

9.1%

St. Louis

29.6%

13.8%

9.0%

30.3%

15.1%

9.4%

<40 ppb

Atlanta

70.9%

52.9%

41.6%

71.6%

55.4%

44.0%

Dallas

71.7%

57.2%

38.9%

72.6%

60.6%

42.1%

St. Louis

64.9%

46.4%

35.1%

65.5%

49.3%

40.3%

<50 ppb

Atlanta

93.0%

86.8%

81.3%

93.6%

88.9%

84.9%

Dallas

93.7%

89.2%

81.6%

94.0%

90.9%

86.0%

St. Louis

89.7%

82.3%

70.9%

90.1%

84.5%

76.5%

<60 ppb

Atlanta

99.1%

97.9%

96.6%

99.3%

98.0%

96.5%

Dallas

99.5%

98.7%

97.9%

99.6%

99.1%

99.4%

St. Louis

98.4%

97.2%

95.9%

98.5%

97.7%

96.6%

Current
Standard
(70 ppb)

< 30 ppb

Atlanta

28.6%

13.8%

7.3%

29.3%

14.4%

8.9%

Dallas

32.4%

18.4%

8.8%

33.0%

19.4%

9.5%

St. Louis

24.8%

10.5%

5.2%

25.5%

11.1%

5.0%

<40 ppb

Atlanta

62.7%

44.2%

33.4%

63.3%

45.8%

36.2%

Dallas

66.7%

51.0%

37.5%

67.6%

54.0%

41.5%

St. Louis

56.6%

36.1%

25.3%

57.4%

37.9%

27.7%

<50 ppb

Atlanta

87.7%

79.7%

70.9%

88.3%

81.4%

75.1%

Dallas

90.6%

84.0%

77.5%

91.1%

86.7%

81.1%

St. Louis

83.5%

72.0%

62.9%

84.4%

73.5%

65.8%

<60 ppb

Atlanta

97.5%

95.2%

92.5%

97.8%

96.2%

94.6%

Dallas

98.8%

98.0%

96.0%

99.0%

98.6%

97.8%

St. Louis

95.9%

91.9%

87.8%

96.2%

92.8%

89.7%

75 ppb

< 30 ppb

Atlanta

25.1%

11.7%

6.5%

25.6%

12.2%

7.2%

Dallas

29.7%

16.7%

9.0%

30.3%

17.7%

10.2%

St. Louis

21.9%

9.4%

4.9%

22.4%

10.0%

5.0%

<40 ppb

Atlanta

55.9%

38.1%

28.2%

56.6%

39.1%

30.0%

Dallas

62.1%

46.3%

33.0%

63.2%

48.9%

38.0%

St. Louis

51.9%

32.2%

22.0%

52.6%

33.7%

23.1%

<50 ppb

Atlanta

81.4%

70.5%

62.9%

82.2%

72.2%

66.1%

Dallas

87.0%

78.8%

71.2%

87.9%

81.5%

75.8%

St. Louis

78.3%

63.7%

53.2%

79.1%

66.1%

56.3%

<60 ppb

Atlanta

94.6%

90.6%

87.2%

95.0%

92.1%

90.4%

Dallas

97.7%

95.5%

93.0%

98.0%

96.7%

94.7%

St. Louis

93.1%

87.1%

83.0%

93.6%

88.9%

85.6%

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1

2

3	Figure 3D-16. Lung function risk contribution resulting from selected 7-hr average O3

4	exposures in children, using the MSS model risk approach and air quality

5	adjusted to just meet the current standard, for one decrement (top panel) and

6	two decrements (bottom panel), 2016.

7

Risk Contribution from 7-hr Average Exposures
Two Decrements - Current Standard (70 ppb)
MSS Model Risk Approach

100%

100%

Risk Contribution from 7-hr Average Exposures
One Decrement - Current Standard (70 ppb)
MSS Model Risk Approach



80%

c



0

70%

*+ฆป



JD

60%

*E



4-ป

c

50%

0



u

40%





to

30%

5



.a 70%

3
ja

60%

ฆฃ 50%
O

U 40%

ATL ฐAL STL

1	T	'

Exposures
< 60 ppb

ATL ฐAL STL

1 I '
Exposures
< 60 ppb

ATL dal stl

1	1	'

Exposures
< 30 ppb

ATL DAL STL

1	r	1

Exposures
< 40 ppb

ATL DAL STL

	T	'

Exposures
< 50 ppb

ATL DAL STL

1	T	'

Exposures
< 30 ppb

ATL DAL STL

I	'

Exposures
< 40 ppb

I

Exposures
< 50 ppb

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3D.3.4.2.4 Influence of Ventilation Rate in Lung Function Risk Estimates

A second important variable used to estimate lung function risk in both the E-R function
and MSS model is the ventilation rate. Recall that the E-R function approach uses a threshold
value for EVR to designate whether an individual is at moderate or greater exertion (EVR >17.32
ฑ 1.25 L/min-m2). Technically, while any 7-hr average O3 exposure can potentially lead to a lung
function decrement using the E-R function approach, a lung function decrement is only
calculated when individuals are at or above their designated EVR value and when it occurs
simultaneously with their daily maximum 7-hr average O3 exposure. This is not the case with the
MSS model lung function risk approach; both O3 exposure and ventilation rate are considered
cumulatively over time (among other influential MSS model variables) and neither of which
have a designated level or duration to attain.

Because of this notable difference in the MSS model approach, we first visually
evaluated the relationship between the time-series of O3 exposure and ventilation rate (as
represented by EVR), along with the simultaneous occurrence of lung function decrements
calculated by the MSS model. Of particular interest to this evaluation was whether the pattern of
these variables was correlated, and more importantly, how increases in both exposure and
ventilation rates eventually corresponded to increases in the magnitude of the FEV1 decrement.
As was done above to evaluate the risk contribution from selected O3 exposure levels, we used
the same APEX simulation of 10,000 children (and 2016 air quality) which output the hourly
time series of O3 exposure, EVR, and MSS model calculated FEVi decrements for each
simulated individual. The initial goal was to observe how the MSS model functions and see if
there were general patterns in the O3 exposure, EVR, and FEVi reductions.

Figure 3D-17 illustrates an example of the estimated hourly time-series of O3 exposure,
EVR, and FEVi decrement for a child considering 2016 air quality adjusted to just meet the
current standard in the Atlanta study area. As shown here (and among all other visualizations of
children we reviewed that had a lung function decrement of interest), the O3 exposure and EVR
are well correlated with subsequent occurrence of a lung function decrement. With increasing O3
exposures and breathing rates, there is an increase in the magnitude of the FEVi reduction and,
following a continuous episode of high exposure along with elevated breathing rate, a lung
function decrement of interest is attained (Figure 3D-17).

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18

EVR.dFEVI	Exp

26	80

24

22

20

18

16

14

12

10

8

6

4

2 \

0	N	

-2

-r.	,	.	0

0 2 4 6 8 10 12 14 16 18 20 22 24

hour

	Exp (ppb)

	EVR (l/min/m2) 	dFEV1 (%)

Figure 3D-17. Example time-series of O3 exposures, EVR, and FEVt reductions estimated
using MSS model for a simulated child in the Atlanta study area, based on a
day in a year (2016) of the current standard air quality scenario.

When considering the influence of EVR in isolation, we can discern how, in many
instances, the MSS model risk estimates are greater than those estimated using the E-R function
approach when both use a generally similar O3 exposure profile (i.e., any level, though using
different averaging times). Recall, that the E-R function risk is only estimated for those attaining
moderate or greater exertion levels EVR >17.32 ฑ 1.25 L/min-m2. While there is likely a
minimum EVR in the MSS model, considering both the level and duration, that would lead to
lung function decrements, that minimum is not explicitly defined as it is in the E-R function risk
approach.

Note, the E-R method is a fairly direct translation of the controlled human exposure study
data to exposure-dependent response probabilities, particularly considering the strict adherence
to exertion level needed for a response. As described above (section 3D.3.4.2.2), there is low
statistical uncertainty associated with the risk estimates. We already know that relatively lower
ventilation rates substantially influence MSS model risk estimates based on analyses described in
the 2014 HREA (Chapter 6, Tables 6-9 and 6-10). In that assessment, when restricting the MSS

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results to when an 8-hr EVR of at least 13 L/min-m2 was not achieved by simulated individuals
(at that time, the threshold for moderate exertion threshold), about 40 to 50% fewer simulated
individuals were estimated to experience a lung function decrement, a result better aligned with
the E-R function risk results.

As a second evaluation of the influence of EVR, a similar evaluation of the degree to
which low-level EVRs influence MSS risk estimates was performed here. We limited the
evaluation to a single year (2016) of air quality adjusted to just meet the current standard in the
three study areas and using the same simulation of 10,000 children described above for
generating the hourly data for the MSS model lung function risks. We identified the days when
children were exercising at moderate or greater exertion, i.e., 7-hr average EVR >17.3 L/min-m2
and calculated the percent of children experiencing one or more lung function decrements of
interest (i.e., >10%, >15%, and >20%). Results for each the main body MSS model approach and
the MSS model restricted to children at moderate or greater exertion are presented, along with
results using the E-R function risk approach (Table 3D-69).

The pattern of risk estimates was consistent across the three study areas. Using the
Atlanta study area results as an example, the E-R function risk approach predicts the percent of
children experiencing one or more FEVi decrements >10% to be 2.5%, while the main body
MSS model risk approach predicts 14.6% of children experience the same decrement (Table 3D-
69). When using the MSS model and restricting the risk results to children at moderate or greater
exertion, 8.5% of children experiencing one or more FEVi decrements >10%. Even with this
adjustment for moderate or greater exertion, this indicates an uncertainty in the MSS model
estimates such that the MSS model is potentially overpredicting risks for children by about a
factor of three or more, particularly when considering the larger lung function decrements.

Note that the MSS model used an age-term that extends information developed for 18-
year olds to estimate lung function risks in the simulated children (ages 5 to 18). The age term at
age 18 is at a maximum value and progressively decreases in value (and hence risk) through age
35 adults (the age range of study subjects in the controlled human exposure studies). Therefore,
use of this extrapolation might also contribute to some of the noted differences in the two risk
approaches because this approach uses the maximum possible observed value. However, the
2013 ISA indicates children's responses to O3 exposure are similar to those for young adults
(2013 ISA, section 8.3.1.1), which lends credence to use of the age-term extrapolation in the
MSS model and, overall, supports the application of E-R risk approach for children.

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1	Table 3D-69. Percent of children experiencing one or more FEVi decrements >10,15, 20%,

2	2016 air quality adjusted to just meet the current standard, considering

3	influence of moderate or greater exertion level in the MSS model and E-R

4	function risk approaches.

Study Area
(2016 AQ)

Lung Function
Risk Approach

Exertion Level
(L/min-m2)

% of Children Experiencing at least One Decrement

FEVi >10%

FEVi >15%

FEVi >20%

Atlanta
(worst year)

E-R function A

>17.32 ฑ 1.25

2.5%

0.6%

0.2%

MSS modelB

Any

14.6%

5.1%

2.1%

MSS model c

>17.3

8.5%

3.5%

1.6%

Dallas
(best year)

E-R function

>17.32 ฑ 1.25

2.1%

0.5%

0.2%

MSS model

Any

13.3%

4.1%

1.7%

MSS model

>17.3

7.9%

2.9%

1.3%

St. Louis
(worst year)

E-R function

>17.32 ฑ 1.25

2.8%

0.8%

0.3%

MSS model

Any

16.3%

5.8%

2.5%

MSS model

>17.3

9.7%

3.9%

1.9%

A The median (50th percentile) E-R function used to generate the main body results (Table 3D-40).
B Sensitivity results for 10,000 children simulation (Table 3D-67).

c Screened sensitivity results for only those children achieving moderate or greater exertion level.

5

6	3D.3.4.2.5 Influence of MSS Model Variability Parameter Settings

7	In this evaluation, we considered how the values for two MSS model variables, Uand vi,

8	influenced the calculated lung function decrements. These variables are used to account for inter-

9	and intra-individual variability, respectively, in the estimated lung function decrements. Both of

10	these variables are in the 2012 MSS model (McDonnell et al., 2012; and used in the 2014 HREA

11	to estimate lung function risk) and the 2013 MSS model (McDonnell et al. (2013); and used for

12	the current assessment). However, because the 2013 MSS model adjusted the structure of the

13	intra-individual variability to now include two explanatory variables, vi and vs, the interpretation

14	of vi has changed (McDonnell et al. (2013)).86 Each of these variables is discussed in greater

15	detail below.

16	The first variable is U, a random variable meant to address inter-individual variability not

17	accounted for by the other MSS model variables. The impact of the values assigned to U is

18	apparent simply from its roles in the MSS model calculations, as an exponent to the natural

19	logarithm used in estimating the base AFEVi (Equation 3D-15) and within the calculation of an

20	intra-individual variance term s (Equation 3D-16). Based on these roles, it is likely that high

86 Effectively, in McDonnell et al. (2012), intra-personal variability (s) was solely represented by vi. In McDonnell
et al. (2013), the intra-personal variability (s) is represented by vi + V2 x (eUl x Mpk) (see Equation 3D-16).
According to McDonnell et al. (2013), this was done such that "individuals experiencing small effects either
because exposure was low, or because of demographics (e.g. older age) or because baseline value of
responsiveness (11,) was small would be expected to exhibit less variability in response than those with larger
mean responses."

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values for U would likely yield high lung function decrements, particularly for instances of high
O3 exposures that occur simultaneously with high ventilation rates over a few to several hours.
Note that when comparing the variance of Uin the 2012 MSS model versus the 2013 MSS
model, its standard error is greater (0.917 versus 1.123) in the most recent model.

For this evaluation, we used the same APEX simulation (as described in the prior section)
of 10,000 children (and 2016 air quality), which output the hourly time series of O3 exposure,
EVR, and FEVi decrements for each simulated individual. We screened the output data for
simulated individuals having experienced each of the three FEVi decrements of interest (i.e.,
>10%, >15%, and >20%) and occurring on separate days. We recognize there are a limited
number of children experiencing lung function decrements on multiple days per year (e.g., Table
3D-57), particularly when considering the highest lung function decrement, but we were
interested in controlling for the influence personal variables might have on the magnitude of each
of the decrements. We identified a few simulated individual children having multiple decrements
at each level of interest, and first visually compared how variation in the value assigned the U
variable appeared to influence the magnitude of FEVi reduction for the subset of these simulated
children that had similar time-series of O3 exposure and ventilation rate.

As an example, Figure 3D-18 illustrates the estimated hourly time-series of O3 exposure,
EVR, and FEVi decrement for two simulated children (top and bottom panels) that differ in the
value they were assigned for the U variable (both runs used the 2016 year for the current
standard air quality scenario for the Atlanta study area). In both cases, the O3 exposure and EVR
are well correlated for each child prior to the occurrence of a lung function decrement, consistent
with the controlled human exposure study data. With increasing magnitude of the FEV1
decrement (Figure 3D-18, from left to right panels) there is also progressively higher exposures
and breathing rates, each occurring as peak events that continue over a few to several hours just
prior to eliciting the indicated FEV 1 decrement of interest. In general, for each of the three
magnitudes of FEVi decrement, the time-series of O3 exposures appears similar for the two
simulated children - a consistently high exposure maintained across multiple hours for all of the
instances where a lung function decrement occurred, with the highest decrement achieved when
exposures were also highest. There is however a recognizable difference in the EVR time-series
for the two simulated children. For the first child, with the lower value for the U variable (top
panels, Figure 3D-18), the peak of the EVR time-series is broader, that is, longer in duration,
than it is for the peak EVR for the second child (bottom panels, Figure 3D-18). The peak EVR
for the second child (that has the higher value for the U variable) is similar in magnitude to that
for the first child, but it does not persist over as long a duration. The figure illustrates this
difference for three magnitudes of decrement (10%, 15% and 20%) in vertical pairs of panels
from left to right, with the pairs of upper and lower panels differing only by the value of

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parameter U. Specifically, the lower panel child achieves the same decrement as the upper panel
child but while having a lower average EVR for the event.

The first simulated child (upper panel) has a Uvalue of 0.963, which falls within one
standard deviation of the distribution of U (i.e., 1J has a standard error of 1.123, Table 3D-21).
The second (lower panel) simulated child has a U value of 1.78, within the U variable
parameterization (i.e., within 2 standard deviations), but is nearly twice that of the first child.
Specifically, while the second child has a lower overall "normalized dose" (i.e., C x yP6 in
Equation 3D-12) over a similar exposure duration as the first child, the similar risk result is
likely a result of the second child being assigned a higher value for U. This higher value of U
yielded lung function decrements for the second child similar in magnitude to that predicted for
the first simulated child even though the second child had relatively lower doses than the first
child for each of the three days.

The second variable, vi, a constant, is used on the calculation of the intra-individual
variance term s (Equations 3D-16). In evaluating the MSS model parameters used for this
assessment, McDonnell et al. (2013) notes the estimate of vi is consistent with intra-subject
FEVi variability observed in the forced air trials and below threshold O3 exposures. The variable
vi could be interpreted to represent a separate, non-ozone related contribution to response
variability in the study observations. This suggests the use of non-zero values for vi, as is
provided by McDonnell et al. (2013) in MSS model applications (and as was done for the current
risk analysis), could lead to a greater number of simulated individuals at or above the lung
function decrements (in particular the lowest decrement) and a greater portion of that risk would
be attributed to relatively lower exposure levels and ventilation rates, when compared to
simulation results having vi set as zero.

We evaluated the influence that the value of vi has on risk estimates. A new APEX
simulation was required for this evaluation. All model settings were the same as was done for
generating the main assessment results reported in section 3D.3.3.2, except for varying the value
of vi (the MSS model default vi value is 9.112, a new simulation had vi set as zero) Again, both
simulations were performed for 10,000 children in three study areas (Atlanta, Dallas, and St.
Louis) for a simulated year using 2016 air quality adjusted just meet the current standard. Results
for this evaluation are presented in Table 3D-70.

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EVR.dFEVI
26
24
22
20
18
16
14
12

EVR.dFEVI

J

N	/

6 8 10 12 14 16	18 20 22 24 0 2 4 6 8 10 12 14 16 18 20 22

hour	hour

	Exp (ppb)		Exp (ppb)		Exp (ppb)

- - EVR (l/min/m2) 	dFEV1 <%)	- - EVR (l/min/m2) 	dFEV1 (%)	- - EVR (Vminfatt) 	dFEV! (%>

> 8 10 12 14 16	18 20 22 24 0 2 4 6 8 10 12 14 16	18 20 22 24 0 2 4 6 8 10 12 14 16 18 20 22

hour	hour	hour

	Exp (ppb)		Exp (ppb)		Exp (ppb)

ฆ EVR (l/min/m2) 	dFEV1 (%)		EVR (l/min/m2) 	dFEV1 (%)		EVR (l/min/m2) 	dFEV1 (%)

Figure 3D-18. Time-series of O3 exposures, EVR, and FEVi reductions of 10% (left panel), 15% (middle panel), and 20%
(right panel) estimated using MSS model for two simulated children (interpersonal variability parameter U =
0.963, top panel; U= 1.78, bottom panel) in the Atlanta study area on three days in a year (2016) of the current
air quality scenario.

EVR (l/min/m2)

dFEV1 (%)

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1	For each value of vi, there were small differences in estimated risk across the three study

2	areas. However, setting the vi to zero (compared to the value reported by McDonnell et al.,

3	2013) resulted in a decrease in the percent of children experiencing lung function decrements of

4	>10, >15, and >20% of about 35, 22, and 20% (regardless of study area). This reduction in risk is

5	similar in magnitude to that resulting from excluding the contribution from low-level exposures

6	(section 3D.3.4.2.3) and not using ventilation rates below moderate or greater exertion (section

7	3D.3.4.2.4) when estimating lung function decrements using the MSS model.

8	Table 3D-70. Percent of children experiencing one or more FEVi decrements >10,15, 20%,

9	2016 air quality adjusted to just meet the current standard, considering the
10 setting of variability parameter, in the MSS model.

Study Area

MSS Model Parameter
Setting A

Decrement (FEVi Reduction)

>10%

>15%

>20%

Atlanta

v-i — 9.112 (default)

15%

5.1%

2.1%

vi = 0

9.7%

3.9%

1.7%

Dallas

v-/= 9.112 (default)

13%

4.1%

1.7%

vi = 0

7.9%

3.2%

1.3%

St. Louis

vi — 9.112 (default)

16%

5.8%

2.5%

vi = 0

11%

4.6%

2.1%

A See Table 3D-21 and Equation 3D-16.

11

12

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APPENDIX 3D, ATTACHMENT 1:

ESTIMATING U.S. CENSUS TRACT LEVEL ASTHMA PREVALENCE (2013-2017)

OVERVIEW

This attachment describes the development of the 2013-2017 census tract-level asthma
prevalence file used by EPA's Air Pollution Exposure Model (APEX) to identify individuals
with asthma during exposure model simulations. The approach used to estimate the APEX file
four basic steps: 1) processing National Health Interview Survey (NHIS) regional asthma
prevalence data, 2) processing U.S. Census poverty/income status data, and 3) combining the
two sets considering variables known to influence asthma (e.g., age, sex, poverty status, U.S.
region) to estimate asthma prevalence stratified by age and sex for all U.S. Census tracts, and 4)
the NHIS regionally derived data were adjusted to account for state level asthma prevelance data
obtained from the Behavioral Risk Factor Surveillance System (BRFSS). Details regarding the
data sets and the processing approaches used are provided below.

GENERAL HISTORY

The current NHIS data processing approach is in part based on work originally performed
by Cohen and Rosenbaum (2005) and then revised and extended by U.S. EPA (2014, 2018).
Briefly, Cohen and Rosenbaum (2005) calculated asthma prevalence for children aged 0 to 17
years for each age, sex, and four U.S. regions using 2003 NHIS survey data.1 The regions
defined by the NHIS were 'Midwest', 'Northeast', 'South', and 'West'. The asthma prevalence
was defined as the probability of a 'Yes' response to the question "EVER been told that [the
child] had asthma?"2 among those persons that responded either 'Yes' or 'No' to this question.3
The responses were weighted to take into account the complex survey design of the NHIS.4
Standard errors and confidence intervals for the prevalence were calculated using a logistic
model (PROC SURVEY LOGISTIC). A scatterplot technique (LOESS smoother) was applied to
smooth the prevalence curves across ages and used to compute the standard errors and

1	The National Health Interview Survey (NHIS) is the principal source of information on the health of the civilian

noninstitutionalized population of the United States and is one of the major data collection programs of the
National Center for Health Statistics (NCHS) which is part of the Centers for Disease Control and Prevention
(CDC). See https://www.cdc.gov/nchs/nhis/data-questionnaires-documentation.htm for data and documentation.

2	The response was recorded as variable "CASHMEV" in the downloaded dataset. Data and documentation are

available at http://www. cdc.gov/nchs/nhis/quest_data_related_l99 7Jorward. htm.

3	If there were another response to this variable other than "yes" or "no" (i.e., refused, not ascertained, don't know,

and missing), the NHIS surveyed individual was excluded from the analysis data set.

4	In the SURVEY LOGISTIC procedure, the variable "WTF SC" was used for weighting, "PSU" was used for

clustering, and "STRATUM" was used to define the stratum.

3D-Attachmentl -1


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confidence intervals for the smoothed prevalence estimates. Logistic analysis of the raw and
smoothed prevalence curves showed statistically significant differences in prevalence by gender
and region, supporting their use as stratification variables in the final data set (Cohen and
Rosenbaum, 2005). These smoothed prevalence estimates were then used as an input to APEX to
estimate air pollutant exposure in children with asthma (U.S. EPA 2007; 2008; 2009).

For the 2014 O3 REA (U.S. EPA, 2014), we updated the asthma prevalence database used
by APEX by combining several years of NHIS survey data (2006-2010). Asthma prevalence for
children (by age year) was estimated as described above and, for this update, we also included an
estimate of asthma prevalence for adults. In addition, two sets of asthma prevalence for each
adults and children were estimated. The first data set, as was done previously, was based on
responses to the question "EVER been told that [the child/adult] had asthma". A second data set
was developed using the probability of a 'Yes' response to a question that followed those that
answered 'Yes' to the first question regarding ever having asthma, specifically, do those persons
"STILL have asthma?".5 Further, in addition to the nominal variables region and sex, the asthma
prevalence were stratified by a income/poverty threshold (i.e., whether the family income was
below or at/above the US Census estimate of poverty level for the given year). These 2006-2010
asthma prevalence data were then linked to 2000 U.S. Census tract level income/poverty
threshold probabilities, also stratified by age (section 5C-5 of Appendix 5C, US EPA, 2014).
Staff considered the variability in population exposures to be better represented when accounting
for and modeling these newly refined attributes of this at-risk population. This is was done
because of the 1) significant observed differences in asthma prevalence by age, sex, region, and
poverty status, 2) the variability in the spatial distribution of poverty status across census tracts,
stratified by age, and 3) the potential for spatial variability in local scale ambient concentrations.

And finally, asthma prevalence files used by APEX for the most recent SO2 REA
(Appendix E of U.S. EPA, 2018) were updated in a similar manner using data that reasonably
bounded the exposure assessment period of interest (2011-2015) and, as was done for the 2014
O3 REA, linked the asthma prevalence to the 2010 U.S census tract income to poverty ratio
probabilities. The approach to update the asthma prevalence used for the current O3 REA
analyses follows the same approach used previously, although now employs an adjustment to
account for local more asthma prevalence information at the state level, rather than relying solely
on the regional data. This is described in the fours steps that follow below.

Step 1: NHIS Data Set Description and Processing

5 The response was recorded as variable "CASSTILL" for children and "AASSTILL" for adults in the respective
downloaded datasets. Ultimately, the asthma prevalence used by APEX was based on this variable rather than
those using the data for those individuals responding "Yes" to "Ever" having asthma.

3D-Attachmentl -2


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The objective of this processing step is to estimate asthma prevalence for children and
adults considering several influential variables. First, raw 2013-2017 data and associated
documentation were downloaded from the Center for Disease Control (CDC) and Prevention's
NHIS website.6 The 'Sample Child' and 'Sample Adult' files were selected because of the
availability of person-level attributes of interest within these files, i.e., age in years ('age_p'), sex
('sex'), U.S. geographic region ('region'), coupled with the response to questions of whether or
not the surveyed individual ever had and still has asthma. In total, five years of survey data were
used, comprising nearly 60,000 children and 165,000 adults for years 2013-2017 (Table 1).

Information regarding personal and family income and poverty ranking are also provided
by the NHIS in additional survey files. Data files ('INCIMPx.dat') are available for every survey
year, each containing either the actual response for the desired financial variable (where provided
by survey participant) or the imputed value.7 For this current analysis, the ratio of family
income-to-poverty was provided as a continuous variable ('POVRATI3') and used to develop a
nominal variable for this evaluation: either the survey participant was below or above a selected
family income-to-poverty ratio threshold. This was done to be consistent with data generated as
part of the next data set processing step, i.e., developing a database containing the census tract
level family income-to-poverty ratio probabilities, stratified by age (see Step 2 below).

When considering the number of stratification variables used in the development of the
asthma prevalence file (i.e., age years and sex), the level of asthma prevalence (8%, on average),
and the distribution of family income-to-poverty ratios among the surveyed population (12%, on
average), sample size was an important motivation for aggregating the adult data into age groups.
When considering the adult data, there were insufficient numbers of persons available to stratify
the data by single age years (for some ages there were no survey persons). Therefore, the adult
survey data were grouped into the following age groups: ages 18-24, 25-34, 35-44, 45-54, 55-64,
65-74, and, >75.8 To increase the number of persons within the age, sex, and four region
groupings of our characterization of 'below poverty', the family income-to-poverty ratio
threshold was selected as <1.5, thus including persons that were within 50% above the threshold.
For individuals containing the imputed family income information, typically there were 5
estimated values. If the mean of the 5 imputed values were <1.5, the person's family income was

6	Data and documentation are available at http://www.cdc.gov/nchs/nhis/quest_data_related_1997_forward.htm (for

2013-2015, accessed April 11, 2017; for 2016-2017 accessed March 11, 2019).

7	Financial information was not collected from all persons; therefore, the NHIS provides imputed data. Details into

the available variables and imputation method are provided with each year's data set. For example, see "Multiple
Imputation of Family Income and Personal Earnings in the National Health Interview Survey: Methods and
Examples" at https://www.cdc.gov/nchs/data/nhis/tecdocl5.pdf.

8	These same age groupings were used to create the companion file containing the census tract level family income-

to-poverty ratio probabilities (Step 2).

3D-Attachmentl -3


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categorized 'below' the poverty threshold; if the mean of the 5 values were >1.5, the person's
family income was categorized 'above' the poverty threshold.

These processed person-level income files were then merged with the ' Sample Adult' and
'Sample Child' files using the 'HHX' (a household identifier), 'FMX' (a family identifier), and
'FPX' (an individual identifier) variables. Note, all persons within the 'Sample Adult' and
' Sample Child' files had corresponding financial survey data.

As was done for previous asthma prevalence data analysis, two asthma survey response
variables were of interest in this analysis and were used to develop the two separate prevalence
data sets for each children and adults. The response to the first question "Have you EVER been
told by a doctor or other health professional that you [or your child] had asthma?" was recorded
as variable name 'CASHMEV' for children and 'AASMEV' for adults. Only persons having
responses of either 'Yes' or 'No' to this question were retained to estimate the asthma
prevalence. This assumes that the exclusion of those responding otherwise, i.e., those that
'refused' to answer, instances where it was "not ascertained', or the person 'does not know',
does not affect the estimated prevalence rate if either 'Yes' or 'No' answers could actually be
given by these persons. There were very few persons providing an unusable response (Table 1),
thus the above assumption is reasonable. A second question was asked as a follow to persons
responding "Yes" to the first question, specifically, "Do you STILL have asthma?" and noted as
variables 'CASSTILL' and 'AASSTILL' for children and adults, respectively. Again, while only
persons responding 'Yes' and 'No' were retained for further analysis, the representativeness of
the screened data set is assumed unchanged from the raw survey data given the few persons in
each survey year having unusable data.

Table 1. Number of total surveyed persons from NHIS (2013-2017) sample adult and child

files and the number of those responding to asthma survey questions.

Children

2013

2014

2015

2016

2017

TOTAL

All Children

12,860

13,380

12,291

11,107

8,845

58,483

Yes/No to Ever Have Asthma

12,851

13,366

12,281

11,098

8,832

58,428

Yes/No to Still Have Asthma

12,844

13,359

12,269

11,087

8,823

58,382

Adults













All Adults

34,557

36,697

33,672

33,028

26,742

164,696

Yes/No to Ever Have Asthma

34,525

36,667

33,641

33,007

26,720

164,560

Yes/No to Still Have Asthma

34,498

36,615

33,614

32,959

26,681

164,367

Logistic Models

As described in the previous section, four person-level analytical data sets were created
from the raw NHIS data files, generally containing similar variables: a 'Yes' or 'No' asthma

3D-Attachmentl -4


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response variable (either 'EVER' or 'STILL'), an age (or age group for adults), their sex ('male'
or 'female'), US geographic region ('Midwest', 'Northeast', 'South', and 'West'), and poverty
status ('below' or above'). One approach to calculate prevalence rates and their uncertainties for
a given sex, region, poverty status, and age is to calculate the proportion of 'Yes' responses
among the 'Yes' and 'No' responses for that demographic group, appropriately weighting each
response by the survey weight. This simplified approach was initially used to develop 'raw'
asthma prevalence rates however this approach may not be completely appropriate. The two
main issues with such a simplified approach are that the distributions of the estimated prevalence
rates would not be well approximated by normal distributions and that the estimated confidence
intervals based on a normal approximation would often extend outside the [0, 1] interval. A
better approach for such survey data is to use a logistic transformation and fit the model:

Prob (asthma) = exp(beta) / (1 + exp(beta)),

where beta may depend on the explanatory variables for age, sex, poverty status, or region. This
is equivalent to the model:

Beta = logit {prob (asthma)} = log {prob (asthma) / [1 prob (asthma)]}.

The distribution of the estimated values of beta is more closely approximated by a normal
distribution than the distribution of the corresponding estimates of Prob (asthma). By applying a
logit transformation to the confidence intervals for beta, the corresponding confidence intervals
for Prob (asthma) will always fall within [0, 1], Another advantage of the logistic modeling is
that it can be used to compare alternative statistical models, e.g., as models where the prevalence
probability depends upon age, region, poverty status, and sex, or on age, region, poverty status
but not sex.

In earlier analyses using the NHIS asthma prevalence data, a variety of logistic models
were developed and evaluated for use in estimating asthma prevalence, where the transformed
probability variable beta is a given function of age, gender, poverty status, and region (Cohen
and Rosenbaum, 2005; U.S. EPA, 2014). The SAS procedure SURVEYLOGISTIC was used to
fit the various logistic models, taking into account the NHIS survey weights and survey design
(using both stratification and clustering options), as well as considering various combinations of
the selected explanatory variables.

As an example, Table 2 lists the models fit and their log-likelihood goodness-of-fit
measures using the 'Sample Child' data set and for the "STILL" asthma response variable using
the 2013-2017 NHIS data. A total of 32 logistic models were fit, depending on the inclusion of
selected explanatory variables and how age was considered in the model. The 'Strata' column
lists the eight possible stratifications: no stratification, stratified by sex, by region, by poverty
status, by region and sex, by region and poverty status, by sex and poverty status, and by region,

3D-Attachmentl-5


-------
gender and poverty status. For example, "5. region, sex" indicates that separate prevalence
estimates were made for each combination of region and gender. As another example, "2. sex"
means that separate prevalence estimates were made for each sex, so that for each sex, the
prevalence is assumed to be the same for each region. Note the prevalence estimates are
independently calculated for each stratum. The 'Description' column of Table 2 indicates how
beta depends upon the age:

Linear in age	Beta = a + /? x age, where a and ft vary with strata

Quadratic in age Beta = a + /? x age + y x age2 where a /?and yvary with strata
Cubic in age	Beta = a + /? x age y x age2 8 x age3 where a /?, y and 8

vary with the strata

f(age)	Beta = arbitrary function of age, with different functions for

different strata

The category f(age) is equivalent to making age one of the stratification variables, and is
also equivalent to making beta a polynomial of degree 17 in age (since the maximum age for
children is 17), with coefficients that may vary with the strata. The fitted models are listed in
order of complexity, where the simplest model (model 1) is a non-stratified linear model in age
and the most complex model (model 32) has a prevalence that is an arbitrary function of age,
sexr, poverty status, and region. Model 32 is equivalent to calculating independent prevalence
estimates for each of the 288 combinations of age, sex, poverty status, and region.

Table 2 also includes the -2 Log Likelihood statistic, a goodness-of-fit measure, and the
associated degrees of freedom (DF), which is the total number of estimated parameters. Any two
models can be compared using their -2 Log Likelihood values: models having lower values are
preferred. If the first model is a special case of the second model, then the approximate statistical
significance of the first model is estimated by comparing the difference in the -2 Log Likelihood
values with a chi-squared random variable having r degrees of freedom, where r is the difference
in the DF (hence a likelihood ratio test). For all pairs of models from Table 2, all the differences
in the -2 Log Likelihood statistic are at least 50,000 and thus are significant at p-values well
below 1 percent. Based on its having the lowest -2 Log Likelihood value, the last model fit
(model 32: retaining all explanatory variables and using f(agej) was preferred and used to
estimate the asthma prevalence in the prior analyses9 as well as employed for this 2013-2017
NHIS data analysis.

9 Similar results were obtained when estimating prevalence using the 'EVER' have asthma variable as well as when
investigating model fit using the adult data sets. In the Cohen and Rosenbaum (2005) analysis, adult data were not
used and the family income-to-poverty ratio was not a variable in their models. Also, because age was a

3D-Attachmentl -6


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Table 2. Logistic models and model fit statistics for estimating child asthma prevalence
using the "STILL" asthma response variable from 2013-2017 NHIS data.

Model

Description

Strata

- 2 Log Likelihood

DF

1



ฐg

t(prob) = linear in age

1.none

209411405

2

2



ฐg

t(prob) = linear in age

2. gender

208645067

4

3



ฐg

t(prob) = linear in age

3. region

209056169.8

8

4



ฐg

t(prob) = linear in age

4. poverty

208433518.7

4

5



ฐg

t(prob) = linear in age

5. region, gender

208230032

16

6



ฐg

t(prob) = linear in age

6. region, poverty

207999872.9

16

7



ฐg

t(prob) = linear in age

7. gender, poverty

207630301.3

8

8



ฐg

t(prob) = linear in age

8. region, gender, poverty

207046731.4

32

9

2.

ฐg

t(prob) = quadratic in age

1.none

207554776.3

3

10

2.

ฐg

t(prob) = quadratic in age

2. gender

206754508.8

6

11

2.

ฐg

t(prob) = quadratic in age

3. region

207092990.7

12

12

2.

ฐg

t(prob) = quadratic in age

4. poverty

206568831.2

6

13

2.

ฐg

t(prob) = quadratic in age

5. region, gender

206177195.9

24

14

2.

ฐg

t(prob) = quadratic in age

6. region, poverty

205966568.6

24

15

2.

ฐg

t(prob) = quadratic in age

7. gender, poverty

205719195.5

12

16

2.

ฐg

t(prob) = quadratic in age

8. region, gender, poverty

204888997.5

48

17

3.

ฐg

t(prob) = cubic in age

1.none

207244848.3

4

18

3.

ฐg

t(prob) = cubic in age

2. gender

206429982.6

8

19

3.

ฐg

t(prob) = cubic in age

3. region

206770493.7

16

20

3.

ฐg

t(prob) = cubic in age

4. poverty

206240699

8

21

3.

ฐg

t(prob) = cubic in age

5. region, gender

205817245.3

32

22

3.

ฐg

t(prob) = cubic in age

6. region, poverty

205532902.7

32

23

3.

ฐg

t(prob) = cubic in age

7. gender, poverty

205380882.1

16

24

3.

ฐg

t(prob) = cubic in age

8. region, gender, poverty

204406907.3

64

25

4.

ฐg

t(prob) = f(age)

1.none

206929745.9

18

26

4.

ฐg

t(prob) = f(age)

2. gender

205902376.7

36

27

4.

ฐg

t(prob) = f(age)

3. region

205961955.1

72

28

4.

ฐg

t(prob) = f(age)

4. poverty

205783757.8

36

29

4.

ปg

t(prob) = f(age)

5. region, gender

204430849.5

144

30

4.

ปg

t(prob) = f(age)

6. region, poverty

204133603.6

144

31

4.

ฐg

t(prob) = f(age)

7. gender, poverty

204565028.6

72

32

4.

ปg

t(prob) = f(age)

8. region, gender, poverty

201725493.2

288

categorical variable in the adult data sets in U.S. EPA (2014, 2018) and analyses conducted here, it could only be
evaluated using f(age_group).

3D-Attachmentl -7


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The SURVEYLOGISTIC procedure produces estimates of the beta values and their 95%
confidence intervals for each combination of age, region, poverty status, and gender. By
applying the inverse logit transformation,

Prob (asthma) = exp( beta) / (1 + exp(beta) ),

one can convert the beta values and associated 95% confidence intervals into predictions and
95% confidence intervals for the prevalence. The standard error for the prevalence was estimated
as:

StdError {Prob (asthma)} = StdError (beta) x exp(- beta) / (1 + exp(beta) )2,

which follows from the delta method (i.e., a first order Taylor series approximation).

Estimated asthma prevalence using this approach and termed here as 'unsmoothed' are
provided in the supplement at the end of this document. Graphical representation is provided in a
series of figures incorporating the following variables:

•	Region

•	Gender

•	Age (in years) or Age_group (age categories)

•	Poverty Status

•	Prevalence = predicted prevalence

•	SE = standard error of predicted prevalence

•	LowerCI = lower bound of 95% confidence interval for predicted prevalence

•	UpperCI = upper bound of 95% confidence interval for predicted prevalence

A series of plots are provided per figure that vary by the four regions and two income-to-
poverty ratios. Historically, we have used the prevalence results based on the 'STILL' have
asthma variable. Supplemental Figures S-l through S-4 show the estimated prevalence for
children and adults by age (or age-group), startified by gender. Data used for each figure/plot (as
well as plots for the 'EVER' variable) can be provided upon request.

Loess Smoother

The estimated prevalence curves show that the prevalence is not necessarily a smooth
function of age. The linear, quadratic, and cubic functions of age modeled by
SURVEYLOGISTIC were identified as a potential method for smoothing the curves, but they
did not provide the best fit to the data. One reason for this might be due to the attempt to fit a
global regression curve to all the age groups, which means that the predictions for age A are

3D-Attachmentl-8


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affected by data for very different ages. A local regression approach that separately fits a
regression curve to each age A and its neighboring ages was used, giving a regression weight of
1 to the age and lower weights to the neighboring ages using a tri-weight function:

Weight = {1 - [ \age - A \ / q J 3}, where \ age -A\ < = q.

The parameter q defines the number of points in the neighborhood of the age A. Instead
of calling q the smoothing parameter, SAS defines the smoothing parameter as the proportion of
points in each neighborhood. A quadratic function of age to each age neighborhood was fit
separately for each gender and region combination. These local regression curves were fit to the
beta values, the logits of the asthma prevalence estimates, and then converted them back to
estimated prevalence rates by applying the inverse logit function exp(beta) / (1 + exp(beta)). In
addition to the tri-weight variable, each beta value was assigned a weight of
1 / [std error (beta)]2, to account for their uncertainties.

In this application of LOESS, weights of 1 / [std error (beta)]2 were used such that a2 =
1. The LOESS procedure estimates a2 from the weighted sum of squares. Because it is assumed
a2 = 1, the estimated standard errors are multiplied by 1 / estimated a and adjusted the widths of
the confidence intervals by the same factor.

There are several potential values that can be selected for the smoothing parameter; the
optimum value was determined by evaluating three regression diagnostics: the residual standard
error, normal probability plots, and studentized residuals. To generate these statistics, the LOESS
procedure was applied to estimated smoothed curves for beta, the logit of the prevalence, as a
function of age, separately for each region, gender, and poverty classification. For the children
data sets, curves were fit using the choices of 0.4, 0.5, 0.6, 0.7, 0.8, 0.9, and 1.0 for the
smoothing parameter. This selected range of values was bounded using the following
observations. With only 18 points (i.e., the number of single year ages for children), a smoothing
parameter of 0.2 cannot be used because the weight function assigns zero weights to all ages
except age A, and a quadratic model cannot be uniquely fit to a single value. A smoothing
parameter of 0.3 also cannot be used because that choice assigns a neighborhood of 5 points only
(0.3 x 18 = 5, rounded down), of which the two outside ages have assigned weight zero, making
the local quadratic model fit exactly at every point except for the end points (ages 0, 1, 16 and
17). Usually one uses a smoothing parameter below 1 so that not all the data are used for the
local regression at a given x value. Note also that a smoothing parameter of 0 can be used to
generate the raw, unsmoothed, prevalence. The selection of the smoothing parameter used for the
adult curves would follow a similar logic, although the lower bound could effectively be
extended only to 0.9 given the number of age groups. This limits the selection of smoothing

3D-Attachmentl -9


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parameter applied to the two adult data sets to a value of 0.9, though values of 0.8 - 1.0 were
nevertheless compared for good measure.

The first regression diagnostic used was the residual standard error, which is the LOESS
estimate of a. As discussed above, the true value of a equals 1, so the best choice of smoothing
parameter should have residual standard errors as close to 1 as possible. For children 'EVER'
having asthma and when considering the best models (of the 112 possible, those having
0.95
-------
Probability Plot for <<(u.*F ฃe*.*J
Iwiisfe \Utr Abe-', rf
1'ซiS-Faaปle-Abc.'ey&',Ht\ljr,el
WrU-MปJ*-Ab<*^e%ti;yLrvซl

Figure 2. Studentized residuals versus model predicted betas generated using a logistic
model and the 'STILL' prevalence data, smoothing set to 0.5 and 0.8 for children
(left) and adults (right), respectively.

3D-Attachmentl-11


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When considering both children asthma prevalence responses evaluated, the residual
standard error (estimated values for sigma) suggests the choice of smoothing parameter as
varied, ranging from 0.7 to 0.8. The normal probability plots of the studentized residuals suggest
preference for smoothing at or above 0.6. The plots of residuals against smoothed predictions
suggest the choices of 0.4 through 0.6. We therefore chose the final value of 0.6 to use for
smoothing the children's asthma prevalence. For the adults, there were small differences in the
statistical metrics used to evaluate the smoothing. A value of 0.9 was selected for smoothing
based on the above findings and to remain consistent with what was used in the prior analysis
(U.S. EPA, 2014; 2018).

The smoothed asthma prevalence and associated graphical presentation are provided in
Supplemental Figures S-5 through S-8. A similar format to that presented using the non-
smoothed asthma prevalence was followed, and again, only providing the results for children and
adults that reported 'STILL' having asthma.

Step 2: U.S. Census Tract Poverty Ratio Data Set Description and Processing

This section briefly describes the approach used to generate census tract level poverty
ratios for all U.S. census tracts, stratified by age and age groups where available. The following
steps were peformed using data from the 2017 U.S. Census 5-year American Community Survey
(ACS)10 and modified SAS data processing files.11

First, ACS internal point latitudes and longitudes were obtained from the 2017 Gazetteer
files.12 Next, the individual state level ACS sequence files (SF-56) were downloaded,13 retaining
the number of persons across the variable "B17024" for each state considering the appropriate
logical record number.14 The data provided by the B17024 variable is stratified by age or age
groups (ages <5, 5, 6-11, 12-14, 15, 16-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, and >75)

10	https://www.census.gov/newsroom/press-kits/2018/acs-5year. html.

11	ACS file processing code was adapted from ACS 2012 SAS programs and from ACS 2012 SAS Macros available

at http://www2. census.gov/acs2012_5yr/summaryfile/UserTools/SF20125YR_SAS.zip and
http://www2.census.gov/acs2012_5yr/summaryfile/UserTools/SF_All_Macro.sas. These were the same
processing files used for updating the 2011-2015 asthma prevalence data set (US EPA, 2018).

12	Data available at: https://www.census.gov/geographies/reference-files/time-series/geo/gazetteer-files.

13	We used the summary tables (B17024), giving census tract populations by poverty income ratio and age group
downloaded from https://www2.census.gov/programs-surveys/acs/summary Jile/2017/data/5_year_by_state/.
Each state's ACS2017 5-yr table compressed fie was unzipped with the sequence file 56 (SF-56; e20175[state
abbreviationJ0056000.txt) and appropriate geography file (g20175[state abbreviationJ.txt) retained.

14	Variable names (2017 Code Listpdf) are available at https://www. census.gov/programs-surveys/acs/technical-
documentation/summary-file-documentation.html, along with the file for the appropriate logical record number

(A CS_2 017_SF_5 YR_Appendices. xls).

3D-Attachment 1-12


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and income/poverty ratios, given in increments of 0.25. We calculated two new variables for
each age using the number of persons from the B17024 stratifications; the fraction of those
persons having poverty ratios <1.5 and > 1.5 by summing the appropriate B17024 variable and
dividing by the total number of persons in that age/age group. Then, the individual state level
geographic data (g20175[xx].txt files) were screened for tract level information using the
"sumlev" variable equal to ' 140'. Also identified was the US Region for each state, consistent
with that used for the NHIS asthma prevalence data.15

Finally, the poverty ratio data were combined with the above described census tract level
geographic data using the "stusab" and "logrecno" variables. Because APEX requires the input
data files to be entirely complete (no missing values), additional processing of the poverty
probability file was needed. For where there was missing tract level poverty information,16 we
substituted an age-specific value using the average for the particular county the tract was located
within, or the state-wide average. The percent of tracts substituted using county averaged values
varied by age group though, on average, was approximately 1.6% of the total tracts (Table 4).
Few tracts in six of the age groups were substituted using state averaged values (in total only 9
tracts had a substitution using state values for one of the age groups). The final output was a
single file containing relevant tract level poverty probabilities (pov_acs2017_5yr.sas7bdat) by
age groups for all U.S. census tracts.

Table 4. Percent of tracts substituted with county average or state average poverty status.

Percent
Substituted

Age Groups (years)

<5

6-11

12-17

18-24

25-34

35- 44

45-54

55-64

65-74

>75

all

Filled using
County Average

1.9%

2.0%

1.9%

1.5%

1.4%

1.4%

1.3%

1.3%

1.6%

1.9%

1.6%

Filled using State
Average

<0.1%

<0.1%

<0.1%

none

<0.1%

none

none

none

none

none

<0.1%

Step 3: Combining Census Tract Poverty Ratios with the NHIS Regional Asthma
Prevalence Data

The two data sets were merged considering the region identifier and stratified by age and
sex. The Census tract-level asthma prevalence data set was calculated using the following
weighting scheme:

15	https://www2.census.gov/geo/pdfs/maps-data/maps/reference/(using file us_regdiv.pdf)

16	Whether there were no data collected by the Census for poverty status or there were no people in an age group is
relatively inconsequential to estimating the exposed people with asthma, particularly considering latter case as no
people in that age group would be modeled by APEX when using the same Census population data set.

3D-Attachmentl -13


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Asthmaprevalence=round((pov_prob*prev_belowpov)+((1-pov_prob) *prev_abovepov),0.0001);

whereas each U.S. census tract contains a tract-specific poverty-weighted asthma
prevalence, stratified by ages (children 0-17), age groups (adults), and two sexes.

To evaluate the overall accuracy of the Census tract-level estimated asthma prevalence,
we first compared these values with the NHIS national summary data for asthma prevalence
reported for 2013 to 2017.17 According to the CDC, the NHIS are the principal source of
national asthma prevalence data for the US. Note also, the NHIS 2013-2017 raw data was used to
estimate the asthma prevalence for four U.S. regions in step 1 above. The NHIS national
summary data are stratified by two age groups (children and adults) and for the two sexes (male
and female) and were simply averaged across the five years of data available for the comparison.
The Census tract-level estimated asthma prevalence were population-weighed using 2010 U.S.
Census tract population data and aggregated to generate a similar national summary metric (and
also considered data from 2013-2017 in their initial development). Table 5 show reasonable
agreement between the two data sets: where present, the differences between the two data sets
were generally small (< 0.1 percentage points) with the greatest percentage point difference
found for adult females (-0.4 percentage points). The adult asthma prevalence estimated for both
sexes using the Census tract-level was lower than the NHIS reported value, while the children's
asthma prevalence data were generally similar between the two data sets. Overall, this degree of
aggreement was expected given that the 2013-2017 NHIS regional asthma prevalence (stratified
by age, sex, and family income) served as the source for extrapolating asthma prevalence to the
census tract level.

Step 4: Adjusting NHIS Regionally-derived Prevalence Data to Reflect State-level Asthma
Prevalence

We then compared the NHIS Regionally-derived census tract-level estimated asthma
prevalence to the Behavioral Risk Factor Surveillance System (BRFSS),18 an independent source
providing state (and national) data about U.S. residents regarding their chronic health conditions
such as asthma (among other health issues). For this comparison, the BRFSS asthma prevalence
data were available for 2013-2016 and averaged across those four years to obtain a national
summary metric. This BRFSS metric is similar to that calculated using the Census tract-level and

17	Downloaded was Table 4-1, the 2013-2017 NHIS current asthma prevalence percents by age groups and sex
available at https://www.cdc.gOv/asthma/nhis/default.htm#anchor_1524067853614. Accessed 5/7/19.

18	Downloaded was table C2.1 (for each adults and children), the 2013-2016 BRFSS current asthma prevalence
percents by state and sex available at https://www.cdc.gov/asthma/brfss/default.htm. Table CI was also
downloaded to obtain the asthma prevalence for the two age groups not stratified by sex. Accessed 5/3/19.

3D-Attachment 1-14


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NHIS asthma prevalence data sets and is provided in Table 5. The asthma prevalence data
reported from BRFSS are consistently greater than that calculated using the Census tract-level
data, particularly when considering adults. Overall, the BRFSS adult asthma prevalence is 1.6
percentage points greater than that estimated using the Census tract-level estimated prevalence,
with the greatest difference observed for the two data sets of 2.8 percentage points observed for
adult females. Asthma prevalence for the two data sets were closer when considering children,
though the Census-tract level estimated data were still consistently lower than the BRFSS
reported values (-0.2 to 0.4 percentage points).

Table 5. Asthma prevalence stratified by two age groups and sex using Census tract-level
estimates, NHIS and BRFSS reported data.

Data Set (years of data)

All Ages,
Both Sexes

Children (<18 years old)

Adults (>18 years old)

all

female

male

all

female

male

NHIS (2013-2017)

7.8%

8.4%

7.2%

9.6%

7.6%

9.6%

5.5%

Census tract-level
estimate

7.6%

8.5%

7.2%

9.7%

7.3%

9.2%

5.3%

BRFSS (2013-2016) A

n/a

8.8%

7.4%

10.1%

8.9%

11.4%

6.3%

A The BRFSS does not have any data for some states, and where represented, not all four years of data were available for those state, n/a
is not available.

It is unlikely that additional data are available for meaningful comparison, certainly not to
the extent to which the NHIS Regionally-derived Census tract-level asthma prevalence is
stratified and also not without inconsistencies in methodology used in their collection and
reporting, if these data do exist at a local level (e.g., county health department data across all US
counties). However, we were concerned with the potential for underestimating asthma
prevalence that is indicated by the comparison of the NHIS Regionally-derived census tract-level
asthma prevalence with the BRFSS data. Note, we used the NHIS 2013-2017 raw data set in Step
1 to serve as the basis for the census tract-level estimated asthma prevalence given its large
sample size for both children and adults and because of the stratification of important influential
variables (i.e., age, sex, family income). Contrary to this, the NHIS data are aggregated to four
US regions and could account for less spatial variability than that provided by the individual
state-level data obtained from BRFSS. With that in mind, we chose to adjust the NHIS-Census
tract-level data (upwards or downwards) based on the percent difference observed between a
population weighted state level aggregate of the census tract level data and the BRFSS state-
level asthma prevalence (Table 6) and was calculated as follows:

State Adjustment Factor = (NHIS CetlSllSregional prevalence — BRFSS state prevalence)/BRFSSstate prevalence

3D-Attachmentl -15


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Table 6. Factors used to adjust NHIS Regionally-derived census tract-level asthma
prevalence and based on BRFSS state level data.

State

Adjustment Factor - Children A

Adjustment Factor - Adults A

male

female

male

female

Alabama

0.510

0.413

0.356

0.399

Alaska

0

0

0.076

0.296

ArizonaB

0.157

0.058

0.199

0.237

Arkansas

0

0

0.343

0.299

California

0.099

0.199

-0.023

0.108

Coloroado

0

0

0.165

0.179

Conneticut

0.114

0.153

0.220

0.365

Delaware

0

0

0.286

0.476

Florida

-0.124

-0.11

0.155

0.136

Georgia

0.234

0.015

0.183

0.320

Hawaii

0.59

1.002

0.277

0.355

Idaho

0

0

0.182

0.171

Illinois

-0.016

-0.151

0.044

0.134

Indiana

-0.107

0.030

0.239

0.388

Iowa

0

0

0.044

0.049

Kansas

0.140

0.035

0.111

0.176

Kentucky

0.076

-0.016

0.701

0.628

Lousiana

-0.051

-0.174

0.250

0.130

Maine

-0.021

-0.104

0.494

0.478

Maryland

0.200

0.218

0.399

0.399

Massachusetts

0.257

0.061

0.328

0.479

Michigan

0.169

0.036

0.414

0.38

Minnesota

-0.228

-0.059

-0.014

0.069

Mississippi

0.127

-0.026

0.151

0.120

Missouri

0.003

0.226

0.264

0.301

Montana

-0.137

0.107

0.154

0.173

Nebraska

-0.180

-0.210

0.030

0

Nevada

-0.143

0.068

-0.070

0.129

New Hampshire

-0.031

0.009

0.276

0.502

New Jersey

-0.094

0.009

0.052

0.078

New Mexico

0.141

0.208

0.340

0.302

New York

-0.040

-0.024

0.285

0.237

North Carolina

0.171

0.416

0.154

0.225

North Dakota

0

0

0.254

0.132

Ohio

0.024

0.016

0.233

0.332

Oklahoma

0.298

0.065

0.549

0.365

Oregon

-0.047

0.237

0.400

0.443

Pennsylvania

0.137

0.003

0.172

0.357

3D-Attachmentl -16


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State

Adjustment Factor - Children A

Adjustment Factor - Adults A

male

female

male

female

Puerto Ricoc

0

0

0

0

Rhode Island

0.083

0.136

0.376

0.447

South Carolina

0

0

0.240

0.252

South Dakota

0

0

0.040

-0.043

Tennessee

0.116

-0.111

0.256

0.368

Texas

-0.034

-0.210

0.068

0.111

Utah

-0.079

-0.032

0.239

0.160

Vermont

-0.114

0.131

0.333

0.453

Virginia

0

0

0.218

0.333

Wash DC

0.389

0.436

0.656

0.577

Washington

-0.108

0.091

0.246

0.294

West Virginia

0.041

-0.032

0.561

0.581

Wisconsin

-0.097

0.232

0.279

0.284

Wyoming

0

0

0.146

0.190

A Values of zero indicate there were no BRFSS data were available, therefore no adjustment was made.

B Data reported for Arizona children in the 2013 BRFSS were atypical: prevelance for females were greater than that of male, having rates
almost opposite that expected. These data were not used to calculate the adjustment factor.

cThe NHIS-Census regional data was not used for estimating asthma prevalence for Puerto Rico, therefore only BRFSS data for the two
age groups and sexes were used.

The adjustment factor was applied to the census tract estimated asthma prevalence considering
the state level information as follows:

PrevalenceAdjusted = NHIS/Censusprevaience + (Adjustmen Factor x NHIS/Censusprevaience)

By design, the adjustment has better aligned the estimated NHIS Regionally-derived census
tract-level asthma prevalence with the BRFSS reported values at the state and national level
(Table 7). These BRFSS-adjusted census tract-level asthma prevalence data are used for the
APEX simulations and are found within the asthmajprev 1317tract 051319 adjusted, txt file.
For brevity, data are shown only for a few states most relevant to the study areas of interest in the
current O3 exposure and risk analysis.

3D-Attachmentl -17


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Table 7. Population-weighted state level asthma prevalence stratified by two age groups and sex: Original census tract-level
estimates based on 2013-2017 NHIS regional prevalence and US Census family income data, 2013-2016 BRFSS
reported prevalence, and BRFSS-adjusted census tract-level estimates used for the APEX asthma prevalence file.

State

Related
Study Area A

Sex

Child Asthma Prevalence

Adult Asthma Prevalence

Census tract-
level estimate

BRFSS state
reported data

Adjusted APEX
prevalence file

Census tract-
level estimate

BRFSS state
reported data

Adjusted APEX
prevalence file

Georgia

Atlanta

female

7.9%

8.1%

8.0%

8.7%

11.4%

11.4%

male

10.0%

12.4%

12.3%

4.7%

5.6%

5.5%

Massachusetts2

Boston

female

7.7%

8.2%

8.1%

9.5%

14.0%

14.0%

male

10.9%

13.7%

13.6%

5.8%

7.7%

7.6%

Texas2

Dallas

female

7.9%

6.2%

6.3%

8.6%

9.5%

9.5%

male

10.0%

9.6%

9.6%

4.7%

5.0%

5.0%

Michigan

Detroit

female

7.1%

7.4%

7.4%

9.7%

13.4%

13.4%

male

9.9%

11.6%

11.6%

5.8%

8.2%

8.2%

Pennsylvania

Philadelphia

female

8.0%

8.0%

8.0%

9.6%

13.0%

13.0%

male

11.0%

12.6%

12.5%

5.8%

6.8%

6.8%

Arizona B

Phoenix

female

5.9%

6.2%

6.2%

9.5%

11.7%

11.7%

male

8.6%

9.9%

9.9%

5.6%

6.8%

6.7%

California

Sacramento

female

5.9%

7.1%

7.0%

9.4%

10.4%

10.4%

male

8.6%

9.4%

9.4%

5.6%

5.5%

5.5%

Missouri

St. Louis

female

7.0%

8.5%

8.5%

9.7%

12.6%

12.6%

male

9.7%

9.7%

9.7%

5.8%

7.3%

7.3%

All US States



female

7.2%

7.4%

7.4%

9.2%

11.4%

11.4%

male

9.7%

10.1%

10.1%

5.3%

6.3%

6.3%

both

8.5%

CO
CO
0s-

*-9

0s-
CO
CO

7.3%

8.9%

8.9%

A Each study area is defined by a Consolidated Statistical Area (CSA) may involve counties from more than one US state. This information is added for relevance to the spatial
scale and not meant to be absolute in defining the prevalence for any of the study areas.

B Data for children were only available for the following years in a few states: 2016 (Arizona), 2015 and 2016 (Massachusetts), 2013-2015 (Texas). Adults based on 2013-2016.

3D-Attachmentl -18


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The asthma prevalence estimates vary for the different ages and sexes of children and
adults that reside in each census tract of each study area. We evaluated the spatial distribution of
the asthma prevalence using the specific census tracts that comprise the consolidated statistical
area (CSA) that generally define each study area. We first separated data for children from those
for adults and calculated simple descriptive statistics of asthma prevalence for the tracts,
stratified by sex (Table 8). Consistent with broadly defined national asthma prevalence (e.g.,
Table 3-1 of the draft PA), on average, children have higher estimated rates than adults, male
children have higher rates than female children, and adult females have higher rates than adult
males.

By using age, sex, and family income variables to develop the tract level prevalence, we
also observe that there is spatial variability in the estimated prevalence both within and across
the CSAs. Atlanta, Boston, Detroit, and Philadelphia have some of the highest asthma prevalence
for male children considering most of the statistics with rates as high as 25.5% in one or more
census tracts for males of a given year of age. The Dallas study area exhibits some of the lowest
asthma prevalence when considering adults (both sexes) with rates as low as 3.8% in one or
more tracts for males within a given age group. These summary statistics represent the range of
age- and sex-specific values for the census blocks used in each APEX simulation to estimate the
number of individuals that have asthma.

3D-Attachmentl -19


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Table 8. Descriptive statistics for non-population weighted asthma prevalence for children
(ages 5-17) and adults (age >17) using all census tracts from 8 consolidated
statistical areas (CSAs) in the APEX asthma prevalence file (2013-2017).

CSA Name - ID#
(# tracts)

and

Population qroup

Sex

Asthma Prevalence across all ages (or age groups) and census tractsA

Mean

Standard
Deviation

Minimum

Median

95th
percentile

99th
percentile

Maximum

Atlanta-122
(1,077)

adult

female

11.1%

1.8%

7.7%

11.1%

14.0%

15.9%

20.9%

male

5.5%

0.8%

4.3%

5.4%

7.1%

7.5%

7.9%

child

female

9.7%

1.7%

6.5%

9.6%

12.9%

13.9%

15.0%

male

14.1%

1.7%

10.6%

14.0%

16.8%

17.6%

18.3%

Boston-148
(1,753)

adult

female

13.8%

1.8%

10.5%

13.5%

17.3%

20.5%

28.9%

male

7.6%

0.9%

5.4%

7.5%

9.1%

10.0%

12.9%

child

female

9.4%

2.0%

5.6%

9.5%

12.4%

13.5%

17.1%

male

15.4%

2.5%

8.7%

15.1%

19.5%

20.8%

23.4%

Dallas-206
(1,422)

adult

female

9.3%

1.5%

6.5%

9.3%

11.8%

13.5%

16.5%

male

4.9%

0.7%

3.8%

4.9%

6.4%

6.8%

9.7%

child

female

7.6%

1.3%

5.0%

7.4%

10.0%

10.9%

13.5%

male

11.0%

1.4%

8.3%

11.0%

13.2%

13.8%

18.1%

Detroit-220
(1,583)

adult

female

13.3%

2.5%

7.8%

13.4%

17.8%

20.6%

25.6%

male

7.9%

2.2%

1.0%

7.6%

12.4%

14.7%

19.0%

child

female

8.6%

1.5%

6.4%

8.2%

11.6%

12.5%

13.2%

male

13.3%

3.0%

7.7%

12.7%

19.9%

23.6%

25.5%

Philadelphia-
428
(1,725)

adult

female

12.1%

2.3%

8.2%

12.0%

16.4%

19.8%

26.5%

male

6.5%

0.9%

4.6%

6.4%

8.1%

9.0%

11.4%

child

female

9.1%

1.9%

5.6%

9.2%

12.0%

13.1%

15.3%

male

13.6%

2.4%

8.2%

13.3%

17.8%

19.2%

21.1%

Phoenix-429
(988)

adult

female

11.6%

1.6%

8.6%

11.7%

14.4%

16.0%

19.7%

male

7.0%

1.5%

5.1%

7.1%

9.1%

11.7%

16.7%

child

female

7.6%

1.5%

4.6%

8.0%

9.5%

9.6%

9.6%

male

11.5%

1.8%

8.5%

11.6%

14.8%

15.9%

17.1%

Sacramento-
472
(539)

adult

female

10.4%

1.4%

7.7%

10.5%

12.7%

14.0%

16.5%

male

5.7%

1.1%

4.2%

5.9%

7.3%

9.0%

13.6%

child

female

8.5%

1.7%

5.2%

9.0%

10.7%

10.9%

10.9%

male

10.8%

1.7%

8.1%

10.9%

13.7%

14.8%

16.2%

St. Louis-476
(638)

adult

female

11.8%

2.1%

6.8%

11.9%

15.0%

17.4%

21.5%

male

6.5%

1.8%

0.9%

6.5%

9.9%

11.8%

14.5%

child

female

9.2%

2.0%

5.3%

9.1%

12.9%

14.2%

15.6%

male

11.1%

2.4%

6.5%

10.7%

15.9%

19.3%

21.9%

A As described in the text, prevalence is based on single year ages (children) or age group (adults) and sex derived from 2013-2017 CDC
NHIS asthma prevalence and considering U.S. census tract level family income/poverty ratio data. Data presented are not population-
weighted and represent the distribution of applied probabilities used by APEX for tracts having a non-zero population. Note also, upper and
lower percentiles could represent prevalence for a single-year age/sex group residing in a single tract within a study area.

3D-Attachmentl -20


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Evaluation of Additional Asthma Prevalence Questions and Responses

To estimate asthma prevalence, we used responses to the question of whether an NHIS
study participant responded 'Yes" to the survey question of 'STILL' having asthma rather than
using the responses to the question of 'EVER' having asthma (with the former being a subset of
the latter group). According to the CDC, lifetime asthma is defined by responding 'Yes' to
"Have you ever been told by a doctor {nurse or other health professional} that you have
asthma?", while current asthma is defined as responding 'Yes' to both the aforementioned and
this subsequent question "Do you still have asthma?".19 Because the exposure and risk analyses
in this review reflect a generally current actualized hypothetical single-year scenario that is not
covering the lifetime of the simulated individuals, the prevalence estimate based on those
participants responding as currently ('STILL') having asthma was deemed most appropriate. We
note that the response of survey particpants who stated they do not still have asthma does not
reflect a doctor's/health professional's diagnosis, thus it is possible there may be individuals in
this group that might actually still have asthma and experience asthma-related health effects,
potentially leading to an underestimate in the asthma prevalence used in our exposure and risk
simulations. Because we used the responses to the "STILL" having asthma question to estimate
prevalence in this assessment, we evaluated additional related questions in the NHIS data to
estimate the magnitude of this potential underestimate in asthma prevalence.

There are two additional questions related to asthma prevalence that are asked of NHIS
survey participants who responded 'Yes' to the 'EVER' having asthma question that could
provide insight into the likelihood that people could 'STILL' have asthma but did not respond
'Yes' to that latter question. The first additional asthma question is, "DURING THE PAST 12
MONTHS, have you had an episode of asthma or an asthma attack?" (i.e., variable 'CASHYR'
or ' AASHYR' for children and adults, respectively); the second is, "DURING THE PAST 12
MONTHS, have you had to visit an emergency room or urgent care center because of asthma?"
(i.e., variable 'CASERYR1' or 'AASERYR1'). We evaluated the responses to all four of these
asthma questions using children's 2017 data set as an example, the results of which are presented
in Table 9.

Most survey participants responded either yes or no to the 'EVER' having asthma
question; those not providing a response were removed from the analysis. There were few
individuals not responding to the question (13 of 8,845), thus it was assumed there would be no
bias to the overall conclusions following their removal. Of the remaining children surveyed,
13.2% (i.e., 1,168 of 8,832) had a doctor/health professional diagnose them as having asthma at
some time in their life, with a majority of those 'EVER' having asthma (63.3%) responding

19 https://www.cdc.gov/asthma/brfss/default.htm.

3D-Attachmentl -21


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'Yes' to 'STILL' having asthma. Based on these responses to the 'STILL' having asthma
question, the overall asthma prevalence for children would be estimated as 8.4% (i.e., 739 of
8,832). As mentioned above, it is possible that prevalence is underestimated due to the nature of
the diagnosis (i.e., self assessment) and at most, could be underestimated by a factor of 1.6 (i.e.,
13.2/8.4) if assuming 'EVER' having asthma response was appropriate to use in this assessment.
We suggest solely using this 'EVER' having asthma response would likely bias the prevalence
high based on the below analysis of responses to the two additional asthma questions.

Table 9. Chidren's responses to four questions regarding their asthma status, 2017 NHIS.

Diganosed by a
Doctor as EVER
Having Asthma?

Participant
Reported as

Participant Reported in Past 12
Months Did You Have:

Survey
Participants
(n)

STILL Having
Asthma?

Asthma
Attack?

Asthma-related
ER Visit?

Did not respond

-

-

-

13

No

-

-

-

7,664





No

No

396



No

No

Yes

5



(n=420)

Yes

No

15





Yes

Yes

4



1 don't know

No

No

5

Yes

(n=9)

Yes

No

4

(n=1,168)



No

No

336





No

Yes

22



Yes

Yes

No

248



(n=739)

Yes

Yes

131





I don't know

No

1





I don't know

I don't know

1

Sum of EVER (Y/N), all ages

8,832

There were a few participants (6.5%, 28 of 429) who reported they did not or did not
know they 'STILL' have asthma (note also, an unprofessional diagnosis), but also reported they
had an asthma attack and/or had to be treated by a doctor because of asthma. Based on these
data, asthma prevalence estimated using the response for the 'STILL' having asthma question
alone might be underestimated by about 0.3 percentage points (i.e., 28/8832, the number
reporting asthma attack or ER visit but also reporting "no" for still having asthma divided by
total respondents), such that the overall asthma prevalence for children might be 8.7% rather than
8.4%. This would be with the assumption that the individual has accurately self-diagnosed an
asthma attack, a perhaps reasonable assumption given they had been diagnosed with asthma at
some time in their life. When considering the participants that stated they 'STILL' have asthma,

3D-Attachmentl -22


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approximately 54% reported they had an asthma attack and/or had to be treated by a doctor
because of asthma (i.e., 401 of 739). This clearly indicates that when survey participants reported
they 'STILL' have asthma, they are more likely to have asthma attacks/ER visits than those who
do not state they 'STILL' have asthma. An alternative hypothesis is also possible, in that they
could have indicated they still have asthma as a result of the asthma attack/ER visit. Regardless,
the health condition and the adverse response appear to be interrelated.

Additionally, we could assume that all participants that 'EVER and 'STILL' have asthma
(100% rather than the 54% estimated above) would have an asthma attack/ER visit at some time
in their life (and perhaps not just within 12 months). Applying that information to survey
participants who stated they did not 'STILL' have asthma and also report they have experienced
an asthma attack/ER visit, implies that the asthma prevalence derived without these individuals
(i.e., 0.3 percentage points) might be underestimated by a factor of about two. Thus, based on
this analysis and including assumptions made using the responses to the additional questions, it
is possible that asthma prevalence estimated using the 'STILL' variable alone (as was done for
this assessment) could be underestimated by about 0.6 percentage points (i.e., an overall
'current' asthma prevalence for children would be about 9.0% rather than the 8.4% used in the
simulations).

REFERENCES

Cohen J and Rosenbaum A. (2005). Analysis of NHIS Asthma Prevalence Data. Memorandum
to John Langstaff by ICF Incorporated. For US EPA Work Assignment 3-08 under EPA
contract 68D01052. Available in US EPA (2007) Appendix G.

U.S. EPA. (2007). Ozone Population Exposure Analysis for Selected Urban Areas (July 2007).
Office of Air Quality Planning and Standards, Research Triangle Park, NC. EPA-452/R-07-
010. Available at http://epa.gov/ttn/naaqs/standards/ozoneZs o3 cr td.html.

U.S. EPA. (2008). Risk and Exposure Assessment to Support the Review of the NO2 Primary
National Ambient Air Quality Standard. Report no. EPA-452/R-08-008a. November 2008.
Available at

http://www.epa.gov/ttn/naaqs/standards/nox/data/20081121 N02RZEA final.pdf.
U.S. EPA. (2009). Risk and Exposure Assessment to Support the Review of the SO2 Primary
National Ambient Air Quality Standard. Report no. EPA-452/R-09-007. August 2009.
Available at

http://www.epa.gov/ttn/naaqs/standards/so2/data/200908S02REAFinalReport.pdf
U.S. EPA. (2014). Health Risk and Exposure Assessment for Ozone, Final Report. Chapter 5
Appendices. Report no. EPA-452/R-14-004c. August 2014. Available at
https://nepis.epa.gOv/Exe/ZyPDF.cgi/P 100KC17.PDF?Dockey=P 100KCI7.PDF.

U.S. EPA. (2018). Risk and Exposure Assessment for the Review of the Primary National
Ambient Air Quality Standard for Sulfur Oxides. Office of Air Quality Planning and
Standards, Research Triangle Park, NC, EPA-452/R-18-003, May 2018. Available at
https://www.epa.gov/sites/production/files/2018-05/documents/primary so2 naaqs -
final rea - may 20I8.pdf.

3D-Attachmentl -23


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SUPPLEMENTAL FIGURES S-l to S-4, ASTHMA PREVALENCE NON-SMOOTHED
Figure S-l. Non-smoothed asthma prevalence for children that still have asthma. Above (left panels) and below poverty level
(right panels) for Midwest (top panels) and Northeast (bottom panels) regions.

Raw asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Midwest pov_rat=Above Poverty Level

Raw asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Midwest pov_rat=Below Poverty Level

9 10 11 12 13 14 15 16 17 0

2 3 4 5 6 7

9 10 11 12 13 14 15 16 17

age

gender 	Female 	Male

gender 	Female 	Male

Raw asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Northeast pov_rat=Above Poverty Level

Raw asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Northeast pov_rat=Below Poverty Level

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 0

9 10 11 12 13 14 15 16 17

gender 	Female 	Male

age

gender	Female

3D-Attachmentl-24


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Figure S-2. Non-smoothed asthma prevalence for children that still have asthma. Above (left panels) and below poverty level
(right panels) for South (top panels) and West (bottom panels) regions.

Raw asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=South pov_rat=Above Poverty Level

Raw asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=South pov_rat=Below Poverty Level

10 11 12 13 14 15 16 17

gender

- Female 	Male

gender

age
- Female

Raw asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=West pov_rat=Above Poverty Level

Raw asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=West pov_rat=Below Poverty Level

9 10 11 12 13 14 15 16 17 0

gender 	Female 	Male

gender

age
- Female

3D-Attachmentl-25


-------
Figure S-3. Non-smoothed asthma prevalence for adults that still have asthma. Above (left panels) and below poverty level
(right panels) for Midwest (top panels) and Northeast (bottom panels) regions.

Raw adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Midwest pov_rat=Above Poverty Level

Raw adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Midwest pov_rat=Below Poverty Level

75+ 18-24

gender

- Female 	Male

gender

- Female 	Male

Raw adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Northeast pov_rat=Above Poverty Level

Raw adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Northeast pov_rat=Below Poverty Level

75+ 18-24

gender

- Female 	Male

gender 	Female

3D-Attachmentl-26


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Figure S-4. Non-smoothed asthma prevalence for adults that still have asthma. Above (left panels) and below poverty level
(right panels) for South (top panels) and West (bottom panels) regions.

Raw adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=South pov_rat=Above Poverty Level

Raw adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=South pov_rat=Below Poverty Level

75+ 18-24

gender

- Female 	Male

gender

- Female 	Male

Raw adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=West pov_rat=Above Poverty Level

Raw adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=West pov_rat=Below Poverty Level

75+ 18-24

gender

- Female 	Male

gender 	Female

3D-Attachmentl-27


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SUPPLEMENTAL FIGURES S-5 to S-8, ASTHMA PREVALENCE SMOOTHED
Figure S-5. Smoothed asthma prevalence for children that still have asthma. Above (left panels) and below poverty level (right
panels) for Midwest (top panels) and Northeast (bottom panels) regions.

Smoothed asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Midwest pov_rat=Above Poverty Level

Smoothed asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Midwest pov_rat=Below Poverty Level

9 10 11 12 13 14 15 16 17 0

gender 	Female 	Male

Smoothed asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Northeast pov_rat=Above Poverty Level

2 3 4 5 6 7

9 10 11 12 13 14 15 16 17

age

gender 	Female 	Male

Smoothed asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Northeast pov_rat=Below Poverty Level

2 3 4 5 6 7

9 10 11 12 13 14 15 16 17 0

2 3 4 5 6 7

9 10 11 12 13 14 15 16 17

gender	Female

gender

age
" Female

3D-Attachmentl-28


-------
Figure S-6. Smoothed asthma prevalence for children that still have asthma. Above (left panels) and below poverty level (right
panels) for South (top panels) and West (bottom panels) regions.

Smoothed asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=South pov_rat=Above Poverty Level

Smoothed asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=South pov_rat=Below Poverty Level

9 10 11 12 13 14 15 16 17 0

gender

- Female 	Male

gender

age
- Female

Smoothed asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=West pov_rat=Above Poverty Level

Smoothed asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=West pov_rat=Below Poverty Level

2 3 4 5 6 7

9 10 11 12 13 14 15 16 17 0

gender 	Female 	Male

gender

age
- Female

3D-Attachmentl-29


-------
Figure S-7. Smoothed asthma prevalence for adults that still have asthma. Above (left panels) and below poverty level (right
panels) for Midwest (top panels) and Northeast (bottom panels) regions.

Smoothed adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Midwest pov_rat=Above Poverty Level

Smoothed adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Midwest pov_rat=Below Poverty Level

75+ 18-24

gender

- Female 	Male

gender

- Female 	Male

Smoothed adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Northeast pov_rat=Above Poverty Level

Smoothed adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=Northeast pov_rat=Below Poverty Level

75+ 18-24

gender

- Female 	Male

gender 	Female

3D-Attachment 1-30


-------
Figure S-8. Smoothed asthma prevalence for adults that still have asthma. Above (left panels) and below poverty level (right
panels) for South (top panels) and West (bottom panels) regions.

Smoothed adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=South pov_rat=Above Poverty Level

Smoothed adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=South pov_rat=Below Poverty Level

75+ 18-24

gender

- Female 	Male

gender

- Female 	Male

Smoothed adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=West pov_rat=Above Poverty Level

Smoothed adult asthma 'STILL' prevalence rates and confidence intervals-2013-2017

region=West pov_rat=Below Poverty Level

75+ 18-24

gender 	Female 	Male

gender 	Female

3D-Attachmentl-31


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APPENDIX 3D, ATTACHMENT 2:

ICF TECHNICAL MEMO: IDENTIFICATION OF SIMULATED INDIVIDUALS AT

MODERATE EXERTION

3D-Attachment2-1


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MEMORANDUM

To:	John Langstaff and Stephen Graham, EPA

From:	Jeanne Luh, Graham Glen, and Chris Holder, ICF

Date:	March 26, 2019

Re:	Identification of Simulated Individuals at Moderate Exertion

I. Introduction

Under Work Assignment 4-55 of U.S. Environmental Protection Agency (EPA) Contract EP-W-
12-010, the EPA Work Assignment Manager (WAM) asked ICF (hereafter "us", "we", etc.) to
evaluate the approach used in the Air Pollutants Exposure Model (APEX; U.S. EPA, 2017a and
2017b) to identify when simulated individuals are at moderate exertion on average during any 8-
hour exposure period. APEX uses the ModEVR8 parameter, where EVR is equivalent
ventilation rate, to define the threshold EVR for moderate exertion. EVR, calculated as
ventilation rate divided by body surface area (Ve/BSA), values at or above ModEVR8 (but below
HeavyEVR8, the threshold for heavy exertion) are classified as moderate exertion. The
ModEVR8 value typically used in regulatory runs of APEX is 13 L/min-m2, which was developed
by Whitfield (1996) using clinical data from McDonnell et al. (1991). In McDonnell et al., study
participants were required to maintain a Ve of 40 L/min while exposed to ozone and performing
activities classified as moderate exertion over a 6.6-hour period. Using this data, Whitfield
(1996) defined the EVR range to be 13-27 L/min-m2 for 8-hour-average exposures at moderate
exertion.

The approach used to define moderate exertion was noted in public comments in the last review
of EPA's Health Risk and Exposure Assessment for Ozone in 2014 (U.S. EPA, 2014). The
bullets below summarize two critiques that some public commenters had about the ModEVR8
value of 13 L/min-m2.

ฆ	A ModEVR8 value of 13 L/min-m2 was too low and resulted in an overstatement of the
number of exposures. This, in turn, resulted in an overestimation of the lung function
decrement risk when exposure-response functions were used to estimate risk.

ฆ	The strenuous nature of the exercise performed in the clinical studies to achieve an EVR of
20 L/min-m2 was not comparable to the activities and range of actual 8-hour EVRs in the
populations of interest. They suggested that use of the clinical studies data may not be
reasonable in defining ModEVR8.

Due to the lack of available controlled studies for human exposure to ozone, we focused on
evaluating how ModEVR8 is defined and we performed our analyses using an expanded
dataset of clinical studies provided by the EPA WAM where the target EVR under moderate
exertion was 20 L/min-m2.

3D-Attachment2-2


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2. Data Sources

In Table 1 we list the clinical studies with data available on Ve and EVR for individuals
undergoing moderate exertion during 6.6-hour exposure to filtered air and ozone. Adult study
participants were required to maintain an EVR of 20 L/min-m2 while undergoing intermittent
moderate exercise, which consisted of six periods of 50-minute exercise on the treadmill or
cycle ergometer, each followed by a 10-minute break, and with a 35-minute lunch after the third
period.

Table 1. Clinical Studies with 6.6-hour Moderate Exertion

Reference

No. Subjects / Gender

Age Range (years)

O3 Exposure (ppm)

Folinsbee et al. (1998)

10 Males

18-33

0, 0.12

Horstman et al. (1990)

22 Males

18-35

FA, 0.08, 0.10, 0.12

McDonnell et al. (1991)

28 Males

18-30

0, 0.08

McDonnell et al. (1991)

10 Males

18-30

0, 0.08, 0.1

Folinsbee et al. (1994)

17 Males

25ฑ4

FA, 0.12

Schelegle et al. (2009)

15 Males, 16 Females

18-25

Mean: FA, 0.06, 0.07, 0.08, 0.087
Max: n/a, 0.09, 0.09, 0.15, 0.12

Kim et al. (2011)

27 Males, 32 Females

19-35

FA, 0.06

Notes: No. = number; O3 = ozone; ppm = parts per million; FA = filtered air; max = maximum; n/a = not available.

3. Equivalent Ventilation Rates
3.1. Original EVR Threshold

The ModEVR8 of 13 L/min-m2 typically used in regulatory runs of APEX was based on the
range of 13-27 L/min-m2 defined by Whitfield (1996) for 8-hour exposures. However, details
were not available on how this range was obtained from the McDonnell et al. (1991) data. We
analyzed the data to determine

ฆ	if the mean EVR was calculated based on all data points or based on the person-averaged
EVR values, and

ฆ	the number of standard deviations away from the mean that would result in the range of
values reported.

The EPA WAM provided a SAS data file with 4,024 individual EVR data points corresponding to
485 experiments. The McDonnell et al. (1991) data were provided as two separate datasets with
Study IDs of "Ozi-2" and "Pokoz", which were identified within the SAS dataset as OZI and POK,
respectively. Using the McDonnell et al. (1991) OZI and POK datasets individually and
combined, we calculated the mean, standard deviation, and upper and lower bounds (defined
as mean ฑ 3 standard deviations) using (i) all individual EVR data points and (ii) person-
averaged EVR values. The person-averaged EVRs are the average overtime, resulting in one
person-averaged EVR per unique subject and experiment, which is more consistent with how
APEX evaluates whether a profile is at moderate exertion (by calculating the profile's 8-hour-
average EVR). In Table 2 we present the results of this analysis, which suggest that the range
of 13-27 L/min-m2 used by Whitfield (1996) was obtained using individual EVR data from the
OZI dataset and three standard deviations away from the mean (see gray-shaded cells in the
table).

3D-Attachment2-3


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Table 2. EVR Metrics for Individual EVR Data Points and Person-averaged EVRs, during
Intermittent Moderate Exercise

McDonnell et al. (1991) Datasets
OZI	POK	OZI + POK Superset

Individual EVR Data Points (L/min-m2)

Mean

20.29

20.22

20.26

Standard Deviation

2.30

1.95

2.14

Lower Bound

13.37

14.38

13.83

Upper Bound

27.20

26.06

26.69

Person-averaged EVRs (L/min-m2)

Mean

20.29

20.22

20.26

Standard Deviation

2.05

1.61

1.85

Lower Bound

14.15

15.39

14.72

Upper Bound

26.43

25.06

25.80

Notes: EVR = equivalent ventilation rate; L/min-m2 = liters per minute per square meter; lower bound = mean -
3 standard deviations; upper bound = mean + 3 standard deviations.

Cells shaded in gray indicate metrics lining up with the 13-27 L/min-m2 range of moderate-exertion EVRs defined by
Whitfield (1996) for 8-hour exposures based on the McDonnell et al. (1991) data.

3.2. EVR Threshold from All Clinical Studies

ModEVR8 can be re-calculated for the expanded dataset following the original approach of
three standard deviations away from the mean. In Table 3 we present the mean, median,
standard deviation, and upper- and lower-bound EVRs using person-averaged EVR values from
all datasets listed in Table 1.

The EVRs measured in the studies were collected during periods of exertion and represent
exercise-only conditions. However, during the 6.6-hour experiment, only 5 hours were used for
exercise (i.e., six 50-minute periods of treadmill or cycle ergometer), with the remaining 1.6
hours for rest or lunch. During resting times/lunch, EVR values are expected to drop. As
discussed below, we estimated the impact on EVRs from incorporating rest time.

Of the studies in Table 1, only Schelegle et al. (2009) mentioned resting Ve (and, by default,
resting EVR), which was estimated using regression equations derived from the data of Aitken
et al. (1986). For college-age males, this was Ve = 7.61 xBSA, and for college-age females, this
was Ve = 8.05xBSA. These resting EVR values, 7.61 and 8.05 L/min-m2 for college-age males
and females respectively, are consistent with expected resting EVR values. For example,

Adams (2006) reported group-mean-total and exercise-only Ve, which can be used with their
reported BSAs to estimate a resting EVR of 6.38 L/min-m2 for that study. In our analysis, we
used those college-age male and female values to calculate resting EVR for each study, as the
weighted average based on the number of males and females in the study. We then calculated
total (exercise and rest) EVR as a weighted average based on 5 hours of exercise and 1.6
hours of rest/lunch. As expected, the values in Table 3 show that total (exercise and rest) EVRs
are lower than exercise-only EVRs.

3D-Attachment2-4


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Table 3. EVR Metrics Derived from All Clinical Studies in Table 1, during Intermittent Moderate
Exercise



Person-averaged EVRs (L/min-m2)



Exercise Only

Exercise + Rest

Mean

20.39

17.32

Standard Deviation

1.65

1.25

Lower Bound

15.44

13.57

Upper Bound

25.34

21.08

Median

20.35

17.31

Notes: EVR = equivalent ventilation rate;

L/min-m2 = liters per minute per square meter; lower bound = mean -

3 standard deviations; upper bound = mean + 3 standard deviations.

3.3. Parameters for Distribution Sampling

An alternative to setting ModEVR8 to a single value is to allow it to be sampled from a
distribution for each person. This introduces variability in ModEVR8 and reflects the variability
across individuals in Ve, and thus EVR, when performing moderate-exertion activities.

We modified the APEX code to allow for sampling ModEVR8 from a distribution. The
distribution parameters are specified in the modified physiology input file, where users can
specify the distribution shape and corresponding parameters. For each profile, the APEX code
samples ModEVR8 from the distribution. EVR values at or above this sampled ModEVR8 (but
below HeavyEVR8) are classified as being at moderate exertion. The sampled ModEVR8
values are then written to the Profile Summary output file.

4. Comparison of Approaches in Defining Moderate
Exertion

4.1. APEX Runs

We conducted four APEX runs, listed in Table 4, to compare how different ModEVR8 values
(including dynamic sampling of values from a distribution) would affect the exposure outcomes.
We used internal version APEX5.04, modified on December 20, 2018 to allow sampling of
ModEVR8 from a distribution. (A more updated version will be provided to the EPA WAM soon
following this memorandum, containing additional model updates unrelated to EVR). The
simulations were for the Los Angeles area, time period of January 1 to December 31, 2007, for
10,000 profiles, and for both children (ages 5 to 18 years) and total population (ages 5 years
and up). We calculated the ModEVR8 values listed in Table 4 from exercise-only data.

3D-Attachment2-5


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Table 4. Model Runs

Run Name

ModEVR8
(L/min-m2)

Comments

EVR 13

13

Original ModEVR8 value, calculated as:

ฆ	Three standard deviations below the mean (see shaded lower-bound value in
Table 2)

ฆ	Using the OZI group of McDonnell et al. (1991) data

ฆ	From individual EVR data points (instead of person-averaged EVRs)

EVR 16

15.4

Updated ModEVR8 value, calculated as:

ฆ	Three standard deviations below the mean (see lower-bound exercise-only
value in Table 3)

ฆ	Using the data specified in Table 1

ฆ	From person-averaged EVRs (instead of individual EVR data points)

EVR_Med

20.4

Median value using person-averaged EVRs from the data specified in Table 1 (see
median exercise-only value in Table 3)

DIST20_1

varies

ModEVR8 sampled for each profile from a distribution.

ฆ	Distribution parameters calculated using person-averaged EVRs from the data
specified in Table 1

ฆ	Normal distribution; mean = 20.4; standard deviation = 1.7; upper truncation =
25.3; lower truncation = 15.4 (see exercise-only column in Table 3)

Notes: L/min-m2 = liters per minute per square meter; EVR = equivalent ventilation rate; ModEVR8 = the model
parameter for the threshold of moderate-exertion EVR for an 8-hour period.

4.2. Simulated Population Results

Across the test runs, for all profiles and children only, we compared the percent of the profiles
reaching moderate exertion at least once and the person-day counts at moderate exertion.
Results for both metrics and profile groups, presented in Table 5 to Table 8 and graphically in
Figure and Figure 2, show that as the ModEVR8 value increases, the metrics decrease as
expected (EVR 13 > EVR 15 > EVR_Med).

3D-Attachment2-6


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Table 5. Percent of Modeled Profiles Reaching Moderate Exertion (Ages 5 Years and Up)



Run Name (see
Table 4)

Level (ppm)

EVR13

EVR15

EVR Med

DIST20 1

0

86.7

66.3

18.5

20.8

0.01

84.8

64.3

17.2

19.4

0.02

83.9

63.3

16.3

18.5

0.03

82.2

61.0

14.4

16.8

0.04

79.8

57.3

12.1

14.3

0.05

76.3

51.7

9.1

11.2

0.06

69.8

43.2

6.0





7.9

0.07

57.3

31.2

3.4





4.8

0.08

38.3

18.4

1.5





2.1

0.09

18.3

7.3

0.46





0.74

0.10

3.5

1.3

0.04





0.06

0.11

0.36

0.07

0

0

0.12

0

0

0

0

0.13

0

0

0

0

0.14

0

0

0

0

0.15

0

0

0

0

0.16

0

0

0

0

Notes: ppm = parts per million.

Shading indicates relative magnitude of values (reds and oranges are higher values; yellows and greens are lower
values).

Table 6. Percent of Modeled Child Profiles (Ages 5 to 18 Years) Reaching Moderate Exertion



Run Name (see
Table 4)

Level (ppm)

EVR13

EVR15

EVR Med

DIST20 1

0

99.4

93.7

41.2

43.3

0.01

98.4

90.7

37.1

39.2

0.02

98.2

89.8

35.4

37.6

0.03

97.6

88.0

31.2

33.7

0.04

97.1

85.8

26.7

29.9

0.05

96.0

82.1

20.8

24.7

0.06

93.4

72.9

13.6

17.6

0.07

86.3

59.4

8.3

11.2

0.08

65.7

38.6

4.0

5.4

0.09

33.8

17.2

1.3

2.1

0.10

5.8

2.6

0

0.1

0.11

0.3

0.1

0

0

0.12

0

0

0

0

0.13

0

0

0

0

0.14

0

0

0

0

0.15

0

0

0

0

0.16

0

0

0

0

Notes: ppm = parts per million.

Shading indicates relative magnitude of values (reds and oranges are higher values; yellows and greens are lower
values).

3D-Attachment2-7


-------
c

o
tr

0)
X
0)

0>

15

s_

CL)

ฆo

o

ro
c
.2

ZJ
Q.
O
CL

100
90
80
70
60
50
40
30
20
10
0

fa) Total (5 Years and Up)

o o o o

Levels (ppm)

EVR13

EVR15

EVR Med

ฆDIST20 1

c
o
tr



0)
TO

i—


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Table 7. Number of Modeled Person-days Reaching Moderate Exertion (Ages 5 Years and Up)



Run Name (see



Table 4)



Level (ppm)

EVR13

EVR15

EVR Med

DIST20 1

0

1.7E+06

7.4E+05

4.9E+04

8.1E+04

0.01

1.5E+06

6.5E+05

4.1E+04

6.9E+04

0.02

1.3E+06

5.3E+05

3.2E+04

5.4E+04

0.03

9.1E+05

3.6E+05

2.2E+04

3.6E+04

0.04

5.0E+05

1.9E+05

1.1E+04

1.8E+04

0.05

2.3E+05

8.6E+04

4.8E+03

8.0E+03

0.06

9.3E+04

3.4E+04

1.9E+03

3.2E+03

0.07

3.4E+04

1.3E+04

6.8E+02

1.1E+03

0.08

1.1E+04

3.9E+03

2.0E+02

3.2E+02

0.09

2.7E+03

9.6E+02

4.8E+01

8.7E+01

0.10

4.0E+02

1.3E+02

4.0E+00

6.0E+00

0.11

3.8E+01

8.0E+00

0

0

0.12

0

0

0

0

0.13

0

0

0

0

0.14

0

0

0

0

0.15

0

0

0

0

0.16

0

0

0

0

Notes: ppm = parts per million.

Shading indicates relative magnitude of values (reds and oranges are higher values; yellows and greens are lower
values).

Table 8. Number of Modeled Person-days Reaching Moderate Exertion (Ages 5 to 18 Years)



Run Name (see



Table 4)



Level (ppm)

EVR13

EVR15

EVR Med

DIST20 1

0

6.4E+05

3.8E+05

3.4E+04

5.2E+04

0.01

5.8E+05

3.4E+05

2.8E+04

4.4E+04

0.02

4.9E+05

2.7E+05

2.1E+04

3.4E+04

0.03

3.7E+05

2.0E+05

1.4E+04

2.3E+04

0.04

2.1E+05

1.1E+05

7.1E+03

1.2E+04

0.05

1.0E+05

4.9E+04

3.1E+03

5.2E+03

0.06

4.3E+04

2.0E+04

1.2E+03

2.1E+03

0.07

1.6E+04

7.3E+03

4.4E+02

7.3E+02

0.08

5.0E+03

2.2E+03

1.2E+02

2.0E+02

0.09

1.2E+03

5.3E+02

2.9E+01

5.6E+01

0.10

1.4E+02

6.0E+01

0

2.0E+00

0.11

7.0E+00

4.0E+00

0

0

0.12

0

0

0

0

0.13

0

0

0

0

0.14

0

0

0

0

0.15

0

0

0

0

0.16

0

0

0

0

Notes: ppm = parts per million.

Shading indicates relative magnitude of values (reds and oranges are higher values; yellows and greens are lower
values).

3D-Attachment2-9


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1.80E+06
1.60E+06
1.40E+06

V)

1 1.20E+06

o

^ 1.00E+06

TO

t 8.00E+05
o

% 6.00E+05

CL

4.00E+05
2.00E+05
O.OOE+OO

EVR13 EVR15 EVR Med 	DIST20 1

7.00E+05

6.00E+05

j2 5.00E+05

c

Z5

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ฃ 2.00E+05

1.00E+05

0.00E+00

EVR 13 EVR 15 EVR Med 		DIST20 1

Notes: ppm = parts per million.

Legend entries are the run names specified in Table 4.

Figure 2. Number of Modeled Person-days Reaching Moderate Exertion for
(a) All Profiles and (b) Children Only

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(a) Total (5 Years and Up)

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Levels (ppm)

3D-Attachment2-10


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The alternative method where one ModEVR8 value per person is sampled from a distribution
resulted in higher metrics as compared to setting the ModEVR8 equal to the median of the
distribution (DIST20_1 > EVR_Med). These results are expected because sampling from the
distribution allows the selection of ModEVR8 values lower than the median value. Lower
ModEVR8 values will result in more profiles reaching "moderate exertion" in the modeling.
Specifically, for person-day counts, sampling ModEVR8 from a distribution results in counts that
are more than 50 percent greater than when ModEVR8 is set to the median value. While the
sampling also allows the selection of higher ModEVR8 values (resulting in fewer profiles
reaching "moderate exertion"), profiles reach lower EVRs much more commonly than higher
EVRs, so much so that using lower ModEVR8 values brings many more profiles into the
"moderate exertion" pool than are excluded when higher ModEVR8 values are used.

However, sampling from a distribution still gives metrics that are much lower than when setting
the ModEVR8 value to three standard deviations below the mean (DIST20_1 < EVR15). As an
example, for an exposure level of 0.05 parts per million, DIST20_1 results in 40 percent fewer
profiles overall reaching moderate exertion at least once (11.2 percent with DIST20_1 versus
51.7 percent with EVR15), and 57 percent fewer children (82.1 percent with DIST20_1 versus
24.7 percent with EVR15). When considering person-day counts, in general, DIST20_1 counts
were nearly an order of magnitude lower than EVR15 counts.

5, References

Adams WC. (2006) Comparison of Chamber 6.6-h Exposures to 0.04-0.08 PPM Ozone via

Square-wave and Triangular Profiles on Pulmonary Responses. Inhal Toxicol 18(2): 127-
136. DOI: https://doi.org/10.1080/08958370500306107.

Aitken ML, Franklin JL, Pierson DJ, Schoene RB. (1986) Influence of Body Size and Gender on
Control of Ventilation. J Appi Physiol 60(6): 1894-1899. DOI:
https://doi. org/10.1152/jappl. 1986.60.6.1894.

Folinsbee LJ, McDonnell WF, Horstman DH. (1988) Pulmonary Function and Symptom

Responses after 6.6-Hour Exposure to 0.12 ppm Ozone with Moderate Exercise. JAPCA
38(1):28-35. DOI: https://doi.org/10.1080/08940630.1988.10466349.

Folinsbee LJ, Horstman DH, Kehrl HR, Harder S, Abdul-Salaam S, Ives PJ. (1994) Respiratory
Responses to Repeated Prolonged Exposure to 0.12 ppm Ozone. Am J Respir Crit Care
Med 149(1):98-105. DOI: https://doi.Org/10.1164/ajrccm.149.1.8111607.

Horstman DH, Folinsbee LJ, Ives PJ, Abdul-Salaam S, McDonnell WF. (1990) Ozone

Concentration and Pulmonary Response Relationships for 6.6-Hour Exposures with Five
Hours of Moderate Exercise to 0.08, 0.10, and 0.12 ppm. Am Rev Respir Dis
142(5):1158-1163. DOI: https://doi.org/10.1164/ajrccm/142.5.1158.

Kim CS, Alexis NE, Rappold AG, Kehrl H, Hazucha MJ, Lay JC, Schmitt MT, Case M, Devlin
RB, Peden DB, Diaz-Sanchez D. (2011) Lung Function and Inflammatory Responses in
Healthy Young Adults Exposed to 0.06 ppm Ozone for 6.6 Hours. Am J Respir Crit Care
Med 183(9):1215-1221. DOI: https://doi.org/10.1164/rccm.201011-18130C.

McDonnell WF, Kehrl HR, Abdul-Salaam S, Ives PJ, Folinsbee LJ, Devlin RB, O'Neil JJ,
Horstman DH. (1991) Respiratory Response of Humans Exposed to Low Levels of

3D-Attachment2-11


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Ozone for 6.6 Hours. Arch Environ Health 46(3): 145-150. DOI:
https://doi.org/10.1080/00039896.1991.9937441.

Schelegle ES, Morales CA, Walby WF, Marion S, Allen RP. (2009) 6.6-Hour Inhalation of Ozone
Concentrations from 60 to 87 Parts per Billion in Healthy Humans. Am J Respir Crit Care
Med 180(3):265-272. DOI: https://doi.org/10.1164/rccm.200809-14840C.

U.S. EPA, 2014. Health Risk and Exposure Assessment for Ozone: Final Report. Office of Air
Quality Planning and Standards, U.S. Environmental Protection Agency, Research
Triangle Park, NC, 27711. EPA-452/R-14-004a. August 2014. Available at:
https://www3.epa.gov/ttn/naaqs/standards/ozone/data/20140829healthrea.pdf.

U.S. EPA, 2017a. Air Pollutants Exposure Model Documentation (APEX, Version 5) Volume I:
User's Guide. Office of Air Quality Planning and Standards, U.S. Environmental
Protection Agency, Research Triangle Park, NC, 27711. EPA-452/B-17-001a. January
2017. Available at: https://www.epa.gov/fera/apex-user-guides.

U.S. EPA, 2017b. Air Pollutants Exposure Model Documentation (APEX, Version 5) Volume II:
Technical Support Document. Office of Air Quality Planning and Standards, U.S.
Environmental Protection Agency, Research Triangle Park, NC, 27711. EPA-452/B-17-
001b. January 2017. Available at: https://www.epa.gov/fera/apex-user-guides.

Whitfield RG, Biller WG, Jusko MJ, Keisler JM. (1996) A Probabilistic Assessment of Health
Risks Associated with Short- and Long-Term Exposure to Tropospheric Ozone.

Argonne, IL: Argonne National Laboratory.

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APPENDIX 3D, ATTACHMENT 3:

ICF TECHNICAL MEMO: UPDATES TO THE METEOROLOGY DATA AND
ACTIVITY LOCATIONS WITHIN CHAD

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MEMORANDUM

To:	John Langstaff and Stephen Graham, U.S. EPA-OAQPS

From-	^ader, Graham Glen, Caroline Foster, Samuel Kovach, Delaney Reilly, Chris

Holder, River Williams, Anna Stamatogiannakis, and George Agyeman-Badu, ICF

Date:	June 18,2019

Re:	Updates to the Meteorology Data and Activity Locations within CHAD

I. Introduction

In the November 1, 2016 version of CHAD, approximately 18 percent (32,723 out of 179,912) of
diary-days are missing values for daily-maximum temperature (Tmax) and thus cannot be used
by APEX. The temperature data currently in CHAD originate from a variety of sources, including
from the original studies and from EPA or contractors who encoded the study data into CHAD.
As discussed in Section 2, we used a methodical process to replace most of these missing
values. As part of this exercise, for diary-days without county-location information, we identified
county locations for over 10,000 diary-days based on respondent zip code and for over
6,000 diary-days based on the metropolitan locations of several of the studies. Some of the
diary-days that received repaired county locations were not missing temperature data;
nonetheless, we made the repairs as part of a "cleaning up" of the diary data. After this process,
only 0.3 percent (565) of diary-days have missing values for Tmax and remain unusable by
APEX.

In the same version of CHAD, six studies have at least 200 minutes per day (on average) of
time spent in locations that are not sufficiently clear (they are ambiguous). Unspecified and
missing location codes are ambiguous, as are those taking place at a residence or a place of
employment without specifying whether they are in the three broad microenvironments (MEs) of
indoors, outdoors, or in-vehicle. If studies have an apparent bias (via ambiguity) in time spent in
the three broad MEs, then the APEX-modeled exposures will also be biased. As discussed in
Section 3, we used paired activity-location information from the other 15 studies in CHAD to
derive frequency distributions of location codes used per each activity code, with different
distributions intended for reassigning unspecified/missing locations, ambiguous residential
locations, and ambiguous workplace locations. For the six targeted studies, for a diary event
with an ambiguous location code, we reassigned the location code based on the activity by
sampling from these frequency distributions. After this process, the time spent per day in
ambiguous locations dropped substantially for the six studies, though one study still had more
than 200 minutes per day spent in ambiguous locations. These location-code reassignments will
substantially reduce bias in APEX exposure estimates, particularly given that one of the
six studies constitutes more than half of all CHAD diary-days.

These modifications do not impact the official EPA CHAD-Master database, which remains
unchanged. Instead, the modifications are specific to the version of the diary data used for
APEX modeling.

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2. Temperature Data

2.1. Overview and Objectives

The current CHAD questionnaire file includes Tmax and daily-average temperature (Tavg; ฐF)
as well as daily precipitation (inches) and daily number of hours with precipitation. Only Tmax is
typically used by APEX modelers, and it is used to help select a set of diaries that have similar
temperature values as those experienced by a simulated profile at his/her location on a given
modeling day. Diary-days without values for Tmax cannot be selected for use by any simulated
profile.

As shown in Table 2-1, approximately 18 percent of diary-days are currently unusable by APEX
on the basis of missing Tmax. Less than 1 percent of those are missing all indicators of
respondent location (state, county, and zip code) and are not from studies of a single
metropolitan area; it will not be possible to identify reasonable temperature data for those diary-
days. Most of the remaining diary-days have only state information (no information on county or
zip code).

Table 2-1. Information on Diary-days Missing Daily-maximum Temperature Values



Count

Percent of All
Diary-Days

Percent of Diary-days
Missing Tmax

Missing Tmax

32,723

18%

100%



From the 1980s

14

0.008%

0.04%

From the 1990s

1,230

0.7%

4%

From the 2000s

25,512

14%

78%

From the 2010s

5,967

3%

18%

Missing All Location Information (state,
county, zip code; is not a single-
metropolitan study)

111

0.06%

0.3%

Is a Study of a Single Metropolitan Area

0

0%

0%

Has State Location but not County (and is
not a single-metropolitan study)

30,895

17%

94%

—> Has Zip Code

30

0.02%

0.09%

Notes: Studies limited to one metropolitan area were put into CHAD without county or zip-code information.
Tmax = daily-maximum temperature

The objective of this task is to use historical meteorological records to identify reasonable
temperature values for diary-days currently missing those values. Identifying these values relies
on knowing or estimating the geographic location of each diary-day. Since most of the target
diary-days identify the respondent's state but not county or zip code, in most cases we have
made assumptions about respondent locations within the state.

A structured methodology of identifying appropriate temperature data allows us to identify
reasonable temperature values for nearly all diary-days, not just those currently missing
temperature data. While we will generally not update temperature data in CHAD that are not
already missing (unless we believe the current values are erroneous), we can compare current
and "new" temperatures as part of quality control (QC). With this in mind, as detailed in
Section 2.2, we developed a hierarchy to assign a county location to nearly all diary-days. Then,
as detailed in Section 2.3, we matched county locations to the five closest meteorological
stations from the historical records, thus enabling the assignment of temperature values.

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2.2. Assigning County Locations to Diary-days

Matching diary-days with nearby meteorological stations requires knowing (or estimating) where
the diary-days took place. County is the primary indicator of diary location, though zip codes are
also available for some diaries, and assigning temperature data on a county basis is reasonable
given the typical spatial resolution of counties and typical temperature gradients.

About 43 percent (77,811) of all diary-days already had county designations. For these diary-
days, we "cleaned up" the county names to be more consistent with the names provided by the
U.S. Census Bureau. While the county and state locations of diary-days are not used in APEX,
creating consistent location designations (and use of the more reliable state-county FIPS
designations) made the temperature-assignment process more reliable.

The remaining 57 percent (102,101) of all diary-days had no county locations. As indicated in
Table 2-2, 111 had no location information at all and they were not from studies located in a
single metropolitan area. We could not assign counties to these 111 diary-days, and thus we
could not replace missing temperature data if needed.

Table 2-2. Information on Diary-days Without County Designations









How County Locations Were Determined









(showing counts of diary-days)





Count

Percent of
All Diary-
Days

Metropolitan
Study
Location

Zip Code

State's Population
Distribution

Missing All Location Information

111

0.06%

0

0

0

(state, county, zip code; is not a
single-metropolitan study)











Is a Study of a Single Metropolitan
Area

6,150

2%

6,150

0

0

Has State Location but not County

95,840

55%

0

0

84,141

(and is not a single-metropolitan
study)









(14 from 1980s;
6,139 from 1990s;
64,046 from 2000s;













13,942 from 2010s)



Has Zip Code

11,699

7%

0

11,635

64

(1 from 1980s;
62 from 1990s;
1 from 2000s;
0 from 2010s)

Note: Studies limited to one metropolitan area were put into CHAD without county or zip-code information.

For the other 101,990 diary-days without county designations, a small amount (6,150) were
from studies located within a single metropolitan area. Diary-days from these studies were
originally put into CHAD without county or zip-code information. We made the assumption that
all such respondents lived in the primary county associated with the area, as listed below.

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ฆ	Hamilton County, Ohio for the Cincinnati Activity Patterns Study (CIN)

ฆ	Wayne County, Michigan for the Detroit Exposure and Aerosol Research Study (DEA)

ฆ	Denver County, Colorado for the Denver, Colorado Personal Exposure Study (DEN)

ฆ	King County, Washington for the Seattle Study (SEA)

ฆ	District of Columbia for the Washington, DC Study (WAS)

Additionally, a small amount (11,635) of diary-days without county designations had reliable zip
codes that we geocoded to their most likely counties, following the process listed below. Note
that we used geospatial files representing the year 2000 because most of the CHAD diary-days
(129,569 diary-days, which is 72 percent of all diary-days) were from the 2000s, and county
boundaries have remained unchanged through the last few decades for nearly all U.S. counties.

ฆ	Use GIS software to convert the year-2000 county polygons1 to centroid points (one centroid
per county).

ฆ	Use GIS software to identify the county centroid (year 2000) closest to each zip-code
centroid (also year 2000; from the zip-code tabulation areas file.2 These centroid-proximity
matches were restricted to within the same state (e.g., a zip-code centroid located in
California could only be matched to a county in California).

ฆ	A small number of zip codes (145) could not be identified in the Gazetteer files. We
identified the county locations of 85 such zip codes with reasonable confidence using
Internet searches, leaving 60 zip codes unmatched to counties.

For the remaining 84,205 diary-days without county designations (which includes 64 diary-days
that could not be reliably matched to counties via zip code), we assigned them to counties within
the state based on population distributions. We used U.S. Census data to calculate the
population distributions within each state. Since such distributions change over time, we did this
on a decadal basis, covering the decades represented by the CHAD diary-days (the 1980s
through 2010s), as indicated below. The majority of such population-based assignments were
for diary-days in the 2000s decade (as indicated in Table 2-2).

ฆ	2000s and 2010s: We queried decadal census data from the U.S. Census Bureau (filtering
by Population Total, the 2010 or 2000 year, and All Counties within United States).3 The SF1
100% datasets were employed.

ฆ	1980s and 1990s: We used intercensal data from the U.S. Census Bureau's State and
County Intercensal Datasets websites for 1980 to 1989 and 1990 to 1999.4 The county

1	From the U.S. Census cartographic boundary files available at https://www.census.gov/geographies/mapping-files/time-
series/geo/carto-boundary-file.2000.html.

2	From the U.S. Census Gazetteer files available at https://www.census.gov/geographies/reference-files/time-
series/geo/gazetteer-files.2000.html.

3	The American FactFinder website, used at the time of these analyses were performed, has been decommissioned as of March
30, 2020. Similar data queries can be made at https://data.census.gov/cedsci/.

4	Data available at https://www.census.gov/data/tables/time-series/demo/popest/1980s-county.html and
https://www.census.gov/data/datasets/time-series/demo/popest/intercensal-1990-2000-state-and-county-
characteristics, h tml.

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populations were partitioned by demographics, which we aggregated to county-total
population values.

2.3. Assigning Temperature Data to Diary-days

The National Centers for Environmental Information (NCEI) distributes several databases of
land-based meteorology station data. We utilized the Global Historical Climatology Network-
Daily (GHCND), as it provided QCed daily temperature data at a relatively high spatial
resolution across the U.S.5 We narrowed the GHCND database based on the criteria listed
below.

ฆ	Stations must be located 24-50ฐ N and 126-66ฐ W (for contiguous U.S.), 51-72ฐ N and
179.999-129ฐ W (for Alaska; we did not use any stations in the far-western Aleutian
Islands), and 18.5-22.5ฐ N and 160.5-154.5ฐ W (for Hawaii). Note that these boundaries
may extend somewhat into neighboring countries.

ฆ	Stations must include Tmax and daily-minimum temperature (Tmin) as typically reported
parameters (requiring Tavg was too restrictive; we elected to calculate Tavg as the average
of Tmax and Tmin).

ฆ	On a decadal basis, stations must report data for the entirety of that decade (or for
2010-2014 for the 2010s).

Some of the GHCND stations were of 'higher quality' than others, as they are part of the U.S.
Historical Climatology Network (HCN), the U.S. Climate Reference Network (CRN) and/or the
Global Climate Observing System Surface Network (GSN). We preferred data from these
stations in our temperature assignments.

In Table 2-3, we indicate the number of meteorological stations per decade, including the
number of higher-quality stations, that meet all the selection criteria listed above. In Figure 2-1
and Figure 2-2, for the 1980s and 2010s respectively, we show examples of the geographic
spread of meteorology stations (with higher-quality stations differentiated) in North and South
Carolina.

Table 2-3. Number of GHCND Meteorological Stations
Meeting Selection Criteria, per Decade and U.S. Region

Year

Number of Meteorological Station Counts (higher-quality Stations)3

Contiguous U.S.

Alaska

Hawaii

1980

6,621 (1,225)

230 (19)

54 (2)

1990

7,207 (1,233)

251 (19)

56 (2)

2000

7,813 (1,151)

341 (21)

72 (2)

2010

8,445 (1,210)

388 (29)

85 (4)

a Note that a small number of stations included here may be across the U.S. border in other countries.

5 https://www.ncdc.noaa.gov/data-access/land-based-station-data/land-based-datasets.

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1980s Meteorology Stations

Legend

High quality met stations
ฉ Other met stations

Figure 2-1. GHCND Meteorological Stations from the 1980s
Meeting Selection Criteria, in the North and South Carolina Region

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2010s Meteorology Stations

Figure 2-2. GHCND Meteorological Stations from the 2010s
Meeting Selection Criteria, in the North and South Carolina Region

By decade (with county locations fixed at the year-2000 definitions), we used ArcMap's
"Generate Near Table" tool to map each U.S. county to its five closest meteorological stations
from the GHCND dataset. The stations were initially sorted by closest proximity to the county
centroid. Then, we resorted the matches to ensure that the closest higher-quality within 30 miles
of the county centroid was the preferred station of the five stations.

The median distance from county centroid to the preferred meteorological station was 19 km—
only in Alaska were some county centroids more than 100 km from the preferred station, and a
few counties in Arizona, California, Nevada, and Texas were 50-70 km from the preferred
station. The median distance from county centroid to the fifth selected station was 42 km.

Based on the county location and decade of the diary-day, and the five meteorological stations
selected for that county and decade, we identified Tmax and Tmin from the preferred station. If
the preferred station's Tmax and Tmin values were missing, then we used the values from the
second station, and so on until we identified non-missing values. If none of the five stations
supplied non-missing Tmax and Tmin values, then the values were left missing.

Using the method above, 178,893 diary-days (> 99 percent) were matched with new Tmax and
Tavg values, leaving 1,019 diary-days (0.6 percent) without matched values. As a QC check, we
compared the newly matched temperature values ("new" temperatures) to the existing
temperature values where available ("old" temperatures). Using Tmax, there were
146,735 diary-days (82 percent) available for comparison. In Table 2-4, we indicate how many
diary-days were negligibly different (< 5ฐ), 5-10ฐ different, 10-20ฐ different, or > 20ฐ different.

3 D-Attachments -8


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Table 2-4. Comparison of Old (in Current CHAD-Master)
and New (Identified Here) Daily-maximum Temperatures

Difference between Old Tmax
and New Tmax

Number of Diary-days

Percent of Diary-days Available
for Comparison

LL

o

LO
VI

101,507

69.2%

5-10 ฐF

24,604

16.8%

10-20 ฐF

16,032

10.9%

> 20 ฐF

4,592

3.1%

During this QC check, we further examined the 4,592 diary-days (3 percent) where the Tmax
values were > 20ฐ different. During this step, we discovered that most of these diary-days were
from the American Time Use Survey by the Bureau of Labor Statistics (BLS). In 2,431 of the
4,592 diary-days with differences over 20ฐ, they were from the BLS study and the old Tmax was
equivalent to the old Tavg. This indicated a systematic error in the old BLS temperatures.

Using a similar approach, we compared the old and new Tavg values. The results are indicated
in Table 2-5. The results comparing the old and new Tavg values were similar to those for
Tmax.

Table 2-5. Comparison of Old and New Average Temperatures

Difference between Old Tmax



Percent of Diary-days Available

and New Tmax

Number of Diary-days

for Comparison

LL

o

LO
VI

109,632

74.7%

5-10 ฐF

24,430

16.6%

10-20 ฐF

10,271

7.0%

> 20 ฐF

2,363

1.6%

We further examined the 2,363 diary-days (1.3%) where differences in Tavg values were > 20ฐ.
For 1,569 of these diary-days, they were from the BLS study and the old Tavg was equivalent to
the old Tmax, again indicating a systematic error in the old BLS temperatures.

As an additional check, we examined the mean Tmax and mean Tavg across all diary-days.
The mean Tmax and mean Tavg for the old values were 68.0ฐ and 58.4ฐ, respectively. For the
new data, the mean Tmax and mean Tavg were 68.4ฐ and 57.8ฐ respectively. The consistency
between the two was expected and provides additional assurance.

At the direction of EPA, and given the errors found in the temperatures of the BLS study, we
developed a diary dataset using a combination of the old and new temperatures. To create this
dataset, we replaced all the old temperatures (maximum and average) of the BLS diary-days.
Next, we replaced all previously missing values where new values were available (across all
studies). Following these rules, we replaced values for 125,581 diary-days, such that the new
diary dataset now has Tmax and Tavg values for 179,347 diary-days. Temperatures remain
missing for 565 diary-days, while 53,766 diary-days retained their old temperatures.

In addition to the new temperature data, we updated the dataset with information that was used
as intermediate to this process, with fields indicated in Table 2-6.

Table 2-6. Updated or Added Fields in the CHAD Dataset

Field Name

Description

county

Values updated to include newly georeferenced data

state

Values updated to include newly georeferenced data

FIPS

Field added to provide a unique ID to every state-county

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Field Name

Description

old avgtemp

Field renamed to identify the temperatures (ฐF) in the November 2016 CHAD

old maxtemp

Field renamed to identify the temperatures (ฐF) in the November 2016 CHAD

FlPSfromZip

Field added: TRUE or FALSE—if the county originally was missing, did we identify by
zip code?

FlPSfromStudy

Field added: TRUE or FALSE—if the county originally was missing, did we identify by
study location?

FIPSfromCountyRandom

Field added: TRUE or FALSE—if the county originally was missing, did we identify by
county population distributions in the state?

new avgtemp

Field added to provide new temperatures (ฐF) queried in this task

new maxtemp

Field added to provide new temperatures (ฐF) queried in this task

ReplacedMaxT emp

Field added to provide the final temperatures (ฐF) to use in future applications (either
the old or new value, depending on the study and other criteria as discussed in this
memorandum)

ReplacedAvgT emp

Field added to provide the final temperatures (ฐF) to use in future applications (either
the old or new value, depending on the study and other criteria as discussed in this
memorandum)

3. CHAD Activity Locations
3.1. Introduction

Each diary-day reports a series of "events" covering 24 hours. Event durations vary, but each
event has one location code and one activity code. To use diaries in APEX, the location codes
are mapped to APEX MEs, each of which has a method for determining its air quality. While the
number of MEs is flexible, generally all APEX runs distinguish between time spent in three basic
MEs: indoor, outdoor, and in-vehicle. Yet six of the location codes are ambiguous, even at that
coarse level of defining MEs (i.e., they do not distinguish between the three basic MEs). CHAD
is composed of 21 originally separate studies, and some of these studies use these ambiguous
codes, but others do not.

These six ambiguous location codes are shown below, and in Table 3-1 we show the average
amount of time spent in ambiguous locations (by study).

ฆ	Residential:

~	30000 (Residence, general)

~	30010 (Your residence)

~	30020 (Other's residence)

ฆ	Workplace:

~	33400 (At work: no specific location, moving among locations)

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ฆ Unknown:

~	U (Uncertain)

~	X (Missing)

Table 3-1. Average Amount of Ambiguous Time by Study

Study

Average Ambiguous Time
(minutes per day)

BAL: Baltimore Retirement Home Study

3

BLS: American Time Use Survey (ATUS), Bureau of Labor Statistics

498

CAA: California Adults Activity Pattern Studies

67

CAC: California Children Activity Pattern Studies

0

CAY: California Youth Activity Pattern Studies

101

CIN: Cincinnati Activity Patterns Study

2

DEA: Detroit Exposure and Aerosol Research Study

1,186

DEN: Denver, Colorado Personal Exposure Study

16

EPA: EPA Longitudinal Studies

333

ISR: Population Study of Income Dynamics 1, II, III

58

l_AE: Los Angeles Ozone Exposure Study: Elementary School

34

LAH: Los Angeles Ozone Exposure Study: High School

2

NHA: National Human Activity Pattern Study: Air

18

NHW: National Human Activity Pattern Study: Water

18

NSA: National-scale Activity Study

154

OAB: RTI Ozone Averting Behavior Stud

121

RTP: RTP Particulate Matter Panel Study

1,081

SEA: Seattle Study

1,205

SUP: Study of Use of Products and Exposure-related Behaviors

804

VAL: Valdez Air Health Study

2

WAS: Washington, DC Study

16

Note: Bolded studies have relatively large average amounts of ambiguous time.

APEX assigns MEs based only on the location code (not the activity code), and furthermore,
APEX uses a deterministic mapping (that is, the same location code maps to the same ME
throughout that APEX run). But this rule may lead to an unavoidable bias if applied to certain
diary studies. We examined the CHAD activity code that is paired with each location code (on
the event level), to determine the likely place of occurrence of each event. Since this is not
always a certainty, part of this exercise is to probabilistically assign specific locations to events
with ambiguous location codes, based on the paired activity.

3.2. Methods

The starting point is the November 2016 version of CHAD. It has 179,912 diary-days. Two of
those (EPA002171 and EPA002172) have been deleted because they each contained 24 hours
of missing data.

For our purposes, we divided all location codes into six general MEs and temporarily related
them to the location codes shown as shown below, which are unambiguous. The codes are
typical examples of the categories shown. For example, 31110 is a car; while not all vehicular
travel is in a car, it is reasonable that the air quality in a car would be similar to that found in
other types of vehicles.

ฆ IH (indoors at a residence) —~ Code 30120 (Your residence, indoor)

3D-Attachment3-11


-------
ฆ 10 (indoors elsewhere)

Code 32000 (Other, indoor general)

ฆ OH (outdoors at a residence) —~ Code 30200 (Residence, outdoor)

ฆ OV (outdoors near traffic)

Code 35200 (Public garage / parking lot)

ฆ O (outdoors elsewhere)

Code 35000 (Other outdoor, general)

ฆ V (in an enclosed vehicle)

Code 31110 (Motorized travel by car)

The six ambiguous location codes had more than one mapping option for a location category,
as shown below. They were reassigned location codes based on activity (and occupation where
applicable), as discussed later.

ฆ	Codes 30000 (residence, general), 30010 (your residence), 30020 (other's residence)

~	Could be either IH or OH; occasionally V or OV

ฆ	Code 33400 (at work; no specific location, moving among locations)

~	Could be any, but depends on occupation

Occupation TRANS (transportation and material moving)

•	V (specifically 31120, travel by truck)

Occupation FARM (farming, forestry, and fishing)

•	O

Occupation HSHLD (private household)

•	IH

Activity code > 18000 (travel)

•	V

Activity codes 17700-17823 (active-leisure activities; exercise activities)

•	OV
All others

•	IO

ฆ	Codes U (uncertain), X (missing)

~	Could be any

For analysis purposes, we divided CHAD into two parts. The "bad" part consisted of the six
studies with at least 200 minutes per day on average spent in ambiguous locations (see
Table 3-1; the studies were BLS, DEA, EPA [EPA Longitudinal Studies], RTP [RTP Particulate
Matter Panel Study], SEA, and SUP [Study of Use of Products and Exposure-related
Behaviors]). The "good" part consisted of the 15 studies with an average of fewer than
200 minutes per day of ambiguous time.

:,hment3-12


-------
For the purposes of replacing location codes U and X in the "bad" part of CHAD, we analyzed
the "good" part to determine the time fractions in each of the six location categories for each
activity code (except activity codes U and X). We excluded any time in ambiguous locations. For
example, the "eating" code (14400) divided as IH = 76 percent, IO = 21 percent,

OH = 2 percent, 0=1 percent, and OV and V = less than 1 percent. A few activity codes did not
have examples in the "good" part of CHAD, and so we mapped them to similar activities. These
cases occurred extremely rarely in the "bad" part of CHAD, as well. The number of such cases
increased if we stratified CHAD by age group, and for most activities the allocation to the six
location categories was not very different between age groups. Therefore, we did not treat age
groups separately. We linked the time-fraction distributions to the activities in the six studies in
the "bad" part of CHAD. We reassigned U and X locations by activity (excluding activity codes U
and X), following these distributions from the "good" part of CHAD.

For the purposes of replacing ambiguous residential location codes (30000 - Residence,
general; 30010 - Your residence; and 30020 - Other's residence), we made separate time-
fraction determinations (also from the "good" part of CHAD) where we generally restricted time
to three categories: IH, OH, and OV. We used the last of these (OV) for time in the garage or
working on cars. We made an exception for selected travel activity codes over 18000, which
indicate that the person was in a vehicle. For example, we assigned 18031 (drive a motor
vehicle) and similar codes to V. We linked these refined time-fraction determinations to the
activities in the six studies in the "bad" part of CHAD, for all events with location codes 30000,
30010, or 30020. We reassigned these locations by activity (for activities other than U and X),
following these distributions of time spent. We made an exception for the DEA study, where it
was clear that the residential codes up to 30020 were used only for indoor events. Note the
before the location reassignments, the DEA study averaged 83 minutes in OH locations but only
29 minutes in IH locations.

In many cases, the same diary had the same activity code for several consecutive events with
ambiguous location codes. For example, the person might be sleeping for several hours, but the
location is not clear. It would not make sense for them to be relocated part way through, so for
such consecutive events we determined the reassignment (from the activity's distribution across
the six location categories) only for the first of such events, and then subsequent events
received the same new location reassignment.

usslcin

As shown in Table 3-2, five of the six studies where we reassigned location codes now have
fewer than 200 minutes per day of ambiguous location time. The exception is the SUP study, in
which most diaries were shorter than 24 hours and were padded with missing activities and
locations to fill out the day. Many of the SUP diaries were previously rejected by APEX, and
might continue to be, but most of the other diaries will now be acceptable. In particular, the BLS
diaries constitute more than half of CHAD, and they have gone from 498 ambiguous minutes to
just 10 such minutes per diary-day.

;hment3-!3


-------
Table 3-2. Minutes per Day in the Six Location Categories, Before ("Old") and After ("New")
Location Reassignments, For the Six Studies With 200 Minutes per Day or More of Time Spent in
Ambiguous Locations



BLS

DEA

EPA

RTP

SEA

SUP

Location Category

Old

New

Old

New

Old

New

Old

New

Old

New

Old

New

IH

754

1,049

29

1,157

677

903

90

973

0.04

1,121

327

787

IO

79

228

48

95

246

346

131

170

139

145

175

176

OH

22

47

83

83

50

55

36

77

16

73

22

47

O

17

23

19

19

23

23

17

17

24

25

45

45

OV

0.3

1.7

3.3

3.4

24

24

5.8

6.8

1.0

2.1

5.0

5.1

V

70

81

72

72

87

87

80

80

54

54

61

61

Ambiguous

498

10

1,186

10.3

333

2.4

1,081

116

1,205

21

804

317

Indoor Total

833

1,277

78

1,252

923

1,249

220

1,143

139

1,265

503

963

Outdoor Total

39

72

105

106

96

102

59

101

41

99

72

98

Several questions remained, as listed below. We discussed these questions with EPA in
May 2019, with decisions noted below.

1.	Should the "good" part of CHAD be defined differently?
a. No, keep it as-is.

2.	Should other location codes be deemed ambiguous?
a. Not at this time.

3.	Should this method be applied to the ambiguous events in "good" CHAD?
a. No.

The last question is perhaps the most important. The CAY, NSA, and OAB studies average over
100 minutes of ambiguous time per diary, which is significant. The same method could be
applied there, and might significantly reduce the ambiguous time in those studies. One reason
not to apply this method is that the time percentages would then be applied to some of the same
studies used to derive the percentages, and this presents the appearance of circular reasoning.
It is not exactly circular because we excluded ambiguous time when deriving the percentages,
but even so, there may be a correlation between the choice of location code and choice of
activity code within a single study. For example, there may be a reason particular to the given
study for why some eating events were assigned specific location codes, and others were
assigned location X. Hence, it is not clear whether general percentages for all eating events
should apply to those (relatively few) coded with location X. This is less of a concern when most
or all eating events are paired with location X.

4. Diagram of Processing

In Figure 4-1, we indicate the input and output files for the temperature and location-code
updates discussed above, as well as the processing programs and ancillary files. We briefly
discuss these files and programs below the figure.

3D-Attachments -14


-------
Figure 4-1. Files and Processing Programs Used in this Task

Both the temperature and location-code tasks began with the November 2016 version of the
CHAD-master files (quest_ 110116.sas7bdat and events_ 110116.sas7bdat), which we
converted to text or CSV files {Current_CHAD.csvfor the questionnaire file; Events_2016.txt for
the events file) for easier processing in R programs.

We used four different R scripts to modify temperatures and county designations in the
questionnaire file. County_pop_met_station_processor.R reformatted GIS data, outputting the

3D-Attachment3-15


-------
ranking of up to five meteorology stations for every county, by decade and reorganized based
on distance and station quality. CHAD_County_assignments.Rf\\\ed in missing location data,
based on zip code, study, and random assignment based on population density.
ChadCode_MetAssignment_Top5.R combined the outputs of the previous two scripts to assign
temperatures (and other intermediate details) the questionnaire file. CHAD_PostProcessing.R
cleaned the data of unnecessary fields and reformatted the data for processing back into a SAS
dataset. The resulting updated questionnaire file was
Final_ CHA D_ With Temp_ Final_ Replaced, csv.

The location-code reassignments were made by New_locs_5.R (where 5 is the version number
of the script). The output events file was chad_new2.csv.

The new questionnaire and events files were not directly suitable as input to APEX because
they contains extra variables, including both the old and new location codes, details about
county reassignments and meteorological stations, etc. The program Chad2019a.sas converted
the files to SAS format and utilized field names conforming to those of CHAD-Master, producing

quest_new_060419.sas7bdat and events_new_060419.sas7bdat.

Finally, the EPA WAM's program (WriteApexChadFiles.sas) processed the above-mentioned
SAS datasets in various ways, most importantly producing the APEX-ready diary files
(quest_new_060419A.txtand events_new_060419A.txt).

;hment3-16


-------
APPENDIX 3D, ATTACHMENT 4:
DETAILED EXPOSURE AND RISK RESULTS

Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Atlanta

S65

2015

0

782548

702709

652006

613670

581448

553463

All Children

Atlanta

S65

2015

10

737635

650392

594402

553161

518598

488576

All Children

Atlanta

S65

2015

20

638508

531491

470336

424273

390699

360596

All Children

Atlanta

S65

2015

30

498684

383940

321655

279970

246820

222104

All Children

Atlanta

S65

2015

40

321736

210321

154209

118800

93619

74875

All Children

Atlanta

S65

2015

50

110083

37448

14991

6335

2805

1352

All Children

Atlanta

S65

2015

60

11501

585

101

20

0

0

All Children

Atlanta

S65

2015

70

424

20

0

0

0

0

All Children

Atlanta

S65

2015

80

0

0

0

0

0

0

All Children

Atlanta

S65

2015

90

0

0

0

0

0

0

All Children

Atlanta

S65

2015

100

0

0

0

0

0

0

All Children

Atlanta

S65

2016

0

790356

714553

665988

626301

592142

564218

All Children

Atlanta

S65

2016

10

752243

669035

614820

572006

537181

508631

All Children

Atlanta

S65

2016

20

662941

562038

500480

454800

419047

390195

All Children

Atlanta

S65

2016

30

534497

422316

358800

315319

284086

259612

All Children

Atlanta

S65

2016

40

357993

246719

191476

156167

129352

107985

All Children

Atlanta

S65

2016

50

139824

55465

25887

13720

6981

3773

All Children

Atlanta

S65

2016

60

21165

1917

202

61

0

0

All Children

Atlanta

S65

2016

70

1473

20

0

0

0

0

All Children

Atlanta

S65

2016

80

81

0

0

0

0

0

All Children

Atlanta

S65

2016

90

0

0

0

0

0

0

All Children

Atlanta

S65

2016

100

0

0

0

0

0

0

All Children

Atlanta

S65

2017

0

787491

708984

655456

615486

582962

554835

All Children

Atlanta

S65

2017

10

743406

655093

596157

553746

519042

489362

All Children

Atlanta

S65

2017

20

640061

533004

470074

424596

389488

360696

All Children

Atlanta

S65

2017

30

493943

379743

317155

274704

244822

220005

All Children

Atlanta

S65

2017

40

295708

189377

137604

105160

82462

64767

All Children

Atlanta

S65

2017

50

70477

18744

6638

2320

868

504

All Children

Atlanta

S65

2017

60

3955

40

0

0

0

0

All Children

Atlanta

S65

2017

70

40

0

0

0

0

0

All Children

Atlanta

S65

2017

80

0

0

0

0

0

0

All Children

Atlanta

S65

2017

90

0

0

0

0

0

0

All Children

Atlanta

S65

2017

100

0

0

0

0

0

0

All Children

Atlanta

S70

2015

0

782548

702709

652006

613670

581448

553463

All Children

Atlanta

S70

2015

10

741489

655557

599325

558225

524187

494528

All Children

Atlanta

S70

2015

20

653358

549630

486417

441806

406941

376999

All Children

Atlanta

S70

2015

30

530462

416666

353433

311526

277266

250391

All Children

Atlanta

S70

2015

40

382185

267884

208121

169826

141680

119163

All Children

Atlanta

S70

2015

50

191173

94729

54598

32787

19470

11985

All Children

Atlanta

S70

2015

60

38981

6618

1493

363

81

20

All Children

Atlanta

S70

2015

70

4580

182

20

0

0

0

All Children

Atlanta

S70

2015

80

182

0

0

0

0

0

All Children

Atlanta

S70

2015

90

0

0

0

0

0

0

All Children

Atlanta

S70

2015

100

0

0

0

0

0

0

3D-Attachment4-1


-------




AQ



Benchmark

Number of People with 7-hr Exposure at or above Benchmark

Study Group

Study Area

Scenario

Year

(PPb)

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Atlanta

S70

2016

0

790356

714553

665988

626301

592142

564218

All Children

Atlanta

S70

2016

10

755774

673776

620167

577675

543436

513857

All Children

Atlanta

S70

2016

20

676823

578381

517468

472071

435531

407264

All Children

Atlanta

S70

2016

30

564036

453105

391244

346311

313302

286891

All Children

Atlanta

S70

2016

40

415839

301135

242926

204631

177513

153927

All Children

Atlanta

S70

2016

50

226825

124368

77559

51148

35349

24131

All Children

Atlanta

S70

2016

60

63455

13801

3914

1190

343

101

All Children

Atlanta

S70

2016

70

9947

282

20

0

0

0

All Children

Atlanta

S70

2016

80

1211

0

0

0

0

0

All Children

Atlanta

S70

2016

90

121

0

0

0

0

0

All Children

Atlanta

S70

2016

100

0

0

0

0

0

0

All Children

Atlanta

S70

2017

0

787491

708984

655456

615486

582962

554835

All Children

Atlanta

S70

2017

10

747340

660036

602573

559436

524914

495012

All Children

Atlanta

S70

2017

20

654730

549529

486094

440414

406356

376495

All Children

Atlanta

S70

2017

30

528767

412591

348328

305534

273877

248333

All Children

Atlanta

S70

2017

40

359082

248031

191112

155198

130058

108005

All Children

Atlanta

S70

2017

50

147228

62003

31597

17029

9887

5770

All Children

Atlanta

S70

2017

60

17291

1675

343

61

0

0

All Children

Atlanta

S70

2017

70

1069

0

0

0

0

0

All Children

Atlanta

S70

2017

80

0

0

0

0

0

0

All Children

Atlanta

S70

2017

90

0

0

0

0

0

0

All Children

Atlanta

S70

2017

100

0

0

0

0

0

0

All Children

Atlanta

S75

2015

0

782548

702709

652006

613670

581448

553463

All Children

Atlanta

S75

2015

10

744495

658725

602654

561595

528021

498018

All Children

Atlanta

S75

2015

20

664192

562724

500016

454921

419471

389953

All Children

Atlanta

S75

2015

30

557055

442896

379057

335698

301862

274260

All Children

Atlanta

S75

2015

40

427219

312717

251642

210442

180197

156651

All Children

Atlanta

S75

2015

50

269115

159395

108792

77417

55808

41201

All Children

Atlanta

S75

2015

60

92348

28126

10573

4136

1897

807

All Children

Atlanta

S75

2015

70

16202

1412

141

40

20

0

All Children

Atlanta

S75

2015

80

2320

40

0

0

0

0

All Children

Atlanta

S75

2015

90

141

0

0

0

0

0

All Children

Atlanta

S75

2015

100

0

0

0

0

0

0

All Children

Atlanta

S75

2016

0

790356

714553

665988

626301

592142

564218

All Children

Atlanta

S75

2016

10

758457

677267

623819

581610

547632

517852

All Children

Atlanta

S75

2016

20

687718

591173

529352

485186

449635

419975

All Children

Atlanta

S75

2016

30

588470

478528

415052

370825

336464

309327

All Children

Atlanta

S75

2016

40

460429

344999

283178

243773

215123

191617

All Children

Atlanta

S75

2016

50

299642

189660

136837

101831

78265

60913

All Children

Atlanta

S75

2016

60

129312

48424

22053

10431

4984

2603

All Children

Atlanta

S75

2016

70

33957

4257

666

182

20

0

All Children

Atlanta

S75

2016

80

6658

121

0

0

0

0

All Children

Atlanta

S75

2016

90

1069

0

0

0

0

0

All Children

Atlanta

S75

2016

100

161

0

0

0

0

0

All Children

Atlanta

S75

2017

0

787491

708984

655456

615486

582962

554835

All Children

Atlanta

S75

2017

10

749862

663668

606407

563350

529070

498906

All Children

Atlanta

S75

2017

20

666311

563209

499612

453852

419027

388580

3D-Attachment4-2


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Atlanta

S75

2017

30

553786

439062

374881

331198

297625

270003

All Children

Atlanta

S75

2017

40

408475

292762

233120

194845

167001

144848

All Children

Atlanta

S75

2017

50

222527

120656

76106

51168

34885

24373

All Children

Atlanta

S75

2017

60

57846

12832

3793

1211

424

222

All Children

Atlanta

S75

2017

70

5387

262

20

0

0

0

All Children

Atlanta

S75

2017

80

404

0

0

0

0

0

All Children

Atlanta

S75

2017

90

0

0

0

0

0

0

All Children

Atlanta

S75

2017

100

0

0

0

0

0

0

All Children

Boston

S65

2015

0

862212

765847

702953

654281

613301

578919

All Children

Boston

S65

2015

10

828103

724661

659401

605997

564037

530315

All Children

Boston

S65

2015

20

719792

597213

524695

471381

429331

395632

All Children

Boston

S65

2015

30

564197

430947

358701

309347

271005

242494

All Children

Boston

S65

2015

40

352717

224814

164424

124171

95705

74976

All Children

Boston

S65

2015

50

124717

41686

16383

6667

2822

1456

All Children

Boston

S65

2015

60

22754

1456

114

0

0

0

All Children

Boston

S65

2015

70

3095

0

0

0

0

0

All Children

Boston

S65

2015

80

114

0

0

0

0

0

All Children

Boston

S65

2015

90

0

0

0

0

0

0

All Children

Boston

S65

2015

100

0

0

0

0

0

0

All Children

Boston

S65

2016

0

865716

770989

706503

658309

617829

583447

All Children

Boston

S65

2016

10

832676

731123

663975

612618

571000

535344

All Children

Boston

S65

2016

20

725617

603038

527539

472769

430036

396747

All Children

Boston

S65

2016

30

564310

430924

357654

309278

273554

244315

All Children

Boston

S65

2016

40

359884

232050

168383

128995

100393

79754

All Children

Boston

S65

2016

50

137300

47739

19887

8988

3572

1502

All Children

Boston

S65

2016

60

15314

1160

114

0

0

0

All Children

Boston

S65

2016

70

1251

0

0

0

0

0

All Children

Boston

S65

2016

80

0

0

0

0

0

0

All Children

Boston

S65

2016

90

0

0

0

0

0

0

All Children

Boston

S65

2016

100

0

0

0

0

0

0

All Children

Boston

S65

2017

0

862462

763776

699927

649867

610434

576484

All Children

Boston

S65

2017

10

825941

722226

656693

605155

564288

526902

All Children

Boston

S65

2017

20

718654

597805

519871

464532

421185

386393

All Children

Boston

S65

2017

30

563013

424871

353672

302247

265089

235008

All Children

Boston

S65

2017

40

377155

243518

175369

131475

100142

77706

All Children

Boston

S65

2017

50

173912

69924

29968

12925

5006

2162

All Children

Boston

S65

2017

60

33631

4323

432

46

0

0

All Children

Boston

S65

2017

70

3140

23

0

0

0

0

All Children

Boston

S65

2017

80

0

0

0

0

0

0

All Children

Boston

S65

2017

90

0

0

0

0

0

0

All Children

Boston

S65

2017

100

0

0

0

0

0

0

All Children

Boston

S70

2015

0

862212

765847

702953

654281

613301

578919

All Children

Boston

S70

2015

10

828717

725776

660493

606952

565312

532022

All Children

Boston

S70

2015

20

727164

605655

532318

479391

437682

402185

All Children

Boston

S70

2015

30

585199

452449

378338

328256

289505

259810

All Children

Boston

S70

2015

40

396041

265772

201468

157802

127061

104761

All Children

Boston

S70

2015

50

184288

81643

41686

21867

12287

7031

3D-Attachment4-3


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Boston

S70

2015

60

46465

6690

1479

410

114

46

All Children

Boston

S70

2015

70

7554

91

0

0

0

0

All Children

Boston

S70

2015

80

592

0

0

0

0

0

All Children

Boston

S70

2015

90

0

0

0

0

0

0

All Children

Boston

S70

2015

100

0

0

0

0

0

0

All Children

Boston

S70

2016

0

865716

770989

706503

658309

617829

583447

All Children

Boston

S70

2016

10

833541

732397

665204

614120

571842

536391

All Children

Boston

S70

2016

20

735037

612709

537597

482440

438205

405166

All Children

Boston

S70

2016

30

587497

453519

380659

330122

292144

262336

All Children

Boston

S70

2016

40

409466

275238

209227

166836

134365

111315

All Children

Boston

S70

2016

50

208021

97139

52836

30969

18067

10672

All Children

Boston

S70

2016

60

50242

8783

1661

137

46

23

All Children

Boston

S70

2016

70

5438

273

0

0

0

0

All Children

Boston

S70

2016

80

91

0

0

0

0

0

All Children

Boston

S70

2016

90

0

0

0

0

0

0

All Children

Boston

S70

2016

100

0

0

0

0

0

0

All Children

Boston

S70

2017

0

862462

763776

699927

649867

610434

576484

All Children

Boston

S70

2017

10

826737

723250

657877

605951

564652

527835

All Children

Boston

S70

2017

20

726527

605655

528700

473475

429217

393493

All Children

Boston

S70

2017

30

585313

446647

372081

321020

282178

251300

All Children

Boston

S70

2017

40

418909

284977

213687

168428

134274

108038

All Children

Boston

S70

2017

50

238512

116890

63735

35497

20320

10922

All Children

Boston

S70

2017

60

81939

18477

4369

865

68

23

All Children

Boston

S70

2017

70

11923

660

23

0

0

0

All Children

Boston

S70

2017

80

432

0

0

0

0

0

All Children

Boston

S70

2017

90

0

0

0

0

0

0

All Children

Boston

S70

2017

100

0

0

0

0

0

0

All Children

Boston

S75

2015

0

862212

765847

702953

654281

613301

578919

All Children

Boston

S75

2015

10

828581

725457

659970

606952

565107

531203

All Children

Boston

S75

2015

20

729826

609137

535981

482758

440799

404847

All Children

Boston

S75

2015

30

594164

461028

387895

336902

297446

267524

All Children

Boston

S75

2015

40

417408

285637

219558

174731

143012

120235

All Children

Boston

S75

2015

50

218625

107765

60845

34974

21730

12970

All Children

Boston

S75

2015

60

68559

14677

3823

1069

296

91

All Children

Boston

S75

2015

70

12788

341

0

0

0

0

All Children

Boston

S75

2015

80

1047

0

0

0

0

0

All Children

Boston

S75

2015

90

23

0

0

0

0

0

All Children

Boston

S75

2015

100

0

0

0

0

0

0

All Children

Boston

S75

2016

0

865716

770989

706503

658309

617829

583447

All Children

Boston

S75

2016

10

833905

732921

665295

614165

571933

536027

All Children

Boston

S75

2016

20

737950

616577

541215

486103

441982

407760

All Children

Boston

S75

2016

30

598032

463827

389966

338950

301337

270255

All Children

Boston

S75

2016

40

434087

297651

229729

184379

152000

126583

All Children

Boston

S75

2016

50

244815

127971

76705

48649

31629

20684

All Children

Boston

S75

2016

60

82553

20957

5643

1479

387

137

All Children

Boston

S75

2016

70

12356

819

0

0

0

0

All Children

Boston

S75

2016

80

865

0

0

0

0

0

3D-Attachment4-4


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Boston

S75

2016

90

0

0

0

0

0

0

All Children

Boston

S75

2016

100

0

0

0

0

0

0

All Children

Boston

S75

2017

0

862462

763776

699927

649867

610434

576484

All Children

Boston

S75

2017

10

826806

723091

658263

605701

564447

527357

All Children

Boston

S75

2017

20

729462

609432

531726

475659

431902

395450

All Children

Boston

S75

2017

30

596212

457569

381296

329712

289983

258604

All Children

Boston

S75

2017

40

440594

303226

233188

184425

150452

124285

All Children

Boston

S75

2017

50

275738

145651

85557

52267

32425

20206

All Children

Boston

S75

2017

60

119711

35724

11400

2890

887

182

All Children

Boston

S75

2017

70

26532

3322

455

23

0

0

All Children

Boston

S75

2017

80

1957

23

0

0

0

0

All Children

Boston

S75

2017

90

0

0

0

0

0

0

All Children

Boston

S75

2017

100

0

0

0

0

0

0

All Children

Dallas

S65

2015

0

931702

848139

790894

748592

711327

679098

All Children

Dallas

S65

2015

10

886185

790965

727382

681320

641596

608800

All Children

Dallas

S65

2015

20

783658

667299

593194

540819

500811

466643

All Children

Dallas

S65

2015

30

636205

503034

429047

377902

341606

310985

All Children

Dallas

S65

2015

40

459431

325149

255276

210066

176632

151780

All Children

Dallas

S65

2015

50

231229

118748

69021

44146

28635

19366

All Children

Dallas

S65

2015

60

39772

7188

1537

213

24

24

All Children

Dallas

S65

2015

70

1017

0

0

0

0

0

All Children

Dallas

S65

2015

80

0

0

0

0

0

0

All Children

Dallas

S65

2015

90

0

0

0

0

0

0

All Children

Dallas

S65

2015

100

0

0

0

0

0

0

All Children

Dallas

S65

2016

0

933499

848896

794440

751618

716860

687137

All Children

Dallas

S65

2016

10

888573

794582

736249

689313

651291

619157

All Children

Dallas

S65

2016

20

783895

670018

601091

547203

505729

473737

All Children

Dallas

S65

2016

30

627078

496176

424507

375443

338036

310016

All Children

Dallas

S65

2016

40

418005

287411

220423

177081

145372

120497

All Children

Dallas

S65

2016

50

152608

62873

29486

16292

7992

4635

All Children

Dallas

S65

2016

60

12343

307

47

24

0

0

All Children

Dallas

S65

2016

70

946

0

0

0

0

0

All Children

Dallas

S65

2016

80

0

0

0

0

0

0

All Children

Dallas

S65

2016

90

0

0

0

0

0

0

All Children

Dallas

S65

2016

100

0

0

0

0

0

0

All Children

Dallas

S65

2017

0

938796

854973

800967

757435

720619

688911

All Children

Dallas

S65

2017

10

899119

806003

744430

698038

658219

624146

All Children

Dallas

S65

2017

20

798578

682053

612749

560587

518214

484850

All Children

Dallas

S65

2017

30

647318

516937

444204

394312

357307

328081

All Children

Dallas

S65

2017

40

455577

319970

251659

205101

171737

144072

All Children

Dallas

S65

2017

50

218200

102243

54645

31094

18278

11208

All Children

Dallas

S65

2017

60

36343

3547

497

24

0

0

All Children

Dallas

S65

2017

70

922

0

0

0

0

0

All Children

Dallas

S65

2017

80

0

0

0

0

0

0

All Children

Dallas

S65

2017

90

0

0

0

0

0

0

All Children

Dallas

S65

2017

100

0

0

0

0

0

0

All Children

Dallas

S70

2015

0

931702

848139

790894

748592

711327

679098

3D-Attachment4-5


-------




AQ



Benchmark

Number of People with 7-hr Exposure at or above Benchmark

Study Group

Study Area

Scenario

Year

(PPb)

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Dallas

S70

2015

10

887982

792738

729415

683567

643653

611708

All Children

Dallas

S70

2015

20

793802

677797

603290

551578

510955

477284

All Children

Dallas

S70

2015

30

657793

526466

449311

398261

360357

329169

All Children

Dallas

S70

2015

40

499298

363786

292211

244069

209664

181810

All Children

Dallas

S70

2015

50

304601

181905

122294

87063

63748

47386

All Children

Dallas

S70

2015

60

96261

29273

10759

4422

1773

780

All Children

Dallas

S70

2015

70

9718

757

24

0

0

0

All Children

Dallas

S70

2015

80

236

0

0

0

0

0

All Children

Dallas

S70

2015

90

0

0

0

0

0

0

All Children

Dallas

S70

2015

100

0

0

0

0

0

0

All Children

Dallas

S70

2016

0

933499

848896

794440

751618

716860

687137

All Children

Dallas

S70

2016

10

890677

797491

738992

692008

654436

622774

All Children

Dallas

S70

2016

20

792218

680233

611377

557111

515755

483219

All Children

Dallas

S70

2016

30

648784

518356

444606

395872

358158

328294

All Children

Dallas

S70

2016

40

459006

327111

259414

214512

180108

154405

All Children

Dallas

S70

2016

50

218271

109455

63086

39062

23929

15157

All Children

Dallas

S70

2016

60

34499

5226

1301

260

71

47

All Children

Dallas

S70

2016

70

3168

24

0

0

0

0

All Children

Dallas

S70

2016

80

284

0

0

0

0

0

All Children

Dallas

S70

2016

90

0

0

0

0

0

0

All Children

Dallas

S70

2016

100

0

0

0

0

0

0

All Children

Dallas

S70

2017

0

938796

854973

800967

757435

720619

688911

All Children

Dallas

S70

2017

10

901176

808509

747575

701017

660796

627007

All Children

Dallas

S70

2017

20

807256

691914

622893

571369

528996

494900

All Children

Dallas

S70

2017

30

668552

537958

465106

414576

377145

346217

All Children

Dallas

S70

2017

40

494308

359222

288215

242106

207323

177838

All Children

Dallas

S70

2017

50

279820

153388

95693

62471

40859

28185

All Children

Dallas

S70

2017

60

78621

16907

4469

1277

402

95

All Children

Dallas

S70

2017

70

4705

47

0

0

0

0

All Children

Dallas

S70

2017

80

0

0

0

0

0

0

All Children

Dallas

S70

2017

90

0

0

0

0

0

0

All Children

Dallas

S70

2017

100

0

0

0

0

0

0

All Children

Dallas

S75

2015

0

931702

848139

790894

748592

711327

679098

All Children

Dallas

S75

2015

10

888668

794204

730645

684867

644859

612559

All Children

Dallas

S75

2015

20

799950

685009

610975

559002

517670

483904

All Children

Dallas

S75

2015

30

674652

543042

466099

412732

374260

343048

All Children

Dallas

S75

2015

40

528287

393106

319687

269700

233121

204250

All Children

Dallas

S75

2015

50

362036

231938

164691

123760

95859

75405

All Children

Dallas

S75

2015

60

162894

67602

32725

16670

9293

4942

All Children

Dallas

S75

2015

70

29912

4280

CO

CNJ

CO

95

24

0

All Children

Dallas

S75

2015

80

2081

24

0

0

0

0

All Children

Dallas

S75

2015

90

47

0

0

0

0

0

All Children

Dallas

S75

2015

100

0

0

0

0

0

0

All Children

Dallas

S75

2016

0

933499

848896

794440

751618

716860

687137

All Children

Dallas

S75

2016

10

891623

799217

740623

693663

656138

624311

All Children

Dallas

S75

2016

20

798129

686570

618211

563873

522518

489579

All Children

Dallas

S75

2016

30

664745

534600

459692

409871

370808

341890

3D-Attachment4-6


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Dallas

S75

2016

40

489508

355391

285992

241160

206283

178736

All Children

Dallas

S75

2016

50

273507

151662

96852

65734

45399

32347

All Children

Dallas

S75

2016

60

66964

15819

5131

1726

520

189

All Children

Dallas

S75

2016

70

9860

166

24

24

0

0

All Children

Dallas

S75

2016

80

1419

0

0

0

0

0

All Children

Dallas

S75

2016

90

71

0

0

0

0

0

All Children

Dallas

S75

2016

100

0

0

0

0

0

0

All Children

Dallas

S75

2017

0

938796

854973

800967

757435

720619

688911

All Children

Dallas

S75

2017

10

902051

809810

749372

702791

662901

629040

All Children

Dallas

S75

2017

20

813262

699267

631098

577730

535806

502064

All Children

Dallas

S75

2017

30

683118

554250

479837

427557

390008

359151

All Children

Dallas

S75

2017

40

522257

387313

316022

267714

232411

202500

All Children

Dallas

S75

2017

50

328932

197936

133644

94251

67768

49017

All Children

Dallas

S75

2017

60

125037

38755

13998

5344

2317

851

All Children

Dallas

S75

2017

70

16126

804

71

0

0

0

All Children

Dallas

S75

2017

80

71

0

0

0

0

0

All Children

Dallas

S75

2017

90

0

0

0

0

0

0

All Children

Dallas

S75

2017

100

0

0

0

0

0

0

All Children

Detroit

S65

2015

0

658727

585868

537967

501043

471369

444747

All Children

Detroit

S65

2015

10

631377

552916

501598

463617

433093

405847

All Children

Detroit

S65

2015

20

556680

464033

407303

366963

334324

307407

All Children

Detroit

S65

2015

30

448043

347730

291521

253903

225322

202412

All Children

Detroit

S65

2015

40

314483

214118

161863

128912

106001

87409

All Children

Detroit

S65

2015

50

142110

62349

31096

16129

9261

5064

All Children

Detroit

S65

2015

60

14932

1179

121

17

0

0

All Children

Detroit

S65

2015

70

87

0

0

0

0

0

All Children

Detroit

S65

2015

80

0

0

0

0

0

0

All Children

Detroit

S65

2015

90

0

0

0

0

0

0

All Children

Detroit

S65

2015

100

0

0

0

0

0

0

All Children

Detroit

S65

2016

0

666184

595199

547679

510322

479989

454772

All Children

Detroit

S65

2016

10

639771

562646

512264

474179

442545

416842

All Children

Detroit

S65

2016

20

566774

476190

421542

379832

347903

320883

All Children

Detroit

S65

2016

30

464831

363269

306783

267657

238139

215645

All Children

Detroit

S65

2016

40

336769

231982

177941

145318

120205

100521

All Children

Detroit

S65

2016

50

178287

88571

50625

28321

16580

9903

All Children

Detroit

S65

2016

60

38276

5498

884

87

17

0

All Children

Detroit

S65

2016

70

815

17

0

0

0

0

All Children

Detroit

S65

2016

80

0

0

0

0

0

0

All Children

Detroit

S65

2016

90

0

0

0

0

0

0

All Children

Detroit

S65

2016

100

0

0

0

0

0

0

All Children

Detroit

S65

2017

0

661623

588886

542771

505899

475913

448996

All Children

Detroit

S65

2017

10

635990

558553

509212

469409

439267

411813

All Children

Detroit

S65

2017

20

565681

473381

417328

376519

344695

316963

All Children

Detroit

S65

2017

30

458899

357563

301129

261274

232675

209019

All Children

Detroit

S65

2017

40

326727

225721

174316

140133

116008

96948

All Children

Detroit

S65

2017

50

159730

72980

40427

22199

12695

7770

All Children

Detroit

S65

2017

60

17725

1353

139

35

0

0

3D-Attachment4-7


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Detroit

S65

2017

70

330

0

0

0

0

0

All Children

Detroit

S65

2017

80

0

0

0

0

0

0

All Children

Detroit

S65

2017

90

0

0

0

0

0

0

All Children

Detroit

S65

2017

100

0

0

0

0

0

0

All Children

Detroit

S70

2015

0

658727

585868

537967

501043

471369

444747

All Children

Detroit

S70

2015

10

632365

553732

502535

464501

433630

406766

All Children

Detroit

S70

2015

20

562663

471733

415056

374352

341677

314708

All Children

Detroit

S70

2015

30

464952

364032

306557

269044

239890

215835

All Children

Detroit

S70

2015

40

348025

246394

192491

158048

132675

112609

All Children

Detroit

S70

2015

50

197330

106868

65470

41398

26882

17499

All Children

Detroit

S70

2015

60

52203

10805

2549

746

191

17

All Children

Detroit

S70

2015

70

1492

69

17

0

0

0

All Children

Detroit

S70

2015

80

0

0

0

0

0

0

All Children

Detroit

S70

2015

90

0

0

0

0

0

0

All Children

Detroit

S70

2015

100

0

0

0

0

0

0

All Children

Detroit

S70

2016

0

666184

595199

547679

510322

479989

454772

All Children

Detroit

S70

2016

10

640326

564016

513287

475132

443204

417831

All Children

Detroit

S70

2016

20

573121

483076

429069

386908

354823

327855

All Children

Detroit

S70

2016

30

481740

380855

323623

283994

253244

228825

All Children

Detroit

S70

2016

40

369669

264361

208569

172027

146203

125478

All Children

Detroit

S70

2016

50

235329

136820

90965

62626

43653

30697

All Children

Detroit

S70

2016

60

95509

28894

9764

3035

1041

399

All Children

Detroit

S70

2016

70

9487

520

0

0

0

0

All Children

Detroit

S70

2016

80

52

0

0

0

0

0

All Children

Detroit

S70

2016

90

0

0

0

0

0

0

All Children

Detroit

S70

2016

100

0

0

0

0

0

0

All Children

Detroit

S70

2017

0

661623

588886

542771

505899

475913

448996

All Children

Detroit

S70

2017

10

636528

559455

510460

470120

440203

412610

All Children

Detroit

S70

2017

20

572202

479763

423866

383092

351372

323467

All Children

Detroit

S70

2017

30

475115

374508

316980

277005

246619

223015

All Children

Detroit

S70

2017

40

359315

255586

202498

166078

140705

120517

All Children

Detroit

S70

2017

50

221142

123379

79327

52602

35710

23934

All Children

Detroit

S70

2017

60

61169

13788

3885

1214

451

156

All Children

Detroit

S70

2017

70

4301

139

0

0

0

0

All Children

Detroit

S70

2017

80

35

0

0

0

0

0

All Children

Detroit

S70

2017

90

0

0

0

0

0

0

All Children

Detroit

S70

2017

100

0

0

0

0

0

0

All Children

Detroit

S75

2015

0

658727

585868

537967

501043

471369

444747

All Children

Detroit

S75

2015

10

631446

552691

501182

463409

432347

405430

All Children

Detroit

S75

2015

20

564398

473589

417102

376173

343221

315784

All Children

Detroit

S75

2015

30

473277

372357

314154

274733

245596

222148

All Children

Detroit

S75

2015

40

366634

263165

208204

172269

146047

125998

All Children

Detroit

S75

2015

50

234982

137375

91242

63424

44329

31738

All Children

Detroit

S75

2015

60

89387

26223

8776

3018

1041

572

All Children

Detroit

S75

2015

70

9296

416

52

0

0

0

All Children

Detroit

S75

2015

80

69

0

0

0

0

0

All Children

Detroit

S75

2015

90

0

0

0

0

0

0

3D-Attachment4-8


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Detroit

S75

2015

100

0

0

0

0

0

0

All Children

Detroit

S75

2016

0

666184

595199

547679

510322

479989

454772

All Children

Detroit

S75

2016

10

639615

563132

512056

473970

442059

416513

All Children

Detroit

S75

2016

20

575254

485244

430665

388035

355812

328756

All Children

Detroit

S75

2016

30

489926

389666

332034

291174

260667

234965

All Children

Detroit

S75

2016

40

387931

282450

226328

188052

160615

139526

All Children

Detroit

S75

2016

50

271472

167587

118610

86698

65436

49879

All Children

Detroit

S75

2016

60

144191

60701

28061

12921

5983

2792

All Children

Detroit

S75

2016

70

34981

4561

607

69

0

0

All Children

Detroit

S75

2016

80

1249

17

0

0

0

0

All Children

Detroit

S75

2016

90

0

0

0

0

0

0

All Children

Detroit

S75

2016

100

0

0

0

0

0

0

All Children

Detroit

S75

2017

0

661623

588886

542771

505899

475913

448996

All Children

Detroit

S75

2017

10

635452

558501

509160

468629

438036

410859

All Children

Detroit

S75

2017

20

573607

481029

425965

384601

352482

324178

All Children

Detroit

S75

2017

30

483544

381740

323935

282971

252655

229450

All Children

Detroit

S75

2017

40

376519

271472

216928

179536

153695

132606

All Children

Detroit

S75

2017

50

253262

154180

105880

74298

53070

39248

All Children

Detroit

S75

2017

60

109747

38432

14950

6157

2549

989

All Children

Detroit

S75

2017

70

15106

694

35

0

0

0

All Children

Detroit

S75

2017

80

746

0

0

0

0

0

All Children

Detroit

S75

2017

90

0

0

0

0

0

0

All Children

Detroit

S75

2017

100

0

0

0

0

0

0

All Children

Philadelphia

S65

2015

0

844309

758097

699407

656192

618084

586655

All Children

Philadelphia

S65

2015

10

815062

724070

661496

615312

577248

545077

All Children

Philadelphia

S65

2015

20

730465

621184

550272

501426

463187

430295

All Children

Philadelphia

S65

2015

30

600755

476806

407466

359296

323393

294801

All Children

Philadelphia

S65

2015

40

413773

289279

226901

184974

153894

130169

All Children

Philadelphia

S65

2015

50

163999

72811

37955

21040

12419

7268

All Children

Philadelphia

S65

2015

60

20975

2204

437

44

0

0

All Children

Philadelphia

S65

2015

70

393

0

0

0

0

0

All Children

Philadelphia

S65

2015

80

0

0

0

0

0

0

All Children

Philadelphia

S65

2015

90

0

0

0

0

0

0

All Children

Philadelphia

S65

2015

100

0

0

0

0

0

0

All Children

Philadelphia

S65

2016

0

846469

759581

703030

656803

619197

588532

All Children

Philadelphia

S65

2016

10

817310

724070

664639

616928

580064

548831

All Children

Philadelphia

S65

2016

20

729047

618826

551276

500487

459957

429095

All Children

Philadelphia

S65

2016

30

593814

471022

401660

353730

317609

287009

All Children

Philadelphia

S65

2016

40

401660

274416

211776

169674

139489

116200

All Children

Philadelphia

S65

2016

50

155531

63644

30556

14754

7508

3623

All Children

Philadelphia

S65

2016

60

21171

1702

109

0

0

0

All Children

Philadelphia

S65

2016

70

175

0

0

0

0

0

All Children

Philadelphia

S65

2016

80

0

0

0

0

0

0

All Children

Philadelphia

S65

2016

90

0

0

0

0

0

0

All Children

Philadelphia

S65

2016

100

0

0

0

0

0

0

All Children

Philadelphia

S65

2017

0

843414

754867

696046

650277

613959

581897

All Children

Philadelphia

S65

2017

10

813403

717894

655690

609703

572185

540101

3D-Attachment4-9


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Philadelphia

S65

2017

20

721168

607914

538857

488286

449153

417418

All Children

Philadelphia

S65

2017

30

575524

450462

381231

332298

296896

268042

All Children

Philadelphia

S65

2017

40

380860

254227

193049

151602

122268

99875

All Children

Philadelphia

S65

2017

50

139991

52447

23550

10651

5042

2335

All Children

Philadelphia

S65

2017

60

18203

1484

109

22

0

0

All Children

Philadelphia

S65

2017

70

480

0

0

0

0

0

All Children

Philadelphia

S65

2017

80

0

0

0

0

0

0

All Children

Philadelphia

S65

2017

90

0

0

0

0

0

0

All Children

Philadelphia

S65

2017

100

0

0

0

0

0

0

All Children

Philadelphia

S70

2015

0

844309

758097

699407

656192

618084

586655

All Children

Philadelphia

S70

2015

10

816219

725838

663744

617080

578973

547085

All Children

Philadelphia

S70

2015

20

738344

629521

559853

509807

471240

439047

All Children

Philadelphia

S70

2015

30

621140

497715

427087

378590

342272

312021

All Children

Philadelphia

S70

2015

40

460066

332145

266624

223933

192023

165156

All Children

Philadelphia

S70

2015

50

238250

129711

80493

52426

35947

25165

All Children

Philadelphia

S70

2015

60

54674

11764

3405

1157

349

65

All Children

Philadelphia

S70

2015

70

4627

131

0

0

0

0

All Children

Philadelphia

S70

2015

80

44

0

0

0

0

0

All Children

Philadelphia

S70

2015

90

0

0

0

0

0

0

All Children

Philadelphia

S70

2015

100

0

0

0

0

0

0

All Children

Philadelphia

S70

2016

0

846469

759581

703030

656803

619197

588532

All Children

Philadelphia

S70

2016

10

818467

725860

666472

618717

581286

550795

All Children

Philadelphia

S70

2016

20

736598

627993

560268

509698

469429

437323

All Children

Philadelphia

S70

2016

30

614963

490753

422089

372719

336204

305888

All Children

Philadelphia

S70

2016

40

448913

319726

253114

209986

177160

151296

All Children

Philadelphia

S70

2016

50

229476

119234

69777

44743

28068

18115

All Children

Philadelphia

S70

2016

60

53560

9210

1899

480

44

22

All Children

Philadelphia

S70

2016

70

5151

65

0

0

0

0

All Children

Philadelphia

S70

2016

80

0

0

0

0

0

0

All Children

Philadelphia

S70

2016

90

0

0

0

0

0

0

All Children

Philadelphia

S70

2016

100

0

0

0

0

0

0

All Children

Philadelphia

S70

2017

0

843414

754867

696046

650277

613959

581897

All Children

Philadelphia

S70

2017

10

814844

719487

657436

611187

573996

542196

All Children

Philadelphia

S70

2017

20

728807

616753

547303

497584

458232

425974

All Children

Philadelphia

S70

2017

30

597263

471153

401594

352203

314640

285001

All Children

Philadelphia

S70

2017

40

426148

296481

233143

188531

156796

132133

All Children

Philadelphia

S70

2017

50

205599

99984

55787

31080

18705

11589

All Children

Philadelphia

S70

2017

60

51116

9451

2073

349

87

0

All Children

Philadelphia

S70

2017

70

4191

175

0

0

0

0

All Children

Philadelphia

S70

2017

80

87

0

0

0

0

0

All Children

Philadelphia

S70

2017

90

0

0

0

0

0

0

All Children

Philadelphia

S70

2017

100

0

0

0

0

0

0

All Children

Philadelphia

S75

2015

0

844309

758097

699407

656192

618084

586655

All Children

Philadelphia

S75

2015

10

816895

726187

664508

617932

579431

547740

All Children

Philadelphia

S75

2015

20

745307

637357

568758

518013

478247

446403

All Children

Philadelphia

S75

2015

30

640718

517162

446206

396422

359711

328784

All Children

Philadelphia

S75

2015

40

503608

373701

306281

261167

226835

199815

3D-Attachment4-10


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Philadelphia

S75

2015

50

316932

197130

138681

102494

78267

60239

All Children

Philadelphia

S75

2015

60

113669

38850

16784

8185

3536

1550

All Children

Philadelphia

S75

2015

70

20036

1964

393

87

0

0

All Children

Philadelphia

S75

2015

80

1550

22

0

0

0

0

All Children

Philadelphia

S75

2015

90

22

0

0

0

0

0

All Children

Philadelphia

S75

2015

100

0

0

0

0

0

0

All Children

Philadelphia

S75

2016

0

846469

759581

703030

656803

619197

588532

All Children

Philadelphia

S75

2016

10

819165

726668

666821

620201

581963

551101

All Children

Philadelphia

S75

2016

20

742906

637357

568496

518100

477985

445028

All Children

Philadelphia

S75

2016

30

635960

512098

442671

391424

354189

323305

All Children

Philadelphia

S75

2016

40

491582

362504

293993

246675

212605

186654

All Children

Philadelphia

S75

2016

50

310210

189142

129994

94506

69100

52076

All Children

Philadelphia

S75

2016

60

115153

36493

13139

4845

1986

829

All Children

Philadelphia

S75

2016

70

18377

1113

87

0

0

0

All Children

Philadelphia

S75

2016

80

240

0

0

0

0

0

All Children

Philadelphia

S75

2016

90

0

0

0

0

0

0

All Children

Philadelphia

S75

2016

100

0

0

0

0

0

0

All Children

Philadelphia

S75

2017

0

843414

754867

696046

650277

613959

581897

All Children

Philadelphia

S75

2017

10

815477

720513

658811

612170

574171

542982

All Children

Philadelphia

S75

2017

20

736511

624305

554484

505180

465871

433176

All Children

Philadelphia

S75

2017

30

617211

492259

421696

371388

333476

302069

All Children

Philadelphia

S75

2017

40

467094

337296

271076

225482

191303

164588

All Children

Philadelphia

S75

2017

50

281509

162624

105091

70846

48104

33830

All Children

Philadelphia

S75

2017

60

107950

33306

11677

4060

1353

371

All Children

Philadelphia

S75

2017

70

16173

1310

109

0

0

0

All Children

Philadelphia

S75

2017

80

633

0

0

0

0

0

All Children

Philadelphia

S75

2017

90

0

0

0

0

0

0

All Children

Philadelphia

S75

2017

100

0

0

0

0

0

0

All Children

Phoenix

S65

2015

0

573408

527665

497306

475283

455327

438640

All Children

Phoenix

S65

2015

10

554797

505302

472721

448448

427020

409314

All Children

Phoenix

S65

2015

20

507326

445844

408479

379182

355687

336241

All Children

Phoenix

S65

2015

30

435880

362750

321153

291530

268772

249707

All Children

Phoenix

S65

2015

40

332632

254859

213489

185041

164306

147209

All Children

Phoenix

S65

2015

50

173265

100206

66323

46720

33572

25094

All Children

Phoenix

S65

2015

60

11323

2066

510

142

71

14

All Children

Phoenix

S65

2015

70

0

0

0

0

0

0

All Children

Phoenix

S65

2015

80

0

0

0

0

0

0

All Children

Phoenix

S65

2015

90

0

0

0

0

0

0

All Children

Phoenix

S65

2015

100

0

0

0

0

0

0

All Children

Phoenix

S65

2016

0

573705

529561

500023

476840

457549

440310

All Children

Phoenix

S65

2016

10

555165

506718

475722

451067

429483

411494

All Children

Phoenix

S65

2016

20

508459

447599

410036

382565

359905

340812

All Children

Phoenix

S65

2016

30

435611

365510

323602

294276

271418

253543

All Children

Phoenix

S65

2016

40

327140

251561

210064

182904

161574

145383

All Children

Phoenix

S65

2016

50

145100

77178

47230

30996

21683

15526

All Children

Phoenix

S65

2016

60

7982

722

142

42

42

28

All Children

Phoenix

S65

2016

70

0

0

0

0

0

0

3D-Attachment4-11


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Phoenix

S65

2016

80

0

0

0

0

0

0

All Children

Phoenix

S65

2016

90

0

0

0

0

0

0

All Children

Phoenix

S65

2016

100

0

0

0

0

0

0

All Children

Phoenix

S65

2017

0

575177

529830

499174

476614

457889

440961

All Children

Phoenix

S65

2017

10

557655

508204

475637

451548

432045

414169

All Children

Phoenix

S65

2017

20

512337

452510

414792

387080

363727

343572

All Children

Phoenix

S65

2017

30

443282

373436

332504

303263

280420

261327

All Children

Phoenix

S65

2017

40

347408

270767

230416

202747

180993

164080

All Children

Phoenix

S65

2017

50

187234

113524

80164

59147

44456

34378

All Children

Phoenix

S65

2017

60

25334

4388

1076

354

71

14

All Children

Phoenix

S65

2017

70

0

0

0

0

0

0

All Children

Phoenix

S65

2017

80

0

0

0

0

0

0

All Children

Phoenix

S65

2017

90

0

0

0

0

0

0

All Children

Phoenix

S65

2017

100

0

0

0

0

0

0

All Children

Phoenix

S70

2015

0

573408

527665

497306

475283

455327

438640

All Children

Phoenix

S70

2015

10

555674

506336

473953

449439

428379

410532

All Children

Phoenix

S70

2015

20

511742

452100

414608

385636

362071

342256

All Children

Phoenix

S70

2015

30

449213

376988

334967

305627

282005

262318

All Children

Phoenix

S70

2015

40

361405

283817

240508

212003

190192

173803

All Children

Phoenix

S70

2015

50

236842

159409

121322

95521

77334

63633

All Children

Phoenix

S70

2015

60

68177

24061

10912

5803

3284

1713

All Children

Phoenix

S70

2015

70

807

0

0

0

0

0

All Children

Phoenix

S70

2015

80

0

0

0

0

0

0

All Children

Phoenix

S70

2015

90

0

0

0

0

0

0

All Children

Phoenix

S70

2015

100

0

0

0

0

0

0

All Children

Phoenix

S70

2016

0

573705

529561

500023

476840

457549

440310

All Children

Phoenix

S70

2016

10

556084

507807

476911

452737

430714

412626

All Children

Phoenix

S70

2016

20

512988

453869

416518

388339

366189

347903

All Children

Phoenix

S70

2016

30

448279

379621

337543

308231

284595

265955

All Children

Phoenix

S70

2016

40

357598

281694

239913

212144

190277

173067

All Children

Phoenix

S70

2016

50

218768

142326

103645

79598

62388

49961

All Children

Phoenix

S70

2016

60

50754

14153

5576

2633

1189

594

All Children

Phoenix

S70

2016

70

269

14

0

0

0

0

All Children

Phoenix

S70

2016

80

0

0

0

0

0

0

All Children

Phoenix

S70

2016

90

0

0

0

0

0

0

All Children

Phoenix

S70

2016

100

0

0

0

0

0

0

All Children

Phoenix

S70

2017

0

575177

529830

499174

476614

457889

440961

All Children

Phoenix

S70

2017

10

558575

509647

476911

452963

433616

415655

All Children

Phoenix

S70

2017

20

517517

458568

421076

393434

371256

350437

All Children

Phoenix

S70

2017

30

456587

386556

346176

316992

293823

274858

All Children

Phoenix

S70

2017

40

375955

298579

258256

230586

208026

190546

All Children

Phoenix

S70

2017

50

254335

175954

136834

111104

93058

78240

All Children

Phoenix

S70

2017

60

89775

36643

18074

9554

5392

3326

All Children

Phoenix

S70

2017

70

4784

269

42

14

0

0

All Children

Phoenix

S70

2017

80

0

0

0

0

0

0

All Children

Phoenix

S70

2017

90

0

0

0

0

0

0

All Children

Phoenix

S70

2017

100

0

0

0

0

0

0

3D-Attachment4-12


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Phoenix

S75

2015

0

573408

527665

497306

475283

455327

438640

All Children

Phoenix

S75

2015

10

555575

506251

473372

449198

428167

410065

All Children

Phoenix

S75

2015

20

513992

455016

417170

388849

365198

344931

All Children

Phoenix

S75

2015

30

456728

385763

343332

313567

289308

270527

All Children

Phoenix

S75

2015

40

379408

301664

258553

229539

207007

189471

All Children

Phoenix

S75

2015

50

276655

198147

157470

130678

110382

94134

All Children

Phoenix

S75

2015

60

136778

69054

41186

25844

16899

11535

All Children

Phoenix

S75

2015

70

13191

1613

226

28

0

0

All Children

Phoenix

S75

2015

80

198

0

0

0

0

0

All Children

Phoenix

S75

2015

90

0

0

0

0

0

0

All Children

Phoenix

S75

2015

100

0

0

0

0

0

0

All Children

Phoenix

S75

2016

0

573705

529561

500023

476840

457549

440310

All Children

Phoenix

S75

2016

10

555830

507850

476882

452241

430403

412173

All Children

Phoenix

S75

2016

20

515309

456742

419590

391241

368765

350026

All Children

Phoenix

S75

2016

30

456303

387915

346219

316171

292153

273230

All Children

Phoenix

S75

2016

40

376564

301268

258058

229256

207134

189584

All Children

Phoenix

S75

2016

50

264469

186329

145666

117175

97856

82726

All Children

Phoenix

S75

2016

60

111769

50527

27599

16574

9794

6171

All Children

Phoenix

S75

2016

70

8025

863

113

28

0

0

All Children

Phoenix

S75

2016

80

0

0

0

0

0

0

All Children

Phoenix

S75

2016

90

0

0

0

0

0

0

All Children

Phoenix

S75

2016

100

0

0

0

0

0

0

All Children

Phoenix

S75

2017

0

575177

529830

499174

476614

457889

440961

All Children

Phoenix

S75

2017

10

558717

509322

476755

452836

433899

415358

All Children

Phoenix

S75

2017

20

519710

461611

424289

396152

374469

353734

All Children

Phoenix

S75

2017

30

464880

396180

355121

325612

302244

282543

All Children

Phoenix

S75

2017

40

393434

317233

276132

247315

224868

206228

All Children

Phoenix

S75

2017

50

294871

215216

174185

147237

127295

111274

All Children

Phoenix

S75

2017

60

151653

83660

53358

34902

24400

16956

All Children

Phoenix

S75

2017

70

29255

5775

1302

368

85

14

All Children

Phoenix

S75

2017

80

1062

14

0

0

0

0

All Children

Phoenix

S75

2017

90

0

0

0

0

0

0

All Children

Phoenix

S75

2017

100

0

0

0

0

0

0

All Children

Sacramento

S65

2015

0

311348

285237

266859

252643

241284

230547

All Children

Sacramento

S65

2015

10

297194

266813

246867

231750

219397

208582

All Children

Sacramento

S65

2015

20

261494

224025

200368

183411

170259

159218

All Children

Sacramento

S65

2015

30

207977

166113

141516

125033

113239

103596

All Children

Sacramento

S65

2015

40

127797

85902

64349

50218

40886

33494

All Children

Sacramento

S65

2015

50

32718

9930

3439

1359

551

225

All Children

Sacramento

S65

2015

60

1599

78

8

0

0

0

All Children

Sacramento

S65

2015

70

0

0

0

0

0

0

All Children

Sacramento

S65

2015

80

0

0

0

0

0

0

All Children

Sacramento

S65

2015

90

0

0

0

0

0

0

All Children

Sacramento

S65

2015

100

0

0

0

0

0

0

All Children

Sacramento

S65

2016

0

311681

285283

268039

253940

242146

232146

All Children

Sacramento

S65

2016

10

297411

267612

247962

233093

220857

210849

All Children

Sacramento

S65

2016

20

260516

223901

201493

184847

171633

160949

3D-Attachment4-13


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Sacramento

S65

2016

30

207891

165950

141718

125763

114039

104101

All Children

Sacramento

S65

2016

40

132176

88394

66608

52679

42400

34744

All Children

Sacramento

S65

2016

50

41716

16374

7430

3867

1840

908

All Children

Sacramento

S65

2016

60

2632

163

8

0

0

0

All Children

Sacramento

S65

2016

70

0

0

0

0

0

0

All Children

Sacramento

S65

2016

80

0

0

0

0

0

0

All Children

Sacramento

S65

2016

90

0

0

0

0

0

0

All Children

Sacramento

S65

2016

100

0

0

0

0

0

0

All Children

Sacramento

S65

2017

0

311363

284484

266269

252263

240694

230686

All Children

Sacramento

S65

2017

10

297395

267574

247418

231797

219157

209382

All Children

Sacramento

S65

2017

20

262069

225112

201657

185616

172409

161159

All Children

Sacramento

S65

2017

30

210352

167906

144746

128286

115755

105964

All Children

Sacramento

S65

2017

40

132277

88759

66965

52881

43230

35396

All Children

Sacramento

S65

2017

50

33564

9643

3408

1413

590

272

All Children

Sacramento

S65

2017

60

1266

8

0

0

0

0

All Children

Sacramento

S65

2017

70

0

0

0

0

0

0

All Children

Sacramento

S65

2017

80

0

0

0

0

0

0

All Children

Sacramento

S65

2017

90

0

0

0

0

0

0

All Children

Sacramento

S65

2017

100

0

0

0

0

0

0

All Children

Sacramento

S70

2015

0

311348

285237

266859

252643

241284

230547

All Children

Sacramento

S70

2015

10

298141

268063

248078

233218

220803

209863

All Children

Sacramento

S70

2015

20

266067

229289

206012

189405

175631

164645

All Children

Sacramento

S70

2015

30

220384

178318

154109

137067

124357

114676

All Children

Sacramento

S70

2015

40

156811

112890

90684

74869

63207

54558

All Children

Sacramento

S70

2015

50

71810

36313

21398

13354

8735

5544

All Children

Sacramento

S70

2015

60

10645

1281

186

8

0

0

All Children

Sacramento

S70

2015

70

707

31

0

0

0

0

All Children

Sacramento

S70

2015

80

0

0

0

0

0

0

All Children

Sacramento

S70

2015

90

0

0

0

0

0

0

All Children

Sacramento

S70

2015

100

0

0

0

0

0

0

All Children

Sacramento

S70

2016

0

311681

285283

268039

253940

242146

232146

All Children

Sacramento

S70

2016

10

298125

268816

249002

234320

222169

212060

All Children

Sacramento

S70

2016

20

265446

229320

207006

190546

177068

166136

All Children

Sacramento

S70

2016

30

219522

178846

154567

136772

124311

114396

All Children

Sacramento

S70

2016

40

159016

115079

91375

75630

63984

54892

All Children

Sacramento

S70

2016

50

81841

44434

28331

18960

13137

9340

All Children

Sacramento

S70

2016

60

18378

4278

1219

411

179

47

All Children

Sacramento

S70

2016

70

1203

16

0

0

0

0

All Children

Sacramento

S70

2016

80

0

0

0

0

0

0

All Children

Sacramento

S70

2016

90

0

0

0

0

0

0

All Children

Sacramento

S70

2016

100

0

0

0

0

0

0

All Children

Sacramento

S70

2017

0

311363

284484

266269

252263

240694

230686

All Children

Sacramento

S70

2017

10

298413

268730

248971

233155

220616

210655

All Children

Sacramento

S70

2017

20

266782

230213

207480

191090

177681

166788

All Children

Sacramento

S70

2017

30

222519

180049

156175

139909

127587

117144

All Children

Sacramento

S70

2017

40

161167

117308

93736

78184

66849

57881

All Children

Sacramento

S70

2017

50

76748

39247

23634

15381

10482

7050

3D-Attachment4-14


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Sacramento

S70

2017

60

15761

2244

435

54

8

0

All Children

Sacramento

S70

2017

70

272

0

0

0

0

0

All Children

Sacramento

S70

2017

80

0

0

0

0

0

0

All Children

Sacramento

S70

2017

90

0

0

0

0

0

0

All Children

Sacramento

S70

2017

100

0

0

0

0

0

0

All Children

Sacramento

S75

2015

0

311348

285237

266859

252643

241284

230547

All Children

Sacramento

S75

2015

10

298661

268715

248854

233823

221564

210624

All Children

Sacramento

S75

2015

20

268893

232806

209677

193077

179544

167999

All Children

Sacramento

S75

2015

30

228280

186167

162091

144901

131679

121694

All Children

Sacramento

S75

2015

40

173395

128783

105413

89838

77462

68425

All Children

Sacramento

S75

2015

50

99838

59015

39775

28479

20878

15699

All Children

Sacramento

S75

2015

60

29457

7919

2562

901

326

93

All Children

Sacramento

S75

2015

70

3603

202

23

0

0

0

All Children

Sacramento

S75

2015

80

116

0

0

0

0

0

All Children

Sacramento

S75

2015

90

0

0

0

0

0

0

All Children

Sacramento

S75

2015

100

0

0

0

0

0

0

All Children

Sacramento

S75

2016

0

311681

285283

268039

253940

242146

232146

All Children

Sacramento

S75

2016

10

298878

269383

249646

234996

222922

212767

All Children

Sacramento

S75

2016

20

268404

232798

210329

193955

180352

169389

All Children

Sacramento

S75

2016

30

226626

186734

162487

144334

131298

120731

All Children

Sacramento

S75

2016

40

173760

130157

106562

90226

78029

68565

All Children

Sacramento

S75

2016

50

109147

66243

46724

35094

26763

20342

All Children

Sacramento

S75

2016

60

41445

15878

7438

3766

1964

1040

All Children

Sacramento

S75

2016

70

6499

761

116

8

0

0

All Children

Sacramento

S75

2016

80

217

0

0

0

0

0

All Children

Sacramento

S75

2016

90

0

0

0

0

0

0

All Children

Sacramento

S75

2016

100

0

0

0

0

0

0

All Children

Sacramento

S75

2017

0

311363

284484

266269

252263

240694

230686

All Children

Sacramento

S75

2017

10

298739

269421

249670

233885

221331

211385

All Children

Sacramento

S75

2017

20

269841

233528

211059

194863

180996

170189

All Children

Sacramento

S75

2017

30

230050

187821

164086

147417

134466

123930

All Children

Sacramento

S75

2017

40

176990

133340

109505

93076

81010

71406

All Children

Sacramento

S75

2017

50

106570

64162

44465

32632

24713

19123

All Children

Sacramento

S75

2017

60

33851

9464

3230

1328

575

248

All Children

Sacramento

S75

2017

70

4643

O
CO

CNJ

16

0

0

0

All Children

Sacramento

S75

2017

80

54

0

0

0

0

0

All Children

Sacramento

S75

2017

90

0

0

0

0

0

0

All Children

Sacramento

S75

2017

100

0

0

0

0

0

0

All Children

St. Louis

S65

2015

0

355693

320478

297229

278469

263525

250485

All Children

St. Louis

S65

2015

10

338755

300106

275045

255985

239703

226653

All Children

St. Louis

S65

2015

20

297047

249820

221043

199980

183269

170010

All Children

St. Louis

S65

2015

30

235887

183552

155822

136744

121463

109297

All Children

St. Louis

S65

2015

40

159583

108140

82360

64911

52636

43356

All Children

St. Louis

S65

2015

50

65585

26864

12348

5828

2978

1439

All Children

St. Louis

S65

2015

60

4034

200

9

0

0

0

All Children

St. Louis

S65

2015

70

0

0

0

0

0

0

All Children

St. Louis

S65

2015

80

0

0

0

0

0

0

3D-Attachment4-15


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

St. Louis

S65

2015

90

0

0

0

0

0

0

All Children

St. Louis

S65

2015

100

0

0

0

0

0

0

All Children

St. Louis

S65

2016

0

359080

325268

301645

283232

267933

254646

All Children

St. Louis

S65

2016

10

344483

306763

281083

260903

244975

231552

All Children

St. Louis

S65

2016

20

305898

258790

228693

206910

190855

177541

All Children

St. Louis

S65

2016

30

248399

195764

166413

146461

131635

119815

All Children

St. Louis

S65

2016

40

174308

122456

95655

77469

64037

54257

All Children

St. Louis

S65

2016

50

87059

42300

23049

13141

7522

4435

All Children

St. Louis

S65

2016

60

16847

2204

392

109

18

0

All Children

St. Louis

S65

2016

70

55

0

0

0

0

0

All Children

St. Louis

S65

2016

80

0

0

0

0

0

0

All Children

St. Louis

S65

2016

90

0

0

0

0

0

0

All Children

St. Louis

S65

2016

100

0

0

0

0

0

0

All Children

St. Louis

S65

2017

0

355702

320669

297356

279526

264764

252179

All Children

St. Louis

S65

2017

10

342115

304487

279471

260520

244875

231352

All Children

St. Louis

S65

2017

20

305215

259682

231033

210498

194106

180801

All Children

St. Louis

S65

2017

30

251869

200053

171804

151988

137309

125425

All Children

St. Louis

S65

2017

40

179900

128548

101711

83753

70503

60222

All Children

St. Louis

S65

2017

50

77387

35270

19178

11028

6693

3943

All Children

St. Louis

S65

2017

60

5764

464

27

0

0

0

All Children

St. Louis

S65

2017

70

146

0

0

0

0

0

All Children

St. Louis

S65

2017

80

0

0

0

0

0

0

All Children

St. Louis

S65

2017

90

0

0

0

0

0

0

All Children

St. Louis

S65

2017

100

0

0

0

0

0

0

All Children

St. Louis

S70

2015

0

355693

320478

297229

278469

263525

250485

All Children

St. Louis

S70

2015

10

339492

301063

276193

256868

240896

227636

All Children

St. Louis

S70

2015

20

301664

255257

225533

205134

188351

175019

All Children

St. Louis

S70

2015

30

246742

194862

166531

146433

131271

119023

All Children

St. Louis

S70

2015

40

181020

128612

101556

83106

69893

59484

All Children

St. Louis

S70

2015

50

102157

54403

32711

20781

13660

8751

All Children

St. Louis

S70

2015

60

22320

4071

883

209

36

18

All Children

St. Louis

S70

2015

70

446

9

0

0

0

0

All Children

St. Louis

S70

2015

80

0

0

0

0

0

0

All Children

St. Louis

S70

2015

90

0

0

0

0

0

0

All Children

St. Louis

S70

2015

100

0

0

0

0

0

0

All Children

St. Louis

S70

2016

0

359080

325268

301645

283232

267933

254646

All Children

St. Louis

S70

2016

10

345411

307656

282367

262223

246469

232745

All Children

St. Louis

S70

2016

20

310497

264108

234567

212611

196091

183033

All Children

St. Louis

S70

2016

30

259664

206792

177141

156888

141279

129195

All Children

St. Louis

S70

2016

40

195627

143046

114843

96156

82004

71568

All Children

St. Louis

S70

2016

50

120880

70330

46462

32274

22429

16064

All Children

St. Louis

S70

2016

60

47609

14325

5036

1803

519

182

All Children

St. Louis

S70

2016

70

4863

155

9

0

0

0

All Children

St. Louis

S70

2016

80

0

0

0

0

0

0

All Children

St. Louis

S70

2016

90

0

0

0

0

0

0

All Children

St. Louis

S70

2016

100

0

0

0

0

0

0

All Children

St. Louis

S70

2017

0

355702

320669

297356

279526

264764

252179

3D-Attachment4-16


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

St. Louis

S70

2017

10

343053

305771

280855

261850

246314

232782

All Children

St. Louis

S70

2017

20

309878

264991

236688

216326

199579

186092

All Children

St. Louis

S70

2017

30

262851

211363

182614

162597

147025

134686

All Children

St. Louis

S70

2017

40

202211

149748

122019

103132

89763

78763

All Children

St. Louis

S70

2017

50

119123

69201

45870

32410

23859

17685

All Children

St. Louis

S70

2017

60

28595

6520

1949

574

219

46

All Children

St. Louis

S70

2017

70

1685

36

0

0

0

0

All Children

St. Louis

S70

2017

80

36

0

0

0

0

0

All Children

St. Louis

S70

2017

90

0

0

0

0

0

0

All Children

St. Louis

S70

2017

100

0

0

0

0

0

0

All Children

St. Louis

S75

2015

0

355693

320478

297229

278469

263525

250485

All Children

St. Louis

S75

2015

10

339574

301336

276420

257105

241196

227846

All Children

St. Louis

S75

2015

20

303931

257825

228420

207748

190864

177468

All Children

St. Louis

S75

2015

30

253353

201200

172569

152708

137054

124186

All Children

St. Louis

S75

2015

40

193851

140742

113149

94144

80119

69246

All Children

St. Louis

S75

2015

50

123958

73544

49458

34760

24742

18186

All Children

St. Louis

S75

2015

60

46635

14662

5245

2031

729

291

All Children

St. Louis

S75

2015

70

4162

255

27

0

0

0

All Children

St. Louis

S75

2015

80

0

0

0

0

0

0

All Children

St. Louis

S75

2015

90

0

0

0

0

0

0

All Children

St. Louis

S75

2015

100

0

0

0

0

0

0

All Children

St. Louis

S75

2016

0

359080

325268

301645

283232

267933

254646

All Children

St. Louis

S75

2016

10

345867

308029

282950

262851

246778

233301

All Children

St. Louis

S75

2016

20

313065

266849

237608

215935

199151

185846

All Children

St. Louis

S75

2016

30

266685

213503

183834

163372

147171

134914

All Children

St. Louis

S75

2016

40

208531

155148

126526

107166

92805

81522

All Children

St. Louis

S75

2016

50

141707

89590

63491

46871

35661

27447

All Children

St. Louis

S75

2016

60

70922

29259

13223

6675

3215

1539

All Children

St. Louis

S75

2016

70

17730

2113

310

73

9

0

All Children

St. Louis

S75

2016

80

555

9

0

0

0

0

All Children

St. Louis

S75

2016

90

0

0

0

0

0

0

All Children

St. Louis

S75

2016

100

0

0

0

0

0

0

All Children

St. Louis

S75

2017

0

355702

320669

297356

279526

264764

252179

All Children

St. Louis

S75

2017

10

343545

306290

281420

262369

246815

233392

All Children

St. Louis

S75

2017

20

312455

267942

240076

219768

202757

189143

All Children

St. Louis

S75

2017

30

268880

218348

189107

168644

152963

140642

All Children

St. Louis

S75

2017

40

215106

161833

133420

114788

100673

88780

All Children

St. Louis

S75

2017

50

143109

91931

66141

50159

39022

30835

All Children

St. Louis

S75

2017

60

55623

19743

8351

3843

1730

829

All Children

St. Louis

S75

2017

70

6484

565

64

9

0

0

All Children

St. Louis

S75

2017

80

492

0

0

0

0

0

All Children

St. Louis

S75

2017

90

0

0

0

0

0

0

All Children

St. Louis

S75

2017

100

0

0

0

0

0

0

Asthma Children

Atlanta

S65

2015

0

96464

87526

81735

77135

73342

70214

Asthma Children

Atlanta

S65

2015

10

91420

81271

74714

69912

66119

62689

Asthma Children

Atlanta

S65

2015

20

79899

67854

60409

54961

50825

47072

Asthma Children

Atlanta

S65

2015

30

63011

49392

41705

36277

32061

28953

3D-Attachment4-17


-------




AQ



Benchmark

Number of People with 7-hr Exposure at or above Benchmark

Study Group

Study Area

Scenario

Year

(PPb)

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Atlanta

S65

2015

40

41221

27259

20358

15617

12570

10330

Asthma Children

Atlanta

S65

2015

50

14164

5206

2219

928

565

323

Asthma Children

Atlanta

S65

2015

60

1654

101

20

0

0

0

Asthma Children

Atlanta

S65

2015

70

40

0

0

0

0

0

Asthma Children

Atlanta

S65

2015

80

0

0

0

0

0

0

Asthma Children

Atlanta

S65

2015

90

0

0

0

0

0

0

Asthma Children

Atlanta

S65

2015

100

0

0

0

0

0

0

Asthma Children

Atlanta

S65

2016

0

99390

90068

83935

78951

74875

71627

Asthma Children

Atlanta

S65

2016

10

94850

84600

77680

72595

68156

64948

Asthma Children

Atlanta

S65

2016

20

84278

71586

63899

58209

53549

50139

Asthma Children

Atlanta

S65

2016

30

67733

53549

45619

40313

37105

33755

Asthma Children

Atlanta

S65

2016

40

46043

31637

24333

20035

16747

14124

Asthma Children

Atlanta

S65

2016

50

18260

6961

3087

1735

908

484

Asthma Children

Atlanta

S65

2016

60

2724

222

40

20

0

0

Asthma Children

Atlanta

S65

2016

70

222

0

0

0

0

0

Asthma Children

Atlanta

S65

2016

80

20

0

0

0

0

0

Asthma Children

Atlanta

S65

2016

90

0

0

0

0

0

0

Asthma Children

Atlanta

S65

2016

100

0

0

0

0

0

0

Asthma Children

Atlanta

S65

2017

0

96827

88757

82361

77922

73786

70416

Asthma Children

Atlanta

S65

2017

10

91904

82502

75521

70860

66562

62810

Asthma Children

Atlanta

S65

2017

20

80605

68621

60792

54921

50462

46850

Asthma Children

Atlanta

S65

2017

30

63092

49190

41059

35914

32182

29175

Asthma Children

Atlanta

S65

2017

40

38073

25261

18623

13982

11178

9180

Asthma Children

Atlanta

S65

2017

50

9100

2219

807

282

101

61

Asthma Children

Atlanta

S65

2017

60

424

0

0

0

0

0

Asthma Children

Atlanta

S65

2017

70

20

0

0

0

0

0

Asthma Children

Atlanta

S65

2017

80

0

0

0

0

0

0

Asthma Children

Atlanta

S65

2017

90

0

0

0

0

0

0

Asthma Children

Atlanta

S65

2017

100

0

0

0

0

0

0

Asthma Children

Atlanta

S70

2015

0

96464

87526

81735

77135

73342

70214

Asthma Children

Atlanta

S70

2015

10

91985

82119

75218

70376

66764

63254

Asthma Children

Atlanta

S70

2015

20

81574

69952

62325

56938

52963

49049

Asthma Children

Atlanta

S70

2015

30

67047

53085

45660

40333

36257

32747

Asthma Children

Atlanta

S70

2015

40

49049

34744

27480

22396

18724

15879

Asthma Children

Atlanta

S70

2015

50

24515

12913

7627

4620

2805

1634

Asthma Children

Atlanta

S70

2015

60

5044

1090

303

101

20

0

Asthma Children

Atlanta

S70

2015

70

585

40

0

0

0

0

Asthma Children

Atlanta

S70

2015

80

0

0

0

0

0

0

Asthma Children

Atlanta

S70

2015

90

0

0

0

0

0

0

Asthma Children

Atlanta

S70

2015

100

0

0

0

0

0

0

Asthma Children

Atlanta

S70

2016

0

99390

90068

83935

78951

74875

71627

Asthma Children

Atlanta

S70

2016

10

95254

85004

78346

73281

69125

65675

Asthma Children

Atlanta

S70

2016

20

85871

73665

65977

60489

56010

52197

Asthma Children

Atlanta

S70

2016

30

71385

57423

49453

44187

40373

37569

Asthma Children

Atlanta

S70

2016

40

52802

38396

31254

26411

23021

19934

Asthma Children

Atlanta

S70

2016

50

28691

15919

10028

6557

4540

2926

Asthma Children

Atlanta

S70

2016

60

8333

1715

504

101

20

0

3D-Attachment4-18


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Atlanta

S70

2016

70

1271

20

0

0

0

0

Asthma Children

Atlanta

S70

2016

80

202

0

0

0

0

0

Asthma Children

Atlanta

S70

2016

90

20

0

0

0

0

0

Asthma Children

Atlanta

S70

2016

100

0

0

0

0

0

0

Asthma Children

Atlanta

S70

2017

0

96827

88757

82361

77922

73786

70416

Asthma Children

Atlanta

S70

2017

10

92187

83067

76207

71385

67349

63738

Asthma Children

Atlanta

S70

2017

20

82381

71022

62830

57100

52742

49090

Asthma Children

Atlanta

S70

2017

30

66966

53125

44731

39425

35813

32726

Asthma Children

Atlanta

S70

2017

40

45821

32424

24898

21105

17554

14608

Asthma Children

Atlanta

S70

2017

50

19127

7990

4156

1997

1211

686

Asthma Children

Atlanta

S70

2017

60

2078

202

81

0

0

0

Asthma Children

Atlanta

S70

2017

70

141

0

0

0

0

0

Asthma Children

Atlanta

S70

2017

80

0

0

0

0

0

0

Asthma Children

Atlanta

S70

2017

90

0

0

0

0

0

0

Asthma Children

Atlanta

S70

2017

100

0

0

0

0

0

0

Asthma Children

Atlanta

S75

2015

0

96464

87526

81735

77135

73342

70214

Asthma Children

Atlanta

S75

2015

10

92368

82522

75884

70719

67208

63818

Asthma Children

Atlanta

S75

2015

20

82704

71264

63778

58653

54335

50542

Asthma Children

Atlanta

S75

2015

30

70537

56575

48626

43400

39385

35874

Asthma Children

Atlanta

S75

2015

40

54941

40494

32747

27541

23486

20802

Asthma Children

Atlanta

S75

2015

50

34522

21185

14628

10270

7808

6134

Asthma Children

Atlanta

S75

2015

60

12025

3834

1614

807

404

161

Asthma Children

Atlanta

S75

2015

70

2119

202

20

20

0

0

Asthma Children

Atlanta

S75

2015

80

282

0

0

0

0

0

Asthma Children

Atlanta

S75

2015

90

0

0

0

0

0

0

Asthma Children

Atlanta

S75

2015

100

0

0

0

0

0

0

Asthma Children

Atlanta

S75

2016

0

99390

90068

83935

78951

74875

71627

Asthma Children

Atlanta

S75

2016

10

95718

85488

78608

73523

69710

66260

Asthma Children

Atlanta

S75

2016

20

87344

75299

67430

62144

57584

54093

Asthma Children

Atlanta

S75

2016

30

74774

60610

52540

47274

43158

39829

Asthma Children

Atlanta

S75

2016

40

58209

43783

36298

31112

27541

24979

Asthma Children

Atlanta

S75

2016

50

37912

23808

17412

13135

10088

7788

Asthma Children

Atlanta

S75

2016

60

17009

5972

2764

1311

605

242

Asthma Children

Atlanta

S75

2016

70

4439

565

101

20

20

0

Asthma Children

Atlanta

S75

2016

80

888

20

0

0

0

0

Asthma Children

Atlanta

S75

2016

90

182

0

0

0

0

0

Asthma Children

Atlanta

S75

2016

100

20

0

0

0

0

0

Asthma Children

Atlanta

S75

2017

0

96827

88757

82361

77922

73786

70416

Asthma Children

Atlanta

S75

2017

10

92368

83672

76711

71808

67934

64141

Asthma Children

Atlanta

S75

2017

20

83773

72373

64726

58835

54356

50805

Asthma Children

Atlanta

S75

2017

30

70114

56837

48323

42794

38739

35269

Asthma Children

Atlanta

S75

2017

40

52277

38073

30547

26129

22376

19491

Asthma Children

Atlanta

S75

2017

50

29054

15899

9685

6477

4459

3067

Asthma Children

Atlanta

S75

2017

60

7425

1614

464

182

61

40

Asthma Children

Atlanta

S75

2017

70

545

61

20

0

0

0

Asthma Children

Atlanta

S75

2017

80

61

0

0

0

0

0

Asthma Children

Atlanta

S75

2017

90

0

0

0

0

0

0

3D-Attachment4-19


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Atlanta

S75

2017

100

0

0

0

0

0

0

Asthma Children

Boston

S65

2015

0

110791

99209

91427

85625

79800

75522

Asthma Children

Boston

S65

2015

10

106673

94181

86421

79072

73474

69310

Asthma Children

Boston

S65

2015

20

93157

78526

69333

62484

57000

52677

Asthma Children

Boston

S65

2015

30

73633

57273

47921

41595

36748

33153

Asthma Children

Boston

S65

2015

40

47307

30218

22572

16861

13129

10331

Asthma Children

Boston

S65

2015

50

17066

5689

2275

910

319

182

Asthma Children

Boston

S65

2015

60

3163

319

0

0

0

0

Asthma Children

Boston

S65

2015

70

455

0

0

0

0

0

Asthma Children

Boston

S65

2015

80

68

0

0

0

0

0

Asthma Children

Boston

S65

2015

90

0

0

0

0

0

0

Asthma Children

Boston

S65

2015

100

0

0

0

0

0

0

Asthma Children

Boston

S65

2016

0

115661

104420

96593

90403

85056

80756

Asthma Children

Boston

S65

2016

10

112270

99710

91609

84647

79049

74430

Asthma Children

Boston

S65

2016

20

99209

83486

73815

65988

59935

55498

Asthma Children

Boston

S65

2016

30

78526

60845

50924

43939

39274

35474

Asthma Children

Boston

S65

2016

40

51220

33859

24916

18954

14972

11946

Asthma Children

Boston

S65

2016

50

19705

7031

3163

1456

683

250

Asthma Children

Boston

S65

2016

60

2298

205

23

0

0

0

Asthma Children

Boston

S65

2016

70

91

0

0

0

0

0

Asthma Children

Boston

S65

2016

80

0

0

0

0

0

0

Asthma Children

Boston

S65

2016

90

0

0

0

0

0

0

Asthma Children

Boston

S65

2016

100

0

0

0

0

0

0

Asthma Children

Boston

S65

2017

0

112976

101257

93612

86990

82075

77684

Asthma Children

Boston

S65

2017

10

108607

96661

88469

81962

76364

71540

Asthma Children

Boston

S65

2017

20

96843

81529

71244

63235

57819

52927

Asthma Children

Boston

S65

2017

30

76341

57592

48763

42073

37340

33176

Asthma Children

Boston

S65

2017

40

50697

33563

24734

18067

13903

11286

Asthma Children

Boston

S65

2017

50

23915

9716

4460

1752

592

250

Asthma Children

Boston

S65

2017

60

5165

523

46

0

0

0

Asthma Children

Boston

S65

2017

70

387

0

0

0

0

0

Asthma Children

Boston

S65

2017

80

0

0

0

0

0

0

Asthma Children

Boston

S65

2017

90

0

0

0

0

0

0

Asthma Children

Boston

S65

2017

100

0

0

0

0

0

0

Asthma Children

Boston

S70

2015

0

110791

99209

91427

85625

79800

75522

Asthma Children

Boston

S70

2015

10

106764

94203

86763

79140

73770

69492

Asthma Children

Boston

S70

2015

20

94249

79754

70380

63235

57956

53632

Asthma Children

Boston

S70

2015

30

76341

59867

50378

43893

39069

35269

Asthma Children

Boston

S70

2015

40

52904

35429

27669

21617

17453

14495

Asthma Children

Boston

S70

2015

50

25804

11286

5552

3004

1547

865

Asthma Children

Boston

S70

2015

60

6166

1047

250

91

23

23

Asthma Children

Boston

S70

2015

70

1024

0

0

0

0

0

Asthma Children

Boston

S70

2015

80

114

0

0

0

0

0

Asthma Children

Boston

S70

2015

90

0

0

0

0

0

0

Asthma Children

Boston

S70

2015

100

0

0

0

0

0

0

Asthma Children

Boston

S70

2016

0

115661

104420

96593

90403

85056

80756

Asthma Children

Boston

S70

2016

10

112452

99892

91541

84783

79185

74612

3D-Attachment4-20


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Boston

S70

2016

20

100370

84738

75363

67603

61346

56954

Asthma Children

Boston

S70

2016

30

81893

63781

54269

46851

41345

37545

Asthma Children

Boston

S70

2016

40

57887

39456

30559

24552

19842

16747

Asthma Children

Boston

S70

2016

50

29968

14176

8146

4892

2822

1889

Asthma Children

Boston

S70

2016

60

7782

1343

250

0

0

0

Asthma Children

Boston

S70

2016

70

796

68

0

0

0

0

Asthma Children

Boston

S70

2016

80

0

0

0

0

0

0

Asthma Children

Boston

S70

2016

90

0

0

0

0

0

0

Asthma Children

Boston

S70

2016

100

0

0

0

0

0

0

Asthma Children

Boston

S70

2017

0

112976

101257

93612

86990

82075

77684

Asthma Children

Boston

S70

2017

10

108744

96775

88674

81939

76318

71813

Asthma Children

Boston

S70

2017

20

97344

82417

72200

64486

58843

53678

Asthma Children

Boston

S70

2017

30

79140

60504

51015

44144

39297

35019

Asthma Children

Boston

S70

2017

40

56386

39365

29945

23665

18590

15382

Asthma Children

Boston

S70

2017

50

32812

16247

8624

4778

2731

1502

Asthma Children

Boston

S70

2017

60

11605

2617

455

137

0

0

Asthma Children

Boston

S70

2017

70

1616

23

0

0

0

0

Asthma Children

Boston

S70

2017

80

68

0

0

0

0

0

Asthma Children

Boston

S70

2017

90

0

0

0

0

0

0

Asthma Children

Boston

S70

2017

100

0

0

0

0

0

0

Asthma Children

Boston

S75

2015

0

110791

99209

91427

85625

79800

75522

Asthma Children

Boston

S75

2015

10

106809

94021

86603

79094

73588

69333

Asthma Children

Boston

S75

2015

20

94454

80232

70880

63417

58251

53928

Asthma Children

Boston

S75

2015

30

77274

61050

51584

45008

40071

36384

Asthma Children

Boston

S75

2015

40

55430

38318

29695

23938

20183

16725

Asthma Children

Boston

S75

2015

50

29968

14654

8374

5074

3254

1684

Asthma Children

Boston

S75

2015

60

9375

2184

614

182

68

23

Asthma Children

Boston

S75

2015

70

1752

68

0

0

0

0

Asthma Children

Boston

S75

2015

80

137

0

0

0

0

0

Asthma Children

Boston

S75

2015

90

0

0

0

0

0

0

Asthma Children

Boston

S75

2015

100

0

0

0

0

0

0

Asthma Children

Boston

S75

2016

0

115661

104420

96593

90403

85056

80756

Asthma Children

Boston

S75

2016

10

112430

100006

91609

84715

79185

74430

Asthma Children

Boston

S75

2016

20

100666

85147

75704

67968

61915

57341

Asthma Children

Boston

S75

2016

30

82940

65283

55566

48239

42596

38546

Asthma Children

Boston

S75

2016

40

60777

42824

33130

27146

22618

18954

Asthma Children

Boston

S75

2016

50

35383

18795

11013

7486

5097

3459

Asthma Children

Boston

S75

2016

60

12674

3163

933

205

46

0

Asthma Children

Boston

S75

2016

70

1684

137

0

0

0

0

Asthma Children

Boston

S75

2016

80

137

0

0

0

0

0

Asthma Children

Boston

S75

2016

90

0

0

0

0

0

0

Asthma Children

Boston

S75

2016

100

0

0

0

0

0

0

Asthma Children

Boston

S75

2017

0

112976

101257

93612

86990

82075

77684

Asthma Children

Boston

S75

2017

10

108789

96547

88674

81848

76364

71677

Asthma Children

Boston

S75

2017

20

97935

82894

72632

64691

59184

53792

Asthma Children

Boston

S75

2017

30

80528

62120

52335

45145

40412

36271

Asthma Children

Boston

S75

2017

40

59435

41572

32653

26168

21002

17703

3D-Attachment4-21


-------




AQ



Benchmark

Number of People with 7-hr Exposure at or above Benchmark

Study Group

Study Area

Scenario

Year

(PPb)

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Boston

S75

2017

50

37932

20274

11696

7122

4505

2958

Asthma Children

Boston

S75

2017

60

16315

4915

1343

319

114

46

Asthma Children

Boston

S75

2017

70

3641

387

68

0

0

0

Asthma Children

Boston

S75

2017

80

319

0

0

0

0

0

Asthma Children

Boston

S75

2017

90

0

0

0

0

0

0

Asthma Children

Boston

S75

2017

100

0

0

0

0

0

0

Asthma Children

Dallas

S65

2015

0

90113

82594

76635

73254

69872

66775

Asthma Children

Dallas

S65

2015

10

86330

77250

71267

67248

63488

60249

Asthma Children

Dallas

S65

2015

20

77155

66373

59350

54408

50247

46463

Asthma Children

Dallas

S65

2015

30

63181

50649

43177

38258

35161

32229

Asthma Children

Dallas

S65

2015

40

46014

32844

26246

21967

18373

15984

Asthma Children

Dallas

S65

2015

50

23196

11846

6834

4043

2601

1702

Asthma Children

Dallas

S65

2015

60

3878

709

95

0

0

0

Asthma Children

Dallas

S65

2015

70

71

0

0

0

0

0

Asthma Children

Dallas

S65

2015

80

0

0

0

0

0

0

Asthma Children

Dallas

S65

2015

90

0

0

0

0

0

0

Asthma Children

Dallas

S65

2015

100

0

0

0

0

0

0

Asthma Children

Dallas

S65

2016

0

90420

83208

78266

74318

71315

68501

Asthma Children

Dallas

S65

2016

10

86164

78361

73325

68879

65427

62069

Asthma Children

Dallas

S65

2016

20

77273

67106

60367

55212

51145

48142

Asthma Children

Dallas

S65

2016

30

62022

49466

42846

37880

33955

31212

Asthma Children

Dallas

S65

2016

40

41427

28895

22038

17592

14802

12059

Asthma Children

Dallas

S65

2016

50

14991

5817

2743

1584

662

355

Asthma Children

Dallas

S65

2016

60

1395

47

24

0

0

0

Asthma Children

Dallas

S65

2016

70

47

0

0

0

0

0

Asthma Children

Dallas

S65

2016

80

0

0

0

0

0

0

Asthma Children

Dallas

S65

2016

90

0

0

0

0

0

0

Asthma Children

Dallas

S65

2016

100

0

0

0

0

0

0

Asthma Children

Dallas

S65

2017

0

91035

83563

78645

74341

70724

68028

Asthma Children

Dallas

S65

2017

10

87819

79023

72592

68241

64623

61218

Asthma Children

Dallas

S65

2017

20

78196

67153

60509

55661

51263

48119

Asthma Children

Dallas

S65

2017

30

63252

51192

43933

39133

35634

32583

Asthma Children

Dallas

S65

2017

40

44974

31638

25301

20524

17427

14282

Asthma Children

Dallas

S65

2017

50

21588

10735

5675

3003

1608

1040

Asthma Children

Dallas

S65

2017

60

3476

402

47

0

0

0

Asthma Children

Dallas

S65

2017

70

118

0

0

0

0

0

Asthma Children

Dallas

S65

2017

80

0

0

0

0

0

0

Asthma Children

Dallas

S65

2017

90

0

0

0

0

0

0

Asthma Children

Dallas

S65

2017

100

0

0

0

0

0

0

Asthma Children

Dallas

S70

2015

0

90113

82594

76635

73254

69872

66775

Asthma Children

Dallas

S70

2015

10

86401

77368

71362

67461

63606

60532

Asthma Children

Dallas

S70

2015

20

77935

67082

60130

55401

51074

47740

Asthma Children

Dallas

S70

2015

30

65285

52706

44903

40150

36556

33931

Asthma Children

Dallas

S70

2015

40

50176

37052

29912

25395

21659

18869

Asthma Children

Dallas

S70

2015

50

30668

18467

12698

8654

6006

4564

Asthma Children

Dallas

S70

2015

60

9813

2861

1064

473

213

71

Asthma Children

Dallas

S70

2015

70

946

118

0

0

0

0

3D-Attachment4-22


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Dallas

S70

2015

80

24

0

0

0

0

0

Asthma Children

Dallas

S70

2015

90

0

0

0

0

0

0

Asthma Children

Dallas

S70

2015

100

0

0

0

0

0

0

Asthma Children

Dallas

S70

2016

0

90420

83208

78266

74318

71315

68501

Asthma Children

Dallas

S70

2016

10

86259

78598

73727

69116

65640

62471

Asthma Children

Dallas

S70

2016

20

77817

67933

61384

56087

52375

49041

Asthma Children

Dallas

S70

2016

30

64245

51665

44761

40079

35894

32702

Asthma Children

Dallas

S70

2016

40

45707

32867

25608

21446

18373

15677

Asthma Children

Dallas

S70

2016

50

21494

10144

5746

3689

2270

1513

Asthma Children

Dallas

S70

2016

60

2908

378

118

24

24

0

Asthma Children

Dallas

S70

2016

70

426

0

0

0

0

0

Asthma Children

Dallas

S70

2016

80

0

0

0

0

0

0

Asthma Children

Dallas

S70

2016

90

0

0

0

0

0

0

Asthma Children

Dallas

S70

2016

100

0

0

0

0

0

0

Asthma Children

Dallas

S70

2017

0

91035

83563

78645

74341

70724

68028

Asthma Children

Dallas

S70

2017

10

88008

79236

72899

68525

64883

61502

Asthma Children

Dallas

S70

2017

20

79047

68052

61407

56773

52446

49183

Asthma Children

Dallas

S70

2017

30

65238

52942

46085

41261

37525

34570

Asthma Children

Dallas

S70

2017

40

49159

35137

28469

24378

20974

18089

Asthma Children

Dallas

S70

2017

50

28114

15913

9907

6503

4209

2767

Asthma Children

Dallas

S70

2017

60

8134

1561

402

142

24

0

Asthma Children

Dallas

S70

2017

70

355

0

0

0

0

0

Asthma Children

Dallas

S70

2017

80

0

0

0

0

0

0

Asthma Children

Dallas

S70

2017

90

0

0

0

0

0

0

Asthma Children

Dallas

S70

2017

100

0

0

0

0

0

0

Asthma Children

Dallas

S75

2015

0

90113

82594

76635

73254

69872

66775

Asthma Children

Dallas

S75

2015

10

86519

77604

71504

67650

63748

60627

Asthma Children

Dallas

S75

2015

20

78621

67815

60840

56134

52115

48568

Asthma Children

Dallas

S75

2015

30

66798

54077

46487

41782

37951

35043

Asthma Children

Dallas

S75

2015

40

52824

40055

32536

28044

24095

21210

Asthma Children

Dallas

S75

2015

50

36580

23622

16859

12958

10357

7425

Asthma Children

Dallas

S75

2015

60

15724

6313

2956

1490

969

520

Asthma Children

Dallas

S75

2015

70

2956

355

47

0

0

0

Asthma Children

Dallas

S75

2015

80

166

0

0

0

0

0

Asthma Children

Dallas

S75

2015

90

0

0

0

0

0

0

Asthma Children

Dallas

S75

2015

100

0

0

0

0

0

0

Asthma Children

Dallas

S75

2016

0

90420

83208

78266

74318

71315

68501

Asthma Children

Dallas

S75

2016

10

86282

78739

73774

69352

65876

62708

Asthma Children

Dallas

S75

2016

20

78408

68525

62046

56655

53131

49916

Asthma Children

Dallas

S75

2016

30

65971

53250

46345

41592

37431

34286

Asthma Children

Dallas

S75

2016

40

48781

35847

28611

23764

20572

18136

Asthma Children

Dallas

S75

2016

50

27311

15015

9104

6313

4327

3121

Asthma Children

Dallas

S75

2016

60

6006

1348

331

142

24

0

Asthma Children

Dallas

S75

2016

70

1111

0

0

0

0

0

Asthma Children

Dallas

S75

2016

80

47

0

0

0

0

0

Asthma Children

Dallas

S75

2016

90

0

0

0

0

0

0

Asthma Children

Dallas

S75

2016

100

0

0

0

0

0

0

3D-Attachment4-23


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Dallas

S75

2017

0

91035

83563

78645

74341

70724

68028

Asthma Children

Dallas

S75

2017

10

88127

79401

73277

68595

65214

61715

Asthma Children

Dallas

S75

2017

20

79685

68737

61951

57151

52989

49679

Asthma Children

Dallas

S75

2017

30

66822

54763

47598

42373

38826

35657

Asthma Children

Dallas

S75

2017

40

52091

38164

31236

26578

23196

20666

Asthma Children

Dallas

S75

2017

50

32560

19508

13596

10144

7236

5249

Asthma Children

Dallas

S75

2017

60

13100

3831

1064

473

213

47

Asthma Children

Dallas

S75

2017

70

1371

95

0

0

0

0

Asthma Children

Dallas

S75

2017

80

24

0

0

0

0

0

Asthma Children

Dallas

S75

2017

90

0

0

0

0

0

0

Asthma Children

Dallas

S75

2017

100

0

0

0

0

0

0

Asthma Children

Detroit

S65

2015

0

77853

70222

64551

60129

56729

53504

Asthma Children

Detroit

S65

2015

10

74853

66806

60319

55550

51995

48960

Asthma Children

Detroit

S65

2015

20

66285

55741

49168

44242

39872

36542

Asthma Children

Detroit

S65

2015

30

53486

41467

34652

30246

26656

23847

Asthma Children

Detroit

S65

2015

40

38155

25911

19632

15366

12435

10024

Asthma Children

Detroit

S65

2015

50

16927

7267

3711

1890

1041

468

Asthma Children

Detroit

S65

2015

60

1717

173

0

0

0

0

Asthma Children

Detroit

S65

2015

70

0

0

0

0

0

0

Asthma Children

Detroit

S65

2015

80

0

0

0

0

0

0

Asthma Children

Detroit

S65

2015

90

0

0

0

0

0

0

Asthma Children

Detroit

S65

2015

100

0

0

0

0

0

0

Asthma Children

Detroit

S65

2016

0

80871

72806

67187

62747

58741

55706

Asthma Children

Detroit

S65

2016

10

78079

68627

62956

58204

54180

51249

Asthma Children

Detroit

S65

2016

20

69008

58065

51492

46393

42508

38987

Asthma Children

Detroit

S65

2016

30

56244

44034

37496

32796

29136

26223

Asthma Children

Detroit

S65

2016

40

40323

28287

21488

17777

13996

11655

Asthma Children

Detroit

S65

2016

50

21904

10857

6053

3018

1682

850

Asthma Children

Detroit

S65

2016

60

5064

486

104

17

0

0

Asthma Children

Detroit

S65

2016

70

52

0

0

0

0

0

Asthma Children

Detroit

S65

2016

80

0

0

0

0

0

0

Asthma Children

Detroit

S65

2016

90

0

0

0

0

0

0

Asthma Children

Detroit

S65

2016

100

0

0

0

0

0

0

Asthma Children

Detroit

S65

2017

0

79917

71558

66060

62140

58516

54718

Asthma Children

Detroit

S65

2017

10

76847

67968

62123

57215

53885

50451

Asthma Children

Detroit

S65

2017

20

68609

57649

50937

45959

41762

38033

Asthma Children

Detroit

S65

2017

30

56122

43236

36663

31998

28443

25442

Asthma Children

Detroit

S65

2017

40

39820

28079

21540

17222

14169

11377

Asthma Children

Detroit

S65

2017

50

19806

8914

5238

2636

1422

954

Asthma Children

Detroit

S65

2017

60

2012

173

35

0

0

0

Asthma Children

Detroit

S65

2017

70

35

0

0

0

0

0

Asthma Children

Detroit

S65

2017

80

0

0

0

0

0

0

Asthma Children

Detroit

S65

2017

90

0

0

0

0

0

0

Asthma Children

Detroit

S65

2017

100

0

0

0

0

0

0

Asthma Children

Detroit

S70

2015

0

77853

70222

64551

60129

56729

53504

Asthma Children

Detroit

S70

2015

10

74905

66910

60406

55723

51977

49064

Asthma Children

Detroit

S70

2015

20

67205

56469

50139

45005

40756

37635

3D-Attachment4-24


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Detroit

S70

2015

30

55793

43288

36369

31825

28200

25668

Asthma Children

Detroit

S70

2015

40

41762

29518

23396

18904

15730

12938

Asthma Children

Detroit

S70

2015

50

24107

12366

7544

4613

3035

1960

Asthma Children

Detroit

S70

2015

60

6209

1301

243

52

0

0

Asthma Children

Detroit

S70

2015

70

121

0

0

0

0

0

Asthma Children

Detroit

S70

2015

80

0

0

0

0

0

0

Asthma Children

Detroit

S70

2015

90

0

0

0

0

0

0

Asthma Children

Detroit

S70

2015

100

0

0

0

0

0

0

Asthma Children

Detroit

S70

2016

0

80871

72806

67187

62747

58741

55706

Asthma Children

Detroit

S70

2016

10

78218

68852

63112

58446

54215

51336

Asthma Children

Detroit

S70

2016

20

69771

58897

52498

47555

43583

40115

Asthma Children

Detroit

S70

2016

30

58325

45994

39334

34998

31148

28096

Asthma Children

Detroit

S70

2016

40

44624

32137

25390

21020

17690

14672

Asthma Children

Detroit

S70

2016

50

28477

16372

10753

7267

4839

3313

Asthma Children

Detroit

S70

2016

60

11776

3469

1110

243

139

69

Asthma Children

Detroit

S70

2016

70

1110

17

0

0

0

0

Asthma Children

Detroit

S70

2016

80

0

0

0

0

0

0

Asthma Children

Detroit

S70

2016

90

0

0

0

0

0

0

Asthma Children

Detroit

S70

2016

100

0

0

0

0

0

0

Asthma Children

Detroit

S70

2017

0

79917

71558

66060

62140

58516

54718

Asthma Children

Detroit

S70

2017

10

76986

68193

62297

57371

53954

50538

Asthma Children

Detroit

S70

2017

20

69321

58533

51544

46792

42681

38918

Asthma Children

Detroit

S70

2017

30

57770

45526

38242

33993

30229

27125

Asthma Children

Detroit

S70

2017

40

43878

31270

25113

20500

17222

14655

Asthma Children

Detroit

S70

2017

50

27055

15314

9712

6348

4492

2792

Asthma Children

Detroit

S70

2017

60

7648

1769

572

191

139

35

Asthma Children

Detroit

S70

2017

70

503

17

0

0

0

0

Asthma Children

Detroit

S70

2017

80

0

0

0

0

0

0

Asthma Children

Detroit

S70

2017

90

0

0

0

0

0

0

Asthma Children

Detroit

S70

2017

100

0

0

0

0

0

0

Asthma Children

Detroit

S75

2015

0

77853

70222

64551

60129

56729

53504

Asthma Children

Detroit

S75

2015

10

74732

66823

60146

55602

51821

48873

Asthma Children

Detroit

S75

2015

20

67465

56885

50399

45318

41086

37947

Asthma Children

Detroit

S75

2015

30

56573

44346

37652

32605

28980

26258

Asthma Children

Detroit

S75

2015

40

43878

31235

24957

20621

17308

14499

Asthma Children

Detroit

S75

2015

50

28911

16615

10631

7249

4891

3208

Asthma Children

Detroit

S75

2015

60

11030

3243

798

277

52

35

Asthma Children

Detroit

S75

2015

70

1214

35

0

0

0

0

Asthma Children

Detroit

S75

2015

80

0

0

0

0

0

0

Asthma Children

Detroit

S75

2015

90

0

0

0

0

0

0

Asthma Children

Detroit

S75

2015

100

0

0

0

0

0

0

Asthma Children

Detroit

S75

2016

0

80871

72806

67187

62747

58741

55706

Asthma Children

Detroit

S75

2016

10

78061

68748

62817

58412

54163

51232

Asthma Children

Detroit

S75

2016

20

69962

59140

52671

47763

43722

40132

Asthma Children

Detroit

S75

2016

30

59504

47277

40097

35536

31825

28894

Asthma Children

Detroit

S75

2016

40

46861

34010

27680

23084

19442

16597

Asthma Children

Detroit

S75

2016

50

32744

20066

14169

10094

7353

5654

3D-Attachment4-25


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Detroit

S75

2016

60

17673

7492

3261

1231

520

225

Asthma Children

Detroit

S75

2016

70

4544

520

104

17

0

0

Asthma Children

Detroit

S75

2016

80

69

0

0

0

0

0

Asthma Children

Detroit

S75

2016

90

0

0

0

0

0

0

Asthma Children

Detroit

S75

2016

100

0

0

0

0

0

0

Asthma Children

Detroit

S75

2017

0

79917

71558

66060

62140

58516

54718

Asthma Children

Detroit

S75

2017

10

76899

68037

62175

57284

53781

50243

Asthma Children

Detroit

S75

2017

20

69598

58689

51787

47121

42890

38883

Asthma Children

Detroit

S75

2017

30

58828

46306

38970

34548

30992

27801

Asthma Children

Detroit

S75

2017

40

45925

33229

26726

22130

18696

16233

Asthma Children

Detroit

S75

2017

50

30853

18991

12955

8828

6452

4717

Asthma Children

Detroit

S75

2017

60

13458

4683

1821

763

364

208

Asthma Children

Detroit

S75

2017

70

1682

87

0

0

0

0

Asthma Children

Detroit

S75

2017

80

52

0

0

0

0

0

Asthma Children

Detroit

S75

2017

90

0

0

0

0

0

0

Asthma Children

Detroit

S75

2017

100

0

0

0

0

0

0

Asthma Children

Philadelphia

S65

2015

0

100049

90817

84248

78616

73924

70432

Asthma Children

Philadelphia

S65

2015

10

97016

87172

79315

73575

69493

66198

Asthma Children

Philadelphia

S65

2015

20

87631

75146

66612

60872

56703

52709

Asthma Children

Philadelphia

S65

2015

30

73073

58428

50243

43848

39505

35620

Asthma Children

Philadelphia

S65

2015

40

50352

35314

27675

22284

18552

15605

Asthma Children

Philadelphia

S65

2015

50

20102

9058

4954

2794

1441

808

Asthma Children

Philadelphia

S65

2015

60

2248

218

44

0

0

0

Asthma Children

Philadelphia

S65

2015

70

44

0

0

0

0

0

Asthma Children

Philadelphia

S65

2015

80

0

0

0

0

0

0

Asthma Children

Philadelphia

S65

2015

90

0

0

0

0

0

0

Asthma Children

Philadelphia

S65

2015

100

0

0

0

0

0

0

Asthma Children

Philadelphia

S65

2016

0

98522

89180

82632

77241

72745

69144

Asthma Children

Philadelphia

S65

2016

10

95400

85666

78442

72331

67856

64233

Asthma Children

Philadelphia

S65

2016

20

85775

72854

64975

58973

54237

50767

Asthma Children

Philadelphia

S65

2016

30

69581

55590

47711

42036

38348

35030

Asthma Children

Philadelphia

S65

2016

40

47515

33110

25711

21040

16937

14230

Asthma Children

Philadelphia

S65

2016

50

18421

7923

3667

1724

851

327

Asthma Children

Philadelphia

S65

2016

60

2750

262

0

0

0

0

Asthma Children

Philadelphia

S65

2016

70

22

0

0

0

0

0

Asthma Children

Philadelphia

S65

2016

80

0

0

0

0

0

0

Asthma Children

Philadelphia

S65

2016

90

0

0

0

0

0

0

Asthma Children

Philadelphia

S65

2016

100

0

0

0

0

0

0

Asthma Children

Philadelphia

S65

2017

0

98958

89180

82501

76958

73051

69515

Asthma Children

Philadelphia

S65

2017

10

95728

85426

77743

72505

68140

64561

Asthma Children

Philadelphia

S65

2017

20

85688

72593

64408

58820

54477

50614

Asthma Children

Philadelphia

S65

2017

30

68620

53910

45812

40094

35947

32761

Asthma Children

Philadelphia

S65

2017

40

46052

30185

23528

18465

15191

12506

Asthma Children

Philadelphia

S65

2017

50

16937

6308

3012

1179

655

306

Asthma Children

Philadelphia

S65

2017

60

1964

218

0

0

0

0

Asthma Children

Philadelphia

S65

2017

70

65

0

0

0

0

0

Asthma Children

Philadelphia

S65

2017

80

0

0

0

0

0

0

3D-Attachment4-26


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Philadelphia

S65

2017

90

0

0

0

0

0

0

Asthma Children

Philadelphia

S65

2017

100

0

0

0

0

0

0

Asthma Children

Philadelphia

S70

2015

0

100049

90817

84248

78616

73924

70432

Asthma Children

Philadelphia

S70

2015

10

97125

87325

79533

73858

69668

66394

Asthma Children

Philadelphia

S70

2015

20

88635

75910

67791

61767

57402

53691

Asthma Children

Philadelphia

S70

2015

30

75212

60741

52491

46423

41578

37562

Asthma Children

Philadelphia

S70

2015

40

56114

40574

33001

27282

23397

19840

Asthma Children

Philadelphia

S70

2015

50

28897

15562

9953

6766

4845

3274

Asthma Children

Philadelphia

S70

2015

60

6264

1375

437

109

22

22

Asthma Children

Philadelphia

S70

2015

70

611

0

0

0

0

0

Asthma Children

Philadelphia

S70

2015

80

0

0

0

0

0

0

Asthma Children

Philadelphia

S70

2015

90

0

0

0

0

0

0

Asthma Children

Philadelphia

S70

2015

100

0

0

0

0

0

0

Asthma Children

Philadelphia

S70

2016

0

98522

89180

82632

77241

72745

69144

Asthma Children

Philadelphia

S70

2016

10

95510

85841

78682

72593

68009

64473

Asthma Children

Philadelphia

S70

2016

20

86561

73880

66285

60021

55437

51487

Asthma Children

Philadelphia

S70

2016

30

72374

57860

49806

44241

40290

37017

Asthma Children

Philadelphia

S70

2016

40

53189

38413

30578

25776

21717

18399

Asthma Children

Philadelphia

S70

2016

50

27326

14885

8425

5020

3318

2030

Asthma Children

Philadelphia

S70

2016

60

6504

1113

175

44

0

0

Asthma Children

Philadelphia

S70

2016

70

655

44

0

0

0

0

Asthma Children

Philadelphia

S70

2016

80

0

0

0

0

0

0

Asthma Children

Philadelphia

S70

2016

90

0

0

0

0

0

0

Asthma Children

Philadelphia

S70

2016

100

0

0

0

0

0

0

Asthma Children

Philadelphia

S70

2017

0

98958

89180

82501

76958

73051

69515

Asthma Children

Philadelphia

S70

2017

10

95946

85557

77896

72636

68424

64779

Asthma Children

Philadelphia

S70

2017

20

86517

73553

65368

59672

55481

51858

Asthma Children

Philadelphia

S70

2017

30

71567

56420

48584

42429

37890

34485

Asthma Children

Philadelphia

S70

2017

40

51400

35532

28177

22786

19490

16326

Asthma Children

Philadelphia

S70

2017

50

24248

12463

7224

3907

2401

1288

Asthma Children

Philadelphia

S70

2017

60

6024

1375

284

22

0

0

Asthma Children

Philadelphia

S70

2017

70

524

0

0

0

0

0

Asthma Children

Philadelphia

S70

2017

80

0

0

0

0

0

0

Asthma Children

Philadelphia

S70

2017

90

0

0

0

0

0

0

Asthma Children

Philadelphia

S70

2017

100

0

0

0

0

0

0

Asthma Children

Philadelphia

S75

2015

0

100049

90817

84248

78616

73924

70432

Asthma Children

Philadelphia

S75

2015

10

97147

87434

79642

73989

69733

66547

Asthma Children

Philadelphia

S75

2015

20

89638

76783

68642

62575

58078

54477

Asthma Children

Philadelphia

S75

2015

30

77569

62946

54739

48519

44154

39963

Asthma Children

Philadelphia

S75

2015

40

61461

46074

37824

31778

27588

24248

Asthma Children

Philadelphia

S75

2015

50

38261

23768

16850

12572

9800

7552

Asthma Children

Philadelphia

S75

2015

60

13859

4474

2095

939

393

196

Asthma Children

Philadelphia

S75

2015

70

2183

175

44

0

0

0

Asthma Children

Philadelphia

S75

2015

80

218

0

0

0

0

0

Asthma Children

Philadelphia

S75

2015

90

0

0

0

0

0

0

Asthma Children

Philadelphia

S75

2015

100

0

0

0

0

0

0

Asthma Children

Philadelphia

S75

2016

0

98522

89180

82632

77241

72745

69144

3D-Attachment4-27


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Philadelphia

S75

2016

10

95619

85884

78529

72702

68184

64473

Asthma Children

Philadelphia

S75

2016

20

87085

75059

67027

61265

56441

52731

Asthma Children

Philadelphia

S75

2016

30

74950

60392

52120

46598

42386

38981

Asthma Children

Philadelphia

S75

2016

40

58275

43564

35380

30098

26082

23157

Asthma Children

Philadelphia

S75

2016

50

36798

23354

15976

11524

8272

6068

Asthma Children

Philadelphia

S75

2016

60

14078

4562

1375

480

196

87

Asthma Children

Philadelphia

S75

2016

70

2270

196

0

0

0

0

Asthma Children

Philadelphia

S75

2016

80

65

0

0

0

0

0

Asthma Children

Philadelphia

S75

2016

90

0

0

0

0

0

0

Asthma Children

Philadelphia

S75

2016

100

0

0

0

0

0

0

Asthma Children

Philadelphia

S75

2017

0

98958

89180

82501

76958

73051

69515

Asthma Children

Philadelphia

S75

2017

10

95946

85710

78049

72767

68577

64779

Asthma Children

Philadelphia

S75

2017

20

87434

74208

65914

60501

56398

52578

Asthma Children

Philadelphia

S75

2017

30

74077

58886

50876

44852

40050

36624

Asthma Children

Philadelphia

S75

2017

40

55961

40552

32957

27304

23463

20342

Asthma Children

Philadelphia

S75

2017

50

33088

19512

13205

9080

6155

4212

Asthma Children

Philadelphia

S75

2017

60

13292

4103

1724

567

262

44

Asthma Children

Philadelphia

S75

2017

70

1942

131

22

0

0

0

Asthma Children

Philadelphia

S75

2017

80

87

0

0

0

0

0

Asthma Children

Philadelphia

S75

2017

90

0

0

0

0

0

0

Asthma Children

Philadelphia

S75

2017

100

0

0

0

0

0

0

Asthma Children

Phoenix

S65

2015

0

58411

53655

50924

48659

46819

44993

Asthma Children

Phoenix

S65

2015

10

56727

51745

48532

46196

44158

42488

Asthma Children

Phoenix

S65

2015

20

51886

46253

42502

39658

36742

34548

Asthma Children

Phoenix

S65

2015

30

44923

37520

33260

30274

27641

25844

Asthma Children

Phoenix

S65

2015

40

34619

26778

22306

19107

17126

15243

Asthma Children

Phoenix

S65

2015

50

18541

10643

7034

4897

3468

2633

Asthma Children

Phoenix

S65

2015

60

1500

226

14

0

0

0

Asthma Children

Phoenix

S65

2015

70

0

0

0

0

0

0

Asthma Children

Phoenix

S65

2015

80

0

0

0

0

0

0

Asthma Children

Phoenix

S65

2015

90

0

0

0

0

0

0

Asthma Children

Phoenix

S65

2015

100

0

0

0

0

0

0

Asthma Children

Phoenix

S65

2016

0

56995

52580

49848

47584

45701

44130

Asthma Children

Phoenix

S65

2016

10

55127

50329

47456

45163

43026

41512

Asthma Children

Phoenix

S65

2016

20

50442

44654

41186

38384

36360

34548

Asthma Children

Phoenix

S65

2016

30

43380

37266

33133

30161

27910

26014

Asthma Children

Phoenix

S65

2016

40

33289

25518

21414

18725

16630

15073

Asthma Children

Phoenix

S65

2016

50

15059

7982

5081

3354

2364

1571

Asthma Children

Phoenix

S65

2016

60

778

71

0

0

0

0

Asthma Children

Phoenix

S65

2016

70

0

0

0

0

0

0

Asthma Children

Phoenix

S65

2016

80

0

0

0

0

0

0

Asthma Children

Phoenix

S65

2016

90

0

0

0

0

0

0

Asthma Children

Phoenix

S65

2016

100

0

0

0

0

0

0

Asthma Children

Phoenix

S65

2017

0

58340

53684

50457

48121

46437

44894

Asthma Children

Phoenix

S65

2017

10

56925

51518

48150

45645

44031

42375

Asthma Children

Phoenix

S65

2017

20

52325

46338

42460

39488

37252

35341

Asthma Children

Phoenix

S65

2017

30

45772

38058

33855

30939

28901

27160

3D-Attachment4-28


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Phoenix

S65

2017

40

35907

27953

24146

21103

18697

16956

Asthma Children

Phoenix

S65

2017

50

19348

12002

8464

6199

4671

3637

Asthma Children

Phoenix

S65

2017

60

2788

481

127

42

0

0

Asthma Children

Phoenix

S65

2017

70

0

0

0

0

0

0

Asthma Children

Phoenix

S65

2017

80

0

0

0

0

0

0

Asthma Children

Phoenix

S65

2017

90

0

0

0

0

0

0

Asthma Children

Phoenix

S65

2017

100

0

0

0

0

0

0

Asthma Children

Phoenix

S70

2015

0

58411

53655

50924

48659

46819

44993

Asthma Children

Phoenix

S70

2015

10

56826

51801

48659

46281

44257

42573

Asthma Children

Phoenix

S70

2015

20

52339

46819

42984

40210

37520

35256

Asthma Children

Phoenix

S70

2015

30

46310

39148

34789

31788

29085

27203

Asthma Children

Phoenix

S70

2015

40

37351

29566

24896

22192

19716

17946

Asthma Children

Phoenix

S70

2015

50

24995

16588

12738

10063

8209

6610

Asthma Children

Phoenix

S70

2015

60

7034

2406

1203

665

354

170

Asthma Children

Phoenix

S70

2015

70

127

0

0

0

0

0

Asthma Children

Phoenix

S70

2015

80

0

0

0

0

0

0

Asthma Children

Phoenix

S70

2015

90

0

0

0

0

0

0

Asthma Children

Phoenix

S70

2015

100

0

0

0

0

0

0

Asthma Children

Phoenix

S70

2016

0

56995

52580

49848

47584

45701

44130

Asthma Children

Phoenix

S70

2016

10

55269

50414

47612

45347

43224

41639

Asthma Children

Phoenix

S70

2016

20

50782

45305

41823

38922

36983

35100

Asthma Children

Phoenix

S70

2016

30

44427

38440

34435

31519

29283

27089

Asthma Children

Phoenix

S70

2016

40

35978

28717

24542

21584

19475

17777

Asthma Children

Phoenix

S70

2016

50

22192

14734

10714

8591

6680

5308

Asthma Children

Phoenix

S70

2016

60

5336

1444

623

212

127

85

Asthma Children

Phoenix

S70

2016

70

0

0

0

0

0

0

Asthma Children

Phoenix

S70

2016

80

0

0

0

0

0

0

Asthma Children

Phoenix

S70

2016

90

0

0

0

0

0

0

Asthma Children

Phoenix

S70

2016

100

0

0

0

0

0

0

Asthma Children

Phoenix

S70

2017

0

58340

53684

50457

48121

46437

44894

Asthma Children

Phoenix

S70

2017

10

57010

51674

48362

45871

44173

42559

Asthma Children

Phoenix

S70

2017

20

52806

46947

43040

40210

38030

35949

Asthma Children

Phoenix

S70

2017

30

46961

39445

35270

32425

30331

28505

Asthma Children

Phoenix

S70

2017

40

38624

30868

26877

23877

21640

19857

Asthma Children

Phoenix

S70

2017

50

26453

18343

14351

11507

9822

8308

Asthma Children

Phoenix

S70

2017

60

9143

3977

2109

1033

609

CNJ

CO

CO

Asthma Children

Phoenix

S70

2017

70

552

71

0

0

0

0

Asthma Children

Phoenix

S70

2017

80

0

0

0

0

0

0

Asthma Children

Phoenix

S70

2017

90

0

0

0

0

0

0

Asthma Children

Phoenix

S70

2017

100

0

0

0

0

0

0

Asthma Children

Phoenix

S75

2015

0

58411

53655

50924

48659

46819

44993

Asthma Children

Phoenix

S75

2015

10

56769

51730

48518

46267

44243

42602

Asthma Children

Phoenix

S75

2015

20

52495

47046

43295

40549

37818

35511

Asthma Children

Phoenix

S75

2015

30

47145

40139

35681

32737

29977

27995

Asthma Children

Phoenix

S75

2015

40

39191

31307

26637

23877

21626

19659

Asthma Children

Phoenix

S75

2015

50

28844

20480

16404

13814

11450

9780

Asthma Children

Phoenix

S75

2015

60

14451

7402

4161

2774

1840

1161

3D-Attachment4-29


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Phoenix

S75

2015

70

1302

170

28

0

0

0

Asthma Children

Phoenix

S75

2015

80

14

0

0

0

0

0

Asthma Children

Phoenix

S75

2015

90

0

0

0

0

0

0

Asthma Children

Phoenix

S75

2015

100

0

0

0

0

0

0

Asthma Children

Phoenix

S75

2016

0

56995

52580

49848

47584

45701

44130

Asthma Children

Phoenix

S75

2016

10

55269

50428

47555

45234

43054

41526

Asthma Children

Phoenix

S75

2016

20

51108

45489

42078

39191

37195

35270

Asthma Children

Phoenix

S75

2016

30

45078

39077

35185

32524

30090

27981

Asthma Children

Phoenix

S75

2016

40

37605

30628

26495

23466

21202

19447

Asthma Children

Phoenix

S75

2016

50

26835

19135

14847

12172

10091

8733

Asthma Children

Phoenix

S75

2016

60

11634

5364

2802

1755

1019

580

Asthma Children

Phoenix

S75

2016

70

807

142

14

0

0

0

Asthma Children

Phoenix

S75

2016

80

0

0

0

0

0

0

Asthma Children

Phoenix

S75

2016

90

0

0

0

0

0

0

Asthma Children

Phoenix

S75

2016

100

0

0

0

0

0

0

Asthma Children

Phoenix

S75

2017

0

58340

53684

50457

48121

46437

44894

Asthma Children

Phoenix

S75

2017

10

56953

51773

48291

45942

44215

42403

Asthma Children

Phoenix

S75

2017

20

53033

47272

43338

40323

38172

36204

Asthma Children

Phoenix

S75

2017

30

47470

40479

36233

33331

30996

29184

Asthma Children

Phoenix

S75

2017

40

40507

32425

28618

25787

23636

21810

Asthma Children

Phoenix

S75

2017

50

30670

22504

18145

15187

13064

11620

Asthma Children

Phoenix

S75

2017

60

15668

8931

5789

3595

2562

1897

Asthma Children

Phoenix

S75

2017

70

3128

637

113

99

14

0

Asthma Children

Phoenix

S75

2017

80

156

0

0

0

0

0

Asthma Children

Phoenix

S75

2017

90

0

0

0

0

0

0

Asthma Children

Phoenix

S75

2017

100

0

0

0

0

0

0

Asthma Children

Sacramento

S65

2015

0

30691

27958

26095

24744

23595

22454

Asthma Children

Sacramento

S65

2015

10

29286

26297

24239

22733

21382

20334

Asthma Children

Sacramento

S65

2015

20

25536

21941

19620

17935

16600

15637

Asthma Children

Sacramento

S65

2015

30

20691

16569

14006

12384

11258

10202

Asthma Children

Sacramento

S65

2015

40

12904

8735

6491

5124

4185

3540

Asthma Children

Sacramento

S65

2015

50

3362

1017

435

163

70

31

Asthma Children

Sacramento

S65

2015

60

217

16

8

0

0

0

Asthma Children

Sacramento

S65

2015

70

0

0

0

0

0

0

Asthma Children

Sacramento

S65

2015

80

0

0

0

0

0

0

Asthma Children

Sacramento

S65

2015

90

0

0

0

0

0

0

Asthma Children

Sacramento

S65

2015

100

0

0

0

0

0

0

Asthma Children

Sacramento

S65

2016

0

31786

28968

27198

25738

24597

23463

Asthma Children

Sacramento

S65

2016

10

30280

27190

25101

23587

22267

21351

Asthma Children

Sacramento

S65

2016

20

26281

22461

20233

18548

17166

16126

Asthma Children

Sacramento

S65

2016

30

20668

16763

14185

12741

11421

10489

Asthma Children

Sacramento

S65

2016

40

13137

8851

6755

5443

4270

3463

Asthma Children

Sacramento

S65

2016

50

4262

1770

784

342

155

78

Asthma Children

Sacramento

S65

2016

60

295

23

0

0

0

0

Asthma Children

Sacramento

S65

2016

70

0

0

0

0

0

0

Asthma Children

Sacramento

S65

2016

80

0

0

0

0

0

0

Asthma Children

Sacramento

S65

2016

90

0

0

0

0

0

0

3D-Attachment4-30


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Sacramento

S65

2016

100

0

0

0

0

0

0

Asthma Children

Sacramento

S65

2017

0

30598

27990

26118

24698

23448

22500

Asthma Children

Sacramento

S65

2017

10

29340

26281

24302

22632

21320

20412

Asthma Children

Sacramento

S65

2017

20

25893

22190

19721

18215

16918

15885

Asthma Children

Sacramento

S65

2017

30

20497

16219

13773

12423

11328

10350

Asthma Children

Sacramento

S65

2017

40

12702

8595

6530

5132

4177

3432

Asthma Children

Sacramento

S65

2017

50

3253

1002

318

148

85

47

Asthma Children

Sacramento

S65

2017

60

124

0

0

0

0

0

Asthma Children

Sacramento

S65

2017

70

0

0

0

0

0

0

Asthma Children

Sacramento

S65

2017

80

0

0

0

0

0

0

Asthma Children

Sacramento

S65

2017

90

0

0

0

0

0

0

Asthma Children

Sacramento

S65

2017

100

0

0

0

0

0

0

Asthma Children

Sacramento

S70

2015

0

30691

27958

26095

24744

23595

22454

Asthma Children

Sacramento

S70

2015

10

29379

26390

24356

22920

21561

20458

Asthma Children

Sacramento

S70

2015

20

26080

22454

20125

18463

17112

16126

Asthma Children

Sacramento

S70

2015

30

21910

17834

15249

13502

12399

11452

Asthma Children

Sacramento

S70

2015

40

15753

11320

9092

7648

6475

5582

Asthma Children

Sacramento

S70

2015

50

7221

3781

2337

1374

893

598

Asthma Children

Sacramento

S70

2015

60

1157

179

39

0

0

0

Asthma Children

Sacramento

S70

2015

70

70

8

0

0

0

0

Asthma Children

Sacramento

S70

2015

80

0

0

0

0

0

0

Asthma Children

Sacramento

S70

2015

90

0

0

0

0

0

0

Asthma Children

Sacramento

S70

2015

100

0

0

0

0

0

0

Asthma Children

Sacramento

S70

2016

0

31786

28968

27198

25738

24597

23463

Asthma Children

Sacramento

S70

2016

10

30389

27291

25194

23727

22430

21491

Asthma Children

Sacramento

S70

2016

20

26786

22989

20839

19146

17741

16693

Asthma Children

Sacramento

S70

2016

30

21864

17966

15668

13874

12539

11553

Asthma Children

Sacramento

S70

2016

40

15994

11592

9200

7710

6467

5427

Asthma Children

Sacramento

S70

2016

50

8269

4705

2958

1918

1343

924

Asthma Children

Sacramento

S70

2016

60

1871

396

132

70

23

0

Asthma Children

Sacramento

S70

2016

70

155

8

0

0

0

0

Asthma Children

Sacramento

S70

2016

80

0

0

0

0

0

0

Asthma Children

Sacramento

S70

2016

90

0

0

0

0

0

0

Asthma Children

Sacramento

S70

2016

100

0

0

0

0

0

0

Asthma Children

Sacramento

S70

2017

0

30598

27990

26118

24698

23448

22500

Asthma Children

Sacramento

S70

2017

10

29449

26367

24434

22811

21483

20513

Asthma Children

Sacramento

S70

2017

20

26421

22609

20280

18688

17547

16491

Asthma Children

Sacramento

S70

2017

30

21763

17539

14860

13533

12492

11514

Asthma Children

Sacramento

S70

2017

40

15621

11196

8975

7469

6328

5551

Asthma Children

Sacramento

S70

2017

50

7283

3750

2182

1312

939

668

Asthma Children

Sacramento

S70

2017

60

1522

272

31

0

0

0

Asthma Children

Sacramento

S70

2017

70

54

0

0

0

0

0

Asthma Children

Sacramento

S70

2017

80

0

0

0

0

0

0

Asthma Children

Sacramento

S70

2017

90

0

0

0

0

0

0

Asthma Children

Sacramento

S70

2017

100

0

0

0

0

0

0

Asthma Children

Sacramento

S75

2015

0

30691

27958

26095

24744

23595

22454

Asthma Children

Sacramento

S75

2015

10

29426

26468

24418

22958

21654

20536

3D-Attachment4-31


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Sacramento

S75

2015

20

26359

22811

20497

18805

17485

16336

Asthma Children

Sacramento

S75

2015

30

22578

18587

16041

14286

13121

12190

Asthma Children

Sacramento

S75

2015

40

17306

13044

10575

9006

7811

7050

Asthma Children

Sacramento

S75

2015

50

10000

5940

4162

2943

2174

1685

Asthma Children

Sacramento

S75

2015

60

3059

846

318

93

39

16

Asthma Children

Sacramento

S75

2015

70

427

23

8

0

0

0

Asthma Children

Sacramento

S75

2015

80

23

0

0

0

0

0

Asthma Children

Sacramento

S75

2015

90

0

0

0

0

0

0

Asthma Children

Sacramento

S75

2015

100

0

0

0

0

0

0

Asthma Children

Sacramento

S75

2016

0

31786

28968

27198

25738

24597

23463

Asthma Children

Sacramento

S75

2016

10

30435

27337

25280

23836

22531

21553

Asthma Children

Sacramento

S75

2016

20

27066

23370

21103

19534

18044

16965

Asthma Children

Sacramento

S75

2016

30

22586

18696

16413

14527

13207

12151

Asthma Children

Sacramento

S75

2016

40

17345

13207

10808

9270

7950

6863

Asthma Children

Sacramento

S75

2016

50

10947

6778

4860

3540

2717

2065

Asthma Children

Sacramento

S75

2016

60

4301

1739

769

349

163

78

Asthma Children

Sacramento

S75

2016

70

675

78

23

0

0

0

Asthma Children

Sacramento

S75

2016

80

23

0

0

0

0

0

Asthma Children

Sacramento

S75

2016

90

0

0

0

0

0

0

Asthma Children

Sacramento

S75

2016

100

0

0

0

0

0

0

Asthma Children

Sacramento

S75

2017

0

30598

27990

26118

24698

23448

22500

Asthma Children

Sacramento

S75

2017

10

29496

26452

24503

22873

21522

20606

Asthma Children

Sacramento

S75

2017

20

26646

22920

20629

19030

17850

16801

Asthma Children

Sacramento

S75

2017

30

22586

18455

15668

14247

13082

12065

Asthma Children

Sacramento

S75

2017

40

17260

12772

10536

9061

7756

6724

Asthma Children

Sacramento

S75

2017

50

10388

6242

4363

3106

2236

1724

Asthma Children

Sacramento

S75

2017

60

3253

978

357

171

70

16

Asthma Children

Sacramento

S75

2017

70

404

8

0

0

0

0

Asthma Children

Sacramento

S75

2017

80

23

0

0

0

0

0

Asthma Children

Sacramento

S75

2017

90

0

0

0

0

0

0

Asthma Children

Sacramento

S75

2017

100

0

0

0

0

0

0

Asthma Children

St. Louis

S65

2015

0

37965

34049

31527

29587

27775

26391

Asthma Children

St. Louis

S65

2015

10

36016

31764

29150

27101

25161

23586

Asthma Children

St. Louis

S65

2015

20

31490

26200

23049

20690

18942

17557

Asthma Children

St. Louis

S65

2015

30

24642

19333

16292

14288

12594

11247

Asthma Children

St. Louis

S65

2015

40

16647

11256

8360

6584

5400

4471

Asthma Children

St. Louis

S65

2015

50

6793

2477

1093

474

228

91

Asthma Children

St. Louis

S65

2015

60

CO

CNJ
CO

9

0

0

0

0

Asthma Children

St. Louis

S65

2015

70

0

0

0

0

0

0

Asthma Children

St. Louis

S65

2015

80

0

0

0

0

0

0

Asthma Children

St. Louis

S65

2015

90

0

0

0

0

0

0

Asthma Children

St. Louis

S65

2015

100

0

0

0

0

0

0

Asthma Children

St. Louis

S65

2016

0

36882

32765

30461

28595

27037

25826

Asthma Children

St. Louis

S65

2016

10

35133

30880

28367

26327

24697

23440

Asthma Children

St. Louis

S65

2016

20

30871

26027

23194

21045

19361

17913

Asthma Children

St. Louis

S65

2016

30

25025

19743

16665

14525

13050

11702

Asthma Children

St. Louis

S65

2016

40

17785

12230

9243

7549

6211

5409

3D-Attachment4-32


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

St. Louis

S65

2016

50

8779

4216

2176

1166

729

483

Asthma Children

St. Louis

S65

2016

60

1657

173

36

0

0

0

Asthma Children

St. Louis

S65

2016

70

27

0

0

0

0

0

Asthma Children

St. Louis

S65

2016

80

0

0

0

0

0

0

Asthma Children

St. Louis

S65

2016

90

0

0

0

0

0

0

Asthma Children

St. Louis

S65

2016

100

0

0

0

0

0

0

Asthma Children

St. Louis

S65

2017

0

37656

33967

31427

29505

27966

26864

Asthma Children

St. Louis

S65

2017

10

36344

32419

29596

27647

25926

24533

Asthma Children

St. Louis

S65

2017

20

32501

27529

24497

22329

20490

19087

Asthma Children

St. Louis

S65

2017

30

26737

21073

18013

16292

14552

13259

Asthma Children

St. Louis

S65

2017

40

19370

13897

10682

8597

7249

6101

Asthma Children

St. Louis

S65

2017

50

8251

3643

1849

965

483

310

Asthma Children

St. Louis

S65

2017

60

510

36

9

0

0

0

Asthma Children

St. Louis

S65

2017

70

9

0

0

0

0

0

Asthma Children

St. Louis

S65

2017

80

0

0

0

0

0

0

Asthma Children

St. Louis

S65

2017

90

0

0

0

0

0

0

Asthma Children

St. Louis

S65

2017

100

0

0

0

0

0

0

Asthma Children

St. Louis

S70

2015

0

37965

34049

31527

29587

27775

26391

Asthma Children

St. Louis

S70

2015

10

36135

31873

29305

27165

25316

23723

Asthma Children

St. Louis

S70

2015

20

32000

26855

23577

21291

19442

17913

Asthma Children

St. Louis

S70

2015

30

25808

20399

17230

15317

13696

12230

Asthma Children

St. Louis

S70

2015

40

18741

13268

10409

8469

7121

6065

Asthma Children

St. Louis

S70

2015

50

10582

5309

3114

2013

1229

738

Asthma Children

St. Louis

S70

2015

60

2195

337

82

0

0

0

Asthma Children

St. Louis

S70

2015

70

18

0

0

0

0

0

Asthma Children

St. Louis

S70

2015

80

0

0

0

0

0

0

Asthma Children

St. Louis

S70

2015

90

0

0

0

0

0

0

Asthma Children

St. Louis

S70

2015

100

0

0

0

0

0

0

Asthma Children

St. Louis

S70

2016

0

36882

32765

30461

28595

27037

25826

Asthma Children

St. Louis

S70

2016

10

35242

30962

28504

26445

24879

23531

Asthma Children

St. Louis

S70

2016

20

31390

26582

23795

21519

19861

18368

Asthma Children

St. Louis

S70

2016

30

26136

20936

17785

15691

13951

12676

Asthma Children

St. Louis

S70

2016

40

19697

14234

11128

9407

8014

6939

Asthma Children

St. Louis

S70

2016

50

12121

6967

4562

3096

2067

1457

Asthma Children

St. Louis

S70

2016

60

4927

1211

455

155

64

9

Asthma Children

St. Louis

S70

2016

70

437

0

0

0

0

0

Asthma Children

St. Louis

S70

2016

80

0

0

0

0

0

0

Asthma Children

St. Louis

S70

2016

90

0

0

0

0

0

0

Asthma Children

St. Louis

S70

2016

100

0

0

0

0

0

0

Asthma Children

St. Louis

S70

2017

0

37656

33967

31427

29505

27966

26864

Asthma Children

St. Louis

S70

2017

10

36454

32556

29769

27748

26063

24688

Asthma Children

St. Louis

S70

2017

20

32993

28230

25180

22912

21073

19643

Asthma Children

St. Louis

S70

2017

30

27839

22184

19087

17129

15572

14243

Asthma Children

St. Louis

S70

2017

40

21482

16000

12959

10855

9307

8050

Asthma Children

St. Louis

S70

2017

50

12631

7130

4617

3269

2340

1748

Asthma Children

St. Louis

S70

2017

60

2969

592

173

64

36

9

Asthma Children

St. Louis

S70

2017

70

118

9

0

0

0

0

3D-Attachment4-33


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

St. Louis

S70

2017

80

9

0

0

0

0

0

Asthma Children

St. Louis

S70

2017

90

0

0

0

0

0

0

Asthma Children

St. Louis

S70

2017

100

0

0

0

0

0

0

Asthma Children

St. Louis

S75

2015

0

37965

34049

31527

29587

27775

26391

Asthma Children

St. Louis

S75

2015

10

36153

31946

29350

27147

25371

23750

Asthma Children

St. Louis

S75

2015

20

32201

27165

23914

21619

19634

18213

Asthma Children

St. Louis

S75

2015

30

26436

20927

17822

15909

14370

12767

Asthma Children

St. Louis

S75

2015

40

19980

14716

11629

9535

8241

7012

Asthma Children

St. Louis

S75

2015

50

12968

7495

4954

3506

2359

1712

Asthma Children

St. Louis

S75

2015

60

4808

1402

492

155

46

9

Asthma Children

St. Louis

S75

2015

70

364

0

0

0

0

0

Asthma Children

St. Louis

S75

2015

80

0

0

0

0

0

0

Asthma Children

St. Louis

S75

2015

90

0

0

0

0

0

0

Asthma Children

St. Louis

S75

2015

100

0

0

0

0

0

0

Asthma Children

St. Louis

S75

2016

0

36882

32765

30461

28595

27037

25826

Asthma Children

St. Louis

S75

2016

10

35315

30980

28522

26500

24888

23622

Asthma Children

St. Louis

S75

2016

20

31645

26919

24069

21892

20135

18723

Asthma Children

St. Louis

S75

2016

30

26855

21637

18477

16355

14416

13177

Asthma Children

St. Louis

S75

2016

40

21027

15426

12303

10345

9125

8050

Asthma Children

St. Louis

S75

2016

50

14142

8788

6138

4526

3379

2586

Asthma Children

St. Louis

S75

2016

60

7212

2705

1102

619

346

137

Asthma Children

St. Louis

S75

2016

70

1767

191

27

0

0

0

Asthma Children

St. Louis

S75

2016

80

82

0

0

0

0

0

Asthma Children

St. Louis

S75

2016

90

0

0

0

0

0

0

Asthma Children

St. Louis

S75

2016

100

0

0

0

0

0

0

Asthma Children

St. Louis

S75

2017

0

37656

33967

31427

29505

27966

26864

Asthma Children

St. Louis

S75

2017

10

36454

32592

29806

27729

26145

24715

Asthma Children

St. Louis

S75

2017

20

33266

28494

25517

23203

21400

19898

Asthma Children

St. Louis

S75

2017

30

28540

22967

19616

17621

16182

14853

Asthma Children

St. Louis

S75

2017

40

22812

17239

14088

12157

10491

9234

Asthma Children

St. Louis

S75

2017

50

15181

9607

6812

5081

3943

2969

Asthma Children

St. Louis

S75

2017

60

5719

1931

856

301

155

100

Asthma Children

St. Louis

S75

2017

70

610

55

18

0

0

0

Asthma Children

St. Louis

S75

2017

80

18

0

0

0

0

0

Asthma Children

St. Louis

S75

2017

90

0

0

0

0

0

0

Asthma Children

St. Louis

S75

2017

100

0

0

0

0

0

0

All Adults

Atlanta

S65

2015

0

1444098

1258787

1143840

1058756

992690

936765

All Adults

Atlanta

S65

2015

10

1250476

1029174

893026

791391

713280

645875

All Adults

Atlanta

S65

2015

20

845906

585443

443590

360197

299694

252363

All Adults

Atlanta

S65

2015

30

523391

319838

230388

178478

139388

111848

All Adults

Atlanta

S65

2015

40

282368

140022

81703

49867

31836

20074

All Adults

Atlanta

S65

2015

50

72265

15073

3663

986

141

0

All Adults

Atlanta

S65

2015

60

5564

0

0

0

0

0

All Adults

Atlanta

S65

2015

70

211

0

0

0

0

0

All Adults

Atlanta

S65

2015

80

0

0

0

0

0

0

All Adults

Atlanta

S65

2015

90

0

0

0

0

0

0

All Adults

Atlanta

S65

2016

0

1444309

1253434

1141445

1056925

990647

933878

3D-Attachment4-34


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Atlanta

S65

2016

10

1277311

1066293

940498

843089

769556

704335

All Adults

Atlanta

S65

2016

20

912325

650946

510502

413304

346181

293637

All Adults

Atlanta

S65

2016

30

591148

379707

281170

222218

182282

151291

All Adults

Atlanta

S65

2016

40

336390

181437

113398

76843

54234

37682

All Adults

Atlanta

S65

2016

50

93254

20919

5916

1197

493

141

All Adults

Atlanta

S65

2016

60

10706

352

0

0

0

0

All Adults

Atlanta

S65

2016

70

704

0

0

0

0

0

All Adults

Atlanta

S65

2016

80

0

0

0

0

0

0

All Adults

Atlanta

S65

2016

90

0

0

0

0

0

0

All Adults

Atlanta

S65

2017

0

1447972

1257872

1140248

1056854

990154

935568

All Adults

Atlanta

S65

2017

10

1256111

1034034

900210

806111

722577

650665

All Adults

Atlanta

S65

2017

20

844568

581569

446055

357379

296877

251729

All Adults

Atlanta

S65

2017

30

521560

320120

236868

184254

147910

121216

All Adults

Atlanta

S65

2017

40

269972

128189

76491

46345

29934

19017

All Adults

Atlanta

S65

2017

50

45218

7536

1761

352

70

0

All Adults

Atlanta

S65

2017

60

1057

0

0

0

0

0

All Adults

Atlanta

S65

2017

70

0

0

0

0

0

0

All Adults

Atlanta

S65

2017

80

0

0

0

0

0

0

All Adults

Atlanta

S65

2017

90

0

0

0

0

0

0

All Adults

Atlanta

S70

2015

0

1444098

1258787

1143840

1058756

992690

936765

All Adults

Atlanta

S70

2015

10

1262379

1040162

907888

807590

731240

663554

All Adults

Atlanta

S70

2015

20

894224

627281

478596

389356

325051

274831

All Adults

Atlanta

S70

2015

30

567835

353224

254194

200665

160166

128893

All Adults

Atlanta

S70

2015

40

348998

185944

119737

81421

56347

39795

All Adults

Atlanta

S70

2015

50

140022

43950

17397

5705

2043

493

All Adults

Atlanta

S70

2015

60

20003

1972

211

0

0

0

All Adults

Atlanta

S70

2015

70

2254

0

0

0

0

0

All Adults

Atlanta

S70

2015

80

0

0

0

0

0

0

All Adults

Atlanta

S70

2015

90

0

0

0

0

0

0

All Adults

Atlanta

S70

2016

0

1444309

1253434

1141445

1056925

990647

933878

All Adults

Atlanta

S70

2016

10

1290834

1078759

955078

861120

785615

722718

All Adults

Atlanta

S70

2016

20

956275

697925

549804

451760

379143

323783

All Adults

Atlanta

S70

2016

30

638761

415205

308851

245320

201792

168406

All Adults

Atlanta

S70

2016

40

405767

231656

155869

111708

85084

64940

All Adults

Atlanta

S70

2016

50

168547

60784

25779

10917

3663

1479

All Adults

Atlanta

S70

2016

60

34160

3592

282

141

0

0

All Adults

Atlanta

S70

2016

70

5001

0

0

0

0

0

All Adults

Atlanta

S70

2016

80

352

0

0

0

0

0

All Adults

Atlanta

S70

2016

90

0

0

0

0

0

0

All Adults

Atlanta

S70

2017

0

1447972

1257872

1140248

1056854

990154

935568

All Adults

Atlanta

S70

2017

10

1267098

1048332

915494

824847

741242

672499

All Adults

Atlanta

S70

2017

20

885560

621998

481061

386821

322163

272507

All Adults

Atlanta

S70

2017

30

565299

351956

261308

204187

164533

138261

All Adults

Atlanta

S70

2017

40

331178

174464

112694

76209

53389

37752

All Adults

Atlanta

S70

2017

50

106566

26624

9649

3522

1127

423

All Adults

Atlanta

S70

2017

60

9790

211

70

0

0

0

All Adults

Atlanta

S70

2017

70

282

0

0

0

0

0

3D-Attachment4-35


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Atlanta

S70

2017

80

0

0

0

0

0

0

All Adults

Atlanta

S70

2017

90

0

0

0

0

0

0

All Adults

Atlanta

S75

2015

0

1444098

1258787

1143840

1058756

992690

936765

All Adults

Atlanta

S75

2015

10

1269634

1047980

918030

816395

740608

674189

All Adults

Atlanta

S75

2015

20

929088

662286

510079

414853

345124

292088

All Adults

Atlanta

S75

2015

30

610517

383651

277156

217217

173971

143332

All Adults

Atlanta

S75

2015

40

397386

221654

148544

104312

77688

57333

All Adults

Atlanta

S75

2015

50

207286

85577

40147

20285

9931

4649

All Adults

Atlanta

S75

2015

60

55220

9368

1479

352

141

0

All Adults

Atlanta

S75

2015

70

7396

282

0

0

0

0

All Adults

Atlanta

S75

2015

80

1057

0

0

0

0

0

All Adults

Atlanta

S75

2015

90

0

0

0

0

0

0

All Adults

Atlanta

S75

2016

0

1444309

1253434

1141445

1056925

990647

933878

All Adults

Atlanta

S75

2016

10

1297737

1086648

961699

870487

796039

733987

All Adults

Atlanta

S75

2016

20

989943

732720

588049

485287

408796

348716

All Adults

Atlanta

S75

2016

30

680951

443661

334629

263633

217499

183197

All Adults

Atlanta

S75

2016

40

455775

271521

189677

140867

109947

84731

All Adults

Atlanta

S75

2016

50

240530

107341

55502

29652

15777

8029

All Adults

Atlanta

S75

2016

60

75153

15214

3522

563

141

70

All Adults

Atlanta

S75

2016

70

15495

916

0

0

0

0

All Adults

Atlanta

S75

2016

80

2817

0

0

0

0

0

All Adults

Atlanta

S75

2016

90

211

0

0

0

0

0

All Adults

Atlanta

S75

2017

0

1447972

1257872

1140248

1056854

990154

935568

All Adults

Atlanta

S75

2017

10

1274353

1055516

925073

834566

750046

684332

All Adults

Atlanta

S75

2017

20

917607

655524

510150

414219

343011

291735

All Adults

Atlanta

S75

2017

30

604812

380059

280818

219119

179183

149601

All Adults

Atlanta

S75

2017

40

382595

212920

145868

100931

75434

55995

All Adults

Atlanta

S75

2017

50

167984

60291

25004

12608

7184

3240

All Adults

Atlanta

S75

2017

60

33456

2888

211

0

0

0

All Adults

Atlanta

S75

2017

70

3099

70

0

0

0

0

All Adults

Atlanta

S75

2017

80

0

0

0

0

0

0

All Adults

Atlanta

S75

2017

90

0

0

0

0

0

0

All Adults

Boston

S65

2015

0

1850655

1592858

1438181

1324300

1230183

1160719

All Adults

Boston

S65

2015

10

1661832

1370968

1193299

1069439

961624

873475

All Adults

Boston

S65

2015

20

1148099

795108

600318

478709

398190

333325

All Adults

Boston

S65

2015

30

699132

430672

313269

244295

194399

159765

All Adults

Boston

S65

2015

40

359447

173462

97151

56745

36199

23481

All Adults

Boston

S65

2015

50

76214

14675

2152

1076

391

98

All Adults

Boston

S65

2015

60

8707

98

0

0

0

0

All Adults

Boston

S65

2015

70

1174

0

0

0

0

0

All Adults

Boston

S65

2015

80

196

0

0

0

0

0

All Adults

Boston

S65

2015

90

0

0

0

0

0

0

All Adults

Boston

S65

2016

0

1865134

1607632

1447964

1340345

1253076

1178330

All Adults

Boston

S65

2016

10

1689128

1394253

1216877

1087441

986279

895977

All Adults

Boston

S65

2016

20

1166883

813501

616461

491036

404647

341446

All Adults

Boston

S65

2016

30

701969

434389

315226

246447

203302

169060

All Adults

Boston

S65

2016

40

378819

186670

113098

72007

44711

30231

3D-Attachment4-36


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Boston

S65

2016

50

101553

19469

4500

1174

294

0

All Adults

Boston

S65

2016

60

7533

98

98

0

0

0

All Adults

Boston

S65

2016

70

685

0

0

0

0

0

All Adults

Boston

S65

2016

80

0

0

0

0

0

0

All Adults

Boston

S65

2016

90

0

0

0

0

0

0

All Adults

Boston

S65

2017

0

1856329

1605871

1448453

1339367

1248478

1172460

All Adults

Boston

S65

2017

10

1682867

1396698

1219323

1092430

987062

896075

All Adults

Boston

S65

2017

20

1182635

811251

617341

494460

407582

335086

All Adults

Boston

S65

2017

30

715373

438694

318846

247915

195573

155754

All Adults

Boston

S65

2017

40

392614

189312

110848

67213

42852

27981

All Adults

Boston

S65

2017

50

135502

26024

6457

1663

587

98

All Adults

Boston

S65

2017

60

15360

978

98

0

0

0

All Adults

Boston

S65

2017

70

1468

0

0

0

0

0

All Adults

Boston

S65

2017

80

0

0

0

0

0

0

All Adults

Boston

S65

2017

90

0

0

0

0

0

0

All Adults

Boston

S70

2015

0

1850655

1592858

1438181

1324300

1230183

1160719

All Adults

Boston

S70

2015

10

1662713

1371555

1191929

1069830

964559

875725

All Adults

Boston

S70

2015

20

1173144

816143

621744

497493

411300

345848

All Adults

Boston

S70

2015

30

730244

448967

324129

249969

200367

164559

All Adults

Boston

S70

2015

40

408463

206726

124251

79149

51755

35612

All Adults

Boston

S70

2015

50

122490

31601

7925

2152

881

196

All Adults

Boston

S70

2015

60

19274

1076

196

98

0

0

All Adults

Boston

S70

2015

70

2152

0

0

0

0

0

All Adults

Boston

S70

2015

80

294

0

0

0

0

0

All Adults

Boston

S70

2015

90

0

0

0

0

0

0

All Adults

Boston

S70

2016

0

1865134

1607632

1447964

1340345

1253076

1178330

All Adults

Boston

S70

2016

10

1689911

1397188

1219714

1091061

985594

896662

All Adults

Boston

S70

2016

20

1196429

838352

642290

512071

423236

355045

All Adults

Boston

S70

2016

30

738364

450826

327846

257307

209074

174930

All Adults

Boston

S70

2016

40

425388

219738

140100

92552

63202

45004

All Adults

Boston

S70

2016

50

159570

44026

15654

6261

2837

1370

All Adults

Boston

S70

2016

60

23383

1468

98

0

0

0

All Adults

Boston

S70

2016

70

2739

98

98

0

0

0

All Adults

Boston

S70

2016

80

98

0

0

0

0

0

All Adults

Boston

S70

2016

90

0

0

0

0

0

0

All Adults

Boston

S70

2017

0

1856329

1605871

1448453

1339367

1248478

1172460

All Adults

Boston

S70

2017

10

1684237

1396601

1221182

1093702

987649

896662

All Adults

Boston

S70

2017

20

1209833

837080

639550

511484

421768

347805

All Adults

Boston

S70

2017

30

748441

455913

332347

254568

202813

161135

All Adults

Boston

S70

2017

40

440846

226782

137557

89226

60267

40308

All Adults

Boston

S70

2017

50

188235

48331

14675

4794

1859

391

All Adults

Boston

S70

2017

60

48429

4794

98

0

0

0

All Adults

Boston

S70

2017

70

5283

196

0

0

0

0

All Adults

Boston

S70

2017

80

489

0

0

0

0

0

All Adults

Boston

S70

2017

90

0

0

0

0

0

0

All Adults

Boston

S75

2015

0

1850655

1592858

1438181

1324300

1230183

1160719

All Adults

Boston

S75

2015

10

1659582

1368130

1187820

1064351

961429

871029

3D-Attachment4-37


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Boston

S75

2015

20

1183319

827101

630451

503755

415996

350642

All Adults

Boston

S75

2015

30

742082

455815

328140

251339

201443

164364

All Adults

Boston

S75

2015

40

426954

220619

135209

88150

59288

40993

All Adults

Boston

S75

2015

50

152819

44124

14480

4598

2152

587

All Adults

Boston

S75

2015

60

31014

3131

489

391

0

0

All Adults

Boston

S75

2015

70

4305

98

0

0

0

0

All Adults

Boston

S75

2015

80

489

0

0

0

0

0

All Adults

Boston

S75

2015

90

0

0

0

0

0

0

All Adults

Boston

S75

2016

0

1865134

1607632

1447964

1340345

1253076

1178330

All Adults

Boston

S75

2016

10

1686878

1394253

1216290

1088223

982659

893433

All Adults

Boston

S75

2016

20

1209148

849994

649334

521463

430476

362480

All Adults

Boston

S75

2016

30

756072

459044

332347

257992

210542

175615

All Adults

Boston

S75

2016

40

444271

234414

149982

102825

70931

49896

All Adults

Boston

S75

2016

50

188627

58897

23089

10958

5087

2348

All Adults

Boston

S75

2016

60

44124

4403

489

98

98

0

All Adults

Boston

S75

2016

70

5283

196

98

0

0

0

All Adults

Boston

S75

2016

80

391

0

0

0

0

0

All Adults

Boston

S75

2016

90

0

0

0

0

0

0

All Adults

Boston

S75

2017

0

1856329

1605871

1448453

1339367

1248478

1172460

All Adults

Boston

S75

2017

10

1682182

1393470

1218638

1091256

984909

892357

All Adults

Boston

S75

2017

20

1218834

847646

647279

517843

424801

352403

All Adults

Boston

S75

2017

30

765758

465697

336652

256231

204085

161918

All Adults

Boston

S75

2017

40

462468

240773

148318

98031

68289

47255

All Adults

Boston

S75

2017

50

213379

63495

21817

7925

3620

1565

All Adults

Boston

S75

2017

60

78366

10762

1272

196

0

0

All Adults

Boston

S75

2017

70

10664

783

98

0

0

0

All Adults

Boston

S75

2017

80

685

0

0

0

0

0

All Adults

Boston

S75

2017

90

0

0

0

0

0

0

All Adults

Dallas

S65

2015

0

1659225

1460056

1340038

1250572

1177202

1118443

All Adults

Dallas

S65

2015

10

1471229

1236976

1093362

983580

895364

818634

All Adults

Dallas

S65

2015

20

1054684

754797

588992

480070

401621

341925

All Adults

Dallas

S65

2015

30

663456

419670

307232

241598

194638

158304

All Adults

Dallas

S65

2015

40

400527

210734

133613

87903

59462

42506

All Adults

Dallas

S65

2015

50

162836

50867

18206

7345

3047

1250

All Adults

Dallas

S65

2015

60

20472

1016

234

0

0

0

All Adults

Dallas

S65

2015

70

547

0

0

0

0

0

All Adults

Dallas

S65

2015

80

0

0

0

0

0

0

All Adults

Dallas

S65

2015

90

0

0

0

0

0

0

All Adults

Dallas

S65

2016

0

1670711

1470213

1353634

1261824

1191110

1126335

All Adults

Dallas

S65

2016

10

1483731

1252057

1103051

994754

906147

830667

All Adults

Dallas

S65

2016

20

1043745

748390

588210

481789

400918

344581

All Adults

Dallas

S65

2016

30

658142

424437

315827

246676

200654

166899

All Adults

Dallas

S65

2016

40

367866

191590

120096

76574

50085

34927

All Adults

Dallas

S65

2016

50

97749

21253

4766

938

313

156

All Adults

Dallas

S65

2016

60

4923

78

78

0

0

0

All Adults

Dallas

S65

2016

70

234

0

0

0

0

0

All Adults

Dallas

S65

2016

80

0

0

0

0

0

0

3D-Attachment4-3 8


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Dallas

S65

2016

90

0

0

0

0

0

0

All Adults

Dallas

S65

2017

0

1672743

1467478

1349961

1259792

1182828

1124460

All Adults

Dallas

S65

2017

10

1490841

1258698

1109380

1003349

920446

848014

All Adults

Dallas

S65

2017

20

1069061

774097

611886

502182

418420

359662

All Adults

Dallas

S65

2017

30

683693

438345

329735

264101

214875

179323

All Adults

Dallas

S65

2017

40

396464

214328

135254

92748

62509

45553

All Adults

Dallas

S65

2017

50

141974

37662

11720

3438

1172

469

All Adults

Dallas

S65

2017

60

17659

547

0

0

0

0

All Adults

Dallas

S65

2017

70

156

0

0

0

0

0

All Adults

Dallas

S65

2017

80

0

0

0

0

0

0

All Adults

Dallas

S65

2017

90

0

0

0

0

0

0

All Adults

Dallas

S70

2015

0

1659225

1460056

1340038

1250572

1177202

1118443

All Adults

Dallas

S70

2015

10

1476308

1241664

1099691

990769

902162

825432

All Adults

Dallas

S70

2015

20

1082423

783317

617668

505151

420686

357474

All Adults

Dallas

S70

2015

30

703071

445221

324188

255115

207452

170025

All Adults

Dallas

S70

2015

40

440533

241598

159007

110563

77433

54539

All Adults

Dallas

S70

2015

50

226674

87044

39928

18753

9064

4610

All Adults

Dallas

S70

2015

60

54461

6798

1328

234

78

0

All Adults

Dallas

S70

2015

70

4141

0

0

0

0

0

All Adults

Dallas

S70

2015

80

0

0

0

0

0

0

All Adults

Dallas

S70

2015

90

0

0

0

0

0

0

All Adults

Dallas

S70

2016

0

1670711

1470213

1353634

1261824

1191110

1126335

All Adults

Dallas

S70

2016

10

1485997

1258698

1110317

1001317

912867

839028

All Adults

Dallas

S70

2016

20

1070468

772846

610088

501635

418108

357864

All Adults

Dallas

S70

2016

30

687756

445143

331611

261757

212453

177838

All Adults

Dallas

S70

2016

40

410606

221438

144865

99546

69229

47819

All Adults

Dallas

S70

2016

50

148459

43131

14924

5470

1953

625

All Adults

Dallas

S70

2016

60

14611

1250

313

0

0

0

All Adults

Dallas

S70

2016

70

1328

78

0

0

0

0

All Adults

Dallas

S70

2016

80

78

0

0

0

0

0

All Adults

Dallas

S70

2016

90

0

0

0

0

0

0

All Adults

Dallas

S70

2017

0

1672743

1467478

1349961

1259792

1182828

1124460

All Adults

Dallas

S70

2017

10

1496155

1263386

1120084

1012491

929197

856530

All Adults

Dallas

S70

2017

20

1095940

801601

638061

525467

440923

377867

All Adults

Dallas

S70

2017

30

715026

461551

345441

276915

227377

191200

All Adults

Dallas

S70

2017

40

439595

247380

161430

114470

83684

61571

All Adults

Dallas

S70

2017

50

195810

65088

27348

10314

4297

1406

All Adults

Dallas

S70

2017

60

40865

3125

313

78

78

0

All Adults

Dallas

S70

2017

70

1485

0

0

0

0

0

All Adults

Dallas

S70

2017

80

0

0

0

0

0

0

All Adults

Dallas

S70

2017

90

0

0

0

0

0

0

All Adults

Dallas

S75

2015

0

1659225

1460056

1340038

1250572

1177202

1118443

All Adults

Dallas

S75

2015

10

1476152

1240414

1099534

991238

902084

827307

All Adults

Dallas

S75

2015

20

1104535

803085

635561

520388

434204

368647

All Adults

Dallas

S75

2015

30

733153

466396

339346

265117

214484

176588

All Adults

Dallas

S75

2015

40

471787

265429

174010

124315

90169

63916

All Adults

Dallas

S75

2015

50

276290

115720

58055

32505

16721

10001

3D-Attachment4-39


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Dallas

S75

2015

60

98139

21097

5157

1406

313

156

All Adults

Dallas

S75

2015

70

12971

625

234

0

0

0

All Adults

Dallas

S75

2015

80

781

0

0

0

0

0

All Adults

Dallas

S75

2015

90

0

0

0

0

0

0

All Adults

Dallas

S75

2016

0

1670711

1470213

1353634

1261824

1191110

1126335

All Adults

Dallas

S75

2016

10

1487481

1258464

1111177

1002567

913648

840903

All Adults

Dallas

S75

2016

20

1087970

792381

626653

515856

432172

367397

All Adults

Dallas

S75

2016

30

709243

463427

341768

268398

220579

183855

All Adults

Dallas

S75

2016

40

440455

241676

161742

115095

82278

59618

All Adults

Dallas

S75

2016

50

192059

67588

27895

11252

4923

2969

All Adults

Dallas

S75

2016

60

31489

3125

625

0

0

0

All Adults

Dallas

S75

2016

70

3751

78

0

0

0

0

All Adults

Dallas

S75

2016

80

313

0

0

0

0

0

All Adults

Dallas

S75

2016

90

78

0

0

0

0

0

All Adults

Dallas

S75

2017

0

1672743

1467478

1349961

1259792

1182828

1124460

All Adults

Dallas

S75

2017

10

1498186

1264793

1122819

1014053

932635

861062

All Adults

Dallas

S75

2017

20

1111724

821525

655720

540469

454519

391150

All Adults

Dallas

S75

2017

30

737294

478429

357474

285276

234018

196904

All Adults

Dallas

S75

2017

40

470224

270821

181667

129863

97670

74620

All Adults

Dallas

S75

2017

50

237847

92045

43600

20472

10158

5391

All Adults

Dallas

S75

2017

60

66416

8282

1485

234

78

78

All Adults

Dallas

S75

2017

70

6329

156

0

0

0

0

All Adults

Dallas

S75

2017

80

0

0

0

0

0

0

All Adults

Dallas

S75

2017

90

0

0

0

0

0

0

All Adults

Detroit

S65

2015

0

1188134

1019169

920988

847385

790298

745861

All Adults

Detroit

S65

2015

10

1064065

871635

763557

679533

612353

558740

All Adults

Detroit

S65

2015

20

746779

519153

395805

320497

267343

226708

All Adults

Detroit

S65

2015

30

467441

292380

217008

170604

138358

114697

All Adults

Detroit

S65

2015

40

278682

147009

93396

62789

43519

31198

All Adults

Detroit

S65

2015

50

98771

27790

10159

3474

1311

655

All Adults

Detroit

S65

2015

60

9700

393

0

0

0

0

All Adults

Detroit

S65

2015

70

0

0

0

0

0

0

All Adults

Detroit

S65

2015

80

0

0

0

0

0

0

All Adults

Detroit

S65

2015

90

0

0

0

0

0

0

All Adults

Detroit

S65

2016

0

1181777

1016416

916465

845615

790167

742060

All Adults

Detroit

S65

2016

10

1065703

876551

765851

685891

623364

564311

All Adults

Detroit

S65

2016

20

773126

542814

420383

344027

285367

241782

All Adults

Detroit

S65

2016

30

494838

303588

224414

180763

148189

121841

All Adults

Detroit

S65

2016

40

295526

155005

99951

67835

47780

32836

All Adults

Detroit

S65

2016

50

128068

39128

14026

5374

1901

655

All Adults

Detroit

S65

2016

60

24578

2228

131

0

0

0

All Adults

Detroit

S65

2016

70

786

0

0

0

0

0

All Adults

Detroit

S65

2016

80

0

0

0

0

0

0

All Adults

Detroit

S65

2016

90

0

0

0

0

0

0

All Adults

Detroit

S65

2017

0

1196917

1026247

926100

854791

800588

755102

All Adults

Detroit

S65

2017

10

1074813

885268

774830

694477

630377

572832

All Adults

Detroit

S65

2017

20

764016

539471

418089

337079

279075

236342

3D-Attachment4-40


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Detroit

S65

2017

30

489267

307913

228805

179846

145109

121514

All Adults

Detroit

S65

2017

40

293888

156185

102638

70654

49287

36048

All Adults

Detroit

S65

2017

50

108864

28707

10356

3670

1114

721

All Adults

Detroit

S65

2017

60

8520

328

0

0

0

0

All Adults

Detroit

S65

2017

70

262

0

0

0

0

0

All Adults

Detroit

S65

2017

80

0

0

0

0

0

0

All Adults

Detroit

S65

2017

90

0

0

0

0

0

0

All Adults

Detroit

S70

2015

0

1188134

1019169

920988

847385

790298

745861

All Adults

Detroit

S70

2015

10

1064917

873274

763688

680910

614516

561559

All Adults

Detroit

S70

2015

20

764737

538750

413566

334458

279469

237456

All Adults

Detroit

S70

2015

30

487497

307586

225725

176437

142880

119679

All Adults

Detroit

S70

2015

40

311912

170998

114173

78781

58332

42471

All Adults

Detroit

S70

2015

50

147337

52630

23923

11076

5374

2884

All Adults

Detroit

S70

2015

60

30215

3212

590

0

0

0

All Adults

Detroit

S70

2015

70

1049

0

0

0

0

0

All Adults

Detroit

S70

2015

80

0

0

0

0

0

0

All Adults

Detroit

S70

2015

90

0

0

0

0

0

0

All Adults

Detroit

S70

2016

0

1181777

1016416

916465

845615

790167

742060

All Adults

Detroit

S70

2016

10

1065769

876944

765524

687791

626183

566736

All Adults

Detroit

S70

2016

20

791806

564246

439455

359495

300573

254104

All Adults

Detroit

S70

2016

30

521906

323054

236736

189087

154219

127740

All Adults

Detroit

S70

2016

40

326789

179387

119154

86121

61806

45355

All Adults

Detroit

S70

2016

50

176175

67377

31919

15861

7341

3867

All Adults

Detroit

S70

2016

60

62264

9438

1966

262

66

66

All Adults

Detroit

S70

2016

70

7668

131

0

0

0

0

All Adults

Detroit

S70

2016

80

0

0

0

0

0

0

All Adults

Detroit

S70

2016

90

0

0

0

0

0

0

All Adults

Detroit

S70

2017

0

1196917

1026247

926100

854791

800588

755102

All Adults

Detroit

S70

2017

10

1075469

885923

775420

694083

629787

574143

All Adults

Detroit

S70

2017

20

781843

559068

435260

350843

290545

246042

All Adults

Detroit

S70

2017

30

514500

322136

239488

188038

151597

126560

All Adults

Detroit

S70

2017

40

325216

179059

121055

84483

62854

46534

All Adults

Detroit

S70

2017

50

160576

57283

25299

11732

5964

2425

All Adults

Detroit

S70

2017

60

30280

2884

262

66

0

0

All Adults

Detroit

S70

2017

70

2359

0

0

0

0

0

All Adults

Detroit

S70

2017

80

0

0

0

0

0

0

All Adults

Detroit

S70

2017

90

0

0

0

0

0

0

All Adults

Detroit

S75

2015

0

1188134

1019169

920988

847385

790298

745861

All Adults

Detroit

S75

2015

10

1059804

866064

754840

673110

606127

552842

All Adults

Detroit

S75

2015

20

769259

539865

416122

335703

279600

235621

All Adults

Detroit

S75

2015

30

496607

310994

226577

176503

141832

117778

All Adults

Detroit

S75

2015

40

326462

181091

121710

86318

63379

47845

All Adults

Detroit

S75

2015

50

174733

70785

35065

18155

9307

5768

All Adults

Detroit

S75

2015

60

51450

9372

1966

524

0

0

All Adults

Detroit

S75

2015

70

5964

197

0

0

0

0

All Adults

Detroit

S75

2015

80

0

0

0

0

0

0

All Adults

Detroit

S75

2015

90

0

0

0

0

0

0

3D-Attachment4-41


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Detroit

S75

2016

0

1181777

1016416

916465

845615

790167

742060

All Adults

Detroit

S75

2016

10

1060591

870783

760739

679992

618580

560510

All Adults

Detroit

S75

2016

20

798950

570931

446665

364541

303326

256529

All Adults

Detroit

S75

2016

30

536129

331574

239685

189546

154022

127806

All Adults

Detroit

S75

2016

40

344879

189939

126495

92544

67573

51581

All Adults

Detroit

S75

2016

50

203309

86711

44109

24119

13764

7275

All Adults

Detroit

S75

2016

60

91627

20252

5702

1573

131

131

All Adults

Detroit

S75

2016

70

21170

1180

0

0

0

0

All Adults

Detroit

S75

2016

80

1049

0

0

0

0

0

All Adults

Detroit

S75

2016

90

0

0

0

0

0

0

All Adults

Detroit

S75

2017

0

1196917

1026247

926100

854791

800588

755102

All Adults

Detroit

S75

2017

10

1069242

878517

765655

685432

621398

565688

All Adults

Detroit

S75

2017

20

785776

561690

438144

353006

290545

243290

All Adults

Detroit

S75

2017

30

526560

327445

241192

188235

151597

124922

All Adults

Detroit

S75

2017

40

338194

187186

126560

89398

67377

49746

All Adults

Detroit

S75

2017

50

189087

73931

37948

19597

10290

5505

All Adults

Detroit

S75

2017

60

62526

10093

1966

328

197

0

All Adults

Detroit

S75

2017

70

6161

131

0

0

0

0

All Adults

Detroit

S75

2017

80

328

0

0

0

0

0

All Adults

Detroit

S75

2017

90

0

0

0

0

0

0

All Adults

Philadelphia

S65

2015

0

1659016

1438982

1297637

1196813

1118472

1057385

All Adults

Philadelphia

S65

2015

10

1497106

1244393

1091719

979829

887632

810337

All Adults

Philadelphia

S65

2015

20

1079694

764064

597709

487039

408175

348918

All Adults

Philadelphia

S65

2015

30

694176

443903

330444

262821

212627

181779

All Adults

Philadelphia

S65

2015

40

406170

219512

142303

96641

67622

48800

All Adults

Philadelphia

S65

2015

50

121128

29280

9150

3137

523

174

All Adults

Philadelphia

S65

2015

60

8714

261

0

0

0

0

All Adults

Philadelphia

S65

2015

70

174

0

0

0

0

0

All Adults

Philadelphia

S65

2015

80

0

0

0

0

0

0

All Adults

Philadelphia

S65

2015

90

0

0

0

0

0

0

All Adults

Philadelphia

S65

2016

0

1662589

1436019

1305567

1206137

1125879

1063572

All Adults

Philadelphia

S65

2016

10

1504338

1256506

1104791

992726

899222

826981

All Adults

Philadelphia

S65

2016

20

1083702

774870

603025

492964

413490

351794

All Adults

Philadelphia

S65

2016

30

688512

441115

329311

263431

218814

182563

All Adults

Philadelphia

S65

2016

40

388568

206440

126356

85138

59693

41480

All Adults

Philadelphia

S65

2016

50

104571

23267

6884

1656

784

174

All Adults

Philadelphia

S65

2016

60

8714

174

0

0

0

0

All Adults

Philadelphia

S65

2016

70

87

0

0

0

0

0

All Adults

Philadelphia

S65

2016

80

0

0

0

0

0

0

All Adults

Philadelphia

S65

2016

90

0

0

0

0

0

0

All Adults

Philadelphia

S65

2017

0

1653788

1437500

1306351

1209797

1131369

1064182

All Adults

Philadelphia

S65

2017

10

1503554

1249883

1099649

985493

896259

815042

All Adults

Philadelphia

S65

2017

20

1059477

755437

585248

474490

396933

338722

All Adults

Philadelphia

S65

2017

30

675353

425952

311708

245654

199382

168272

All Adults

Philadelphia

S65

2017

40

371575

191713

116771

74681

51065

33898

All Adults

Philadelphia

S65

2017

50

88624

16121

3747

523

174

87

All Adults

Philadelphia

S65

2017

60

8976

349

0

0

0

0

3D-Attachment4-42


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Philadelphia

S65

2017

70

174

0

0

0

0

0

All Adults

Philadelphia

S65

2017

80

0

0

0

0

0

0

All Adults

Philadelphia

S65

2017

90

0

0

0

0

0

0

All Adults

Philadelphia

S70

2015

0

1659016

1438982

1297637

1196813

1118472

1057385

All Adults

Philadelphia

S70

2015

10

1501463

1249447

1097906

984621

896172

818528

All Adults

Philadelphia

S70

2015

20

1111849

794390

626466

511351

430135

367828

All Adults

Philadelphia

S70

2015

30

728074

468303

349092

274586

222736

189535

All Adults

Philadelphia

S70

2015

40

455667

260120

175592

123916

90802

68232

All Adults

Philadelphia

S70

2015

50

190842

64224

24836

10719

5316

2440

All Adults

Philadelphia

S70

2015

60

27973

2266

349

87

0

0

All Adults

Philadelphia

S70

2015

70

1481

0

0

0

0

0

All Adults

Philadelphia

S70

2015

80

87

0

0

0

0

0

All Adults

Philadelphia

S70

2015

90

0

0

0

0

0

0

All Adults

Philadelphia

S70

2016

0

1662589

1436019

1305567

1206137

1125879

1063572

All Adults

Philadelphia

S70

2016

10

1509393

1263564

1111675

1000830

907588

835957

All Adults

Philadelphia

S70

2016

20

1115074

809465

632218

516144

433620

369309

All Adults

Philadelphia

S70

2016

30

724763

464730

344648

275806

230056

193717

All Adults

Philadelphia

S70

2016

40

442160

246961

162608

113808

81740

60128

All Adults

Philadelphia

S70

2016

50

176550

54638

21350

8191

4183

1743

All Adults

Philadelphia

S70

2016

60

25968

1830

87

0

0

0

All Adults

Philadelphia

S70

2016

70

1481

0

0

0

0

0

All Adults

Philadelphia

S70

2016

80

0

0

0

0

0

0

All Adults

Philadelphia

S70

2016

90

0

0

0

0

0

0

All Adults

Philadelphia

S70

2017

0

1653788

1437500

1306351

1209797

1131369

1064182

All Adults

Philadelphia

S70

2017

10

1509218

1258423

1106098

991854

905845

823931

All Adults

Philadelphia

S70

2017

20

1093114

783584

613569

497321

418283

355367

All Adults

Philadelphia

S70

2017

30

708119

447040

326610

258028

209926

176812

All Adults

Philadelphia

S70

2017

40

424035

234413

146661

102654

71544

50455

All Adults

Philadelphia

S70

2017

50

145005

40434

12548

4444

2091

959

All Adults

Philadelphia

S70

2017

60

25184

1656

261

0

0

0

All Adults

Philadelphia

S70

2017

70

1830

87

0

0

0

0

All Adults

Philadelphia

S70

2017

80

0

0

0

0

0

0

All Adults

Philadelphia

S70

2017

90

0

0

0

0

0

0

All Adults

Philadelphia

S75

2015

0

1659016

1438982

1297637

1196813

1118472

1057385

All Adults

Philadelphia

S75

2015

10

1500853

1248053

1099475

984447

898612

821665

All Adults

Philadelphia

S75

2015

20

1137295

822362

651999

533660

450177

384733

All Adults

Philadelphia

S75

2015

30

763628

493487

365649

287047

232932

197639

All Adults

Philadelphia

S75

2015

40

501417

291578

203565

148142

112588

84615

All Adults

Philadelphia

S75

2015

50

268573

113546

58734

31458

17254

9934

All Adults

Philadelphia

S75

2015

60

71195

12461

3224

523

0

0

All Adults

Philadelphia

S75

2015

70

8017

349

0

0

0

0

All Adults

Philadelphia

S75

2015

80

523

0

0

0

0

0

All Adults

Philadelphia

S75

2015

90

87

0

0

0

0

0

All Adults

Philadelphia

S75

2016

0

1662589

1436019

1305567

1206137

1125879

1063572

All Adults

Philadelphia

S75

2016

10

1509654

1262344

1111762

1003008

909679

838048

All Adults

Philadelphia

S75

2016

20

1142349

839878

659232

540893

453750

386215

All Adults

Philadelphia

S75

2016

30

763106

488259

362512

287395

239293

199643

3D-Attachment4-43


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Philadelphia

S75

2016

40

492877

281906

190232

136378

102392

77731

All Adults

Philadelphia

S75

2016

50

259946

103699

50891

25968

13768

7756

All Adults

Philadelphia

S75

2016

60

62742

8889

1830

436

261

0

All Adults

Philadelphia

S75

2016

70

6884

87

0

0

0

0

All Adults

Philadelphia

S75

2016

80

87

0

0

0

0

0

All Adults

Philadelphia

S75

2016

90

0

0

0

0

0

0

All Adults

Philadelphia

S75

2017

0

1653788

1437500

1306351

1209797

1131369

1064182

All Adults

Philadelphia

S75

2017

10

1509480

1260253

1106621

995078

904712

825848

All Adults

Philadelphia

S75

2017

20

1119343

810947

639538

519107

436932

370529

All Adults

Philadelphia

S75

2017

30

742191

470394

339245

269008

218727

183086

All Adults

Philadelphia

S75

2017

40

469174

266481

173239

125485

91848

68407

All Adults

Philadelphia

S75

2017

50

215329

78341

32766

14814

7407

4270

All Adults

Philadelphia

S75

2017

60

57340

7494

871

87

0

0

All Adults

Philadelphia

S75

2017

70

8627

261

0

0

0

0

All Adults

Philadelphia

S75

2017

80

261

0

0

0

0

0

All Adults

Philadelphia

S75

2017

90

0

0

0

0

0

0

All Adults

Phoenix

S65

2015

0

1055538

935690

867248

816686

771836

738559

All Adults

Phoenix

S65

2015

10

968570

838738

758227

701705

654670

614787

All Adults

Phoenix

S65

2015

20

749734

578529

479840

411100

357756

315539

All Adults

Phoenix

S65

2015

30

520915

360886

287079

241633

206816

181635

All Adults

Phoenix

S65

2015

40

347724

219531

162215

123623

98988

80611

All Adults

Phoenix

S65

2015

50

144881

57168

27516

14106

7251

3725

All Adults

Phoenix

S65

2015

60

7947

546

50

0

0

0

All Adults

Phoenix

S65

2015

70

0

0

0

0

0

0

All Adults

Phoenix

S65

2015

80

0

0

0

0

0

0

All Adults

Phoenix

S65

2015

90

0

0

0

0

0

0

All Adults

Phoenix

S65

2016

0

1041681

923074

850410

799650

758078

722913

All Adults

Phoenix

S65

2016

10

962858

825875

749386

691921

644041

606989

All Adults

Phoenix

S65

2016

20

741439

571079

474873

405735

356217

315638

All Adults

Phoenix

S65

2016

30

515302

360339

288321

239498

206369

180194

All Adults

Phoenix

S65

2016

40

345141

218985

161668

124616

100974

82051

All Adults

Phoenix

S65

2016

50

115179

41522

17930

8096

3775

1738

All Adults

Phoenix

S65

2016

60

4818

199

0

0

0

0

All Adults

Phoenix

S65

2016

70

0

0

0

0

0

0

All Adults

Phoenix

S65

2016

80

0

0

0

0

0

0

All Adults

Phoenix

S65

2016

90

0

0

0

0

0

0

All Adults

Phoenix

S65

2017

0

1040042

922379

855427

801637

762201

726489

All Adults

Phoenix

S65

2017

10

957742

828358

756290

699172

655067

616724

All Adults

Phoenix

S65

2017

20

755098

587271

492555

421728

371713

326366

All Adults

Phoenix

S65

2017

30

528911

371862

296119

245358

210939

185906

All Adults

Phoenix

S65

2017

40

361978

234630

176668

138821

114136

94418

All Adults

Phoenix

S65

2017

50

148457

63277

31887

17483

10579

6457

All Adults

Phoenix

S65

2017

60

12814

745

99

0

0

0

All Adults

Phoenix

S65

2017

70

0

0

0

0

0

0

All Adults

Phoenix

S65

2017

80

0

0

0

0

0

0

All Adults

Phoenix

S65

2017

90

0

0

0

0

0

0

All Adults

Phoenix

S70

2015

0

1055538

935690

867248

816686

771836

738559

3D-Attachment4-44


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Phoenix

S70

2015

10

970308

839533

760810

701954

656359

616773

All Adults

Phoenix

S70

2015

20

767267

601079

501197

431116

378220

334115

All Adults

Phoenix

S70

2015

30

547338

382243

301086

250872

214862

186850

All Adults

Phoenix

S70

2015

40

383137

247196

185757

146222

118060

97994

All Adults

Phoenix

S70

2015

50

216402

106637

64717

40827

25678

17036

All Adults

Phoenix

S70

2015

60

45893

9040

2285

894

497

199

All Adults

Phoenix

S70

2015

70

298

50

0

0

0

0

All Adults

Phoenix

S70

2015

80

0

0

0

0

0

0

All Adults

Phoenix

S70

2015

90

0

0

0

0

0

0

All Adults

Phoenix

S70

2016

0

1041681

923074

850410

799650

758078

722913

All Adults

Phoenix

S70

2016

10

963603

827961

750876

693361

645730

608926

All Adults

Phoenix

S70

2016

20

761456

592983

498167

428036

375786

333121

All Adults

Phoenix

S70

2016

30

542669

378170

300639

249233

215856

188340

All Adults

Phoenix

S70

2016

40

380107

248835

186502

149649

121736

101272

All Adults

Phoenix

S70

2016

50

189482

91736

53244

31042

19619

12020

All Adults

Phoenix

S70

2016

60

33178

4718

1043

199

0

0

All Adults

Phoenix

S70

2016

70

149

0

0

0

0

0

All Adults

Phoenix

S70

2016

80

0

0

0

0

0

0

All Adults

Phoenix

S70

2016

90

0

0

0

0

0

0

All Adults

Phoenix

S70

2017

0

1040042

922379

855427

801637

762201

726489

All Adults

Phoenix

S70

2017

10

959928

829848

757333

702152

657054

619207

All Adults

Phoenix

S70

2017

20

775710

611856

515501

446314

393070

347227

All Adults

Phoenix

S70

2017

30

560301

393865

313503

258024

221319

194846

All Adults

Phoenix

S70

2017

40

397640

264630

201552

161370

135642

113441

All Adults

Phoenix

S70

2017

50

221071

118159

75942

50711

33923

23691

All Adults

Phoenix

S70

2017

60

54585

11324

2881

844

348

199

All Adults

Phoenix

S70

2017

70

1788

50

0

0

0

0

All Adults

Phoenix

S70

2017

80

0

0

0

0

0

0

All Adults

Phoenix

S70

2017

90

0

0

0

0

0

0

All Adults

Phoenix

S75

2015

0

1055538

935690

867248

816686

771836

738559

All Adults

Phoenix

S75

2015

10

965242

833772

753906

695993

648859

610168

All Adults

Phoenix

S75

2015

20

771439

609274

508597

439609

385272

340472

All Adults

Phoenix

S75

2015

30

561891

391729

309181

256534

217495

188886

All Adults

Phoenix

S75

2015

40

401315

261500

198472

154417

126404

105296

All Adults

Phoenix

S75

2015

50

257726

139815

91786

60843

43310

30595

All Adults

Phoenix

S75

2015

60

101769

30148

11175

4619

2334

993

All Adults

Phoenix

S75

2015

70

6854

397

50

0

0

0

All Adults

Phoenix

S75

2015

80

50

0

0

0

0

0

All Adults

Phoenix

S75

2015

90

0

0

0

0

0

0

All Adults

Phoenix

S75

2016

0

1041681

923074

850410

799650

758078

722913

All Adults

Phoenix

S75

2016

10

959977

823391

745810

687053

640117

602171

All Adults

Phoenix

S75

2016

20

769353

602022

505319

436132

381299

338734

All Adults

Phoenix

S75

2016

30

557967

387656

308287

255044

218637

189780

All Adults

Phoenix

S75

2016

40

398335

261252

197926

158937

131123

110014

All Adults

Phoenix

S75

2016

50

237064

127050

81852

55081

38244

26175

All Adults

Phoenix

S75

2016

60

78276

19470

6308

2086

894

199

All Adults

Phoenix

S75

2016

70

4718

99

50

0

0

0

3D-Attachment4-45


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Phoenix

S75

2016

80

0

0

0

0

0

0

All Adults

Phoenix

S75

2016

90

0

0

0

0

0

0

All Adults

Phoenix

S75

2017

0

1040042

922379

855427

801637

762201

726489

All Adults

Phoenix

S75

2017

10

956451

826818

752615

698080

652137

614141

All Adults

Phoenix

S75

2017

20

783309

621244

524590

455651

400073

356713

All Adults

Phoenix

S75

2017

30

576294

406331

322890

264431

225640

197975

All Adults

Phoenix

S75

2017

40

418649

278139

212280

171503

143490

121438

All Adults

Phoenix

S75

2017

50

268007

153970

103358

74502

55777

40728

All Adults

Phoenix

S75

2017

60

105991

35711

13708

6010

3179

1192

All Adults

Phoenix

S75

2017

70

12318

993

99

50

0

0

All Adults

Phoenix

S75

2017

80

397

0

0

0

0

0

All Adults

Phoenix

S75

2017

90

0

0

0

0

0

0

All Adults

Sacramento

S65

2015

0

580206

508974

467127

437713

414074

393207

All Adults

Sacramento

S65

2015

10

515920

432254

384489

350559

324776

301709

All Adults

Sacramento

S65

2015

20

358935

262777

211525

178367

153584

134604

All Adults

Sacramento

S65

2015

30

232591

155328

120626

96844

81094

68917

All Adults

Sacramento

S65

2015

40

115252

58341

34759

22239

14607

10205

All Adults

Sacramento

S65

2015

50

19323

2658

657

57

29

0

All Adults

Sacramento

S65

2015

60

715

29

0

0

0

0

All Adults

Sacramento

S65

2015

70

0

0

0

0

0

0

All Adults

Sacramento

S65

2015

80

0

0

0

0

0

0

All Adults

Sacramento

S65

2015

90

0

0

0

0

0

0

All Adults

Sacramento

S65

2016

0

579921

510346

467641

437456

414474

392607

All Adults

Sacramento

S65

2016

10

512176

432311

385690

351274

324490

300336

All Adults

Sacramento

S65

2016

20

360993

263348

210753

176452

152241

132975

All Adults

Sacramento

S65

2016

30

232992

155528

118797

95415

78750

66516

All Adults

Sacramento

S65

2016

40

112337

55111

31614

20266

12949

8918

All Adults

Sacramento

S65

2016

50

24668

5031

1286

457

114

57

All Adults

Sacramento

S65

2016

60

1172

86

0

0

0

0

All Adults

Sacramento

S65

2016

70

0

0

0

0

0

0

All Adults

Sacramento

S65

2016

80

0

0

0

0

0

0

All Adults

Sacramento

S65

2016

90

0

0

0

0

0

0

All Adults

Sacramento

S65

2017

0

578434

512118

468527

437942

412988

393893

All Adults

Sacramento

S65

2017

10

513891

434740

389434

355247

328549

305825

All Adults

Sacramento

S65

2017

20

359678

263720

211039

176537

151040

131860

All Adults

Sacramento

S65

2017

30

232791

157100

120941

98673

83381

71976

All Adults

Sacramento

S65

2017

40

114824

57426

35216

21981

14549

9747

All Adults

Sacramento

S65

2017

50

19094

2801

515

114

29

0

All Adults

Sacramento

S65

2017

60

1315

29

0

0

0

0

All Adults

Sacramento

S65

2017

70

0

0

0

0

0

0

All Adults

Sacramento

S65

2017

80

0

0

0

0

0

0

All Adults

Sacramento

S65

2017

90

0

0

0

0

0

0

All Adults

Sacramento

S70

2015

0

580206

508974

467127

437713

414074

393207

All Adults

Sacramento

S70

2015

10

518121

435255

388176

354504

328406

305567

All Adults

Sacramento

S70

2015

20

375142

279470

226074

191287

163760

144094

All Adults

Sacramento

S70

2015

30

249713

167419

130173

105505

89241

75692

All Adults

Sacramento

S70

2015

40

147410

83810

56368

39132

28785

21181

3D-Attachment4-46


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Sacramento

S70

2015

50

49280

14292

5202

2115

715

343

All Adults

Sacramento

S70

2015

60

4688

257

0

0

0

0

All Adults

Sacramento

S70

2015

70

372

0

0

0

0

0

All Adults

Sacramento

S70

2015

80

0

0

0

0

0

0

All Adults

Sacramento

S70

2015

90

0

0

0

0

0

0

All Adults

Sacramento

S70

2016

0

579921

510346

467641

437456

414474

392607

All Adults

Sacramento

S70

2016

10

514834

435369

388920

354304

328206

303538

All Adults

Sacramento

S70

2016

20

376342

277155

225017

187885

162645

141836

All Adults

Sacramento

S70

2016

30

250628

168248

128115

104390

86011

72662

All Adults

Sacramento

S70

2016

40

143837

78493

49851

34530

24926

18237

All Adults

Sacramento

S70

2016

50

56654

18551

8147

3544

1744

772

All Adults

Sacramento

S70

2016

60

9176

972

143

0

0

0

All Adults

Sacramento

S70

2016

70

600

29

0

0

0

0

All Adults

Sacramento

S70

2016

80

0

0

0

0

0

0

All Adults

Sacramento

S70

2016

90

0

0

0

0

0

0

All Adults

Sacramento

S70

2017

0

578434

512118

468527

437942

412988

393893

All Adults

Sacramento

S70

2017

10

516921

437570

392864

359449

332151

310198

All Adults

Sacramento

S70

2017

20

375885

279556

227303

188771

160644

140864

All Adults

Sacramento

S70

2017

30

249085

168105

130745

106105

89755

77550

All Adults

Sacramento

S70

2017

40

146438

83609

56140

40161

28785

21781

All Adults

Sacramento

S70

2017

50

54253

16150

6374

3087

1601

772

All Adults

Sacramento

S70

2017

60

8089

486

0

0

0

0

All Adults

Sacramento

S70

2017

70

229

0

0

0

0

0

All Adults

Sacramento

S70

2017

80

0

0

0

0

0

0

All Adults

Sacramento

S70

2017

90

0

0

0

0

0

0

All Adults

Sacramento

S75

2015

0

580206

508974

467127

437713

414074

393207

All Adults

Sacramento

S75

2015

10

519550

436884

389891

356533

330064

307368

All Adults

Sacramento

S75

2015

20

385747

289703

236507

200491

172364

151555

All Adults

Sacramento

S75

2015

30

264034

177166

136891

110622

94128

80036

All Adults

Sacramento

S75

2015

40

167848

98588

68946

50566

38818

30299

All Adults

Sacramento

S75

2015

50

75006

28384

12806

6632

3487

1601

All Adults

Sacramento

S75

2015

60

15779

1887

314

57

0

0

All Adults

Sacramento

S75

2015

70

1515

57

0

0

0

0

All Adults

Sacramento

S75

2015

80

114

0

0

0

0

0

All Adults

Sacramento

S75

2015

90

0

0

0

0

0

0

All Adults

Sacramento

S75

2016

0

579921

510346

467641

437456

414474

392607

All Adults

Sacramento

S75

2016

10

516206

436941

390206

355504

329578

305453

All Adults

Sacramento

S75

2016

20

386347

288731

233849

196203

169477

148325

All Adults

Sacramento

S75

2016

30

264663

176480

134947

109821

90270

77264

All Adults

Sacramento

S75

2016

40

165447

93385

62714

44677

33444

25554

All Adults

Sacramento

S75

2016

50

81351

32872

16865

9804

5202

2830

All Adults

Sacramento

S75

2016

60

22382

4259

943

372

86

57

All Adults

Sacramento

S75

2016

70

2687

114

29

0

0

0

All Adults

Sacramento

S75

2016

80

200

0

0

0

0

0

All Adults

Sacramento

S75

2016

90

0

0

0

0

0

0

All Adults

Sacramento

S75

2017

0

578434

512118

468527

437942

412988

393893

All Adults

Sacramento

S75

2017

10

517978

439200

394779

361679

334238

312056

3D-Attachment4-47


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Sacramento

S75

2017

20

387948

290532

236850

198519

169220

147467

All Adults

Sacramento

S75

2017

30

262005

177138

136891

111622

94128

81294

All Adults

Sacramento

S75

2017

40

165447

99245

69403

51795

39446

30585

All Adults

Sacramento

S75

2017

50

80837

32186

15579

8918

5174

3402

All Adults

Sacramento

S75

2017

60

18008

2172

457

57

0

0

All Adults

Sacramento

S75

2017

70

2944

114

0

0

0

0

All Adults

Sacramento

S75

2017

80

0

0

0

0

0

0

All Adults

Sacramento

S75

2017

90

0

0

0

0

0

0

All Adults

St. Louis

S65

2015

0

677754

588086

534292

493660

463115

438972

All Adults

St. Louis

S65

2015

10

598923

495985

435109

388898

350841

319652

All Adults

St. Louis

S65

2015

20

414328

288034

224154

179588

148935

125865

All Adults

St. Louis

S65

2015

30

257882

161167

117531

90849

73538

60983

All Adults

St. Louis

S65

2015

40

143999

72608

44244

27577

18778

13305

All Adults

St. Louis

S65

2015

50

42849

9121

2361

715

179

0

All Adults

St. Louis

S65

2015

60

1931

0

0

0

0

0

All Adults

St. Louis

S65

2015

70

0

0

0

0

0

0

All Adults

St. Louis

S65

2015

80

0

0

0

0

0

0

All Adults

St. Louis

S65

2015

90

0

0

0

0

0

0

All Adults

St. Louis

S65

2016

0

676395

585725

533433

493839

461291

436754

All Adults

St. Louis

S65

2016

10

603394

501100

442298

398018

361643

330025

All Adults

St. Louis

S65

2016

20

433285

304523

237852

194216

161847

138992

All Adults

St. Louis

S65

2016

30

280737

177871

130622

104011

85913

70748

All Adults

St. Louis

S65

2016

40

168965

89061

56298

38629

27434

19600

All Adults

St. Louis

S65

2016

50

65740

20352

6367

2146

1001

465

All Adults

St. Louis

S65

2016

60

9049

429

72

0

0

0

All Adults

St. Louis

S65

2016

70

107

0

0

0

0

0

All Adults

St. Louis

S65

2016

80

0

0

0

0

0

0

All Adults

St. Louis

S65

2016

90

0

0

0

0

0

0

All Adults

St. Louis

S65

2017

0

675465

586905

532217

492587

461505

436397

All Adults

St. Louis

S65

2017

10

608080

508754

448021

403062

368117

337643

All Adults

St. Louis

S65

2017

20

442334

318293

249978

202979

169895

145823

All Adults

St. Louis

S65

2017

30

288499

185096

138527

110378

90777

76399

All Adults

St. Louis

S65

2017

40

180196

101400

67743

45997

32942

23893

All Adults

St. Louis

S65

2017

50

60554

18134

6688

2253

1288

501

All Adults

St. Louis

S65

2017

60

2897

179

0

0

0

0

All Adults

St. Louis

S65

2017

70

36

0

0

0

0

0

All Adults

St. Louis

S65

2017

80

0

0

0

0

0

0

All Adults

St. Louis

S65

2017

90

0

0

0

0

0

0

All Adults

St. Louis

S70

2015

0

677754

588086

534292

493660

463115

438972

All Adults

St. Louis

S70

2015

10

600676

498131

438686

391652

355062

322943

All Adults

St. Louis

S70

2015

20

429887

303736

235921

191248

158556

133662

All Adults

St. Louis

S70

2015

30

273799

170431

124470

96607

78616

64488

All Adults

St. Louis

S70

2015

40

168249

89847

59016

39308

27076

19922

All Adults

St. Louis

S70

2015

50

72965

23106

8906

4149

1896

465

All Adults

St. Louis

S70

2015

60

11016

858

179

0

0

0

All Adults

St. Louis

S70

2015

70

72

0

0

0

0

0

All Adults

St. Louis

S70

2015

80

0

0

0

0

0

0

3D-Attachment4-48


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

St. Louis

S70

2015

90

0

0

0

0

0

0

All Adults

St. Louis

S70

2016

0

676395

585725

533433

493839

461291

436754

All Adults

St. Louis

S70

2016

10

605755

504140

444909

402167

365184

333530

All Adults

St. Louis

S70

2016

20

448164

321262

251086

208094

173757

148649

All Adults

St. Louis

S70

2016

30

298478

189638

139099

110664

92029

75684

All Adults

St. Louis

S70

2016

40

192857

106944

71785

51898

38164

28471

All Adults

St. Louis

S70

2016

50

96715

37591

17490

8119

4006

2289

All Adults

St. Louis

S70

2016

60

28185

4435

572

143

0

0

All Adults

St. Louis

S70

2016

70

2075

0

0

0

0

0

All Adults

St. Louis

S70

2016

80

0

0

0

0

0

0

All Adults

St. Louis

S70

2016

90

0

0

0

0

0

0

All Adults

St. Louis

S70

2017

0

675465

586905

532217

492587

461505

436397

All Adults

St. Louis

S70

2017

10

610583

511901

452420

406996

372302

342901

All Adults

St. Louis

S70

2017

20

457177

335819

266037

216356

182055

155910

All Adults

St. Louis

S70

2017

30

307134

197900

147504

117281

96464

80655

All Adults

St. Louis

S70

2017

40

203945

120107

82658

60018

44781

33872

All Adults

St. Louis

S70

2017

50

100220

39952

19279

9764

4936

2611

All Adults

St. Louis

S70

2017

60

17741

2468

393

36

36

0

All Adults

St. Louis

S70

2017

70

680

0

0

0

0

0

All Adults

St. Louis

S70

2017

80

0

0

0

0

0

0

All Adults

St. Louis

S70

2017

90

0

0

0

0

0

0

All Adults

St. Louis

S75

2015

0

677754

588086

534292

493660

463115

438972

All Adults

St. Louis

S75

2015

10

600712

498989

439294

391866

355026

323944

All Adults

St. Louis

S75

2015

20

438292

312928

243683

196291

164208

137668

All Adults

St. Louis

S75

2015

30

285852

177120

129370

100041

81514

66956

All Adults

St. Louis

S75

2015

40

181912

100184

66313

45889

32942

24429

All Adults

St. Louis

S75

2015

50

93102

35445

17347

8548

4650

2253

All Adults

St. Louis

S75

2015

60

25967

3577

644

107

0

0

All Adults

St. Louis

S75

2015

70

1753

36

0

0

0

0

All Adults

St. Louis

S75

2015

80

0

0

0

0

0

0

All Adults

St. Louis

S75

2015

90

0

0

0

0

0

0

All Adults

St. Louis

S75

2016

0

676395

585725

533433

493839

461291

436754

All Adults

St. Louis

S75

2016

10

606434

504891

446304

401774

366257

334424

All Adults

St. Louis

S75

2016

20

457893

329739

260314

215641

180625

153871

All Adults

St. Louis

S75

2016

30

311605

197292

144321

115528

95177

78795

All Adults

St. Louis

S75

2016

40

206556

116530

80119

58623

44351

33836

All Adults

St. Louis

S75

2016

50

117424

50968

27398

14879

8370

4900

All Adults

St. Louis

S75

2016

60

45961

10802

2361

644

143

0

All Adults

St. Louis

S75

2016

70

8226

179

36

0

0

0

All Adults

St. Louis

S75

2016

80

250

0

0

0

0

0

All Adults

St. Louis

S75

2016

90

0

0

0

0

0

0

All Adults

St. Louis

S75

2017

0

675465

586905

532217

492587

461505

436397

All Adults

St. Louis

S75

2017

10

611585

513117

453386

408892

373053

345154

All Adults

St. Louis

S75

2017

20

467443

346549

276481

226800

190461

163170

All Adults

St. Louis

S75

2017

30

320403

207915

153084

121716

100220

83552

All Adults

St. Louis

S75

2017

40

217930

129585

91528

67529

51111

40024

All Adults

St. Louis

S75

2017

50

124148

56584

30116

17276

10194

6295

3D-Attachment4-49


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

St. Louis

S75

2017

60

37270

7583

1538

429

250

107

All Adults

St. Louis

S75

2017

70

3291

215

0

0

0

0

All Adults

St. Louis

S75

2017

80

179

0

0

0

0

0

All Adults

St. Louis

S75

2017

90

0

0

0

0

0

0

Asthma Adults

Atlanta

S65

2015

0

99029

84802

77054

70433

65362

60221

Asthma Adults

Atlanta

S65

2015

10

84309

67898

58037

49867

44091

39936

Asthma Adults

Atlanta

S65

2015

20

55149

38738

29371

23525

20144

16974

Asthma Adults

Atlanta

S65

2015

30

35146

22257

15284

11692

9297

7325

Asthma Adults

Atlanta

S65

2015

40

18665

9579

5353

3592

2254

1761

Asthma Adults

Atlanta

S65

2015

50

5423

1197

282

70

0

0

Asthma Adults

Atlanta

S65

2015

60

423

0

0

0

0

0

Asthma Adults

Atlanta

S65

2015

70

0

0

0

0

0

0

Asthma Adults

Atlanta

S65

2015

80

0

0

0

0

0

0

Asthma Adults

Atlanta

S65

2016

0

99029

86211

75998

69236

64306

60643

Asthma Adults

Atlanta

S65

2016

10

86985

72476

62474

55079

49867

45570

Asthma Adults

Atlanta

S65

2016

20

61700

41767

33033

25567

20637

17538

Asthma Adults

Atlanta

S65

2016

30

37964

23595

17397

13101

10635

8241

Asthma Adults

Atlanta

S65

2016

40

21905

11762

6269

4226

2747

1902

Asthma Adults

Atlanta

S65

2016

50

4860

845

70

0

0

0

Asthma Adults

Atlanta

S65

2016

60

211

0

0

0

0

0

Asthma Adults

Atlanta

S65

2016

70

0

0

0

0

0

0

Asthma Adults

Atlanta

S65

2016

80

0

0

0

0

0

0

Asthma Adults

Atlanta

S65

2017

0

103255

88535

79519

72194

67194

62615

Asthma Adults

Atlanta

S65

2017

10

86704

69940

59939

52543

47050

43035

Asthma Adults

Atlanta

S65

2017

20

57262

37752

28807

22680

19087

16622

Asthma Adults

Atlanta

S65

2017

30

34372

20496

15707

11833

9297

7889

Asthma Adults

Atlanta

S65

2017

40

16411

8100

5212

3240

1690

1338

Asthma Adults

Atlanta

S65

2017

50

2676

352

70

0

0

0

Asthma Adults

Atlanta

S65

2017

60

70

0

0

0

0

0

Asthma Adults

Atlanta

S65

2017

70

0

0

0

0

0

0

Asthma Adults

Atlanta

S65

2017

80

0

0

0

0

0

0

Asthma Adults

Atlanta

S70

2015

0

99029

84802

77054

70433

65362

60221

Asthma Adults

Atlanta

S70

2015

10

85365

69166

58953

50994

44796

40851

Asthma Adults

Atlanta

S70

2015

20

57967

41344

31061

25286

21553

18031

Asthma Adults

Atlanta

S70

2015

30

38245

24159

16693

13030

10706

8170

Asthma Adults

Atlanta

S70

2015

40

22891

12326

7748

4930

3451

2606

Asthma Adults

Atlanta

S70

2015

50

8804

3310

1479

634

282

70

Asthma Adults

Atlanta

S70

2015

60

1268

70

0

0

0

0

Asthma Adults

Atlanta

S70

2015

70

70

0

0

0

0

0

Asthma Adults

Atlanta

S70

2015

80

0

0

0

0

0

0

Asthma Adults

Atlanta

S70

2016

0

99029

86211

75998

69236

64306

60643

Asthma Adults

Atlanta

S70

2016

10

88394

73040

63601

56347

50853

46627

Asthma Adults

Atlanta

S70

2016

20

64588

45782

35710

28526

23313

19651

Asthma Adults

Atlanta

S70

2016

30

40922

25567

18947

14861

11762

9720

Asthma Adults

Atlanta

S70

2016

40

25708

14580

8804

6550

4719

3310

Asthma Adults

Atlanta

S70

2016

50

10072

3029

845

211

70

0

Asthma Adults

Atlanta

S70

2016

60

2113

211

0

0

0

0

3D-Attachment4-50


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Atlanta

S70

2016

70

141

0

0

0

0

0

Asthma Adults

Atlanta

S70

2016

80

0

0

0

0

0

0

Asthma Adults

Atlanta

S70

2017

0

103255

88535

79519

72194

67194

62615

Asthma Adults

Atlanta

S70

2017

10

88042

71208

60855

54304

48599

44303

Asthma Adults

Atlanta

S70

2017

20

59516

40570

30779

25004

20637

17890

Asthma Adults

Atlanta

S70

2017

30

37259

22609

16622

13594

11058

8875

Asthma Adults

Atlanta

S70

2017

40

21130

11340

7466

5212

3944

2747

Asthma Adults

Atlanta

S70

2017

50

6480

1338

563

70

0

0

Asthma Adults

Atlanta

S70

2017

60

775

0

0

0

0

0

Asthma Adults

Atlanta

S70

2017

70

0

0

0

0

0

0

Asthma Adults

Atlanta

S70

2017

80

0

0

0

0

0

0

Asthma Adults

Atlanta

S75

2015

0

99029

84802

77054

70433

65362

60221

Asthma Adults

Atlanta

S75

2015

10

86281

69729

59657

51909

46204

41344

Asthma Adults

Atlanta

S75

2015

20

59868

42964

33526

26624

22539

19228

Asthma Adults

Atlanta

S75

2015

30

41415

26060

18594

14157

11692

9368

Asthma Adults

Atlanta

S75

2015

40

26835

15284

9931

6902

4789

3451

Asthma Adults

Atlanta

S75

2015

50

12889

5564

2888

1690

916

352

Asthma Adults

Atlanta

S75

2015

60

3310

775

70

0

0

0

Asthma Adults

Atlanta

S75

2015

70

423

0

0

0

0

0

Asthma Adults

Atlanta

S75

2015

80

0

0

0

0

0

0

Asthma Adults

Atlanta

S75

2016

0

99029

86211

75998

69236

64306

60643

Asthma Adults

Atlanta

S75

2016

10

89028

73744

63954

56629

51487

47754

Asthma Adults

Atlanta

S75

2016

20

66630

48529

38457

30498

25074

21553

Asthma Adults

Atlanta

S75

2016

30

44655

27187

20567

15848

12889

11128

Asthma Adults

Atlanta

S75

2016

40

29159

16904

10635

7959

6339

4930

Asthma Adults

Atlanta

S75

2016

50

15566

5987

2817

986

282

141

Asthma Adults

Atlanta

S75

2016

60

4156

704

70

0

0

0

Asthma Adults

Atlanta

S75

2016

70

1057

70

0

0

0

0

Asthma Adults

Atlanta

S75

2016

80

70

0

0

0

0

0

Asthma Adults

Atlanta

S75

2017

0

103255

88535

79519

72194

67194

62615

Asthma Adults

Atlanta

S75

2017

10

88605

71842

61348

54727

49163

45077

Asthma Adults

Atlanta

S75

2017

20

61911

42894

32681

26624

22327

19017

Asthma Adults

Atlanta

S75

2017

30

40147

24088

17890

14791

12115

9931

Asthma Adults

Atlanta

S75

2017

40

24863

13735

9861

6550

5423

3874

Asthma Adults

Atlanta

S75

2017

50

10072

3310

1479

704

563

141

Asthma Adults

Atlanta

S75

2017

60

2254

70

0

0

0

0

Asthma Adults

Atlanta

S75

2017

70

211

0

0

0

0

0

Asthma Adults

Atlanta

S75

2017

80

0

0

0

0

0

0

Asthma Adults

Boston

S65

2015

0

171995

144601

128654

117011

105564

99107

Asthma Adults

Boston

S65

2015

10

152525

122783

105564

90498

80225

72692

Asthma Adults

Boston

S65

2015

20

100673

67506

50679

38449

32384

25535

Asthma Adults

Boston

S65

2015

30

58310

33949

24459

19078

13990

11251

Asthma Adults

Boston

S65

2015

40

27296

11642

6164

3424

2152

1468

Asthma Adults

Boston

S65

2015

50

4990

1076

0

0

0

0

Asthma Adults

Boston

S65

2015

60

489

0

0

0

0

0

Asthma Adults

Boston

S65

2015

70

196

0

0

0

0

0

Asthma Adults

Boston

S65

2015

80

0

0

0

0

0

0

3D-Attachment4-51


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Boston

S65

2016

0

177180

150275

133448

122588

112902

105369

Asthma Adults

Boston

S65

2016

10

157711

127382

109674

97444

86878

79247

Asthma Adults

Boston

S65

2016

20

104097

69952

52048

42265

35123

29546

Asthma Adults

Boston

S65

2016

30

62125

39428

28764

21915

17610

14675

Asthma Adults

Boston

S65

2016

40

34145

16632

9588

6457

4011

2739

Asthma Adults

Boston

S65

2016

50

8414

1565

294

196

98

0

Asthma Adults

Boston

S65

2016

60

196

0

0

0

0

0

Asthma Adults

Boston

S65

2016

70

0

0

0

0

0

0

Asthma Adults

Boston

S65

2016

80

0

0

0

0

0

0

Asthma Adults

Boston

S65

2017

0

174636

148416

131589

120925

110750

103216

Asthma Adults

Boston

S65

2017

10

156145

127284

109086

97151

87171

77486

Asthma Adults

Boston

S65

2017

20

105369

71029

54103

44613

36199

29448

Asthma Adults

Boston

S65

2017

30

62713

39526

28372

21719

15947

12621

Asthma Adults

Boston

S65

2017

40

33949

17415

9392

5479

3913

2250

Asthma Adults

Boston

S65

2017

50

11251

2348

489

294

0

0

Asthma Adults

Boston

S65

2017

60

1565

98

0

0

0

0

Asthma Adults

Boston

S65

2017

70

98

0

0

0

0

0

Asthma Adults

Boston

S65

2017

80

0

0

0

0

0

0

Asthma Adults

Boston

S70

2015

0

171995

144601

128654

117011

105564

99107

Asthma Adults

Boston

S70

2015

10

152428

122979

105662

90987

80421

72594

Asthma Adults

Boston

S70

2015

20

103314

69757

51951

39526

33362

26318

Asthma Adults

Boston

S70

2015

30

61343

35319

25731

19763

14675

11447

Asthma Adults

Boston

S70

2015

40

31014

14871

8120

5185

3131

1859

Asthma Adults

Boston

S70

2015

50

8512

1957

685

0

0

0

Asthma Adults

Boston

S70

2015

60

1370

0

0

0

0

0

Asthma Adults

Boston

S70

2015

70

196

0

0

0

0

0

Asthma Adults

Boston

S70

2015

80

98

0

0

0

0

0

Asthma Adults

Boston

S70

2016

0

177180

150275

133448

122588

112902

105369

Asthma Adults

Boston

S70

2016

10

158200

128751

110163

97346

86780

79345

Asthma Adults

Boston

S70

2016

20

107228

71713

53516

43830

36395

30622

Asthma Adults

Boston

S70

2016

30

65550

40895

29448

23187

18491

14969

Asthma Adults

Boston

S70

2016

40

39036

20154

11740

8218

5283

3718

Asthma Adults

Boston

S70

2016

50

12621

3816

1663

587

196

98

Asthma Adults

Boston

S70

2016

60

2055

489

0

0

0

0

Asthma Adults

Boston

S70

2016

70

0

0

0

0

0

0

Asthma Adults

Boston

S70

2016

80

0

0

0

0

0

0

Asthma Adults

Boston

S70

2017

0

174636

148416

131589

120925

110750

103216

Asthma Adults

Boston

S70

2017

10

155950

126990

109282

97444

87269

77583

Asthma Adults

Boston

S70

2017

20

108010

73474

56255

45493

36982

30916

Asthma Adults

Boston

S70

2017

30

65843

40700

29351

22698

16730

13697

Asthma Adults

Boston

S70

2017

40

38743

20643

11447

7631

5381

3522

Asthma Adults

Boston

S70

2017

50

16241

4403

783

294

98

0

Asthma Adults

Boston

S70

2017

60

4207

294

0

0

0

0

Asthma Adults

Boston

S70

2017

70

685

98

0

0

0

0

Asthma Adults

Boston

S70

2017

80

98

0

0

0

0

0

Asthma Adults

Boston

S75

2015

0

171995

144601

128654

117011

105564

99107

Asthma Adults

Boston

S75

2015

10

152428

122392

105662

90400

79834

71909

3D-Attachment4-52


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Boston

S75

2015

20

104488

70833

52538

41091

33851

26611

Asthma Adults

Boston

S75

2015

30

62419

35514

26024

19665

15164

11447

Asthma Adults

Boston

S75

2015

40

32775

16241

9392

6261

3620

2446

Asthma Adults

Boston

S75

2015

50

10664

3033

1076

98

0

0

Asthma Adults

Boston

S75

2015

60

2250

196

0

0

0

0

Asthma Adults

Boston

S75

2015

70

391

0

0

0

0

0

Asthma Adults

Boston

S75

2015

80

196

0

0

0

0

0

Asthma Adults

Boston

S75

2016

0

177180

150275

133448

122588

112902

105369

Asthma Adults

Boston

S75

2016

10

158004

128458

109674

96661

86584

79149

Asthma Adults

Boston

S75

2016

20

108402

72203

54005

44319

37373

31307

Asthma Adults

Boston

S75

2016

30

66724

41287

29448

23285

18687

15262

Asthma Adults

Boston

S75

2016

40

40895

20937

12719

8903

6164

4109

Asthma Adults

Boston

S75

2016

50

16045

5283

2837

1468

391

196

Asthma Adults

Boston

S75

2016

60

3033

587

98

98

98

0

Asthma Adults

Boston

S75

2016

70

294

0

0

0

0

0

Asthma Adults

Boston

S75

2016

80

0

0

0

0

0

0

Asthma Adults

Boston

S75

2017

0

174636

148416

131589

120925

110750

103216

Asthma Adults

Boston

S75

2017

10

155558

126599

109282

97542

86878

77290

Asthma Adults

Boston

S75

2017

20

108499

73768

56745

45591

37569

31992

Asthma Adults

Boston

S75

2017

30

67702

41776

29644

22600

17317

13599

Asthma Adults

Boston

S75

2017

40

41580

21817

12621

8414

5674

3913

Asthma Adults

Boston

S75

2017

50

18784

6066

1174

391

196

98

Asthma Adults

Boston

S75

2017

60

6164

881

0

0

0

0

Asthma Adults

Boston

S75

2017

70

783

98

0

0

0

0

Asthma Adults

Boston

S75

2017

80

98

0

0

0

0

0

Asthma Adults

Dallas

S65

2015

0

102827

89701

81887

75558

70401

66650

Asthma Adults

Dallas

S65

2015

10

90091

74933

64853

57430

51492

46726

Asthma Adults

Dallas

S65

2015

20

63759

44538

34536

27660

22972

18440

Asthma Adults

Dallas

S65

2015

30

39693

24457

17034

12814

10001

7814

Asthma Adults

Dallas

S65

2015

40

23675

11564

7110

4610

3360

2422

Asthma Adults

Dallas

S65

2015

50

9064

1875

703

234

0

0

Asthma Adults

Dallas

S65

2015

60

938

0

0

0

0

0

Asthma Adults

Dallas

S65

2015

70

0

0

0

0

0

0

Asthma Adults

Dallas

S65

2015

80

0

0

0

0

0

0

Asthma Adults

Dallas

S65

2016

0

106500

93217

84700

77668

72432

67510

Asthma Adults

Dallas

S65

2016

10

94154

78605

66807

59696

54539

50007

Asthma Adults

Dallas

S65

2016

20

64853

46726

36255

28754

23753

20784

Asthma Adults

Dallas

S65

2016

30

42115

26098

19143

14143

11486

9454

Asthma Adults

Dallas

S65

2016

40

21956

10158

6720

4376

2422

1641

Asthma Adults

Dallas

S65

2016

50

5079

1328

313

78

78

78

Asthma Adults

Dallas

S65

2016

60

156

0

0

0

0

0

Asthma Adults

Dallas

S65

2016

70

78

0

0

0

0

0

Asthma Adults

Dallas

S65

2016

80

0

0

0

0

0

0

Asthma Adults

Dallas

S65

2017

0

102046

89701

82668

75870

70870

66103

Asthma Adults

Dallas

S65

2017

10

91732

77042

65400

59618

54227

50007

Asthma Adults

Dallas

S65

2017

20

61884

45241

35161

29614

25160

21800

Asthma Adults

Dallas

S65

2017

30

39381

25551

19534

16096

13049

10548

3D-Attachment4-53


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Dallas

S65

2017

40

23285

12814

7970

5626

3829

2813

Asthma Adults

Dallas

S65

2017

50

8908

2578

469

78

0

0

Asthma Adults

Dallas

S65

2017

60

859

0

0

0

0

0

Asthma Adults

Dallas

S65

2017

70

0

0

0

0

0

0

Asthma Adults

Dallas

S65

2017

80

0

0

0

0

0

0

Asthma Adults

Dallas

S70

2015

0

102827

89701

81887

75558

70401

66650

Asthma Adults

Dallas

S70

2015

10

90638

75402

65400

57899

52351

47429

Asthma Adults

Dallas

S70

2015

20

65400

45944

35943

29301

23753

19065

Asthma Adults

Dallas

S70

2015

30

41959

25941

18362

13830

11252

8361

Asthma Adults

Dallas

S70

2015

40

26254

13596

8204

5782

3751

2969

Asthma Adults

Dallas

S70

2015

50

13439

3907

1953

703

313

234

Asthma Adults

Dallas

S70

2015

60

3047

156

0

0

0

0

Asthma Adults

Dallas

S70

2015

70

234

0

0

0

0

0

Asthma Adults

Dallas

S70

2015

80

0

0

0

0

0

0

Asthma Adults

Dallas

S70

2016

0

106500

93217

84700

77668

72432

67510

Asthma Adults

Dallas

S70

2016

10

94389

79074

67432

59931

54930

50398

Asthma Adults

Dallas

S70

2016

20

66963

47585

37974

30161

25082

21566

Asthma Adults

Dallas

S70

2016

30

44147

27738

20315

15002

11642

9923

Asthma Adults

Dallas

S70

2016

40

25472

12189

7970

5782

3516

2266

Asthma Adults

Dallas

S70

2016

50

8048

2344

859

313

156

78

Asthma Adults

Dallas

S70

2016

60

781

78

0

0

0

0

Asthma Adults

Dallas

S70

2016

70

78

0

0

0

0

0

Asthma Adults

Dallas

S70

2016

80

0

0

0

0

0

0

Asthma Adults

Dallas

S70

2017

0

102046

89701

82668

75870

70870

66103

Asthma Adults

Dallas

S70

2017

10

92123

77199

66494

59852

55242

50242

Asthma Adults

Dallas

S70

2017

20

64462

47194

36412

30708

26332

22972

Asthma Adults

Dallas

S70

2017

30

41334

26723

20315

16956

13908

11330

Asthma Adults

Dallas

S70

2017

40

25082

15237

9689

7267

5235

3751

Asthma Adults

Dallas

S70

2017

50

11720

4610

1563

469

156

0

Asthma Adults

Dallas

S70

2017

60

2500

78

0

0

0

0

Asthma Adults

Dallas

S70

2017

70

0

0

0

0

0

0

Asthma Adults

Dallas

S70

2017

80

0

0

0

0

0

0

Asthma Adults

Dallas

S75

2015

0

102827

89701

81887

75558

70401

66650

Asthma Adults

Dallas

S75

2015

10

90404

75402

65322

57899

52508

47507

Asthma Adults

Dallas

S75

2015

20

66728

47819

36802

29848

24613

19534

Asthma Adults

Dallas

S75

2015

30

44381

27191

19456

14768

11564

8986

Asthma Adults

Dallas

S75

2015

40

27504

15002

9064

6642

4610

3204

Asthma Adults

Dallas

S75

2015

50

16565

6251

2813

1485

703

313

Asthma Adults

Dallas

S75

2015

60

5313

859

156

0

0

0

Asthma Adults

Dallas

S75

2015

70

469

0

0

0

0

0

Asthma Adults

Dallas

S75

2015

80

0

0

0

0

0

0

Asthma Adults

Dallas

S75

2016

0

106500

93217

84700

77668

72432

67510

Asthma Adults

Dallas

S75

2016

10

94389

78996

67432

60399

55086

50554

Asthma Adults

Dallas

S75

2016

20

68057

48679

38756

30864

25629

21566

Asthma Adults

Dallas

S75

2016

30

45163

29223

21019

15315

12033

10158

Asthma Adults

Dallas

S75

2016

40

27348

13518

8517

6798

4376

2969

Asthma Adults

Dallas

S75

2016

50

11095

3907

1406

547

234

156

3D-Attachment4-54


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Dallas

S75

2016

60

1719

78

0

0

0

0

Asthma Adults

Dallas

S75

2016

70

234

0

0

0

0

0

Asthma Adults

Dallas

S75

2016

80

78

0

0

0

0

0

Asthma Adults

Dallas

S75

2017

0

102046

89701

82668

75870

70870

66103

Asthma Adults

Dallas

S75

2017

10

92123

77433

66416

60087

55242

50476

Asthma Adults

Dallas

S75

2017

20

65400

48288

37427

32114

27035

23128

Asthma Adults

Dallas

S75

2017

30

42741

27817

21175

17659

14299

11799

Asthma Adults

Dallas

S75

2017

40

26566

16799

10705

7814

5938

4219

Asthma Adults

Dallas

S75

2017

50

14221

6485

3047

1328

547

234

Asthma Adults

Dallas

S75

2017

60

4454

469

0

0

0

0

Asthma Adults

Dallas

S75

2017

70

156

0

0

0

0

0

Asthma Adults

Dallas

S75

2017

80

0

0

0

0

0

0

Asthma Adults

Detroit

S65

2015

0

117319

100672

87825

81337

75569

71178

Asthma Adults

Detroit

S65

2015

10

104145

83762

72751

64034

56497

50729

Asthma Adults

Detroit

S65

2015

20

70850

47452

35458

27921

23202

19859

Asthma Adults

Detroit

S65

2015

30

42799

25823

19138

14812

12125

9831

Asthma Adults

Detroit

S65

2015

40

24709

12781

7931

4916

3408

2294

Asthma Adults

Detroit

S65

2015

50

9045

2884

1049

197

131

66

Asthma Adults

Detroit

S65

2015

60

655

0

0

0

0

0

Asthma Adults

Detroit

S65

2015

70

0

0

0

0

0

0

Asthma Adults

Detroit

S65

2015

80

0

0

0

0

0

0

Asthma Adults

Detroit

S65

2016

0

116467

99557

89923

82189

74717

69867

Asthma Adults

Detroit

S65

2016

10

103883

84745

73210

64296

57611

51450

Asthma Adults

Detroit

S65

2016

20

73406

49877

38735

31001

26020

21563

Asthma Adults

Detroit

S65

2016

30

46141

27658

20383

15861

13108

10093

Asthma Adults

Detroit

S65

2016

40

26741

13567

7996

5374

4195

3015

Asthma Adults

Detroit

S65

2016

50

10552

3408

1311

459

131

66

Asthma Adults

Detroit

S65

2016

60

2032

262

0

0

0

0

Asthma Adults

Detroit

S65

2016

70

66

0

0

0

0

0

Asthma Adults

Detroit

S65

2016

80

0

0

0

0

0

0

Asthma Adults

Detroit

S65

2017

0

116205

99885

89464

81534

75504

70195

Asthma Adults

Detroit

S65

2017

10

104670

85269

73406

64689

57087

52302

Asthma Adults

Detroit

S65

2017

20

72882

51188

39325

32115

25889

21498

Asthma Adults

Detroit

S65

2017

30

46403

29100

22153

17762

14091

12256

Asthma Adults

Detroit

S65

2017

40

28117

15861

10093

7078

4785

3343

Asthma Adults

Detroit

S65

2017

50

10749

2949

1442

328

197

131

Asthma Adults

Detroit

S65

2017

60

721

0

0

0

0

0

Asthma Adults

Detroit

S65

2017

70

66

0

0

0

0

0

Asthma Adults

Detroit

S65

2017

80

0

0

0

0

0

0

Asthma Adults

Detroit

S70

2015

0

117319

100672

87825

81337

75569

71178

Asthma Adults

Detroit

S70

2015

10

104407

84286

73079

64099

56431

50991

Asthma Adults

Detroit

S70

2015

20

72161

49484

36900

29231

24119

20842

Asthma Adults

Detroit

S70

2015

30

44634

27527

19990

15402

12846

10356

Asthma Adults

Detroit

S70

2015

40

28248

15009

9569

6685

4588

3539

Asthma Adults

Detroit

S70

2015

50

13108

4653

2294

655

393

131

Asthma Adults

Detroit

S70

2015

60

2425

197

66

0

0

0

Asthma Adults

Detroit

S70

2015

70

66

0

0

0

0

0

3D-Attachment4-55


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Detroit

S70

2015

80

0

0

0

0

0

0

Asthma Adults

Detroit

S70

2016

0

116467

99557

89923

82189

74717

69867

Asthma Adults

Detroit

S70

2016

10

103818

85204

72948

64427

58004

52040

Asthma Adults

Detroit

S70

2016

20

74914

52105

40374

32574

26741

22612

Asthma Adults

Detroit

S70

2016

30

48763

29494

21301

16582

13698

11208

Asthma Adults

Detroit

S70

2016

40

29756

15664

9897

7013

5112

3998

Asthma Adults

Detroit

S70

2016

50

15206

5637

2622

1507

524

197

Asthma Adults

Detroit

S70

2016

60

5047

590

66

0

0

0

Asthma Adults

Detroit

S70

2016

70

655

0

0

0

0

0

Asthma Adults

Detroit

S70

2016

80

0

0

0

0

0

0

Asthma Adults

Detroit

S70

2017

0

116205

99885

89464

81534

75504

70195

Asthma Adults

Detroit

S70

2017

10

104473

85204

73144

64362

57349

52433

Asthma Adults

Detroit

S70

2017

20

74324

53089

40898

33098

27134

22743

Asthma Adults

Detroit

S70

2017

30

48566

31067

23005

18221

14747

12453

Asthma Adults

Detroit

S70

2017

40

31919

18286

12387

8586

6226

4457

Asthma Adults

Detroit

S70

2017

50

14878

5571

2818

1114

590

262

Asthma Adults

Detroit

S70

2017

60

2425

197

0

0

0

0

Asthma Adults

Detroit

S70

2017

70

197

0

0

0

0

0

Asthma Adults

Detroit

S70

2017

80

0

0

0

0

0

0

Asthma Adults

Detroit

S75

2015

0

117319

100672

87825

81337

75569

71178

Asthma Adults

Detroit

S75

2015

10

104670

83696

71244

62854

55579

50008

Asthma Adults

Detroit

S75

2015

20

73013

49353

37096

30018

23923

20646

Asthma Adults

Detroit

S75

2015

30

45617

28052

20646

15468

12912

9831

Asthma Adults

Detroit

S75

2015

40

29559

15795

10356

7210

4981

3801

Asthma Adults

Detroit

S75

2015

50

15730

6030

3080

1245

524

459

Asthma Adults

Detroit

S75

2015

60

4719

721

197

0

0

0

Asthma Adults

Detroit

S75

2015

70

524

66

0

0

0

0

Asthma Adults

Detroit

S75

2015

80

0

0

0

0

0

0

Asthma Adults

Detroit

S75

2016

0

116467

99557

89923

82189

74717

69867

Asthma Adults

Detroit

S75

2016

10

103031

84286

72489

63510

57349

51253

Asthma Adults

Detroit

S75

2016

20

75438

53351

41029

32902

26938

22808

Asthma Adults

Detroit

S75

2016

30

50467

30018

21629

16844

13764

11273

Asthma Adults

Detroit

S75

2016

40

31329

16975

10945

7799

5899

4653

Asthma Adults

Detroit

S75

2016

50

17631

7144

3867

2228

1245

590

Asthma Adults

Detroit

S75

2016

60

7472

1966

393

131

0

0

Asthma Adults

Detroit

S75

2016

70

1835

66

0

0

0

0

Asthma Adults

Detroit

S75

2016

80

0

0

0

0

0

0

Asthma Adults

Detroit

S75

2017

0

116205

99885

89464

81534

75504

70195

Asthma Adults

Detroit

S75

2017

10

104211

84155

72161

63706

56693

52105

Asthma Adults

Detroit

S75

2017

20

74848

53351

41291

33033

26872

21956

Asthma Adults

Detroit

S75

2017

30

49943

31788

23333

18548

14550

12584

Asthma Adults

Detroit

S75

2017

40

33295

18614

12256

9241

7013

4850

Asthma Adults

Detroit

S75

2017

50

17893

7013

3998

2228

1180

655

Asthma Adults

Detroit

S75

2017

60

6620

786

262

0

0

0

Asthma Adults

Detroit

S75

2017

70

459

0

0

0

0

0

Asthma Adults

Detroit

S75

2017

80

131

0

0

0

0

0

Asthma Adults

Philadelphia

S65

2015

0

137336

115725

101608

91238

85487

80868

3D-Attachment4-56


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Philadelphia

S65

2015

10

120866

97077

84005

75117

67187

60738

Asthma Adults

Philadelphia

S65

2015

20

84964

58995

46708

37297

30761

25533

Asthma Adults

Philadelphia

S65

2015

30

55945

36426

25794

20217

16557

14378

Asthma Adults

Philadelphia

S65

2015

40

33114

17603

12113

7843

5403

3747

Asthma Adults

Philadelphia

S65

2015

50

10370

2876

610

87

0

0

Asthma Adults

Philadelphia

S65

2015

60

871

0

0

0

0

0

Asthma Adults

Philadelphia

S65

2015

70

0

0

0

0

0

0

Asthma Adults

Philadelphia

S65

2015

80

0

0

0

0

0

0

Asthma Adults

Philadelphia

S65

2016

0

131672

112152

101434

93242

85748

79474

Asthma Adults

Philadelphia

S65

2016

10

119298

97077

84790

75291

67448

61958

Asthma Adults

Philadelphia

S65

2016

20

85487

61087

45053

36600

31110

26927

Asthma Adults

Philadelphia

S65

2016

30

55161

33898

24661

19258

16034

13246

Asthma Adults

Philadelphia

S65

2016

40

30587

14814

8279

4531

2701

1830

Asthma Adults

Philadelphia

S65

2016

50

6536

1394

436

87

87

0

Asthma Adults

Philadelphia

S65

2016

60

436

0

0

0

0

0

Asthma Adults

Philadelphia

S65

2016

70

0

0

0

0

0

0

Asthma Adults

Philadelphia

S65

2016

80

0

0

0

0

0

0

Asthma Adults

Philadelphia

S65

2017

0

136726

115725

102654

95247

88972

82088

Asthma Adults

Philadelphia

S65

2017

10

121999

98122

85835

77121

69627

63004

Asthma Adults

Philadelphia

S65

2017

20

81740

58908

45837

37645

32504

28234

Asthma Adults

Philadelphia

S65

2017

30

54900

33986

24923

20043

15773

12636

Asthma Adults

Philadelphia

S65

2017

40

29367

14988

7930

4009

2701

2091

Asthma Adults

Philadelphia

S65

2017

50

7581

697

87

0

0

0

Asthma Adults

Philadelphia

S65

2017

60

871

0

0

0

0

0

Asthma Adults

Philadelphia

S65

2017

70

0

0

0

0

0

0

Asthma Adults

Philadelphia

S65

2017

80

0

0

0

0

0

0

Asthma Adults

Philadelphia

S70

2015

0

137336

115725

101608

91238

85487

80868

Asthma Adults

Philadelphia

S70

2015

10

121041

97599

84702

75378

68058

61610

Asthma Adults

Philadelphia

S70

2015

20

87752

61348

48625

38778

32766

27276

Asthma Adults

Philadelphia

S70

2015

30

58473

37907

27101

21698

17603

14814

Asthma Adults

Philadelphia

S70

2015

40

36251

20827

14466

10283

7146

5664

Asthma Adults

Philadelphia

S70

2015

50

16470

5141

1830

174

87

87

Asthma Adults

Philadelphia

S70

2015

60

2614

174

0

0

0

0

Asthma Adults

Philadelphia

S70

2015

70

0

0

0

0

0

0

Asthma Adults

Philadelphia

S70

2015

80

0

0

0

0

0

0

Asthma Adults

Philadelphia

S70

2016

0

131672

112152

101434

93242

85748

79474

Asthma Adults

Philadelphia

S70

2016

10

119995

98209

85487

75727

67971

63091

Asthma Adults

Philadelphia

S70

2016

20

88101

63265

47493

38517

32853

28757

Asthma Adults

Philadelphia

S70

2016

30

57688

35467

25620

20653

17167

14117

Asthma Adults

Philadelphia

S70

2016

40

35293

17777

12026

6971

4793

3224

Asthma Adults

Philadelphia

S70

2016

50

12113

3573

1220

523

261

174

Asthma Adults

Philadelphia

S70

2016

60

1569

0

0

0

0

0

Asthma Adults

Philadelphia

S70

2016

70

0

0

0

0

0

0

Asthma Adults

Philadelphia

S70

2016

80

0

0

0

0

0

0

Asthma Adults

Philadelphia

S70

2017

0

136726

115725

102654

95247

88972

82088

Asthma Adults

Philadelphia

S70

2017

10

122958

98994

86097

77731

70585

63527

Asthma Adults

Philadelphia

S70

2017

20

84702

61435

48190

39563

33986

29193

3D-Attachment4-57


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Philadelphia

S70

2017

30

56817

35380

26753

20914

16383

14030

Asthma Adults

Philadelphia

S70

2017

40

33811

18387

11503

6884

4357

2963

Asthma Adults

Philadelphia

S70

2017

50

12461

3137

523

0

0

0

Asthma Adults

Philadelphia

S70

2017

60

2353

0

0

0

0

0

Asthma Adults

Philadelphia

S70

2017

70

261

0

0

0

0

0

Asthma Adults

Philadelphia

S70

2017

80

0

0

0

0

0

0

Asthma Adults

Philadelphia

S75

2015

0

137336

115725

101608

91238

85487

80868

Asthma Adults

Philadelphia

S75

2015

10

121041

98558

84964

75030

68145

62307

Asthma Adults

Philadelphia

S75

2015

20

89757

63091

49235

40783

33898

29106

Asthma Adults

Philadelphia

S75

2015

30

59954

40347

28408

22134

18300

15511

Asthma Adults

Philadelphia

S75

2015

40

39563

23877

16034

12200

8627

6449

Asthma Adults

Philadelphia

S75

2015

50

22657

9150

4270

1656

610

349

Asthma Adults

Philadelphia

S75

2015

60

5926

784

87

0

0

0

Asthma Adults

Philadelphia

S75

2015

70

697

0

0

0

0

0

Asthma Adults

Philadelphia

S75

2015

80

0

0

0

0

0

0

Asthma Adults

Philadelphia

S75

2016

0

131672

112152

101434

93242

85748

79474

Asthma Adults

Philadelphia

S75

2016

10

120431

98122

85574

76075

67797

63265

Asthma Adults

Philadelphia

S75

2016

20

90367

65270

49933

40085

33550

29803

Asthma Adults

Philadelphia

S75

2016

30

60477

37297

27276

21350

17603

14378

Asthma Adults

Philadelphia

S75

2016

40

40173

20740

13943

8540

6361

4793

Asthma Adults

Philadelphia

S75

2016

50

19346

6884

3050

1481

871

349

Asthma Adults

Philadelphia

S75

2016

60

3573

436

0

0

0

0

Asthma Adults

Philadelphia

S75

2016

70

523

0

0

0

0

0

Asthma Adults

Philadelphia

S75

2016

80

0

0

0

0

0

0

Asthma Adults

Philadelphia

S75

2017

0

136726

115725

102654

95247

88972

82088

Asthma Adults

Philadelphia

S75

2017

10

123481

99517

86009

77818

70062

63614

Asthma Adults

Philadelphia

S75

2017

20

87578

63004

49845

40783

35206

30238

Asthma Adults

Philadelphia

S75

2017

30

58821

37123

27711

21960

17254

14291

Asthma Adults

Philadelphia

S75

2017

40

38081

21176

13681

9324

6361

3921

Asthma Adults

Philadelphia

S75

2017

50

17603

5839

2091

436

174

174

Asthma Adults

Philadelphia

S75

2017

60

5141

174

0

0

0

0

Asthma Adults

Philadelphia

S75

2017

70

610

0

0

0

0

0

Asthma Adults

Philadelphia

S75

2017

80

0

0

0

0

0

0

Asthma Adults

Phoenix

S65

2015

0

81554

71968

65512

60297

56472

53790

Asthma Adults

Phoenix

S65

2015

10

74055

63475

55826

49817

46588

42565

Asthma Adults

Phoenix

S65

2015

20

55578

42615

34420

28907

25132

22152

Asthma Adults

Phoenix

S65

2015

30

39386

26076

20066

17036

14205

12367

Asthma Adults

Phoenix

S65

2015

40

25231

14950

10877

8245

6357

5215

Asthma Adults

Phoenix

S65

2015

50

10579

3775

1490

944

447

447

Asthma Adults

Phoenix

S65

2015

60

596

50

0

0

0

0

Asthma Adults

Phoenix

S65

2015

70

0

0

0

0

0

0

Asthma Adults

Phoenix

S65

2015

80

0

0

0

0

0

0

Asthma Adults

Phoenix

S65

2016

0

78177

68243

61687

58012

54734

51853

Asthma Adults

Phoenix

S65

2016

10

71621

60247

53095

48327

44751

42118

Asthma Adults

Phoenix

S65

2016

20

52697

39237

31837

26970

23493

21109

Asthma Adults

Phoenix

S65

2016

30

35413

23840

19519

16589

14155

12516

Asthma Adults

Phoenix

S65

2016

40

23940

15347

10977

8146

6755

5612

3D-Attachment4-5 8


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Phoenix

S65

2016

50

8593

2930

1341

447

199

149

Asthma Adults

Phoenix

S65

2016

60

248

0

0

0

0

0

Asthma Adults

Phoenix

S65

2016

70

0

0

0

0

0

0

Asthma Adults

Phoenix

S65

2016

80

0

0

0

0

0

0

Asthma Adults

Phoenix

S65

2017

0

77233

66604

60942

56323

52797

50214

Asthma Adults

Phoenix

S65

2017

10

69882

58757

52598

48277

45098

43012

Asthma Adults

Phoenix

S65

2017

20

53293

39833

33377

28807

23989

21506

Asthma Adults

Phoenix

S65

2017

30

35661

24983

20562

16539

14702

13410

Asthma Adults

Phoenix

S65

2017

40

24884

16539

12715

10281

8195

6804

Asthma Adults

Phoenix

S65

2017

50

10430

4818

2384

1242

497

248

Asthma Adults

Phoenix

S65

2017

60

944

0

0

0

0

0

Asthma Adults

Phoenix

S65

2017

70

0

0

0

0

0

0

Asthma Adults

Phoenix

S65

2017

80

0

0

0

0

0

0

Asthma Adults

Phoenix

S70

2015

0

81554

71968

65512

60297

56472

53790

Asthma Adults

Phoenix

S70

2015

10

74104

63277

55926

49717

46787

43360

Asthma Adults

Phoenix

S70

2015

20

56969

44204

36108

30049

26324

23443

Asthma Adults

Phoenix

S70

2015

30

40728

28162

21158

17533

14553

12914

Asthma Adults

Phoenix

S70

2015

40

27814

17036

12665

10033

7996

6606

Asthma Adults

Phoenix

S70

2015

50

15397

7301

4073

2334

1440

993

Asthma Adults

Phoenix

S70

2015

60

3328

695

199

149

50

50

Asthma Adults

Phoenix

S70

2015

70

50

50

0

0

0

0

Asthma Adults

Phoenix

S70

2015

80

0

0

0

0

0

0

Asthma Adults

Phoenix

S70

2016

0

78177

68243

61687

58012

54734

51853

Asthma Adults

Phoenix

S70

2016

10

71819

60396

53095

48674

45098

42218

Asthma Adults

Phoenix

S70

2016

20

54535

41026

33675

28559

24784

22400

Asthma Adults

Phoenix

S70

2016

30

36853

25082

20016

17284

15049

13063

Asthma Adults

Phoenix

S70

2016

40

26771

17135

13212

10480

8146

6804

Asthma Adults

Phoenix

S70

2016

50

14006

6258

3824

2334

1341

695

Asthma Adults

Phoenix

S70

2016

60

2831

397

99

50

0

0

Asthma Adults

Phoenix

S70

2016

70

0

0

0

0

0

0

Asthma Adults

Phoenix

S70

2016

80

0

0

0

0

0

0

Asthma Adults

Phoenix

S70

2017

0

77233

66604

60942

56323

52797

50214

Asthma Adults

Phoenix

S70

2017

10

70329

58906

52598

48625

45049

42963

Asthma Adults

Phoenix

S70

2017

20

55081

41522

34817

30347

26125

22897

Asthma Adults

Phoenix

S70

2017

30

37499

26175

21655

17682

15149

13559

Asthma Adults

Phoenix

S70

2017

40

27218

18526

14056

11920

10083

8344

Asthma Adults

Phoenix

S70

2017

50

15198

8593

5712

3924

2583

1788

Asthma Adults

Phoenix

S70

2017

60

3973

1142

99

50

0

0

Asthma Adults

Phoenix

S70

2017

70

99

0

0

0

0

0

Asthma Adults

Phoenix

S70

2017

80

0

0

0

0

0

0

Asthma Adults

Phoenix

S75

2015

0

81554

71968

65512

60297

56472

53790

Asthma Adults

Phoenix

S75

2015

10

73856

62879

55032

49419

46290

42814

Asthma Adults

Phoenix

S75

2015

20

57168

44651

36456

30943

26970

23940

Asthma Adults

Phoenix

S75

2015

30

41622

28311

21953

18029

14801

13112

Asthma Adults

Phoenix

S75

2015

40

29403

18029

13659

10381

8394

6953

Asthma Adults

Phoenix

S75

2015

50

18725

9338

6159

3973

2682

1689

Asthma Adults

Phoenix

S75

2015

60

7599

1887

646

298

248

50

3D-Attachment4-59


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Phoenix

S75

2015

70

298

50

50

0

0

0

Asthma Adults

Phoenix

S75

2015

80

0

0

0

0

0

0

Asthma Adults

Phoenix

S75

2016

0

78177

68243

61687

58012

54734

51853

Asthma Adults

Phoenix

S75

2016

10

71770

59850

52946

48128

44999

41622

Asthma Adults

Phoenix

S75

2016

20

55131

41622

33824

29304

25678

22648

Asthma Adults

Phoenix

S75

2016

30

37896

25579

20761

17433

15347

13112

Asthma Adults

Phoenix

S75

2016

40

27913

18129

14106

11424

8791

7450

Asthma Adults

Phoenix

S75

2016

50

17135

8791

5861

3675

2483

1738

Asthma Adults

Phoenix

S75

2016

60

6159

1589

447

149

99

0

Asthma Adults

Phoenix

S75

2016

70

447

0

0

0

0

0

Asthma Adults

Phoenix

S75

2016

80

0

0

0

0

0

0

Asthma Adults

Phoenix

S75

2017

0

77233

66604

60942

56323

52797

50214

Asthma Adults

Phoenix

S75

2017

10

69982

58509

52201

48128

45049

42764

Asthma Adults

Phoenix

S75

2017

20

55677

42317

35810

30744

26870

23890

Asthma Adults

Phoenix

S75

2017

30

38592

27168

21854

17880

15546

13808

Asthma Adults

Phoenix

S75

2017

40

28509

19768

14751

12566

10877

9238

Asthma Adults

Phoenix

S75

2017

50

18178

11175

7251

5364

4222

3129

Asthma Adults

Phoenix

S75

2017

60

7947

2930

993

397

99

50

Asthma Adults

Phoenix

S75

2017

70

1043

50

0

0

0

0

Asthma Adults

Phoenix

S75

2017

80

0

0

0

0

0

0

Asthma Adults

Sacramento

S65

2015

0

36274

31357

28213

26012

24583

23096

Asthma Adults

Sacramento

S65

2015

10

31643

25726

22439

20324

18694

16979

Asthma Adults

Sacramento

S65

2015

20

21467

14978

12063

10233

8833

7546

Asthma Adults

Sacramento

S65

2015

30

13921

9004

7003

5431

4745

4059

Asthma Adults

Sacramento

S65

2015

40

7289

3373

2344

1486

800

572

Asthma Adults

Sacramento

S65

2015

50

1343

200

29

0

0

0

Asthma Adults

Sacramento

S65

2015

60

57

0

0

0

0

0

Asthma Adults

Sacramento

S65

2015

70

0

0

0

0

0

0

Asthma Adults

Sacramento

S65

2015

80

0

0

0

0

0

0

Asthma Adults

Sacramento

S65

2016

0

36960

31586

28127

26040

24383

22896

Asthma Adults

Sacramento

S65

2016

10

31443

25526

22667

20409

18894

17236

Asthma Adults

Sacramento

S65

2016

20

21181

15350

12406

10319

9033

7775

Asthma Adults

Sacramento

S65

2016

30

13806

8947

6717

5460

4602

4030

Asthma Adults

Sacramento

S65

2016

40

6660

3373

1972

1229

772

543

Asthma Adults

Sacramento

S65

2016

50

1658

286

0

0

0

0

Asthma Adults

Sacramento

S65

2016

60

57

0

0

0

0

0

Asthma Adults

Sacramento

S65

2016

70

0

0

0

0

0

0

Asthma Adults

Sacramento

S65

2016

80

0

0

0

0

0

0

Asthma Adults

Sacramento

S65

2017

0

36588

31614

28413

25983

23725

22267

Asthma Adults

Sacramento

S65

2017

10

31814

25926

22582

19723

17665

16265

Asthma Adults

Sacramento

S65

2017

20

21067

14578

11177

9290

7804

6689

Asthma Adults

Sacramento

S65

2017

30

12663

8204

6632

5374

4316

3802

Asthma Adults

Sacramento

S65

2017

40

6117

3144

1801

1201

829

629

Asthma Adults

Sacramento

S65

2017

50

943

143

0

0

0

0

Asthma Adults

Sacramento

S65

2017

60

86

0

0

0

0

0

Asthma Adults

Sacramento

S65

2017

70

0

0

0

0

0

0

Asthma Adults

Sacramento

S65

2017

80

0

0

0

0

0

0

3D-Attachment4-60


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Sacramento

S70

2015

0

36274

31357

28213

26012

24583

23096

Asthma Adults

Sacramento

S70

2015

10

31700

25955

22696

20524

18780

17494

Asthma Adults

Sacramento

S70

2015

20

22296

16207

13006

11005

9376

8032

Asthma Adults

Sacramento

S70

2015

30

14864

9747

7746

6060

5059

4402

Asthma Adults

Sacramento

S70

2015

40

9347

5117

3201

2458

1829

1401

Asthma Adults

Sacramento

S70

2015

50

3259

972

429

57

0

0

Asthma Adults

Sacramento

S70

2015

60

257

0

0

0

0

0

Asthma Adults

Sacramento

S70

2015

70

57

0

0

0

0

0

Asthma Adults

Sacramento

S70

2015

80

0

0

0

0

0

0

Asthma Adults

Sacramento

S70

2016

0

36960

31586

28127

26040

24383

22896

Asthma Adults

Sacramento

S70

2016

10

31529

25755

22839

20724

19123

17465

Asthma Adults

Sacramento

S70

2016

20

21953

16122

13235

11119

9433

8261

Asthma Adults

Sacramento

S70

2016

30

14892

9776

7318

5860

5088

4230

Asthma Adults

Sacramento

S70

2016

40

8347

4688

3030

2230

1629

1172

Asthma Adults

Sacramento

S70

2016

50

3716

1201

343

143

57

29

Asthma Adults

Sacramento

S70

2016

60

286

86

0

0

0

0

Asthma Adults

Sacramento

S70

2016

70

29

0

0

0

0

0

Asthma Adults

Sacramento

S70

2016

80

0

0

0

0

0

0

Asthma Adults

Sacramento

S70

2017

0

36588

31614

28413

25983

23725

22267

Asthma Adults

Sacramento

S70

2017

10

31929

26298

22868

20266

18094

16608

Asthma Adults

Sacramento

S70

2017

20

22124

15436

11948

9804

8318

7175

Asthma Adults

Sacramento

S70

2017

30

14035

9090

7175

5688

4716

4059

Asthma Adults

Sacramento

S70

2017

40

7918

4602

3287

2144

1629

1372

Asthma Adults

Sacramento

S70

2017

50

3030

772

143

57

29

0

Asthma Adults

Sacramento

S70

2017

60

343

29

0

0

0

0

Asthma Adults

Sacramento

S70

2017

70

29

0

0

0

0

0

Asthma Adults

Sacramento

S70

2017

80

0

0

0

0

0

0

Asthma Adults

Sacramento

S75

2015

0

36274

31357

28213

26012

24583

23096

Asthma Adults

Sacramento

S75

2015

10

31729

26098

22982

20781

18894

17637

Asthma Adults

Sacramento

S75

2015

20

23039

16893

13578

11405

9719

8432

Asthma Adults

Sacramento

S75

2015

30

15836

10262

8089

6317

5260

4574

Asthma Adults

Sacramento

S75

2015

40

10490

6088

4202

3116

2315

1915

Asthma Adults

Sacramento

S75

2015

50

4888

1829

915

400

257

114

Asthma Adults

Sacramento

S75

2015

60

972

143

0

0

0

0

Asthma Adults

Sacramento

S75

2015

70

86

0

0

0

0

0

Asthma Adults

Sacramento

S75

2015

80

29

0

0

0

0

0

Asthma Adults

Sacramento

S75

2016

0

36960

31586

28127

26040

24383

22896

Asthma Adults

Sacramento

S75

2016

10

31643

25869

22896

20867

19180

17551

Asthma Adults

Sacramento

S75

2016

20

22953

16722

13663

11777

9976

8575

Asthma Adults

Sacramento

S75

2016

30

15693

10147

7661

6146

5260

4431

Asthma Adults

Sacramento

S75

2016

40

9576

5517

3830

2858

2230

1658

Asthma Adults

Sacramento

S75

2016

50

5145

2001

972

515

286

114

Asthma Adults

Sacramento

S75

2016

60

1629

286

0

0

0

0

Asthma Adults

Sacramento

S75

2016

70

114

0

0

0

0

0

Asthma Adults

Sacramento

S75

2016

80

0

0

0

0

0

0

Asthma Adults

Sacramento

S75

2017

0

36588

31614

28413

25983

23725

22267

Asthma Adults

Sacramento

S75

2017

10

31986

26526

23153

20495

18208

16665

3D-Attachment4-61


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Sacramento

S75

2017

20

23296

16236

12491

10090

8718

7603

Asthma Adults

Sacramento

S75

2017

30

14950

9519

7575

5888

4888

4202

Asthma Adults

Sacramento

S75

2017

40

9004

5460

3887

2773

2144

1744

Asthma Adults

Sacramento

S75

2017

50

4345

1744

829

429

200

114

Asthma Adults

Sacramento

S75

2017

60

972

143

0

0

0

0

Asthma Adults

Sacramento

S75

2017

70

114

0

0

0

0

0

Asthma Adults

Sacramento

S75

2017

80

0

0

0

0

0

0

Asthma Adults

St. Louis

S65

2015

0

59231

50503

45496

41812

38843

36447

Asthma Adults

St. Louis

S65

2015

10

51719

41562

35767

31439

28256

25431

Asthma Adults

St. Louis

S65

2015

20

34873

23463

18062

14378

11696

9693

Asthma Adults

St. Louis

S65

2015

30

20602

12805

9013

6975

5544

4793

Asthma Adults

St. Louis

S65

2015

40

11231

5687

3434

2075

1538

1037

Asthma Adults

St. Louis

S65

2015

50

3505

715

215

72

36

0

Asthma Adults

St. Louis

S65

2015

60

143

0

0

0

0

0

Asthma Adults

St. Louis

S65

2015

70

0

0

0

0

0

0

Asthma Adults

St. Louis

S65

2015

80

0

0

0

0

0

0

Asthma Adults

St. Louis

S65

2016

0

56262

47570

43028

39094

36053

33764

Asthma Adults

St. Louis

S65

2016

10

49824

40524

34945

30402

27398

25180

Asthma Adults

St. Louis

S65

2016

20

34337

23249

17669

14307

11624

9657

Asthma Adults

St. Louis

S65

2016

30

21496

12876

9693

7762

6259

5437

Asthma Adults

St. Louis

S65

2016

40

13019

6903

4149

3076

1967

1431

Asthma Adults

St. Louis

S65

2016

50

5294

1645

572

72

36

0

Asthma Adults

St. Louis

S65

2016

60

930

72

36

0

0

0

Asthma Adults

St. Louis

S65

2016

70

36

0

0

0

0

0

Asthma Adults

St. Louis

S65

2016

80

0

0

0

0

0

0

Asthma Adults

St. Louis

S65

2017

0

58694

50897

45746

42062

39094

36769

Asthma Adults

St. Louis

S65

2017

10

52435

43243

37556

34158

30760

27577

Asthma Adults

St. Louis

S65

2017

20

37198

26217

20495

16524

13556

11338

Asthma Adults

St. Louis

S65

2017

30

23249

15165

10694

8405

6832

5437

Asthma Adults

St. Louis

S65

2017

40

14271

7368

4686

3112

2253

1717

Asthma Adults

St. Louis

S65

2017

50

4328

1180

644

286

179

107

Asthma Adults

St. Louis

S65

2017

60

72

0

0

0

0

0

Asthma Adults

St. Louis

S65

2017

70

0

0

0

0

0

0

Asthma Adults

St. Louis

S65

2017

80

0

0

0

0

0

0

Asthma Adults

St. Louis

S70

2015

0

59231

50503

45496

41812

38843

36447

Asthma Adults

St. Louis

S70

2015

10

52006

42134

36125

31547

28578

25896

Asthma Adults

St. Louis

S70

2015

20

36232

24679

18849

15487

12411

10337

Asthma Adults

St. Louis

S70

2015

30

22211

13949

9621

7475

5830

5007

Asthma Adults

St. Louis

S70

2015

40

13341

7153

4542

3040

2003

1610

Asthma Adults

St. Louis

S70

2015

50

5794

1717

644

215

107

0

Asthma Adults

St. Louis

S70

2015

60

787

72

72

0

0

0

Asthma Adults

St. Louis

S70

2015

70

0

0

0

0

0

0

Asthma Adults

St. Louis

S70

2015

80

0

0

0

0

0

0

Asthma Adults

St. Louis

S70

2016

0

56262

47570

43028

39094

36053

33764

Asthma Adults

St. Louis

S70

2016

10

50432

40632

35195

30796

27791

25287

Asthma Adults

St. Louis

S70

2016

20

35588

24358

18635

15559

12197

10194

Asthma Adults

St. Louis

S70

2016

30

22784

13913

9979

8012

6545

5615

3D-Attachment4-62


-------
Study Group

Study Area

AQ
Scenario

Year

Benchmark
(PPb)

Number of People with 7-hr Exposure at or above Benchmark

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

St. Louis

S70

2016

40

14665

8262

5580

3899

2683

1860

Asthma Adults

St. Louis

S70

2016

50

7618

2826

1431

501

286

143

Asthma Adults

St. Louis

S70

2016

60

2325

CO
LO
CO

36

0

0

0

Asthma Adults

St. Louis

S70

2016

70

179

0

0

0

0

0

Asthma Adults

St. Louis

S70

2016

80

0

0

0

0

0

0

Asthma Adults

St. Louis

S70

2017

0

58694

50897

45746

42062

39094

36769

Asthma Adults

St. Louis

S70

2017

10

52685

43672

37985

34372

31082

28256

Asthma Adults

St. Louis

S70

2017

20

38307

27684

21997

17383

14378

12447

Asthma Adults

St. Louis

S70

2017

30

24894

16203

11660

8835

7511

5973

Asthma Adults

St. Louis

S70

2017

40

16453

9478

6009

4221

2790

2325

Asthma Adults

St. Louis

S70

2017

50

7332

2754

1431

CO
CNJ

CO

501

CO
LO
CO

Asthma Adults

St. Louis

S70

2017

60

1073

143

36

0

0

0

Asthma Adults

St. Louis

S70

2017

70

36

0

0

0

0

0

Asthma Adults

St. Louis

S70

2017

80

0

0

0

0

0

0

Asthma Adults

St. Louis

S75

2015

0

59231

50503

45496

41812

38843

36447

Asthma Adults

St. Louis

S75

2015

10

52041

42420

36518

31726

28757

25896

Asthma Adults

St. Louis

S75

2015

20

36876

25538

19600

15809

12912

10802

Asthma Adults

St. Louis

S75

2015

30

23499

14522

10015

7762

6009

5115

Asthma Adults

St. Louis

S75

2015

40

14593

8048

5222

3434

2718

1896

Asthma Adults

St. Louis

S75

2015

50

7618

2861

1180

537

215

72

Asthma Adults

St. Louis

S75

2015

60

2039

250

72

36

0

0

Asthma Adults

St. Louis

S75

2015

70

36

0

0

0

0

0

Asthma Adults

St. Louis

S75

2015

80

0

0

0

0

0

0

Asthma Adults

St. Louis

S75

2016

0

56262

47570

43028

39094

36053

33764

Asthma Adults

St. Louis

S75

2016

10

50360

40846

35481

30831

27720

25395

Asthma Adults

St. Louis

S75

2016

20

36626

24787

19493

15809

12805

10444

Asthma Adults

St. Louis

S75

2016

30

24071

14450

10373

8298

6653

5723

Asthma Adults

St. Louis

S75

2016

40

15416

8870

6080

4614

3291

2432

Asthma Adults

St. Louis

S75

2016

50

9264

3863

2218

1109

I—.
CO
LO

322

Asthma Adults

St. Louis

S75

2016

60

3577

787

143

0

0

0

Asthma Adults

St. Louis

S75

2016

70

CO
LO
CO

72

36

0

0

0

Asthma Adults

St. Louis

S75

2016

80

36

0

0

0

0

0

Asthma Adults

St. Louis

S75

2017

0

58694

50897

45746

42062

39094

36769

Asthma Adults

St. Louis

S75

2017

10

52685

43815

38343

34623

31082

28328

Asthma Adults

St. Louis

S75

2017

20

39237

28542

22855

18456

14986

13019

Asthma Adults

St. Louis

S75

2017

30

26003

16846

12089

9156

7690

6224

Asthma Adults

St. Louis

S75

2017

40

17204

10122

6617

4757

3398

2861

Asthma Adults

St. Louis

S75

2017

50

9550

4256

2182

1252

930

680

Asthma Adults

St. Louis

S75

2017

60

2539

644

107

107

107

36

Asthma Adults

St. Louis

S75

2017

70

107

0

0

0

0

0

Asthma Adults

St. Louis

S75

2017

80

36

0

0

0

0

0

3D-Attachment4-63


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Atlanta

S65

2015

10

119728

64262

44045

33433

25947

20943

All Children

Atlanta

S65

2015

15

31879

15718

9806

6739

4802

3612

All Children

Atlanta

S65

2015

20

12812

4903

2663

1897

1291

1069

All Children

Atlanta

S65

2016

10

141680

82320

57846

44510

36156

29619

All Children

Atlanta

S65

2016

15

40636

19955

12994

9261

7122

5649

All Children

Atlanta

S65

2016

20

15213

6457

3914

2583

1957

1392

All Children

Atlanta

S65

2017

10

111112

60772

41019

31072

24373

19713

All Children

Atlanta

S65

2017

15

28368

13357

8535

6134

4600

3470

All Children

Atlanta

S65

2017

20

9443

3975

2119

1372

989

646

All Children

Atlanta

S70

2015

10

154048

87284

61922

47536

38457

31536

All Children

Atlanta

S70

2015

15

48303

24232

16444

11561

8777

6941

All Children

Atlanta

S70

2015

20

20217

8979

4903

3369

2441

1856

All Children

Atlanta

S70

2016

10

182558

110689

80424

63455

51955

43561

All Children

Atlanta

S70

2016

15

60328

32040

21125

15536

12187

9765

All Children

Atlanta

S70

2016

20

25685

11904

7607

5206

3914

3087

All Children

Atlanta

S70

2017

10

141680

80585

57443

44106

35228

28711

All Children

Atlanta

S70

2017

15

40676

20338

13720

9967

7647

5972

All Children

Atlanta

S70

2017

20

15233

7042

4358

2764

1957

1372

All Children

Atlanta

S75

2015

10

192081

114563

83491

65170

53266

44631

All Children

Atlanta

S75

2015

15

68560

36136

24736

18482

14668

11682

All Children

Atlanta

S75

2015

20

29680

14890

9624

6335

4822

3632

All Children

Atlanta

S75

2016

10

226744

142527

107238

85791

70739

60489

All Children

Atlanta

S75

2016

15

85367

47516

32484

25039

19309

15798

All Children

Atlanta

S75

2016

20

39385

19370

12590

9019

6840

5306

All Children

Atlanta

S75

2017

10

175435

105584

75824

59057

47839

40252

All Children

Atlanta

S75

2017

15

56918

30103

20580

15294

11803

9221

All Children

Atlanta

S75

2017

20

23728

11561

7445

5145

3632

2744

All Children

Boston

S65

2015

10

142102

77729

54110

40116

31196

25713

All Children

Boston

S65

2015

15

41823

18909

11855

7850

5529

4210

All Children

Boston

S65

2015

20

15746

5825

3368

2207

1365

956

All Children

Boston

S65

2016

10

144536

79345

54884

40594

32061

25804

All Children

Boston

S65

2016

15

41686

20138

12606

8851

6508

4960

All Children

Boston

S65

2016

20

16474

6713

3868

2435

1752

1206

All Children

Boston

S65

2017

10

155777

83827

56295

41117

32152

26259

All Children

Boston

S65

2017

15

51380

23141

13994

9352

6508

4505

All Children

Boston

S65

2017

20

21435

7668

3868

2480

1661

1115

All Children

Boston

S70

2015

10

168747

94590

66762

51152

40685

33267

All Children

Boston

S70

2015

15

55225

25849

16998

11832

8738

6553

All Children

Boston

S70

2015

20

22368

9079

5234

3390

2480

1616

All Children

Boston

S70

2016

10

177849

99960

70061

52972

41709

34086

All Children

Boston

S70

2016

15

56932

28853

18454

13425

9830

7691

All Children

Boston

S70

2016

20

24461

10672

6030

4050

2890

2230

All Children

Boston

S70

2017

10

192821

107742

73019

54929

42187

34223

All Children

Boston

S70

2017

15

68218

32471

20502

14358

10331

7850

All Children

Boston

S70

2017

20

31924

12697

6485

4323

2981

2048

3D-Attachment4-64


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Boston

S75

2015

10

186109

106309

75021

57409

45736

38023

All Children

Boston

S75

2015

15

64054

30969

20502

14654

10786

8328

All Children

Boston

S75

2015

20

26827

11491

7031

4278

3095

2321

All Children

Boston

S75

2016

10

199238

114159

80437

62506

48990

39661

All Children

Boston

S75

2016

15

68673

35156

23050

16656

12265

9602

All Children

Boston

S75

2016

20

30514

13857

8214

5484

3891

2822

All Children

Boston

S75

2017

10

217328

123124

84783

63849

49354

39547

All Children

Boston

S75

2017

15

80960

39820

25417

17384

13107

9989

All Children

Boston

S75

2017

20

39684

16702

9375

5893

3937

2662

All Children

Dallas

S65

2015

10

184931

109857

77865

59799

48355

40103

All Children

Dallas

S65

2015

15

58735

30621

20146

14258

10853

8489

All Children

Dallas

S65

2015

20

23362

10451

6242

4091

2885

2270

All Children

Dallas

S65

2016

10

158708

92406

66018

50956

41261

33600

All Children

Dallas

S65

2016

15

43957

20832

14400

10428

8087

6573

All Children

Dallas

S65

2016

20

16717

7236

3902

2790

1844

1395

All Children

Dallas

S65

2017

10

183891

109739

78621

61100

50128

41238

All Children

Dallas

S65

2017

15

57482

29084

19247

13738

10617

8796

All Children

Dallas

S65

2017

20

23196

10499

6857

4469

3074

2365

All Children

Dallas

S70

2015

10

222622

134637

98578

77108

62660

52209

All Children

Dallas

S70

2015

15

76942

42869

28587

21352

16812

13123

All Children

Dallas

S70

2015

20

34853

16410

10215

7094

5013

4067

All Children

Dallas

S70

2016

10

185830

109975

80300

62140

50625

42207

All Children

Dallas

S70

2016

15

57317

28658

19484

14282

11232

9174

All Children

Dallas

S70

2016

20

22747

10475

6597

4540

3310

2246

All Children

Dallas

S70

2017

10

213211

130192

95173

75878

61833

51760

All Children

Dallas

S70

2017

15

72473

38968

25986

19271

14707

11752

All Children

Dallas

S70

2017

20

31165

14329

9198

6668

4753

3760

All Children

Dallas

S75

2015

10

257783

161049

118582

94062

77628

65380

All Children

Dallas

S75

2015

15

96899

56182

38637

28753

22794

18183

All Children

Dallas

S75

2015

20

45612

23527

15393

10428

7921

6195

All Children

Dallas

S75

2016

10

211343

127142

93305

72828

60367

50861

All Children

Dallas

S75

2016

15

70274

37005

25230

18562

14873

11941

All Children

Dallas

S75

2016

20

29770

13785

8796

6171

4635

3570

All Children

Dallas

S75

2017

10

240285

148494

111110

88718

73230

61927

All Children

Dallas

S75

2017

15

86992

48000

32252

24449

19035

15393

All Children

Dallas

S75

2017

20

39819

19295

12154

8938

7023

5391

All Children

Detroit

S65

2015

10

124524

70240

49393

37392

29483

24523

All Children

Detroit

S65

2015

15

37045

18592

11707

7943

6018

4527

All Children

Detroit

S65

2015

20

14117

6174

3399

2012

1474

1075

All Children

Detroit

S65

2016

10

144399

83143

58585

44364

35710

29778

All Children

Detroit

S65

2016

15

46514

23205

14828

10510

7995

6174

All Children

Detroit

S65

2016

20

18696

8186

4891

3278

2255

1544

All Children

Detroit

S65

2017

10

133039

77108

54561

42525

34322

28079

All Children

Detroit

S65

2017

15

40548

20829

13649

9920

7718

5931

All Children

Detroit

S65

2017

20

16979

7683

4475

2896

2168

1665

3D-Attachment4-65


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Detroit

S70

2015

10

149480

87982

63337

48613

38883

32067

All Children

Detroit

S70

2015

15

50434

26015

17326

12574

9348

7458

All Children

Detroit

S70

2015

20

21037

9729

5689

3885

2706

1908

All Children

Detroit

S70

2016

10

176362

107267

76709

59001

47659

40028

All Children

Detroit

S70

2016

15

63632

33819

22928

16025

12504

9816

All Children

Detroit

S70

2016

20

28547

13302

8394

5584

4041

3052

All Children

Detroit

S70

2017

10

162228

97798

69650

54561

44121

36715

All Children

Detroit

S70

2017

15

56018

30004

19910

14759

11533

9053

All Children

Detroit

S70

2017

20

24541

11897

7458

5047

3659

2567

All Children

Detroit

S75

2015

10

168471

100070

73101

56157

45734

37531

All Children

Detroit

S75

2015

15

61048

31929

21922

16129

12123

9747

All Children

Detroit

S75

2015

20

26587

12574

7562

5134

3746

2740

All Children

Detroit

S75

2016

10

202568

126674

91797

71749

58082

48387

All Children

Detroit

S75

2016

15

80143

44017

29986

22130

17100

13649

All Children

Detroit

S75

2016

20

38415

18991

12106

8221

6001

4665

All Children

Detroit

S75

2017

10

185519

113355

82189

64621

52342

43601

All Children

Detroit

S75

2017

15

68679

38727

25703

18522

14516

11811

All Children

Detroit

S75

2017

20

32119

16112

10389

7197

5238

3885

All Children

Philadelphia

S65

2015

10

164741

96099

67878

51749

41556

34419

All Children

Philadelphia

S65

2015

15

46620

23834

15693

11197

8447

6526

All Children

Philadelphia

S65

2015

20

17351

7595

4496

2968

2030

1484

All Children

Philadelphia

S65

2016

10

162035

94266

65084

49872

40749

33612

All Children

Philadelphia

S65

2016

15

45921

23244

15060

10760

8294

6810

All Children

Philadelphia

S65

2016

20

17526

7923

4365

2837

1899

1462

All Children

Philadelphia

S65

2017

10

150445

85099

60021

45267

36493

29356

All Children

Philadelphia

S65

2017

15

42648

20691

12877

9123

6701

5347

All Children

Philadelphia

S65

2017

20

16348

6831

3841

2532

1724

1331

All Children

Philadelphia

S70

2015

10

196192

118929

85841

66547

53888

44568

All Children

Philadelphia

S70

2015

15

62400

32913

22437

16544

12550

10258

All Children

Philadelphia

S70

2015

20

25449

11677

7159

5282

3754

2619

All Children

Philadelphia

S70

2016

10

193355

116397

82458

63404

52076

43586

All Children

Philadelphia

S70

2016

15

61221

32302

21935

15955

12681

9800

All Children

Philadelphia

S70

2016

20

25012

11677

7312

5020

3579

2488

All Children

Philadelphia

S70

2017

10

178688

104546

74775

56943

46358

37955

All Children

Philadelphia

S70

2017

15

56856

29508

19119

13576

10280

7857

All Children

Philadelphia

S70

2017

20

23615

10324

5653

4038

2903

2248

All Children

Philadelphia

S75

2015

10

237072

147695

109936

87085

71720

59824

All Children

Philadelphia

S75

2015

15

84204

46162

32499

24423

18923

15584

All Children

Philadelphia

S75

2015

20

37278

18814

11873

8599

6482

5085

All Children

Philadelphia

S75

2016

10

232750

145032

106575

83855

67987

57904

All Children

Philadelphia

S75

2016

15

83440

46074

32084

24161

18552

15016

All Children

Philadelphia

S75

2016

20

37628

18574

11742

8425

6242

4889

All Children

Philadelphia

S75

2017

10

216861

129929

94615

73793

59759

49828

All Children

Philadelphia

S75

2017

15

77525

42058

27042

19927

15453

12070

All Children

Philadelphia

S75

2017

20

35358

16326

9647

6548

4933

3776

3D-Attachment4-66


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Phoenix

S65

2015

10

141180

90695

69549

55764

47541

40592

All Children

Phoenix

S65

2015

15

43974

25150

18145

14196

11436

9398

All Children

Phoenix

S65

2015

20

17423

9115

6015

4529

3482

2760

All Children

Phoenix

S65

2016

10

135773

87001

66676

54349

45390

39106

All Children

Phoenix

S65

2016

15

39856

23424

16970

13035

10601

9143

All Children

Phoenix

S65

2016

20

15484

8166

5463

4161

3298

2831

All Children

Phoenix

S65

2017

10

153889

101649

78027

63633

54306

47187

All Children

Phoenix

S65

2017

15

48588

29524

21230

16927

13899

11860

All Children

Phoenix

S65

2017

20

20041

11054

7459

5308

4232

3453

All Children

Phoenix

S70

2015

10

170378

112646

87680

72125

61256

52933

All Children

Phoenix

S70

2015

15

59798

36034

26070

20409

16956

14535

All Children

Phoenix

S70

2015

20

25844

14493

9851

7501

5959

4869

All Children

Phoenix

S70

2016

10

164589

108372

83873

69479

58906

50980

All Children

Phoenix

S70

2016

15

54688

32468

23990

18895

15781

13417

All Children

Phoenix

S70

2016

20

22773

12596

8860

6893

5746

4572

All Children

Phoenix

S70

2017

10

185182

125399

98889

81962

70399

61921

All Children

Phoenix

S70

2017

15

65827

41342

31251

24698

21060

17932

All Children

Phoenix

S70

2017

20

30302

17210

12384

9469

7530

6128

All Children

Phoenix

S75

2015

10

197312

132787

104721

87482

74135

65219

All Children

Phoenix

S75

2015

15

76117

47484

34930

27712

22872

19645

All Children

Phoenix

S75

2015

20

36105

20607

14351

11153

8747

7218

All Children

Phoenix

S75

2016

10

190306

128668

99908

83137

71389

62869

All Children

Phoenix

S75

2016

15

69167

42771

31619

25901

21456

18399

All Children

Phoenix

S75

2016

20

31576

18130

12894

10006

8152

6949

All Children

Phoenix

S75

2017

10

213036

148242

118449

99271

85684

75848

All Children

Phoenix

S75

2017

15

84439

53528

40889

33374

28080

24188

All Children

Phoenix

S75

2017

20

40549

24499

17762

14012

11337

9568

All Children

Sacramento

S65

2015

10

48758

27826

19938

15808

12896

10645

All Children

Sacramento

S65

2015

15

12919

6250

3804

2873

2205

1755

All Children

Sacramento

S65

2015

20

4193

1716

1040

714

528

373

All Children

Sacramento

S65

2016

10

51701

30303

21444

16406

13269

10986

All Children

Sacramento

S65

2016

15

13828

6972

4441

3253

2601

2112

All Children

Sacramento

S65

2016

20

4985

2244

1328

916

637

458

All Children

Sacramento

S65

2017

10

50614

29030

20132

15559

12640

10536

All Children

Sacramento

S65

2017

15

12896

6367

3898

2896

2073

1623

All Children

Sacramento

S65

2017

20

4255

1677

1017

637

435

334

All Children

Sacramento

S70

2015

10

64364

38712

28059

22182

18649

15862

All Children

Sacramento

S70

2015

15

20024

10559

7267

5311

4169

3269

All Children

Sacramento

S70

2015

20

7904

3540

2213

1599

1188

916

All Children

Sacramento

S70

2016

10

68293

41406

30466

24045

19767

16638

All Children

Sacramento

S70

2016

15

21871

11848

7896

5955

4705

3797

All Children

Sacramento

S70

2016

20

9286

4371

2756

1988

1467

1157

All Children

Sacramento

S70

2017

10

67066

40909

29030

23036

18975

15901

All Children

Sacramento

S70

2017

15

20101

10567

7275

5326

4169

3292

All Children

Sacramento

S70

2017

20

8230

3556

2135

1522

1149

815

3D-Attachment4-67


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Children

Sacramento

S75

2015

10

77253

48300

35521

28432

23649

20520

All Children

Sacramento

S75

2015

15

26693

14992

10497

7958

6165

5008

All Children

Sacramento

S75

2015

20

11755

5769

3758

2694

2073

1568

All Children

Sacramento

S75

2016

10

82439

51996

38867

31118

25746

21623

All Children

Sacramento

S75

2016

15

29504

16685

11871

8929

6995

5629

All Children

Sacramento

S75

2016

20

13354

6980

4410

3284

2547

2065

All Children

Sacramento

S75

2017

10

81057

50839

37586

29667

24511

20947

All Children

Sacramento

S75

2017

15

27539

15311

10567

8036

6250

5194

All Children

Sacramento

S75

2017

20

11957

5893

3711

2702

2026

1514

All Children

St. Louis

S65

2015

10

61187

34086

23668

18195

14543

11702

All Children

St. Louis

S65

2015

15

17066

8542

5555

4062

2951

2249

All Children

St. Louis

S65

2015

20

6338

2832

1776

1157

892

583

All Children

St. Louis

S65

2016

10

71851

42218

30070

23149

18696

15508

All Children

St. Louis

S65

2016

15

22839

11584

7750

5418

3980

2941

All Children

St. Louis

S65

2016

20

9243

3779

2195

1357

1020

719

All Children

St. Louis

S65

2017

10

69365

40633

28822

21901

17621

14680

All Children

St. Louis

S65

2017

15

19716

10081

6548

4908

3816

3023

All Children

St. Louis

S65

2017

20

7668

3542

2268

1421

1047

838

All Children

St. Louis

S70

2015

10

76632

44731

31691

24579

19861

16574

All Children

St. Louis

S70

2015

15

24351

12704

8587

6356

4963

3843

All Children

St. Louis

S70

2015

20

10309

4826

3078

2158

1557

1175

All Children

St. Louis

S70

2016

10

89017

54612

40087

31582

25517

21382

All Children

St. Louis

S70

2016

15

32356

17175

11729

8587

6739

5282

All Children

St. Louis

S70

2016

20

14507

6775

4180

2732

2013

1475

All Children

St. Louis

S70

2017

10

87368

53055

38393

30352

24742

20390

All Children

St. Louis

S70

2017

15

28303

15508

10409

7932

6047

4918

All Children

St. Louis

S70

2017

20

11738

5783

3907

2623

1994

1548

All Children

St. Louis

S75

2015

10

88406

53228

38621

30452

24697

20526

All Children

St. Louis

S75

2015

15

31172

16610

11319

8515

6739

5282

All Children

St. Louis

S75

2015

20

13724

6848

4462

3087

2176

1694

All Children

St. Louis

S75

2016

10

102931

65203

48420

38430

31627

26600

All Children

St. Louis

S75

2016

15

40724

22557

15417

11638

9143

7422

All Children

St. Louis

S75

2016

20

19433

9744

6338

4380

3151

2486

All Children

St. Louis

S75

2017

10

101192

63691

46890

37055

30625

25726

All Children

St. Louis

S75

2017

15

36080

20289

13833

10536

8405

6739

All Children

St. Louis

S75

2017

20

15845

8269

5409

3779

2941

2359

Asthma Children

Atlanta

S65

2015

10

15415

8030

5306

3975

2905

2058

Asthma Children

Atlanta

S65

2015

15

3712

1574

1009

625

424

282

Asthma Children

Atlanta

S65

2015

20

1271

363

222

182

161

101

Asthma Children

Atlanta

S65

2016

10

18966

10835

7869

6154

5044

4298

Asthma Children

Atlanta

S65

2016

15

5811

2825

1937

1513

1130

948

Asthma Children

Atlanta

S65

2016

20

2300

1009

545

343

282

202

Asthma Children

Atlanta

S65

2017

10

13619

7465

5165

3773

3127

2522

Asthma Children

Atlanta

S65

2017

15

3612

1796

1150

807

605

343

Asthma Children

Atlanta

S65

2017

20

1190

464

262

202

202

101

3D-Attachment4-68


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Atlanta

S70

2015

10

19834

11218

7607

5750

4661

3652

Asthma Children

Atlanta

S70

2015

15

5831

2583

1776

1291

948

706

Asthma Children

Atlanta

S70

2015

20

2199

807

484

242

161

141

Asthma Children

Atlanta

S70

2016

10

23929

14608

10673

8636

7203

5972

Asthma Children

Atlanta

S70

2016

15

8434

4681

3127

2421

1876

1614

Asthma Children

Atlanta

S70

2016

20

3733

1715

1130

847

625

484

Asthma Children

Atlanta

S70

2017

10

17776

9725

7183

5710

4580

3672

Asthma Children

Atlanta

S70

2017

15

4802

2361

1836

1352

1049

747

Asthma Children

Atlanta

S70

2017

20

2078

847

484

262

242

222

Asthma Children

Atlanta

S75

2015

10

24393

14446

10593

8272

6658

5468

Asthma Children

Atlanta

S75

2015

15

8615

4298

2845

2058

1634

1291

Asthma Children

Atlanta

S75

2015

20

3390

1453

928

686

444

262

Asthma Children

Atlanta

S75

2016

10

28994

18764

14083

11501

9584

8071

Asthma Children

Atlanta

S75

2016

15

11723

6638

4661

3672

2986

2583

Asthma Children

Atlanta

S75

2016

20

5448

2724

1876

1392

1090

888

Asthma Children

Atlanta

S75

2017

10

21730

12994

9241

7445

6134

5044

Asthma Children

Atlanta

S75

2017

15

6820

3672

2562

1997

1574

1251

Asthma Children

Atlanta

S75

2017

20

3087

1554

928

565

424

282

Asthma Children

Boston

S65

2015

10

18499

10353

7418

5438

4323

3663

Asthma Children

Boston

S65

2015

15

5416

2366

1707

1069

728

592

Asthma Children

Boston

S65

2015

20

2184

910

432

341

250

159

Asthma Children

Boston

S65

2016

10

19751

10217

7463

5939

4665

3823

Asthma Children

Boston

S65

2016

15

5643

3095

2162

1502

1001

683

Asthma Children

Boston

S65

2016

20

2298

956

523

319

182

137

Asthma Children

Boston

S65

2017

10

20047

11286

7463

5552

4278

3322

Asthma Children

Boston

S65

2017

15

6963

2822

1707

1320

887

592

Asthma Children

Boston

S65

2017

20

2457

1024

569

319

296

228

Asthma Children

Boston

S70

2015

10

21366

12788

9125

6849

5598

4665

Asthma Children

Boston

S70

2015

15

7259

3390

2298

1525

1251

933

Asthma Children

Boston

S70

2015

20

2844

1434

796

432

341

228

Asthma Children

Boston

S70

2016

10

24165

13243

9375

7350

6075

4847

Asthma Children

Boston

S70

2016

15

7691

4210

2913

2230

1684

1229

Asthma Children

Boston

S70

2016

20

3368

1570

887

501

364

228

Asthma Children

Boston

S70

2017

10

24529

14267

9898

7372

5734

4619

Asthma Children

Boston

S70

2017

15

9056

3937

2366

1707

1365

1092

Asthma Children

Boston

S70

2017

20

3959

1547

887

592

410

296

Asthma Children

Boston

S75

2015

10

23483

13835

10331

7759

6235

5347

Asthma Children

Boston

S75

2015

15

8146

4119

2640

1934

1525

1092

Asthma Children

Boston

S75

2015

20

3413

1661

1001

546

455

319

Asthma Children

Boston

S75

2016

10

26827

14972

10626

8920

6986

5552

Asthma Children

Boston

S75

2016

15

9284

5006

3527

2708

2116

1570

Asthma Children

Boston

S75

2016

20

4187

2002

1229

751

523

364

Asthma Children

Boston

S75

2017

10

27965

16429

11332

8669

6599

5438

Asthma Children

Boston

S75

2017

15

10626

5165

3004

2071

1616

1388

Asthma Children

Boston

S75

2017

20

5256

2048

1229

774

478

341

3D-Attachment4-69


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Dallas

S65

2015

10

18869

11042

8441

6361

5155

4398

Asthma Children

Dallas

S65

2015

15

6030

3050

2010

1348

1111

969

Asthma Children

Dallas

S65

2015

20

2530

1111

686

426

378

307

Asthma Children

Dallas

S65

2016

10

15393

8985

6881

5249

4280

3452

Asthma Children

Dallas

S65

2016

15

4753

2435

1537

1040

828

567

Asthma Children

Dallas

S65

2016

20

1750

615

284

236

142

95

Asthma Children

Dallas

S65

2017

10

18443

11539

8087

6361

5533

4540

Asthma Children

Dallas

S65

2017

15

5911

3405

2270

1726

1419

1159

Asthma Children

Dallas

S65

2017

20

2719

1301

828

520

355

307

Asthma Children

Dallas

S70

2015

10

22298

13785

10309

8158

6715

5509

Asthma Children

Dallas

S70

2015

15

7779

4587

2979

1986

1655

1301

Asthma Children

Dallas

S70

2015

20

3689

1679

1040

851

567

473

Asthma Children

Dallas

S70

2016

10

17781

10570

7921

6432

5438

4374

Asthma Children

Dallas

S70

2016

15

5911

3121

2104

1442

1111

875

Asthma Children

Dallas

S70

2016

20

2388

1017

615

426

260

142

Asthma Children

Dallas

S70

2017

10

21376

13241

9647

7779

6597

5557

Asthma Children

Dallas

S70

2017

15

7590

4445

2932

2128

1797

1513

Asthma Children

Dallas

S70

2017

20

3547

1773

1230

828

567

473

Asthma Children

Dallas

S75

2015

10

25915

16221

12438

9624

8110

6857

Asthma Children

Dallas

S75

2015

15

9931

5651

4138

3192

2365

1821

Asthma Children

Dallas

S75

2015

20

4682

2317

1466

993

851

733

Asthma Children

Dallas

S75

2016

10

20406

12319

9080

7212

6242

5202

Asthma Children

Dallas

S75

2016

15

7354

3902

2696

2104

1537

1230

Asthma Children

Dallas

S75

2016

20

3168

1395

875

615

402

260

Asthma Children

Dallas

S75

2017

10

23835

15015

11184

9056

7567

6479

Asthma Children

Dallas

S75

2017

15

8914

5084

3783

2956

2246

1892

Asthma Children

Dallas

S75

2017

20

4398

2341

1537

1111

899

686

Asthma Children

Detroit

S65

2015

10

14811

8741

6417

4856

3642

3087

Asthma Children

Detroit

S65

2015

15

4908

2237

1492

1075

798

590

Asthma Children

Detroit

S65

2015

20

1700

780

451

260

173

87

Asthma Children

Detroit

S65

2016

10

17985

10649

7475

5567

4422

3850

Asthma Children

Detroit

S65

2016

15

6122

3295

2046

1353

1058

798

Asthma Children

Detroit

S65

2016

20

2567

1197

746

382

243

191

Asthma Children

Detroit

S65

2017

10

16441

9782

6868

5376

4301

3469

Asthma Children

Detroit

S65

2017

15

5238

2549

1734

1283

1041

746

Asthma Children

Detroit

S65

2017

20

2133

1058

624

382

277

225

Asthma Children

Detroit

S70

2015

10

17603

10649

8134

6226

4839

3989

Asthma Children

Detroit

S70

2015

15

6521

3295

2046

1596

1127

902

Asthma Children

Detroit

S70

2015

20

2653

1214

798

468

382

156

Asthma Children

Detroit

S70

2016

10

21662

13510

9938

7423

5827

5047

Asthma Children

Detroit

S70

2016

15

8151

4544

3052

2151

1682

1335

Asthma Children

Detroit

S70

2016

20

3902

1821

1145

780

468

382

Asthma Children

Detroit

S70

2017

10

19841

11949

8672

6781

5723

4683

Asthma Children

Detroit

S70

2017

15

7007

3711

2497

1960

1613

1179

Asthma Children

Detroit

S70

2017

20

3035

1509

1006

590

468

347

3D-Attachment4-70


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Detroit

S75

2015

10

20083

12088

9157

7128

5706

4613

Asthma Children

Detroit

S75

2015

15

7666

4006

2688

1942

1509

1162

Asthma Children

Detroit

S75

2015

20

3295

1509

989

607

503

347

Asthma Children

Detroit

S75

2016

10

24575

15539

11672

9070

7249

5845

Asthma Children

Detroit

S75

2016

15

10319

5584

4024

3000

2203

1925

Asthma Children

Detroit

S75

2016

20

5064

2740

1630

1075

798

572

Asthma Children

Detroit

S75

2017

10

22355

13857

9972

7995

6799

5567

Asthma Children

Detroit

S75

2017

15

8654

4856

3330

2428

1942

1578

Asthma Children

Detroit

S75

2017

20

3972

1942

1422

989

624

486

Asthma Children

Philadelphia

S65

2015

10

19294

12135

8294

6111

4780

4038

Asthma Children

Philadelphia

S65

2015

15

5478

2706

2008

1528

1135

960

Asthma Children

Philadelphia

S65

2015

20

2139

1069

611

415

284

175

Asthma Children

Philadelphia

S65

2016

10

18683

10804

7181

5195

4169

3558

Asthma Children

Philadelphia

S65

2016

15

4758

2488

1659

1179

851

611

Asthma Children

Philadelphia

S65

2016

20

1877

808

437

262

196

175

Asthma Children

Philadelphia

S65

2017

10

18355

10411

7377

5937

4693

3710

Asthma Children

Philadelphia

S65

2017

15

5195

2706

1659

1244

982

786

Asthma Children

Philadelphia

S65

2017

20

2357

917

567

371

153

109

Asthma Children

Philadelphia

S70

2015

10

23135

14449

10651

8272

6439

5173

Asthma Children

Philadelphia

S70

2015

15

7923

3841

2859

2183

1812

1375

Asthma Children

Philadelphia

S70

2015

20

2903

1375

960

786

589

349

Asthma Children

Philadelphia

S70

2016

10

22175

13816

9669

7093

5435

4649

Asthma Children

Philadelphia

S70

2016

15

6722

3318

2292

1790

1310

1048

Asthma Children

Philadelphia

S70

2016

20

2575

1091

698

458

306

240

Asthma Children

Philadelphia

S70

2017

10

21869

12572

9320

7181

6002

4867

Asthma Children

Philadelphia

S70

2017

15

6701

3820

2488

1746

1484

1157

Asthma Children

Philadelphia

S70

2017

20

3099

1484

720

546

393

327

Asthma Children

Philadelphia

S75

2015

10

27850

17766

13510

10826

8796

7159

Asthma Children

Philadelphia

S75

2015

15

10280

5347

3841

2925

2401

2117

Asthma Children

Philadelphia

S75

2015

20

4343

2226

1484

1069

917

742

Asthma Children

Philadelphia

S75

2016

10

26911

17199

12593

9669

7639

6395

Asthma Children

Philadelphia

S75

2016

15

9712

4823

3427

2575

2052

1637

Asthma Children

Philadelphia

S75

2016

20

4147

1855

1310

873

502

458

Asthma Children

Philadelphia

S75

2017

10

26191

15889

11677

9276

7508

6199

Asthma Children

Philadelphia

S75

2017

15

9516

5282

3470

2510

2183

1746

Asthma Children

Philadelphia

S75

2017

20

4452

2204

1353

939

720

524

Asthma Children

Phoenix

S65

2015

10

15215

9992

7685

6086

5223

4444

Asthma Children

Phoenix

S65

2015

15

4982

2972

2066

1656

1373

1118

Asthma Children

Phoenix

S65

2015

20

1882

1090

722

538

467

368

Asthma Children

Phoenix

S65

2016

10

13785

9058

7119

5817

4982

4119

Asthma Children

Phoenix

S65

2016

15

4331

2717

1840

1514

1189

1005

Asthma Children

Phoenix

S65

2016

20

1727

920

580

396

340

269

Asthma Children

Phoenix

S65

2017

10

16064

10502

8166

6666

5732

4925

Asthma Children

Phoenix

S65

2017

15

5223

3255

2392

1882

1557

1373

Asthma Children

Phoenix

S65

2017

20

2335

1231

977

736

637

538

3D-Attachment4-71


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

Phoenix

S70

2015

10

18201

12200

9539

7940

6695

5746

Asthma Children

Phoenix

S70

2015

15

6836

4161

2930

2293

1911

1571

Asthma Children

Phoenix

S70

2015

20

2930

1684

1104

878

708

566

Asthma Children

Phoenix

S70

2016

10

16460

11025

8846

7445

6298

5506

Asthma Children

Phoenix

S70

2016

15

6114

3552

2689

2081

1783

1543

Asthma Children

Phoenix

S70

2016

20

2434

1429

991

750

651

538

Asthma Children

Phoenix

S70

2017

10

18994

13049

10346

8534

7331

6341

Asthma Children

Phoenix

S70

2017

15

7119

4331

3354

2703

2307

2024

Asthma Children

Phoenix

S70

2017

20

3199

1996

1429

1033

934

807

Asthma Children

Phoenix

S75

2015

10

20735

14139

11294

9539

8294

7289

Asthma Children

Phoenix

S75

2015

15

8492

5378

3935

3114

2548

2137

Asthma Children

Phoenix

S75

2015

20

4331

2307

1613

1203

934

793

Asthma Children

Phoenix

S75

2016

10

18937

12964

10473

8648

7530

6610

Asthma Children

Phoenix

S75

2016

15

7473

4727

3482

2873

2349

2052

Asthma Children

Phoenix

S75

2016

20

3383

1953

1401

1146

948

764

Asthma Children

Phoenix

S75

2017

10

21513

15328

12214

10219

8874

7813

Asthma Children

Phoenix

S75

2017

15

8931

5506

4444

3666

3057

2604

Asthma Children

Phoenix

S75

2017

20

4303

2802

2052

1656

1288

1132

Asthma Children

Sacramento

S65

2015

10

4891

2725

1988

1630

1328

1126

Asthma Children

Sacramento

S65

2015

15

1250

567

303

248

194

124

Asthma Children

Sacramento

S65

2015

20

334

124

70

31

23

16

Asthma Children

Sacramento

S65

2016

10

5256

3075

2189

1731

1429

1211

Asthma Children

Sacramento

S65

2016

15

1413

745

528

427

365

280

Asthma Children

Sacramento

S65

2016

20

590

272

163

124

78

47

Asthma Children

Sacramento

S65

2017

10

5039

2896

1933

1460

1219

986

Asthma Children

Sacramento

S65

2017

15

1242

551

349

287

248

194

Asthma Children

Sacramento

S65

2017

20

419

194

140

70

54

31

Asthma Children

Sacramento

S70

2015

10

6328

3773

2686

2174

1871

1638

Asthma Children

Sacramento

S70

2015

15

1988

1048

714

520

435

280

Asthma Children

Sacramento

S70

2015

20

699

233

155

140

101

70

Asthma Children

Sacramento

S70

2016

10

6972

4294

3113

2453

2096

1731

Asthma Children

Sacramento

S70

2016

15

2244

1320

831

683

551

466

Asthma Children

Sacramento

S70

2016

20

978

536

373

303

225

163

Asthma Children

Sacramento

S70

2017

10

6576

4053

2873

2244

1794

1506

Asthma Children

Sacramento

S70

2017

15

1941

994

629

481

388

311

Asthma Children

Sacramento

S70

2017

20

745

334

225

179

163

132

Asthma Children

Sacramento

S75

2015

10

7477

4635

3432

2795

2376

2057

Asthma Children

Sacramento

S75

2015

15

2733

1530

1040

792

582

474

Asthma Children

Sacramento

S75

2015

20

1064

551

311

210

155

101

Asthma Children

Sacramento

S75

2016

10

8440

5427

4006

3238

2725

2244

Asthma Children

Sacramento

S75

2016

15

2950

1747

1250

955

784

637

Asthma Children

Sacramento

S75

2016

20

1312

745

520

396

334

303

Asthma Children

Sacramento

S75

2017

10

7772

5047

3758

2927

2368

1980

Asthma Children

Sacramento

S75

2017

15

2686

1522

978

691

543

466

Asthma Children

Sacramento

S75

2017

20

1149

505

349

264

225

194

3D-Attachment4-72


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Children

St. Louis

S65

2015

10

6730

3843

2659

2158

1794

1412

Asthma Children

St. Louis

S65

2015

15

1821

993

665

464

346

282

Asthma Children

St. Louis

S65

2015

20

729

337

219

146

109

73

Asthma Children

St. Louis

S65

2016

10

7149

4171

3133

2431

2022

1758

Asthma Children

St. Louis

S65

2016

15

2340

1202

920

610

474

301

Asthma Children

St. Louis

S65

2016

20

1002

410

237

137

100

91

Asthma Children

St. Louis

S65

2017

10

7422

4235

2987

2441

2031

1685

Asthma Children

St. Louis

S65

2017

15

2204

1120

738

528

410

319

Asthma Children

St. Louis

S65

2017

20

838

355

246

164

127

82

Asthma Children

St. Louis

S70

2015

10

8278

4863

3624

2741

2249

1958

Asthma Children

St. Louis

S70

2015

15

2650

1421

956

747

583

455

Asthma Children

St. Louis

S70

2015

20

1157

501

346

228

191

164

Asthma Children

St. Louis

S70

2016

10

9043

5437

4034

3151

2705

2277

Asthma Children

St. Louis

S70

2016

15

3206

1721

1275

965

829

647

Asthma Children

St. Louis

S70

2016

20

1512

747

474

319

200

182

Asthma Children

St. Louis

S70

2017

10

9234

5509

3961

3096

2614

2222

Asthma Children

St. Louis

S70

2017

15

3169

1739

1166

865

610

519

Asthma Children

St. Louis

S70

2017

20

1311

610

446

319

219

173

Asthma Children

St. Louis

S75

2015

10

9371

5628

4289

3315

2705

2349

Asthma Children

St. Louis

S75

2015

15

3442

1921

1320

1029

783

592

Asthma Children

St. Louis

S75

2015

20

1503

783

455

337

246

209

Asthma Children

St. Louis

S75

2016

10

10400

6511

4763

3743

3160

2668

Asthma Children

St. Louis

S75

2016

15

4025

2277

1603

1311

1065

865

Asthma Children

St. Louis

S75

2016

20

1994

1084

738

501

346

264

Asthma Children

St. Louis

S75

2017

10

10591

6602

4836

3770

3151

2759

Asthma Children

St. Louis

S75

2017

15

3934

2186

1585

1211

938

701

Asthma Children

St. Louis

S75

2017

20

1785

956

628

419

328

246

All Adults

Atlanta

S65

2015

10

75293

32047

19440

12960

8663

5846

All Adults

Atlanta

S65

2015

15

19228

6480

2676

1831

1268

1057

All Adults

Atlanta

S65

2015

20

7325

2324

1127

704

423

211

All Adults

Atlanta

S65

2016

10

89662

43387

26835

18665

14016

11340

All Adults

Atlanta

S65

2016

15

24088

10565

6550

4015

3099

2465

All Adults

Atlanta

S65

2016

20

9649

3522

2043

1409

1127

916

All Adults

Atlanta

S65

2017

10

74941

32118

20355

13101

8522

6691

All Adults

Atlanta

S65

2017

15

17608

6198

3029

1902

1127

845

All Adults

Atlanta

S65

2017

20

5564

1550

634

211

141

141

All Adults

Atlanta

S70

2015

10

101142

43528

27046

18947

13594

9861

All Adults

Atlanta

S70

2015

15

27187

10354

5494

3029

1831

1268

All Adults

Atlanta

S70

2015

20

10988

3451

1620

1268

986

704

All Adults

Atlanta

S70

2016

10

117483

58037

37752

26553

20426

16693

All Adults

Atlanta

S70

2016

15

35639

15495

9790

7325

5212

4015

All Adults

Atlanta

S70

2016

20

15284

6198

3592

2395

1550

1338

All Adults

Atlanta

S70

2017

10

97903

44444

27539

20496

13735

10283

All Adults

Atlanta

S70

2017

15

25779

10424

5423

3522

1902

1268

All Adults

Atlanta

S70

2017

20

8804

3029

1338

634

141

141

3D-Attachment4-73


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Atlanta

S75

2015

10

129598

60361

37048

25849

19228

14791

All Adults

Atlanta

S75

2015

15

39513

16200

9156

5635

3522

2113

All Adults

Atlanta

S75

2015

20

16974

5283

2536

1690

1338

986

All Adults

Atlanta

S75

2016

10

153404

76491

49726

36414

27610

22116

All Adults

Atlanta

S75

2016

15

49796

22116

14298

9790

7536

5635

All Adults

Atlanta

S75

2016

20

22046

9790

6128

3733

2606

1761

All Adults

Atlanta

S75

2017

10

121286

57333

35498

26342

19017

14791

All Adults

Atlanta

S75

2017

15

35146

14650

8522

5705

3592

2465

All Adults

Atlanta

S75

2017

20

13805

5212

2606

1550

634

493

All Adults

Boston

S65

2015

10

104195

46374

26611

17904

13599

10958

All Adults

Boston

S65

2015

15

25535

9881

5577

2642

1761

1272

All Adults

Boston

S65

2015

20

9294

2935

1370

587

391

294

All Adults

Boston

S65

2016

10

114272

50287

32286

21426

16828

12523

All Adults

Boston

S65

2016

15

31209

14186

7729

4598

2935

2055

All Adults

Boston

S65

2016

20

13893

4892

1957

978

783

489

All Adults

Boston

S65

2017

10

123175

51951

30818

21426

15849

12229

All Adults

Boston

S65

2017

15

30427

11740

7142

4990

3326

2348

All Adults

Boston

S65

2017

20

12816

4500

2739

1663

881

587

All Adults

Boston

S70

2015

10

121022

55473

34047

22111

16339

12816

All Adults

Boston

S70

2015

15

32286

12621

6946

4403

2544

1957

All Adults

Boston

S70

2015

20

12229

4305

2152

1174

881

587

All Adults

Boston

S70

2016

10

136285

60756

39917

28079

21622

16436

All Adults

Boston

S70

2016

15

39036

17513

10958

6457

4109

2642

All Adults

Boston

S70

2016

20

18295

6164

3131

1859

881

685

All Adults

Boston

S70

2017

10

149395

63495

37275

25731

19763

15752

All Adults

Boston

S70

2017

15

41874

16143

9784

5968

4696

3424

All Adults

Boston

S70

2017

20

17806

5968

3620

2544

1468

881

All Adults

Boston

S75

2015

10

133448

60169

36884

23774

18882

15262

All Adults

Boston

S75

2015

15

37667

14969

8120

5087

3033

2152

All Adults

Boston

S75

2015

20

14773

5381

2544

1370

881

587

All Adults

Boston

S75

2016

10

152036

66430

43830

31405

23676

18882

All Adults

Boston

S75

2016

15

44319

19763

12229

7631

5577

3424

All Adults

Boston

S75

2016

20

21132

7925

4109

2446

1468

587

All Adults

Boston

S75

2017

10

169060

72203

41776

29448

22502

17708

All Adults

Boston

S75

2017

15

49603

18491

11447

7142

5185

4109

All Adults

Boston

S75

2017

20

20741

7435

4305

3326

2055

1272

All Adults

Dallas

S65

2015

10

118845

55008

36177

23832

17346

12033

All Adults

Dallas

S65

2015

15

33677

13752

7110

4766

3360

2266

All Adults

Dallas

S65

2015

20

12346

3751

2032

1094

703

469

All Adults

Dallas

S65

2016

10

101734

46804

29067

18675

14611

10861

All Adults

Dallas

S65

2016

15

26488

10548

6095

4141

3125

2188

All Adults

Dallas

S65

2016

20

10001

3907

2110

938

625

391

All Adults

Dallas

S65

2017

10

118142

52898

33286

22972

16721

12814

All Adults

Dallas

S65

2017

15

31020

11173

6329

4454

2735

1797

All Adults

Dallas

S65

2017

20

11408

3751

1875

1328

781

469

3D-Attachment4-74


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Dallas

S70

2015

10

144083

68916

45397

31801

23363

17424

All Adults

Dallas

S70

2015

15

44694

18675

10627

6563

5235

3672

All Adults

Dallas

S70

2015

20

19222

6720

3360

2422

1406

781

All Adults

Dallas

S70

2016

10

119705

57118

34380

23519

17815

13986

All Adults

Dallas

S70

2016

15

33442

13908

7579

4923

3907

2735

All Adults

Dallas

S70

2016

20

13127

5391

2891

1485

1172

781

All Adults

Dallas

S70

2017

10

138145

64853

41569

29223

20862

16174

All Adults

Dallas

S70

2017

15

40553

15705

8048

5704

3594

2500

All Adults

Dallas

S70

2017

20

14690

5626

3516

1563

1094

781

All Adults

Dallas

S75

2015

10

170650

81652

54617

38912

29457

22347

All Adults

Dallas

S75

2015

15

56024

24457

13752

9064

6642

5079

All Adults

Dallas

S75

2015

20

25394

9142

4844

3047

2188

1250

All Adults

Dallas

S75

2016

10

137364

65635

40631

28520

21956

16956

All Adults

Dallas

S75

2016

15

40475

16721

9376

6095

5001

3125

All Adults

Dallas

S75

2016

20

17190

6954

3594

2032

1485

1094

All Adults

Dallas

S75

2017

10

156663

77511

49617

35474

26410

19768

All Adults

Dallas

S75

2017

15

49226

19768

10939

7657

5001

3438

All Adults

Dallas

S75

2017

20

19065

7110

3907

2266

1719

1250

All Adults

Detroit

S65

2015

10

77732

34344

20580

14222

10487

8717

All Adults

Detroit

S65

2015

15

19662

8127

3998

2491

1639

1376

All Adults

Detroit

S65

2015

20

6751

2491

1311

918

655

459

All Adults

Detroit

S65

2016

10

88481

40767

24644

16582

12387

9372

All Adults

Detroit

S65

2016

15

24119

10159

5505

3736

2097

1639

All Adults

Detroit

S65

2016

20

9569

3343

1966

1049

852

524

All Adults

Detroit

S65

2017

10

85663

38407

24185

16451

11863

9176

All Adults

Detroit

S65

2017

15

22284

9438

5243

3212

2556

1639

All Adults

Detroit

S65

2017

20

8651

3605

1573

786

393

197

All Adults

Detroit

S70

2015

10

97067

44634

26020

17893

13829

11339

All Adults

Detroit

S70

2015

15

26872

11142

5833

3801

2491

1835

All Adults

Detroit

S70

2015

20

10159

3867

1966

1114

852

590

All Adults

Detroit

S70

2016

10

110175

52368

33098

22743

17106

13829

All Adults

Detroit

S70

2016

15

33426

14681

7996

5571

3932

2818

All Adults

Detroit

S70

2016

20

13764

5571

2622

1704

1311

786

All Adults

Detroit

S70

2017

10

105128

48566

30739

21432

16320

12518

All Adults

Detroit

S70

2017

15

30936

13567

7472

5112

3605

2687

All Adults

Detroit

S70

2017

20

12060

4260

2359

1639

852

590

All Adults

Detroit

S75

2015

10

109454

50860

30477

20252

15664

12191

All Adults

Detroit

S75

2015

15

31722

13370

7210

4391

3212

2228

All Adults

Detroit

S75

2015

20

12846

4785

2622

1704

918

786

All Adults

Detroit

S75

2016

10

131476

61806

39915

27986

20383

15599

All Adults

Detroit

S75

2016

15

43192

18286

10290

6816

4916

3932

All Adults

Detroit

S75

2016

20

18745

7603

3605

2097

1639

1114

All Adults

Detroit

S75

2017

10

122300

56431

35917

25168

18745

14878

All Adults

Detroit

S75

2017

15

37162

16451

9045

6358

4260

3212

All Adults

Detroit

S75

2017

20

16582

5505

3080

2163

1180

852

3D-Attachment4-75


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Philadelphia

S65

2015

10

109538

48364

29628

20914

15947

12374

All Adults

Philadelphia

S65

2015

15

27711

10719

6884

4009

3050

1917

All Adults

Philadelphia

S65

2015

20

9760

3573

1917

1220

523

349

All Adults

Philadelphia

S65

2016

10

109712

49671

30326

22221

15773

12461

All Adults

Philadelphia

S65

2016

15

26317

10544

6100

4270

2527

1743

All Adults

Philadelphia

S65

2016

20

8889

3834

1743

1046

959

610

All Adults

Philadelphia

S65

2017

10

103874

49235

30761

21263

15250

11241

All Adults

Philadelphia

S65

2017

15

25620

10370

6361

3573

2266

1656

All Adults

Philadelphia

S65

2017

20

9499

2963

1656

871

436

261

All Adults

Philadelphia

S70

2015

10

135506

61261

37994

26840

20217

16208

All Adults

Philadelphia

S70

2015

15

37123

14640

9586

6100

4531

2963

All Adults

Philadelphia

S70

2015

20

14030

5054

2963

1917

1046

436

All Adults

Philadelphia

S70

2016

10

135506

62830

38691

27363

21524

16557

All Adults

Philadelphia

S70

2016

15

35903

13943

7669

5926

3921

2876

All Adults

Philadelphia

S70

2016

20

14030

5316

2701

1917

1394

1133

All Adults

Philadelphia

S70

2017

10

124004

60128

37820

27450

20653

15250

All Adults

Philadelphia

S70

2017

15

35118

13856

8714

5403

3311

2527

All Adults

Philadelphia

S70

2017

20

14466

4706

2440

1394

784

436

All Adults

Philadelphia

S75

2015

10

172542

78951

49410

35990

26578

20478

All Adults

Philadelphia

S75

2015

15

50194

20740

12723

8801

6013

4531

All Adults

Philadelphia

S75

2015

20

20827

8017

4967

2614

1917

1220

All Adults

Philadelphia

S75

2016

10

165658

80084

50107

35380

27450

22134

All Adults

Philadelphia

S75

2016

15

50804

21263

11677

7843

5926

4444

All Adults

Philadelphia

S75

2016

20

20043

7930

4531

3311

2179

1656

All Adults

Philadelphia

S75

2017

10

151541

74594

48103

34944

26666

20827

All Adults

Philadelphia

S75

2017

15

46883

19694

11241

7669

4706

3311

All Adults

Philadelphia

S75

2017

20

20304

7320

3660

1830

1220

959

All Adults

Phoenix

S65

2015

10

104253

55181

37151

28857

23046

18228

All Adults

Phoenix

S65

2015

15

28758

14255

9089

6407

4867

3377

All Adults

Phoenix

S65

2015

20

11225

4619

2881

1689

993

646

All Adults

Phoenix

S65

2016

10

99584

55429

37549

28708

22897

18774

All Adults

Phoenix

S65

2016

15

29254

13261

8543

6258

4520

3775

All Adults

Phoenix

S65

2016

20

10480

4420

2781

1788

1540

894

All Adults

Phoenix

S65

2017

10

114931

61240

42665

30595

23989

19470

All Adults

Phoenix

S65

2017

15

31042

15645

10530

7500

5811

4271

All Adults

Phoenix

S65

2017

20

12566

5960

3129

2235

1341

1093

All Adults

Phoenix

S70

2015

10

129484

70776

48029

36555

29354

24983

All Adults

Phoenix

S70

2015

15

40529

20960

13212

8791

6506

5066

All Adults

Phoenix

S70

2015

20

16887

7152

4222

2732

1838

1242

All Adults

Phoenix

S70

2016

10

121636

68690

48227

36903

29552

24437

All Adults

Phoenix

S70

2016

15

40132

20513

12814

9040

6655

5414

All Adults

Phoenix

S70

2016

20

16887

7202

4172

3030

2285

1838

All Adults

Phoenix

S70

2017

10

143440

78624

55230

41423

32234

26423

All Adults

Phoenix

S70

2017

15

43658

21655

14205

10828

8046

6308

All Adults

Phoenix

S70

2017

20

18327

8642

5761

4172

2583

1987

3D-Attachment4-76


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

Phoenix

S75

2015

10

152530

82945

57267

44552

35016

29453

All Adults

Phoenix

S75

2015

15

50115

26274

17533

12119

9238

7251

All Adults

Phoenix

S75

2015

20

22052

10579

6457

4172

3129

2235

All Adults

Phoenix

S75

2016

10

142298

80462

57118

44204

35214

28311

All Adults

Phoenix

S75

2016

15

49270

25728

16738

11771

8990

7301

All Adults

Phoenix

S75

2016

20

22152

9785

6059

4073

3278

2334

All Adults

Phoenix

S75

2017

10

169218

93574

65611

50462

40579

32979

All Adults

Phoenix

S75

2017

15

56075

28807

18675

13311

10728

8543

All Adults

Phoenix

S75

2017

20

24735

11771

7947

5712

4222

2881

All Adults

Sacramento

S65

2015

10

32672

14692

8775

6803

5231

4116

All Adults

Sacramento

S65

2015

15

7661

3316

1887

1315

1000

800

All Adults

Sacramento

S65

2015

20

2916

1086

715

457

172

114

All Adults

Sacramento

S65

2016

10

32329

14864

9118

6031

4516

3516

All Adults

Sacramento

S65

2016

15

7804

2973

1801

1258

743

515

All Adults

Sacramento

S65

2016

20

2773

858

372

257

143

114

All Adults

Sacramento

S65

2017

10

31843

15235

9747

6660

5174

4002

All Adults

Sacramento

S65

2017

15

7546

3287

2144

1229

829

600

All Adults

Sacramento

S65

2017

20

3001

1058

343

257

200

57

All Adults

Sacramento

S70

2015

10

43734

21152

13263

9547

7375

6117

All Adults

Sacramento

S70

2015

15

11691

5260

3287

2287

1658

1229

All Adults

Sacramento

S70

2015

20

4802

1887

1172

715

515

343

All Adults

Sacramento

S70

2016

10

44306

21038

13863

9919

7232

5260

All Adults

Sacramento

S70

2016

15

12291

5088

3087

1972

1401

1058

All Adults

Sacramento

S70

2016

20

4831

1887

1000

486

314

200

All Adults

Sacramento

S70

2017

10

43820

21067

13578

10119

7175

6003

All Adults

Sacramento

S70

2017

15

10948

5260

3201

2344

1801

1229

All Adults

Sacramento

S70

2017

20

4888

1944

1029

629

457

200

All Adults

Sacramento

S75

2015

10

53196

26641

17008

12034

9204

7718

All Adults

Sacramento

S75

2015

15

15350

7060

4316

2887

2258

1829

All Adults

Sacramento

S75

2015

20

6460

2744

1572

1172

743

572

All Adults

Sacramento

S75

2016

10

54939

26984

17608

12834

9662

7546

All Adults

Sacramento

S75

2016

15

17008

6717

4145

2944

2287

1744

All Adults

Sacramento

S75

2016

20

6975

3001

1486

943

657

486

All Adults

Sacramento

S75

2017

10

54739

26669

17465

12720

9833

7746

All Adults

Sacramento

S75

2017

15

15407

7318

4545

3116

2258

1801

All Adults

Sacramento

S75

2017

20

6460

2830

1601

943

657

457

All Adults

St. Louis

S65

2015

10

38915

16453

9836

6653

4864

4006

All Adults

St. Louis

S65

2015

15

9192

3612

2325

1466

1001

715

All Adults

St. Louis

S65

2015

20

3326

1180

537

322

215

72

All Adults

St. Louis

S65

2016

10

48465

23034

13162

8906

6402

5007

All Adults

St. Louis

S65

2016

15

13127

5079

3004

1860

1431

1037

All Adults

St. Louis

S65

2016

20

5329

1717

930

680

393

179

All Adults

St. Louis

S65

2017

10

47535

22283

14200

9514

7118

5472

All Adults

St. Louis

S65

2017

15

12697

4972

2861

1967

1395

1073

All Adults

St. Louis

S65

2017

20

4578

1824

930

644

501

286

3D-Attachment4-77


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

All Adults

St. Louis

S70

2015

10

48965

21174

12948

9156

6903

5759

All Adults

St. Louis

S70

2015

15

13985

5437

3076

2182

1466

1037

All Adults

St. Louis

S70

2015

20

5508

1896

1073

680

358

179

All Adults

St. Louis

S70

2016

10

62593

30545

19100

12447

9121

6975

All Adults

St. Louis

S70

2016

15

19207

7762

4435

2683

1896

1466

All Adults

St. Louis

S70

2016

20

8226

3040

1574

1073

823

644

All Adults

St. Louis

S70

2017

10

60304

29830

19207

13520

9943

8262

All Adults

St. Louis

S70

2017

15

18313

7583

4471

3076

2075

1610

All Adults

St. Louis

S70

2017

20

7189

2647

1502

1109

715

537

All Adults

St. Louis

S75

2015

10

57442

26074

15273

10766

8620

6832

All Adults

St. Louis

S75

2015

15

17776

7082

3934

2826

1931

1431

All Adults

St. Louis

S75

2015

20

7225

2504

1538

1037

572

286

All Adults

St. Louis

S75

2016

10

72965

36840

23070

15702

11839

9192

All Adults

St. Louis

S75

2016

15

24536

10301

5866

3756

2504

1753

All Adults

St. Louis

S75

2016

20

10659

4149

2361

1574

966

751

All Adults

St. Louis

S75

2017

10

70927

35624

23392

16381

12519

10194

All Adults

St. Louis

S75

2017

15

23893

10229

6188

3612

2826

2039

All Adults

St. Louis

S75

2017

20

9586

3827

2182

1538

1180

894

Asthma Adults

Atlanta

S65

2015

10

5494

2324

1479

845

493

282

Asthma Adults

Atlanta

S65

2015

15

1409

493

70

70

70

0

Asthma Adults

Atlanta

S65

2015

20

282

70

70

0

0

0

Asthma Adults

Atlanta

S65

2016

10

6691

3381

2254

1550

1197

986

Asthma Adults

Atlanta

S65

2016

15

1690

916

775

563

423

282

Asthma Adults

Atlanta

S65

2016

20

775

493

282

211

211

211

Asthma Adults

Atlanta

S65

2017

10

5635

2254

1620

845

563

423

Asthma Adults

Atlanta

S65

2017

15

1831

352

211

70

70

70

Asthma Adults

Atlanta

S65

2017

20

282

141

70

0

0

0

Asthma Adults

Atlanta

S70

2015

10

7677

3381

2113

1620

986

634

Asthma Adults

Atlanta

S70

2015

15

2043

986

282

141

141

0

Asthma Adults

Atlanta

S70

2015

20

634

141

70

70

70

0

Asthma Adults

Atlanta

S70

2016

10

8875

4367

3240

2113

1690

1550

Asthma Adults

Atlanta

S70

2016

15

2395

916

775

704

563

493

Asthma Adults

Atlanta

S70

2016

20

1127

563

493

423

211

211

Asthma Adults

Atlanta

S70

2017

10

7818

3663

2324

1409

986

634

Asthma Adults

Atlanta

S70

2017

15

2395

634

282

282

141

70

Asthma Adults

Atlanta

S70

2017

20

493

211

141

0

0

0

Asthma Adults

Atlanta

S75

2015

10

10142

4296

2747

2113

1479

1057

Asthma Adults

Atlanta

S75

2015

15

2817

1409

493

211

211

70

Asthma Adults

Atlanta

S75

2015

20

1338

423

70

70

70

0

Asthma Adults

Atlanta

S75

2016

10

11903

5494

3733

2958

2113

1902

Asthma Adults

Atlanta

S75

2016

15

3803

1479

986

916

704

563

Asthma Adults

Atlanta

S75

2016

20

1479

775

704

423

352

211

Asthma Adults

Atlanta

S75

2017

10

9649

4226

3099

2183

1620

1197

Asthma Adults

Atlanta

S75

2017

15

2747

916

634

423

282

211

Asthma Adults

Atlanta

S75

2017

20

1057

352

141

141

70

0

3D-Attachment4-78


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Boston

S65

2015

10

9490

3816

1957

1468

1076

978

Asthma Adults

Boston

S65

2015

15

1859

881

587

294

0

0

Asthma Adults

Boston

S65

2015

20

685

98

0

0

0

0

Asthma Adults

Boston

S65

2016

10

9784

4403

3229

1957

1370

1174

Asthma Adults

Boston

S65

2016

15

2642

1370

881

196

196

196

Asthma Adults

Boston

S65

2016

20

978

489

294

98

98

0

Asthma Adults

Boston

S65

2017

10

11838

4892

2837

1761

1468

1076

Asthma Adults

Boston

S65

2017

15

3131

881

391

294

294

196

Asthma Adults

Boston

S65

2017

20

1272

391

196

196

0

0

Asthma Adults

Boston

S70

2015

10

11447

4598

2250

1468

1174

978

Asthma Adults

Boston

S70

2015

15

2348

978

587

294

196

98

Asthma Adults

Boston

S70

2015

20

881

196

0

0

0

0

Asthma Adults

Boston

S70

2016

10

12425

5479

3522

2739

1761

1370

Asthma Adults

Boston

S70

2016

15

3522

1859

881

489

294

196

Asthma Adults

Boston

S70

2016

20

1468

587

294

196

98

98

Asthma Adults

Boston

S70

2017

10

15067

5870

3326

2446

1957

1370

Asthma Adults

Boston

S70

2017

15

3816

1272

489

391

391

294

Asthma Adults

Boston

S70

2017

20

1663

489

196

196

98

98

Asthma Adults

Boston

S75

2015

10

12425

5381

2348

1565

1370

1272

Asthma Adults

Boston

S75

2015

15

2642

978

685

489

196

98

Asthma Adults

Boston

S75

2015

20

783

294

98

0

0

0

Asthma Adults

Boston

S75

2016

10

14186

5870

3620

2935

2152

1468

Asthma Adults

Boston

S75

2016

15

3718

2152

1468

881

587

294

Asthma Adults

Boston

S75

2016

20

1859

783

489

196

98

98

Asthma Adults

Boston

S75

2017

10

16143

6653

3522

2739

2250

1370

Asthma Adults

Boston

S75

2017

15

4403

1565

783

587

391

391

Asthma Adults

Boston

S75

2017

20

2055

489

294

196

98

98

Asthma Adults

Dallas

S65

2015

10

6407

2422

1797

1328

1172

547

Asthma Adults

Dallas

S65

2015

15

1797

859

313

156

78

78

Asthma Adults

Dallas

S65

2015

20

547

0

0

0

0

0

Asthma Adults

Dallas

S65

2016

10

5782

2266

1016

625

391

391

Asthma Adults

Dallas

S65

2016

15

1172

313

313

313

156

156

Asthma Adults

Dallas

S65

2016

20

391

234

234

156

78

78

Asthma Adults

Dallas

S65

2017

10

8439

3516

2657

2110

1719

1485

Asthma Adults

Dallas

S65

2017

15

2813

1250

1016

859

469

313

Asthma Adults

Dallas

S65

2017

20

1641

391

156

156

78

0

Asthma Adults

Dallas

S70

2015

10

8751

3438

2188

1485

1172

1016

Asthma Adults

Dallas

S70

2015

15

2110

859

547

313

234

156

Asthma Adults

Dallas

S70

2015

20

703

156

78

78

78

0

Asthma Adults

Dallas

S70

2016

10

6876

2891

1250

938

469

391

Asthma Adults

Dallas

S70

2016

15

1563

469

313

313

234

156

Asthma Adults

Dallas

S70

2016

20

391

234

234

156

156

156

Asthma Adults

Dallas

S70

2017

10

9611

4532

3282

2657

2110

1953

Asthma Adults

Dallas

S70

2017

15

3360

1485

1094

938

625

469

Asthma Adults

Dallas

S70

2017

20

1641

859

625

234

78

78

3D-Attachment4-79


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Dallas

S75

2015

10

10861

3985

2735

1641

1406

1250

Asthma Adults

Dallas

S75

2015

15

2735

938

625

547

313

156

Asthma Adults

Dallas

S75

2015

20

1250

313

156

78

78

0

Asthma Adults

Dallas

S75

2016

10

8361

3672

1641

1094

781

469

Asthma Adults

Dallas

S75

2016

15

2266

547

313

313

313

156

Asthma Adults

Dallas

S75

2016

20

547

234

234

234

156

156

Asthma Adults

Dallas

S75

2017

10

10705

5313

3829

3125

2344

2110

Asthma Adults

Dallas

S75

2017

15

4141

1797

1328

1250

859

547

Asthma Adults

Dallas

S75

2017

20

1875

1016

703

391

313

234

Asthma Adults

Detroit

S65

2015

10

7603

3146

1507

1114

655

590

Asthma Adults

Detroit

S65

2015

15

1770

721

262

131

131

131

Asthma Adults

Detroit

S65

2015

20

655

262

131

131

0

0

Asthma Adults

Detroit

S65

2016

10

8979

3932

2163

1770

1507

1376

Asthma Adults

Detroit

S65

2016

15

2425

1376

852

721

393

262

Asthma Adults

Detroit

S65

2016

20

1376

655

328

66

66

0

Asthma Adults

Detroit

S65

2017

10

8914

4260

2753

2097

1507

1114

Asthma Adults

Detroit

S65

2017

15

2687

1311

590

393

393

328

Asthma Adults

Detroit

S65

2017

20

1442

393

328

262

66

0

Asthma Adults

Detroit

S70

2015

10

9241

4064

1901

1376

983

852

Asthma Adults

Detroit

S70

2015

15

2359

983

524

197

197

131

Asthma Adults

Detroit

S70

2015

20

852

328

131

131

131

66

Asthma Adults

Detroit

S70

2016

10

11011

5047

2949

2359

1901

1770

Asthma Adults

Detroit

S70

2016

15

3343

1704

1180

852

786

721

Asthma Adults

Detroit

S70

2016

20

1770

852

459

262

262

131

Asthma Adults

Detroit

S70

2017

10

11273

5047

3212

2687

1901

1573

Asthma Adults

Detroit

S70

2017

15

3474

1639

918

590

459

393

Asthma Adults

Detroit

S70

2017

20

1966

459

459

328

262

197

Asthma Adults

Detroit

S75

2015

10

10356

4653

2622

1507

1114

918

Asthma Adults

Detroit

S75

2015

15

2753

1114

590

262

262

131

Asthma Adults

Detroit

S75

2015

20

1180

393

262

197

131

131

Asthma Adults

Detroit

S75

2016

10

12977

6095

3736

2556

2097

1770

Asthma Adults

Detroit

S75

2016

15

4326

1901

1311

918

786

721

Asthma Adults

Detroit

S75

2016

20

1966

1114

655

393

393

328

Asthma Adults

Detroit

S75

2017

10

13239

6161

3998

2949

2163

1901

Asthma Adults

Detroit

S75

2017

15

4195

2097

1180

786

524

459

Asthma Adults

Detroit

S75

2017

20

2359

655

459

393

328

262

Asthma Adults

Philadelphia

S65

2015

10

10370

4619

2701

1917

1220

959

Asthma Adults

Philadelphia

S65

2015

15

2614

1046

784

349

349

261

Asthma Adults

Philadelphia

S65

2015

20

1133

349

174

174

87

87

Asthma Adults

Philadelphia

S65

2016

10

8453

3137

1917

1394

1133

697

Asthma Adults

Philadelphia

S65

2016

15

1394

349

174

0

0

0

Asthma Adults

Philadelphia

S65

2016

20

349

174

0

0

0

0

Asthma Adults

Philadelphia

S65

2017

10

9760

4357

3224

2179

1569

1133

Asthma Adults

Philadelphia

S65

2017

15

2440

1307

436

261

174

87

Asthma Adults

Philadelphia

S65

2017

20

1133

174

0

0

0

0

3D-Attachment4-80


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Philadelphia

S70

2015

10

12026

5141

3050

2701

1830

1220

Asthma Adults

Philadelphia

S70

2015

15

3399

1481

959

610

436

349

Asthma Adults

Philadelphia

S70

2015

20

1569

436

349

349

87

87

Asthma Adults

Philadelphia

S70

2016

10

10631

4357

2701

1656

1394

959

Asthma Adults

Philadelphia

S70

2016

15

1917

610

261

174

174

0

Asthma Adults

Philadelphia

S70

2016

20

436

261

87

0

0

0

Asthma Adults

Philadelphia

S70

2017

10

11067

6013

3660

2789

2091

1656

Asthma Adults

Philadelphia

S70

2017

15

3399

1569

959

523

261

174

Asthma Adults

Philadelphia

S70

2017

20

1656

436

174

0

0

0

Asthma Adults

Philadelphia

S75

2015

10

15773

7233

4183

3311

2353

1743

Asthma Adults

Philadelphia

S75

2015

15

4531

1917

1220

784

523

436

Asthma Adults

Philadelphia

S75

2015

20

1917

784

349

349

174

87

Asthma Adults

Philadelphia

S75

2016

10

13594

5403

3660

2440

2004

1394

Asthma Adults

Philadelphia

S75

2016

15

3921

1569

784

349

174

87

Asthma Adults

Philadelphia

S75

2016

20

697

261

87

87

0

0

Asthma Adults

Philadelphia

S75

2017

10

13507

6710

4706

3573

2527

2266

Asthma Adults

Philadelphia

S75

2017

15

4444

1743

1133

959

436

261

Asthma Adults

Philadelphia

S75

2017

20

1917

610

349

87

0

0

Asthma Adults

Phoenix

S65

2015

10

8444

4321

2583

2036

1639

1291

Asthma Adults

Phoenix

S65

2015

15

2334

1440

844

497

397

248

Asthma Adults

Phoenix

S65

2015

20

844

397

298

199

99

0

Asthma Adults

Phoenix

S65

2016

10

6953

3973

2483

1589

1291

1192

Asthma Adults

Phoenix

S65

2016

15

2086

795

447

298

199

99

Asthma Adults

Phoenix

S65

2016

20

596

149

50

0

0

0

Asthma Adults

Phoenix

S65

2017

10

8046

4172

2732

2086

1738

1391

Asthma Adults

Phoenix

S65

2017

15

2235

1341

993

695

497

497

Asthma Adults

Phoenix

S65

2017

20

894

546

298

248

149

99

Asthma Adults

Phoenix

S70

2015

10

10232

5612

3626

2781

1987

1738

Asthma Adults

Phoenix

S70

2015

15

3328

1788

1142

695

546

447

Asthma Adults

Phoenix

S70

2015

20

1738

646

397

248

149

50

Asthma Adults

Phoenix

S70

2016

10

8543

4818

3526

2285

1788

1440

Asthma Adults

Phoenix

S70

2016

15

2632

1341

795

497

248

248

Asthma Adults

Phoenix

S70

2016

20

1093

497

149

50

50

50

Asthma Adults

Phoenix

S70

2017

10

9785

5414

3924

2732

2036

1788

Asthma Adults

Phoenix

S70

2017

15

2980

1788

1142

844

646

596

Asthma Adults

Phoenix

S70

2017

20

1242

646

447

397

248

199

Asthma Adults

Phoenix

S75

2015

10

11871

6705

4420

3328

2483

2086

Asthma Adults

Phoenix

S75

2015

15

4023

2185

1540

1093

745

596

Asthma Adults

Phoenix

S75

2015

20

1937

1043

546

298

149

149

Asthma Adults

Phoenix

S75

2016

10

10182

5612

4222

2881

2285

1838

Asthma Adults

Phoenix

S75

2016

15

3526

1689

1093

745

546

397

Asthma Adults

Phoenix

S75

2016

20

1589

646

348

99

50

50

Asthma Adults

Phoenix

S75

2017

10

11473

6308

4470

3328

2682

2185

Asthma Adults

Phoenix

S75

2017

15

4073

2136

1391

1142

944

695

Asthma Adults

Phoenix

S75

2017

20

1738

894

646

546

397

298

3D-Attachment4-81


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

Sacramento

S65

2015

10

2287

858

515

457

343

343

Asthma Adults

Sacramento

S65

2015

15

543

172

86

86

86

29

Asthma Adults

Sacramento

S65

2015

20

257

29

29

29

0

0

Asthma Adults

Sacramento

S65

2016

10

2172

1143

715

543

400

343

Asthma Adults

Sacramento

S65

2016

15

515

200

143

86

86

57

Asthma Adults

Sacramento

S65

2016

20

172

57

57

57

57

29

Asthma Adults

Sacramento

S65

2017

10

2115

915

486

400

314

314

Asthma Adults

Sacramento

S65

2017

15

457

257

172

57

57

29

Asthma Adults

Sacramento

S65

2017

20

172

86

0

0

0

0

Asthma Adults

Sacramento

S70

2015

10

2887

1286

858

657

543

400

Asthma Adults

Sacramento

S70

2015

15

715

314

286

114

114

29

Asthma Adults

Sacramento

S70

2015

20

343

143

86

29

29

29

Asthma Adults

Sacramento

S70

2016

10

2830

1429

1029

772

543

400

Asthma Adults

Sacramento

S70

2016

15

772

400

343

200

114

86

Asthma Adults

Sacramento

S70

2016

20

343

172

114

86

57

29

Asthma Adults

Sacramento

S70

2017

10

2716

1258

743

515

400

314

Asthma Adults

Sacramento

S70

2017

15

800

257

200

143

86

57

Asthma Adults

Sacramento

S70

2017

20

229

143

86

29

0

0

Asthma Adults

Sacramento

S75

2015

10

3544

1744

1172

800

657

572

Asthma Adults

Sacramento

S75

2015

15

1058

429

343

200

143

86

Asthma Adults

Sacramento

S75

2015

20

400

143

86

86

57

29

Asthma Adults

Sacramento

S75

2016

10

3602

1744

1258

943

657

457

Asthma Adults

Sacramento

S75

2016

15

1229

600

372

372

257

114

Asthma Adults

Sacramento

S75

2016

20

457

229

143

114

86

57

Asthma Adults

Sacramento

S75

2017

10

3430

1544

972

657

486

400

Asthma Adults

Sacramento

S75

2017

15

943

400

314

200

114

86

Asthma Adults

Sacramento

S75

2017

20

314

200

86

86

0

0

Asthma Adults

St. Louis

S65

2015

10

3684

1466

894

537

322

322

Asthma Adults

St. Louis

S65

2015

15

894

250

107

72

36

0

Asthma Adults

St. Louis

S65

2015

20

179

36

0

0

0

0

Asthma Adults

St. Louis

S65

2016

10

4185

1931

1073

715

572

429

Asthma Adults

St. Louis

S65

2016

15

1145

501

358

215

143

143

Asthma Adults

St. Louis

S65

2016

20

537

179

107

72

36

0

Asthma Adults

St. Louis

S65

2017

10

4435

1896

1252

751

537

322

Asthma Adults

St. Louis

S65

2017

15

1001

429

286

143

36

36

Asthma Adults

St. Louis

S65

2017

20

358

72

0

0

0

0

Asthma Adults

St. Louis

S70

2015

10

4435

1860

1145

751

537

465

Asthma Adults

St. Louis

S70

2015

15

1288

501

215

107

72

36

Asthma Adults

St. Louis

S70

2015

20

322

72

36

36

36

0

Asthma Adults

St. Louis

S70

2016

10

5687

2611

1574

1073

787

608

Asthma Adults

St. Louis

S70

2016

15

1610

787

429

250

143

143

Asthma Adults

St. Louis

S70

2016

20

715

286

215

143

107

36

Asthma Adults

St. Louis

S70

2017

10

5651

2468

1610

1109

787

608

Asthma Adults

St. Louis

S70

2017

15

1610

608

358

215

107

72

Asthma Adults

St. Louis

S70

2017

20

608

179

107

36

0

0

3D-Attachment4-82


-------
Study Group

Study Area

AQ
Scenario

Year

FEV,
(percent)

Number of People at or above FEVt Decrement

>1 Day

> 2 Days

> 3 Days

> 4 Days

> 5 Days

> 6 Days

Asthma Adults

St. Louis

S75

2015

10

5079

2253

1431

858

680

537

Asthma Adults

St. Louis

S75

2015

15

1717

608

322

179

107

72

Asthma Adults

St. Louis

S75

2015

20

465

143

36

36

36

0

Asthma Adults

St. Louis

S75

2016

10

6545

3219

2039

1395

1073

787

Asthma Adults

St. Louis

S75

2016

15

1967

1001

465

286

215

143

Asthma Adults

St. Louis

S75

2016

20

1001

358

250

215

143

72

Asthma Adults

St. Louis

S75

2017

10

6724

2933

1931

1109

1073

823

Asthma Adults

St. Louis

S75

2017

15

2146

823

465

215

179

107

Asthma Adults

St. Louis

S75

2017

20

823

250

179

72

36

36

3D-Attachment4-83


-------
APPENDIX 4A

EXPOSURE-RESPONSE FUNCTIONS FOR TREE SEEDLINGS AND

CROPS

TABLE OF CONTENTS

4A. 1 Exposure-Response Functions of Lee and Hogsett (1996)	2

4A. 1.1 Tree Species Seedling E-R Functions	3

4A. 1.2 Crop Species E-R Functions	14

4A.1.3 Summary Tables for 11 Tree Species and 10 Crops in Lee and Hogsett (1996).... 15

4A.1.4 Tree Seedling RBL Studies	20

4A.2 Exposure-Response Functions of Lee et al (2022)	 27

4A.2.1 Tree Seedling Studies	27

4A.2.2 Tree Species Seedling E-R Functions	31

4A.2.3 Summary Table for 16 Tree Species in Lee et al. (2022)	 33

4A.3 Additional Findings of Lee et al. 2022 	 35

4A.3.1 Role of Peak Concentrations	35

4A.3.2 Multiple Years of Exposure	36

4A.4 RBL Estimates based on consideration of E-R functions from both Lee et al. (2022) and
Lee and Hogsett (1996)	 36

4A.5 Comparison of Predicted and Observed O3 Growth Impacts in the 2013 and 2020 ISAs 39

References	41

Attachment

Derivation of Composite Median Equations (parameterized models) in Lee and Hogsett (1996)

March 2023

4A-1 External Review Draft v2 - Do Not Quote or Cite


-------
4A.1 EXPOSURE-RESPONSE FUNCTIONS OF LEE AND HOGSETT

Air quality criteria documents (AQCDs) for prior ozone (O3) reviews have presented
exposure-response functions derived in the 1980s through mid-1990s from the results of a series
of studies on the growth effects of a range of seasonal O3 exposure levels. These studies included
research conducted by the National Crop Loss Assessment Network (NCLAN) on commercial
crop species and by the EPA's National Health and Environmental Effects Laboratory Western
Ecology Division (NHEERL/WED) and at sites in Michigan, Tennessee and Oregon on
seedlings of 11 tree species1. These studies also included documentation of hourly
concentrations across the full exposures, and multiple exposure scenarios per experiment, which
has resulted in their being the focus of work to characterize exposure-response (E-R)
relationships for growth impacts on crops and tree species documented in Lee and Hogsett
(1996), which have been presented in the 1996 and 2006 AQCDs, and the 2013 and 2020 ISAs.

The experimental study results were analyzed to define a quantitative model that would
well describe the E-R relationships of seasonal O3 exposure and first impaired tree seedling
growth and crop yield.2 In that analysis, several different metrics to quantify exposure (e.g.,
SUM06, W126) were assessed, with the conclusion that for the use of a single metric, such as
W126 index, a three-parameter Weibull model form provides the most appropriate model for the
response of absolute yield and growth to O3 exposure because of the interpretability of its
parameters, its flexibility (given the small number of parameters), and its tractability for
estimation (2013 ISA, section 9.6.2). This three-parameter Weibull model is presented in
equation 4A-1.

Y = total yield or biomass;

W126 = 03 exposure (e.g., 3-month sum of daily cumulative W126 from 8am to 8pm);

and,

r| and p are species-specific variables

1 These programs and the research conducted under them is described in detail in the 1996 AQCD (sections 5.5 and
5.6), summarized in the 2006 AQCD (section 9.5), 2013 ISA (section 9.6), and the 2020 ISA (Appendix 8,

2 Examples of these analyses include Lee et al. (1994), Gumpertz and Rawlings (1992), Heck et al. (1984), Hogsett
et al. (1997), Lee and Hogsett (1999), Lee et al. (1987), Lee et al. (1988), Lee et al. (1989), Lesser et al. (1990),
Rawlings and Cure (1985).

(1996)

Equation 4A-1

where:

section 8.13).

March 2023

4A-2 External Review Draft v2 - Do Not Quote or Cite


-------
With removal of the intercept term, a, the model estimates relative yield or biomass
without any further reparameterization. In order to compare E-R functions and associated
estimates across species, genotypes, or experiments (of same species/genotype) for which
absolute values of the response may vary greatly, the model is reformulated in terms of relative
annual yield (or biomass) or relative yield (or biomass) loss (yield loss= [1-relative yield]). The
resultant 2-parameter model of relative yield was presented in the 1996 and 2006 AQCDs and
2013 and 2020 ISA as basis for deriving common models for multiple species, multiple
genotypes within species and multiple experimental locations (2013 ISA, section 9.6.2; 2020
ISA, Appendix 8, section 8.13.2). The models presented in the AQCDs were in terms of SUM06
over a 3-month season; those models were updated for 12-hour W126 over a 3-month season in
the 2013 ISA (2013 ISA, section 9.6.2). The 2-parameter model structure, for relative biomass
loss (RBL) or relative yield loss (RYL) as a function of W126 is described in equation 4A-2.

RBL = 1 - exp[-(W126/r|)13]	Equation 4A-2

Based on this model structure, and data from the experiments summarized in section
4A.1.4, functions for estimating RBL from seasonal W126 index, parameterized for each of
eleven tree species, are presented and discussed in section 4A.1.1 below, and RYL functions for
the 10 crop species are presented in section 4A. 1.2.

4A.1.1 Tree Species Seedling E-R Functions

Using the 2-parameter model derived from the 3-parameter Weibull model as described
above, RBL functions for 11 tree species, commonly occurring in the U.S., were derived as
median composite functions from response estimates based on functions derived for each
individual study, experiment, and harvest for that species (Lee and Hogsett, 1996, Tables 12 and
13).3

Table 4A-1 summarizes these aspects of the studies analyzed, which are listed by
experiment, with the associated O3 treatments, in Table 4A-7. For the 11 species, there are 51
separate "experiment-specific" E-R functions.4 From these 51 experiment-specific E-R

3	To account for potential for a delayed response, for some experiments, seedlings were harvested and measured

both immediately after the treatment period and also the subsequent spring prior to any other treatment. Both sets
of data (from each of the two harvests) were paired with the exposure metric values and included in the analysis
as separate experimental datasets. Additionally, as can be seen in Table 4A-7, the number of experiments and
different exposure levels assessed varied among the species, as did the magnitude of the exposures tested and also
the duration of exposure (e.g., from as short as 55 days in a single season to as long as 550 days across two
years).

4	As summarized in Table 4A-1, for six of the 11 species, the species-specific function is based on just one or two

experimental datasets (e.g., red maple), while for other species there were as many as 11 datasets supporting 11
experiment-specific E-R functions (e.g., ponderosa pine). The exposure durations varied from periods of 82 to
140 days in a single year to periods of 180 to 555 days occurring across two years (Lee and Hogsett, 1996). The
experimental datasets for more than half the 11 species include exposures occurring across two years.

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functions, species-specific composite median functions were developed for each of the 11
species by the approach described in the Attachment to this Appendix, documented in Lee and
Hogsett (1996),5 which is summarized as follows.

For each of the studies for a given species, the predicted relative biomass loss was first
generated at six values of a 92-day W126 index: 10, 20, 30, 40, 50, and 60 ppm-hr, using the
study-specific two-parameter equation (derived based on data for full experimental duration). To
do this, factors reflecting the difference of the experimental duration from 92 days were applied
to the six W126 index values (10 to 60 ppm-hrs) prior to their use with the experiment-specific
function. For example, the duration of one of the ponderosa pine experiments is 111 days. To
derive the 92-day RBL for 10 ppm-hrs from the equation for that experiment, a factor of 92/111
is applied to 10 ppm-hrs and the result is input to the equation to estimate the RBL (based on the
function derived from that experiment's data) for a 92-day W126 index of 10 ppm-hrs. This was
done for all six W126 index values from 10 to 60 ppm-hrs for all experiments for each species. A
two-parameter model for relative biomass loss was then fit to the median RBL estimate for each
of the six W126 index values for each species (see figures in the Attachment to this Appendix).6
The formula for the function and the parameter values for each of the 11 species are presented in
Table 4A-2.

5	The functions presented in Table 4A-2 reflect the median composite response functions presented in Table 13 of

Lee and Hogsett (1996), with the addition of the response curve for loblolly pine from Table 8 24 of Appendix 8
of the 2020 ISA. The process for deriving the composite functions is described in Lee and Hogsett (1996).

6	For example, Ponderosa Pine was the subject of 11 studies analyzed by Lee and Hogsett (1996); 11 sets of

parameters were estimated through regression; 66 values of predicted relative biomass loss were then computed,
11 at each of the six exposure values. All but the median of those 11 relative biomass loss estimates were
discarded at each of the six levels of exposure, and the two-parameter model fitted to the six remaining points,
giving the Ponderosa Pine median composite equation for a 92-day exposure.

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Table 4A-1. Experimental datasets analyzed in Lee and Hogsett (1996) and Lee et al.
(2022).





Growth assessed after single-
year treatment

Growth assessed after multiple years of
treatment



# expts

(# "harvests" or

Duration

# expts

(# "harvests"
or

Duration

(# treatment days

Treatment days

Species

measurement
time points)A

(# treatment
days)

measurement
time points)A

across multi-year
experiment)

in last yearB

Data Analyzed by Lee and Hogsett (1996) to Derive Species-Specific E-R Functions

Black cherry

2(2)

78-140







Douqlas fir

2 (4) A

113-118

2(3)

230-234

112-121

Eastern white pine

1(1)

83

1(1)

180

97

Loblolly pinec





1(1)

555

NA

Quakinq aspen

6(14)

82-107







Ponderosa pine0

5(8)

84-140

2(3)

230-234

112-121

Red alder

4(6)

112-121







Red maple

1(1)

55







Suqar maple

1(1)

83

1(1)

180

97

Tulip poplar

2(2)

75-142

1(1)

184

109

Virqinia pine

1 (1)

159

1 (1)

231

141

Additional Species Analyzed by Lee et a/. (2022) in

Deriving Species-Specific E-R Functions

American sycamore

1(1)

69







Chestnut oak

1(1)

139







Sweetqum





1(1)

142

40

Table mountain pineE





1(1)

215ฐ

54ฐ

Winqed sumac

1(1)

99







Yellow buckeye

1(1)

31







Species for which Data Analyzed by Lee et at. (2022) Differed from Lee and Hogsett (1996) Datasets

Ponderosa pine0

7(7)

111-141

4(4)

223-280

90-139

Virqinia pine

2(2)

90-159

1 (1)

231

141

A For experiments with two harvests after a treatment (one at treatment end and second in subsequent spring), each dataset
paired with the exposure was analyzed in Lee and Hogsett (1996); only the 1st harvest data were analyzed by Lee et al. (2022).
B For multiyear (2 or 3-year) exposures, analyses in Lee et al. (2022) paired the second (or third) year 92-day W126 index with
observed multiyear growth response.
c Loblolly pine was only analyzed in Lee and Hogsett (1996).

D Two single-year ponderosa pine experiments (1991 and 1992) included in Lee and Hogsett 1996 analysis but not in Lee et al
2022. Four datasets for single-year ponderosa pine exposures included in Lee et al 2022analysis but not in Lee and Hogsett
1996. Two of those experiments continued for a second year of exposure, with 2nd-year exposure also analyzed in Lee et al
2022 (with the 2-year growth impact).

D Table mountain pine experiment included treatments across three years, with biomass measurements only analyzed after third
year of treatment..

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Table 4A-2. RBL functions for 11 tree species (Lee and Hogsett, 1996).

Species

RBL Function

n (ppm)

(3

Red Maple (Acerrubrum)

1 - exp[-(W126/n)p]

318.12

1.3756

Sugar Maple {Acer saccharum)

36.35

5.7785

Red Alder (Alnus rubra)

179.06

1.2377

Tulip Poplar {Liriodendron tulipifera)

51.38

2.0889

Ponderosa Pine {Pinusponderosa)

159.63

1.1900

Eastern White Pine {Pinus strobus)

63.23

1.6582

Loblolly Pine (Pinus taeda)

1,021.63

0.9954

Virginia Pine (Pinus virqiniana)

1,714.64

1.0000

Quaking Aspen (Populus tremuloides), wild

109.81

1.2198

Black Cherry (Prunus serotina)

38.92

0.9921

Douglas Fir (Pseudotsuga menziesii)

106.83

5.9631

Source: These functions are those presented in Lee and Hogsett (1996), Table 13 or, for loblolly pine,
as presented in Table 8-24 of Appendix 8 of the ISA.

Figure 4A-1 graphs the E-R functions for tree seedling RBL presented in Table 4A-2 for
the 11 species. This figure illustrates how the values of the two parameters affect the shape of the
resulting curves. The value of r| in the RBL function affects the point of the curve where the
slope appreciably changes, and p affects the steepness of the curve. The response functions with
smaller values of p (e.g., Virginia pine) or with r| values that are above the range shown for of
W126 index values (e.g., functions for ponderosa pine and red alder) exhibit smaller slopes that
have less change across this W126 range. These functions describe a more constant rate of
change in RBL over the range of O3 exposure shown (e.g., up to 30 ppm-hrs). In contrast, the
response functions with larger p values (e.g., the function for sugar maple) exhibit a threshold-
like behavior, with large changes in RBL over a small range of W126 index values and relatively
small changes at other index values. In these cases, the "threshold" is determined by the r|
parameter of the model.

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o

00

d

(D

o

_l

m
q:

ฆ*r

o

CM

o

o

d

0	10	20	30	40	50

W126 (ppm-hrs)

Figure 4A-1. RBL functions for seedlings of 11 tree species.

The shape of the curves presented in Figure 4A-1 also illustrate how sensitive the
predicted RBL value for each species is to changes in W126 index. Two species, loblolly pine
(dark grey line) and Virginia pine (yellow line) have E-R functions that approach linearity within
the W126 range represented on the x-axis, meaning that any 1 percent change in W126 produces
the same change in RBL. Black cherry (blue line) has an E-R function that exhibits a declining
slope with increasing W126 (each successive equal change in W126 produces a smaller change
in RBL), with the appearance of leveling off (Figure 4A-1). The functions for the remaining
species appear to be somewhat linear, e.g., each 1% change in W126 across the W126 range
produces an identical (or somewhat similar) percent change as the prior 1% change in RBL.

Red Maple

•	Sugar Mapfe

•	Red Alder
Tulip Poplar
Ponderosa Pine

•	White Pine

•	Loblolly Pine
Virginia Pine

•	Aspen

•	Black Cherry

•	Douglas Fir

Red Maple

•	Sugar Maple

•	Red Alder
Tulip Poplar
Ponderosa Pine

•	White Pine
Loblolly Pine
Virginia Pine

•	Aspen

•	Black Cherry
Douglas Fir

10 15 20
W126 (ppm-hrs)

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As mentioned above, the species-specific functions were derived from median estimates
based on the functions from the individual experiments and harvests for each species. Figure 4A-
2 through Figure 4A-12 present the species-specific composite functions (solid line) for RBL
with 92-day W126 index, along with the functions derived from the individual experiments and
harvests for that species (dotted lines) 7 These figures provide a sense of the across-experiment
and harvest-time variability for each species, where such information is available.

CO

o

CD

d

—I

CD
Q1

o

Csl

d

0	10	20	30	40	50

92-day	W126 (ppm-hrs)

Figure 4A-2. RBL functions for the single red maple (Acer ruhrum) experiment.

7 For aspen, the dark (red) line shown in Figure 4A-1 is the median composite for wild (vs clonal genotype) studies.
March 2023	4A-8 External Review Draft v2 - Do Not Quote or Cite


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92-day	W126 (ppm-hrs)

Figure 4A-3. RBL functions for sugar maple (Acer saccharum).

20	30

W126 (ppm-hrs)

Figure 4A-4. RBL functions for red alder (Alnus rubra).



1 st-year

1 st-year

exposure

exposure





2-year exposure

0	10	20	30	40	50

W126 (ppm-hrs)

Figure 4A-5. RBL functions for tulip poplar (Liriodendron tu/ipiferu).

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00

o

CD
o

CD

tz

o

CNJ

o

o
d

10

20

30

40

50

W126 (ppm-hrs)

Figure 4A-6. RBL functions for ponderosa pine (Pinus ponderosa).

W126 (ppm-hrs)

Figure 4A-7. RBL functions for white pine (Pinus strobus).

CQ
CH

o

C\J

o

o
o

10

20 30
W126 (ppm-hrs)

40

Figure 4A-8. RBL functions for loblolly pine (Pinus taeda).

50

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o

oo
o

CD

o

_i
CD

a:

"vT

d

CNJ
o

o

^ —i	1	1	1	I	r-

0	10	20	30	40	50

W126 (ppm-hrs)

Figure 4A-9. RBL functions for Virginia pine (Pinus virginiana).

W126 (ppm-hrs)

Figure 4A-10.RBL functions for aspen (Populus tremuloides). Red lines = wild, black=c.lone.

W126 (ppm-hrs)

Figure 4A-11.RBL functions for black cherry (Prunus serotina).

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0	10	20	30	40	50

W126 (ppm-hrs)

Figure 4A-12.RBL functions for Douglas fir (Pseudotsuga menziesii).

In the 2015 review, consideration of the E-R functions for the seedlings of 11 tree species
focused on the median estimate across the 11 species-specific functions. Recognizing the extent
to which experimental variation contributes to uncertainty in the species-specific E-R functions,
a stochastic analysis was performed in the quantitative exposure/risk assessment for the 2015
review as an approach to investigating the impact of uncertainty and variability in the E-R
function dataset; an update of this analysis is presented in Figure 4A-13. This figure illustrates
different approaches to estimating a median species-specific E-R function from the functions
from the individual experiments and harvests. In this figure, each grey curve is the median across
11 species-specific functions where the species-specific functions are represented by a random
draw from the experiment-specific functions available for each species.8 The red points are the
median across the random draws at that W126 value and the whiskers extend to the 75th and 25th
percentiles of those draws. For reference, the green line is the median across the 11 species-
specific functions, and the red line is the median across the 51 experiments (regardless of
species).9

8	For example, there are seven separate experiment-specific E-R functions for ponderosa pine (Lee and Hogsett,

1996). In each iteration, one of the seven is drawn. This is performed for all eleven species. Each iteration of
these random draws is represented by a single grey line that plots the median of the 11 RBLs derived from the 11
functions for each W126 index level across the range of W126 presented in the figure. At different parts of the
W126 range, different species' E-R functions will produce the median estimate. As a result, the grey line for each
iteration of the random draws has an area of rapid change over a particular range of W126 levels (when the E-R
function producing the median estimate switches to a different species) and then a smoothing (as the median
estimates are being produced by the same E-R function). That is, since there are 11 species (i.e., an odd number),
each point on each grey line in the figure comes from the curve for the species' function that predicts the 6th
highest (or lowest) RBL for that W126 index value.

9	Both the green and red lines include two step-like changes along the W126 index range from 8 to26 ppm-hrs.

These steps reflect the influence on the median of the functions of species with inflection points that differ from
the others (that can be seen in Figure 4A-1). For example, on the green curve (for the median across the species-

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0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
W126 (ppm-hrs)

Figure 4A-13. Stochastic analyses of median E-R function across 11 species.

specific functions), from a W126 index of approximately 8 ppm-hrs to 23 ppm-hrs, the curve largely follows the
response function for red alder (which is somewhat centrally located among the functions over that W126 range:
in Figure 4A-1). The step between 23 and 24 ppm-hrs is driven by the rapid changes of the response-function for
sugar maple and above that level of W126, the response-function for ponderosa pine is central and represented by
the median.

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4A.1.2 Crop Species E-R Functions

The RYL functions for the 10 crop species, which were derived in similar fashion as the
RBL functions described in section 4A.1.1 above (Lee and Hogsett, 1996), are presented in
Table 4A-3, and Figure 4A-14 presents the functions graphically.

Table 4A-3. RYL functions for crop species (Lee and Hogsett, 1996).

Species

RYL Function

n (ppm)

(3

Barley

1 - exp[-(W126/n)p]

6,998.5

1.388

Field Corn

97.9

2.968

Cotton

96.1

1.482

Kidney Bean

43.1

2.219

Lettuce

54.6

4.917

Peanut

96.8

1.890

Potato

99.5

1.242

Grain Sorqhum

205.3

1.957

Soybean

110.2

1.359

Winter Wheat

53.4

2.367

Source: These functions are derived from those presented in Lee and Hogsett (1996).

>
QL

oo
o

CD

o

o

(XI

o

o
o

20	30

W126 (DDm-hrs)
Figure 4A-14.RYL functions for 10 crop species.

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4A. 1.3 Summary Tables for 11 Tree Species and 10 Crops in Lee and Hogsett (1996)

Table 4A-4 and Table 4A-5 below provide estimates for each species of the relative loss
for tree biomass and crop yield, respectively, for O3 exposure in terms of 92-day W126 index
(from 7 to 30 ppm-hrs) using the composite E-R functions described in sections 4A. 1.1 and
4A.1.2 above. The cross-species median of the estimates at each integer W126 index value is
also presented for all 11 tree species (Table 4A-4) and 10 crops (Table 4A-5). These tables also
provide estimates of the number of species for trees and crops respectively that would be below
various reference values (e.g., 2% RBL for trees) at various W126 index values. Table 4A-6
summarizes the median values for each integer W126 index value between 7 ppm-hrs and 23
ppm-hrs.

March 2023	4A-15 External Review Draft v2 - Do Not Quote or Cite


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Table 4A-4. Relative biomass loss for eleven individual tree seedlings and median at various W126 index values.

W126

Douglas
Fir

Loblolly

Virginia
Pine

Red Sugar Red
maple maple Alder

Ponderosa
Pine

Aspen

Tulip
Poplar

Eastern
White
Pine

Black
Cherry

Median

(11

species)

Number

of
Species

<2%

Number

of
Species

<5%

Number

of
Species
<10%

Number

of
Species

< 15%

30

0.1%

2.9%

1.7%

3.8%

28.1%

10.4%

12.8%

18.(5%

27.7%

25.2%

53.8%

12.8"..

2

4

4

(5

29

0.0%

2.8%

1.7%

3.6%

23.7%

10.0%

12.3%

17.9%

26.1%

24.0%

52.6%

12.3ฐ..

2

4

r,

(5

28

0.0%

2.7%

1 .(5%

3.5%

19.9%

9.(5%

11.8%

17.2%

24.5%

22.8%

51.4%

11.8".,

2

4

5

(5

27

0.0%

2.7%

1 .(5%

3.3%

1(5.4%

9.2%

11.4%

1 (5.5%

23.0%

21 .(5%

50.1%

III"..

2

4

5

(5

26

0.0%

2.(5%

1.5%

3.1%

13.4%

8.8%

10.9%

15.8%

21.4%

20.5%

48.8%

10,9"..

2

4

5

7

25

0.0%

2.5%

1.4%

3.0%

10.9%

8.4%

10.4%

15.2%

19.9%

19.3%

47.5%

10.1"..

2

4

5

7

24

0.0%

2.4%

1.4%

2.8%

8.7%

8.0%

10.0%

14.5%

18.4%

18.2%

46.2%

8.7"..

2

4

7

8

23

0.0%

2.3%

1.3%

2.7%

0.9%

7.(5%

9.5%

13.8%

17.0%

17.1%

44.8%

7.(>"<>

2

4

7

8

22

0.0%

2.2%

1.3%

2.5%

5.3%

7.2%

9.0%

13.1%

15.6%

15.9%

43.3%

7.2"..

2

4

7

8

21

0.0%

2.1%

1.2%

2.4%

4.1%

(5.8%

8.(5%

12.4%

14.3%

14.9%

41.9%

().8".>

2

5

7

10

20

0.0%

2.0%

1.2%

2.2%

') 1 ()/
O. /(>

(5.4%

8.1%

11.8%

13.0%

13.8%

40.3%

ซป. 1"..

'.)
v)

5

7

10

19

0.0%

1.9%

1.1%

2.1%

2.3%

(5.0%

7.(5%

11.1%

11.8%

12.7%

38.8%

<>,()"..

')
v)

5

7

10

18

0.0%

1.8%

1.0%

1.9%

1.7%

5.7%

7.2%

10.4%

10.(5%

11.7%

37.2%

5.7"..

5

5

7

10

17

0.0%

1.7%

1.0%

1.8%

1.2%

5.3%

(5.7%

9.8%

9.4%

10.7%

35.(5%

5,3"..

5

5

9

10

16

0.0%

1 .(5%

0.9%

1 .(5%

0.9%

4.9%

(5.3%

9.1 %

8.4%

9.7%

')') no/
Ov)..; /o

1.!)"..

5

(5

10

10

15

0.0%

1.5%

0.9%

1.5%

0.(5%

4.5%

5.8%

8.4%

7.4%

8.8%

32.2%

I.5"„

5

(5

10

10

14

0.0%

1.4%

0.8%

1.4%

0.4%

4.2%

5.4%

7.8%

(5.4%

7.!)%

30.4%

1.2"..

5

(5

10

10

13

0.0%

1.3%

0.8%

1.2%

0.3%

3.8%

4.9%

7.1%

5.5%

7.0%

28.(5%

3.8"..

5

7

10

10

12

0.0%

1.2%

0.7%

1.1%

0.2%

') K ()/

v). J /()

4.5%

(5.5%

4.7%

(5.2%

2(5.7%

3.5"..

5

8

10

10

11

0.0%

1.1%

0.(5%

1.0%

0.1%

3.1%

4.1%

5.9%

') no/
v)..; /o

5.4%

24.8%

3.1"..

5

8

10

10

10

0.0%

1.0%

0.(5%

0.9%

0.1%

2.8%

3.(5%

5.2%

3.2%

4.(5%

22.!)%

2.8"..

5

9

10

10

9

0.0%

0.9%

0.5%

0.7%

0.0%

2.4%

3.2%

4.6%

2.6%

3.9%

20.9%

2. l"u

5

10

10

10

8

0.0%

0.8%

0.5%

0.(5%

0.0%

2.1%

2.8%

4.0%

2.0%

3.2%

18.8%

2.0"..

5

10

10

10

7

0.0%

0.7%

0.4%

0.5%

0.0%

1.8%

2.4%

3.4%

1.5%

2.6%

16.7%

1.5%

7

10

10

10

March 2023

4A-16 External Review Draft v2 - Do Not Quote or Cite


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Table 4A-5. Relative yield loss for ten individual crop species and median at various W126 index values.

..	Number	Number	Number	Number	e c

,, „ . Median	e e f	fc ,	of Species

is7ioc d i t Field Grain „ . „ .. c , Winter „ . . Kidney ,1ft	of of of	of Species	''

W126 Barley Lettuce „ „ , Peanut Cotton Soybean ,,,, . Potato „ 7 (10	„	„	„	r'. ,	> 10%

J Corn Sorghum J Wheat Bean . ,	Species	Species	Species	> 5% and	, ^

O CflAPIACI	ill	onn <

species;	< 5%	ฃ 1Q%	< 2Q%	< 1Q%	dim

30

0.1%

5.1%,

2.9%,

2.3%,

10.4%,

1 (5.3%,

15.7%,

22.5%,

20.2%,

3(5.1%,

13.0%,

')
v)

4

7

1

'.)
v)

29

0.0%

4.4%,

2.7%,

2.1%,

9.7%,

15.(5%,

15.0%,

21.0%,

19.4%,

34.0%,

12.4%,

4

5

8

1

')
v)

28

0.0%

3.7%,

2.4%,

2.0%,

9.1 %,

14.9%,

14.4%,

19.5%

18.7%,

31.9%,

11.8%,

4

5

i)

1

4

27

0.0%

3.1%,

2.2%,

1.9%,

8.(5%,

14.1%,

13.7%,

18.0%,

18.0%,

29.8%,

11.2%,

4

5

9

1

4

26

0.0%,

2.(5%

1.!)%

1.7%

8.0%,

13.4%,

13.1%

1 (5.(5%

17.2%,

27.8%

10.(5%,

4

5

S)

1

4

25

0.0%,

2.1%,

1.7%,

1 .(5%,

7.4%,

12.7%,

12.5%,

15.3%,

1 (5.5%

25.8%,

10.0%,

4

5

9

1

4

24

0.0%,

1.7%,

1.5%

1.5%

6.9%,

12.0%,

11.8%

14.0%

15.7%,

23.!)%

9.4%,

4

5

S)

1

4

23

0.0%,

1.4%,

1.3%,

1.4%,

(5.4%,

11.3%,

11.2%,

12.7%,

15.0%,

22.0%,

8.8%,

4

5

9

1

4

22

0.0%,

1.1%,

1.2%

1.3%

5.9%

10.(5%,

10.6%

11.5%

14.2%,

20.1%

8.2%,

4

5

S)

1

4

21

0.0%,

0.9%,

1.0%,

1.1%,

5.4%,

10.0%,

10.0%,

10.4%,

13.5%,

18.4%,

7.7%,

4

7

10



3

20

0.0%,

0.7%,

0.9%,

1.0%,

5.0%,

9.3%,

9.4%,

9.3%,

12.7%,

1 (5.(5%,

7.1%,

5

8

10



2

19

0.0%,

0.6%

0.8%,

0.9%,

4.5%

8.7%,

8.8%,

8.3%

12.0%,

15.0%

6.4%

5

8

10



2

18

0.0%,

0.4%,

0.7%,

0.8%,

4.1%,

8.0%,

8.2%,

7.3%,

11.3%,

13.4%,

5.7%,

n



10



2

17

0.0%,

0.3%,

0.6%

0.8%

3.7%

7.4%

7.6%

6.4%

10.5%

11.9%

5.1%

5



10

o

2

16

0.0%,

0.2%,

0.5%,

0.7%,

3.3%,

(5.8%,

7.0%,

5.(5%,

9.8%,

10.5%,

4.4%,

5

9

10

4

1

15

0.0%,

0.2%,

0.4%,

0.(5%,

2.9%,

(5.2%,

(5.4%,

4.8%,

9.1 %,

9.2%,

3.9%,

(5

10

10

4

0

14

0.0%,

0.1%,

0.3%

0.5%

2.(5%,

5.6%

5.9%,

4.1%,

8.4%

7.!)%,

3.3%,

(5

10

10

4

0

13

0.0%,

0.1%,

0.2%,

0.5%,

2.2%,

5.0%,

5.3%,

3.5%,

7.7%,

(5.8%,

2.8%,

(5

10

10

4

0

12

0.0%,

0.1%,

0.2%

0.4%

1.!)%,

4.5%

4.8%,

2.!)%,

7.0%

5.7%,

2.4%,

8

10

10



0

11

0.0%,

0.0%,

0.2%,

0.3%,

1 .(5%,

3.9%,

4.3%,

2.3%,

(5.3%,

4.7%,

2.0%,

9

10

10

1

0

10

0.0%,

0.0%,

0.1%

0.3%

1.4%,

3.4%

3.8%,

1.!)%,

5.6%

3.8%,

1 .(5%,

S)

10

10

1

0

9

0.0%,

0.0%,

0.1%,

0.2%,

1.1%,

2.9%,

3.3%,

1.5%,

4.9%,

3.0%,

1.3%,

10

10

10

0

0

8

0.0%,

0.0%,

0.1%,

0.2%,

0.9%,

2.5%,

2.8%,

1.1%,

4.3%,

2.4%,

1.0%,

10

10

10

0

0

7

0.0%

0.0%

0.0%

0.1%

0.7%

2.0%

2.3%

0.8%

3.6%

1.8%

0.8%

10

10

10

0

0

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4A-17 External Review Draft v2 - Do Not Quote or Cite


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Table 4A-6. Tree seedling RBL and CYL estimated for seasonal W126 O3 exposure.

W126 index
value

for exposure
period

Tree seedling biomass lossA

Crop yield lossc

Median Value6

Individual Species

Median Value0

Individual Species

23 ppm-hrs

Median species
w. 7.6% loss B

< 2% loss: 3/11 species
<5% loss: 4/11 species
<10% loss: 8/11 species
<15% loss: 10/11 species
>40% loss: 1/11 species

Median species w.
8.8 % loss D

<5% loss: 4/10 species
>5,<10% loss: 1/10 species
>10,<20% loss: 4/10 species
>20:1/10 species

22 ppm-hrs

Median species
w. 7.2% loss B

< 2% loss: 3/11 species
<5% loss: 4/11 species
<10% loss: 7/11 species
<15% loss: 10/11 species
>40% loss: 1/11 species

Median species w.
8.2 % loss D

<5% loss: 4/10 species
>5,<10% loss: 1/10 species
>10,<20% loss: 4/10 species
>20:1/10 species

21 ppm-hrs

Median species
w. 6.8% loss B

< 2% loss: 3/11 species
<5% loss: 4/11 species
<10% loss: 7/11 species
<15% loss: 10/11 species
>40% loss: 1/11 species

Median species w.
7.7 % loss D

<5% loss: 4/10 species
>5,<10% loss: 3/10 species
>10,<20% loss: 3/10 species

20 ppm-hrs

Median species
w. 6.4% loss B

< 2% loss: 3/11 species
<5% loss: 5/11 species
<10% loss: 7/11 species
<15% loss: 10/11 species
>40% loss: 1/11 species

Median species w.
7.1 % lossD

<5% loss: 5/10 species
>5,<10% loss: 3/10 species
>10,<20% loss: 2/10 species

19 ppm-hrs

Median species
w. 6.0% loss B

< 2% loss: 3/11 species
<5% loss: 5/11 species
<10% loss: 7/11 species
<15% loss: 10/11 species
>30% loss: 1/11 species

Median species w.
6.4 % loss D

<5% loss: 5/10 species
>5, <10% loss: 3/10 species
>10,<20% loss: 2/10 species

18 ppm-hrs

Median species
w. 5.7% loss B

< 2% loss: 5/11 species
<5% loss: 5/11 species
<10% loss: 7/11 species
<15% loss: 10/11 species
>30% loss: 1/11 species

Median species w.
5.7 % loss D

<5% loss: 5/10 species
>5,<10% loss: 3/10 species
>10,<20% loss: 2/10 species

17 ppm-hrs

Median species
w. 5.3% loss B

< 2% loss: 5/11 species
<5% loss: 5/11 species
<10% loss: 9/11 species
<15% loss: 10/11 species
>30% loss: 1/11 species

Median species w.
5.1 % lossD

<5% loss: 5/10 species
>5, <10% loss: 3/10 species
>10,<20% loss: 2/10 species

16 ppm-hrs

Median species
w. 4.9% loss B

< 2% loss: 5/11 species
<5% loss: 6/11 species
<10% loss: 10/11 species
>30% loss: 1/11 species

Median species w.
<5% lossD

<5% loss: 5/10 species
>5,<10% loss: 4/10 species
>10,<20% loss: 1/10 species

March 2023

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W126 index
value

for exposure
period

Tree seedling biomass lossA

Crop yield lossc

Median Value6

Individual Species

Median Value0

Individual Species

15 ppm-hrs

Median species
w. 4.5% loss B

< 2% loss: 5/11 species
<5% loss: 6/11 species
<10% loss: 10/11 species
>30% loss: 1/11 species

Median species w.
<5% lossD

<5% loss: 6/10 species
>5, <10% loss: 4/10 species

14 ppm-hrs

Median species
w. 4.2% loss B

< 2% loss: 5/11 species
<5% loss: 6/11 species
<10% loss: 10/11 species
>30% loss: 1/11 species

Median species w.
<5% lossD

<5% loss: 6/10 species
>5,<10% loss: 4/10 species

13 ppm-hrs

Median species
w. 3.8% loss B

< 2% loss: 5/11 species
<5% loss: 7/11 species
<10% loss: 10/11 species
>20% loss: 1/11 species

Median species
w.<5% lossD

<5% loss: 6/10 species
>5, <10% loss: 4/10 species

12 ppm-hrs

Median species
w. 3.5% loss B

< 2% loss: 5/11 species
<5% loss: 8/11 species
<10% loss: 10/11 species
>20% loss: 1/11 species

Median species w.
<5% lossD

<5% loss: 8/10 species
>5,<10% loss: 2/10 species

11 ppm-hrs

Median species
w. 3.1% loss B

< 2% loss: 5/11 species
<5% loss: 8/11 species
<10% loss: 10/11 species
>20% loss: 1/11 species

Median species w.
<5% lossD

<5% loss: 9/10 species
>5, <10% loss: 1/10 species

10 ppm-hrs

Median species
w. 2.8% loss B

< 2% loss: 5/11 species
<5% loss: 9/11 species
<10% loss: 10/11 species
>20% loss: 1/11 species

Median species w.
<5% lossD

<5% loss: 9/10 species
>5,<10% loss: 1/10 species

9 ppm-hrs

Median species
w. 2.4% lossB

< 2% loss: 5/11 species
^5% loss: 10/11 species
>20% loss: 1/11 species

Median species w.
<5% lossD

<5% loss: all species

8 ppm-hrs

Median species
w. 2.0% loss B

< 2% loss: 5/11 species
<5% loss: 10/11 species
>15% loss: 1/11 species

Median species w.
<5% lossD

<5% loss: all species

7 ppm-hrs

Median species
w. <2% lossB

< 2% loss: 7/11 species
<5% loss: 10/11 species
>15% loss: 1/11 species

Median species w.
<5% lossD

<5% loss: all species

A Estimates here are based on the 11 E-R functions for tree seedlings described in section 4A.1.
B This median value is the median of the composite E-R functions for 11 tree species in Table 4A-4.
C Estimates here are based on the 10 E-R functions for crops described in section 4A.1.

D This median value is the median of the composite E-R functions for 10 crops in Table 4A-5.

March 2023

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-------
4A. 1.4 Tree Seedling RBL Studies

The experimental cases on which the 11 species-specific E-R functions for RBL are
based are listed in Table 4A-7 below. As summarized in section 4A. 1.1 (and described more
fully in Attachment 1 below), 51 E-R functions were derived, one for each of row in Table 4A-7
(e.g., Lee and Hogsett, 1996, Table 12 and 1996 AQCD, Table 5-28). As indicated by the rows
in Table 4A-7, the cases are defined by the species, the exposure (e.g., year), and harvest time
(e.g., immediately after exposure or the subsequent spring) of the dataset used to derive each of
the 51 functions. Thus, the eleven species-specific functions for the eleven tree species are
represented by the 51 cases. As described in section 4A.1 above, species-specific (composite)
functions were derived for each species, and Table 4A-4 above summarizes, for a range of W126
index values, the median of the RBL estimates derived from the 11 species-specific functions.

The O3 exposure studies represented by the 51 cases were conducted from 1988 to 1992
at the U.S. Environmental Protection Agency research laboratory in Corvallis, Oregon, Michigan
Technological University's Ford Forestry Center in Alberta, Michigan and by researchers from
Appalachian State University at Great Smoky Mountains National Park near Gatlinburg,
Tennessee (Hogsett et al 1995; Hogsett et al., 1997; Neufeld et al 2000; Neufeld et al., 1995;
Lefohn et al., 1991; Karnosky et al., 1996; Anderson et al., 1997). Similar experimental
protocols were used to expose seedlings to O3 in 3-meter diameter, 2.4-meter tall modified open-
top chambers (Heagle et al., 1973). Experiments used a common standard operating procedure
developed by the US EPA to ensure federal guidelines for data quality were met (Hogsett et al.,
1985). For all studies at all sites, the experimental design was a single-factor nested experiment
with a range of O3 treatment levels including charcoal-filtered air (control), a baseline O3 profile
(l.Ox ambient) and several modified O3 profiles (e.g., 0.5x, 1.5x, 2.0x ambient air O3), with
multiple replicate chambers for each treatment. For experiments described in Karnosky et al.
(1996), the "baseline ambient" is a modified profile intended to reflect 6-year averages of
Pinkerton and Lefohn (1987).

Based on archived datasets at U.S. EPA U.S. EPA, Center for Public Health and
Environmental Assessment, Pacific Ecological Systems Division, Corvallis, WA, for some of the
exposures which are also available on EPA Science Hub linked to the Lee et al. (2022) study
(https://sciencehub.epa.gov/sciencehub/distribution/7890/download). O3 treatments across the
exposure periods of various dates and durations are given in Table 4A-7 in terms of W126,
SUM06 and N100. Additionally, SUM06 exposures previously reported in Hogsett et al. (1995)
are also presented as available.

March 2023

4A-20 External Review Draft v2 - Do Not Quote or Cite


-------
Table 4A-7. Individual tree seedling experimental cases for which E-R functions were derived in Lee and Hogsett (1996).

Stu-
dy

IDA

(B)

Species

Site

Year

Exposure
Period

(days)c

Har-
vest

D

Exposure (derived from hourly O3 concentrations
over the identified exposure periods). Values are
averages of replicates for these metrics for each
experiment's full exposure period. N100 values are
based on all hours during the exposure, and rounded
to whole numbers. W126 and SUM06 are for O3
during the 12-hrs, 8am-8pm.E

Study/Source and notes,

with SUM06 (ppm-hr)F reported for full exposure period, e.g., per
Hogsett et at 1997, Table 2 (which does not specify whether 12 or
24 hrs SUM06).

Rows including a harvest code indicate individual experimental datasets (uniquely defined by Ist four columns and harvest) from which E-R functions in Lee & Hogsett, 1996
(e.g.. Table 12), were derived as described in Attachment 1 to this Appendix (and also presented in I996AQCD, Table 5-28).

1

(y.
11)

Aspen - wild

OR

1989

6/6-9/18
(105)G

1

SUM06

W126

N100

0
0
0



0.7
6.8
0

76.6
48.5
6

62.9
56.0
242

103.9
92.3
84

104.4
97.9
530



Aspen - wild

OR

2

2

(y.

37)

Aspen - wild

OR

1991

6/5-9/11
(99)G

1

SUM06

W126:

N100:

0
0
0





13.6
11
18

25.8
23.4
71

77.7
70.1
321





Aspen - wild

OR

2

3

(y.

38)

Aspen - wild

OR

1990

6/5-9/19
(107)G

1

SUM06

W126:

N100:

0
0
2





15.2
12.1
26

62.0
54.7
241

86.2
76.6
361



Hogsett (unpublished) cited in Hogsett et al„ 1997 Hogsett et al„
1995 (report: SUM06 (3-mo, 24hr): 0.2,16.1, 72.1,102.8)

Aspen - wild

OR

2

4

(y)

Aspen - 216

Ml

1990

6/20 9/10
(82)

1

SUM06

W126:

N100:

0
0
0

6.8
5.7
1

7.3
6.5
9

8
7
7

26.1
22.5
74





May be reported in Karnosky et al„ 1996, where detailed description
has similarities (all 4 genotypes, 5 exposures in 1990), but with
dates as June 20 to Sept 16 in 1990 (which tally to -88 days), vs
recovered ORD dataset dates that match 82 days in Lee & Hogsett
1996 & 1996 AQCD. This experiment is not listed in the Hogsett
1995 & 1997 papers. Karnosky et al 1996 presents N100 of 0, 0, 4,
42, 79 (for 1990) and 0, 24, 38, 45, 84 (for 1991).

Aspen 253

Ml

1

Aspen 259

Ml

1

Aspen - 271

Ml

1

5

(y)

Aspen - 216

Ml

1991

6/9-9/14
(98)

1

SUM06
W126:
N100:

0
0
0



19.2
16.6
46



36.3
31.5
96





Karnosky et al. (1995, in press) cited in Hogsett et al., 1995 Hogsett
et al., 1997 for 259, 271, WT, which reported SUM06(3-mo, 24hr):
0.0,11.5, 24.5, 32.4, 40.3, 60.5. Published as Karnosky et al., 1996,
who report exposure of clones 216, 259 and 271 (and also WT
seedlings) June 9-Sept 14,1991, via 5 exposures (0, 0.5x, 1 x, 1.5x
and 2x). The N100 reported for these exposures are: 0, 24, 38, 45,
and 84. Across clone average had statistically significant total
biomass loss at highest exposures (as did 216).

Aspen - 259

Ml

1

Aspen - 271

Ml

1

6

(y)

Aspen-wild

Ml

1991

6/9-9/14
(98)

1

SUM06

W126:

N100:

0
0
0

14.2
12.7
30

19.2
16.6
46

32.0
27.0
64

36.3
31.5
96





Karnosky et al. (1995, in press) cited in Hogsett et al., 1995 Hogsett
et al., 1997 for 259, 271, WT, which reported SUM06: 0.0,11.5,
24.5, 32.4, 40.3, 60.5 Karnosky et al., 1996 report exposure of WT

March 2023

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-------
Stu-
dy

IDA

(B)

Species

Site

Year

Exposure
Period

(days)c

Har-
vest

D

Exposure (derived from hourly O3 concentrations
over the identified exposure periods). Values are
averages of replicates for these metrics for each
experiment's full exposure period. N100 values are
based on all hours during the exposure, and rounded
to whole numbers. W126 and SUM06 are for O3
during the 12-hrs, 8am-8pm.E

Study/Source and notes,

with SUM06 (ppm-hr)F reported for full exposure period, e.g., per
Hogsett et at 1997, Table 2 (which does not specify whether 12 or
24 hrs SUM06).

Rows including a harvest code indicate individual experimental datasets (uniquely defined by Ist four columns and harvest) from which E-R functions in Lee & Hogsett, 1996
(e.g., Table 12), were derived as described in Attachment 1 to this Appendix (and also presented in W96AQCD, Table5-28).





























seedlings 6/9-9/14/1991, via 5 exposures (0, 0.5x, 1 x, 1.5x and 2x).
The N100 reported for these exposures are: 0, 24, 38, 45, and 84.

7

(y.

13)













CF





EPXLOW

EPLOW

EPMED

EPHIGH



Douqlas Fir

OR

1989

6/7-9/27
(113)

1

SUM06

W126:

N100:

0.1

0
0





16.4
13.3

29

66.4
59.2
254

91.6
82.8
386

110.4
103.4

556

Hogsett (unpublished) cited in Hogsett et al„ 1995 Hogsett et al„
1997, SUM06: 0.1, 33.4,147.2, 207.2, 261.5 (for 2-vr exposure, as
3-mo, 24hr metric)

Douglas Fir

OR

2

Douglas Fir

OR

1990

6/5-10/3
(121)



SUM06

W126:

N100:

0.1

0
0





16.6
13.5

26

69.0
61.5
266

95.1
85.8
389

117.1
109.5
580

Douglas Fir

OR

1989-
90

2-yr total
(234)

3

SUM06

W126:

N100:















Douglas Fir

OR

4

8

(y

35)

Douglas Fir

OR

1991

6/5-9/30
(118)

1

SUM06

W126:

N100:

0
0
0





16.1
13
24

30.6

27.7
84

66.8
59.8
255

91.7
82.6
380

Need Hogsett (unpublished) cited in Hogsett et al„ 1995 Hogsett et
al„ 1997, SUM06: 0.1, 30.4, 60.6,143.0, 202.9 (for 2-vr exposure,
as 3-mo, 24hr metric)

Douglas Fir

OR

2

Douglas Fir

OR

1992

6/2-9/21
(112)



SUM06

W126:

N100:

0.1
0.1
1





14.7

11.8
19

28.1
25.6
79

63.9
56.9
244

88.2
79.4
371



Douglas Fir

OR

1991-
92

2-yr total
(230)

3

SUM06

W126:

N100:















9

(y.

12D)













CF





HELLOW



HELHI

DAILY



Ponderosa Pine

OR

1989

6/7-9/27
(111)

1

SUM06

W126:

N100:

0
0
0





0.7
7.3
0



83.2
53.8
6

113.0
100.4

86



Ponderosa Pine

OR

2

10

(y.

12R)













CF





EPXLOW

EPLOW

EPMED

EPHIGH



Ponderosa Pine

OR

1989

6/7-9/27
(113)

1

SUM06

W126:

N100:

0.1

0
0





16.4
13.3

29

66.4
59.2
254

91.6
82.8
386

110.4
103.4

556

May be described in Andersen et al„ 1997 (although only 2
treatments plus control are reported): Seedlings exposed to O3 for
two growing seasons were statistically significant smaller than CF-

Ponderosa Pine

OR

2

March 2023

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-------
Stu-
dy

IDA

(B)

Species

Site

Year

Exposure
Period

(days)c

Har-
vest

D

Exposure (derived from hourly O3 concentrations
over the identified exposure periods). Values are
averages of replicates for these metrics for each
experiment's full exposure period. N100 values are
based on all hours during the exposure, and rounded
to whole numbers. W126 and SUM06 are for O3
during the 12-hrs, 8am-8pm.E

Study/Source and notes,

with SUM06 (ppm-hr)F reported for full exposure period, e.g., per
Hogsett et at 1997, Table 2 (which does not specify whether 12 or
24 hrs SUM06).

Rows including a harvest code indicate individual experimental datasets (uniquely defined by Ist four columns and harvest) from which E-R functions in Lee & Hogsett, 1996
(e.g., Table 12), were derived as described in Attachment 1 to this Appendix (and also presented in W96AQCD, Table5-28).



Ponderosa Pine

OR

1990

6/5-10/3
(121)



SUM06

W126:

N100:

0.1

0
0





16.6
13.5

26

69.0
61.5

265

95.1
85.8
389

117.1
109.5
580

exposed seedlings (SUM00 greater than 253). Total biomass
reduced 58% at highest exposure.

Ponderosa Pine

OR

1989-
90

2-yr total
(234)

3

SUM06

W126:

N100:















Ponderosa Pine

4

11

(y.

34)













CF



EP150*

EP70

EP90

EP120

EP150



Ponderosa Pine

OR

1991
(34)

6/5-9/30
(118)

1

SUM06

W126:

N100:

0
0
0



11.6

361

16.1
13.0
24

30.6

27.7
84

66.8
59.8
255

91.7
82.6
380

Lee and Hogsett, 1999, who report statistically significant biomass
loss at the 2 highest exposures (12-hr W126 greater than 59)

Ponderosa Pine

OR

2

Ponderosa Pine

OR

1992

6/2-9/21
(112)



SUM06

W126:

N100:

0.1
0.1
1





14.7

11.8
19

28.1
25.6
79

63.9
56.9
244

88.2
79.4
371



Ponderosa Pine

OR

91-92

2-yr total
(230)

3

SUM06

W126:

N100:















Hogsett (unpublished) cited in Hogsett et al„ 1995 Hogsett et al„
1997, 0.1, 30.4, 60.6,143.0, 202.9 (for 2-yr exposure, as 3-mo, 24hr
metric)

12

(n)

Ponderosa Pine

OR

1992

140

1



















13

(n)

Ponderosa Pine

OR

1991

84

1



















14

(y

27)













CF





EPXLOW

EPLOW

EPMED

EPHIGH



Red Alder

OR

1990

6/5-10/3
(121)

1

SUM06

W126:

N100:

0.1

0
0





16.5
13.5

26

69.0
61.5

265

95.1
85.8
389

117.1
109.5
580



15

(y

14)

Red Alder

OR

1989

6/7-9/27
(113)

1

SUM06

W126:

N100:

0.1

0
0





16.4
13.3

29

66.4
59.2
254

91.6
82.8
386

110.4
103.4

556



Red Alder

OR

2



16

(y

36)













CF





EP70

EP90

EP120

EP150



Red Alder

OR

1991

6/5-9/30
(118)

1

SUM06
W126:

0
0





16.1
13

30.6

27.7

66.8

91.7
82.6

Hogsett (unpublished) cited in Hogsett et al„ 1995 Hogsett et al„
1997, SUM06: 0.0,16.0, 31.8, 73.4,103.6

Red Alder

OR

2

March 2023

4A-23 External Review Draft v2 - Do Not Quote or Cite


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Stu-
dy

IDA

(B)

Species

Site

Year

Exposure
Period

(days)c

Har-
vest

D

Exposure (derived from hourly O3 concentrations
over the identified exposure periods). Values are
averages of replicates for these metrics for each
experiment's full exposure period. N100 values are
based on all hours during the exposure, and rounded
to whole numbers. W126 and SUM06 are for O3
during the 12-hrs, 8am-8pm.E

Study/Source and notes,

with SUM06 (ppm-hr)F reported for full exposure period, e.g., per
Hogsett et at 1997, Table 2 (which does not specify whether 12 or
24 hrs SUM06).

Rows including a harvest code indicate individual experimental datasets (uniquely defined by Ist four columns and harvest) from which E-R functions in Lee & Hogsett, 1996
(e.g., Table 12), were derived as described in Attachment 1 to this Appendix (and also presented in W96AQCD, Table5-28).













N100:

0





24

84

59.82
55

380



17

(y.

44)

Red Alder

OR

1992

6/2-9/21
(112)

1

SUM06

W126:

N100:

0.1
0.1
1





14.7

11.8
19

28.1
25.6
79

63.9
56.9
244

88.2
79.4
371

Hogsett (unpublished) per Hogsett et al„ 1995 Hogsett et al„ 1997,
SUM06: 0.1,14.5, 29.1,70.1, 99.9.

18

(y)

Black Cherry

SM
NP

H

1989

6/14-8/28
(76)

1

SUM06

W126:

N100:

0
0
0

1.9
1.9
1



13.5
11.1
15



25.8
23
100



Neufeld et al„ 1995 cited in Hogsett et al„ 1995 Hogsett et al„ 1997,
SUM06: 0.0,1.9,17.1, 40.6. Also Neufeld and Renfro, 1993.
[Statistically significant reduction in highest treatment group]

19

(y)

Black Cherry

SM
NP

1992

5/20-10/6
(140)

1

SUM06

W126:

N100:

0
0
0

0.9
0
0

1.6
1.4

0

18.6
15.1

5



45.6
39.5
106



Neufeld, pers comm in Hogsett et al„ 1995 Hogsett et al„ 1997,
SUM06: 0.0, 00, 0.8,18.1,50.2.

Described in Neufeld et al„ 1995, Neufeld and Renfro, 1993
[Statistically significant reduction in highest treatment]

20

(y)

Red Maple

SM
NP

1988

7/1-8/24
(55)

1

SUM06

W126:

N100:

0
0
0





15.7
12.0

8



64.4
59.8
738



Neufeld (pers comm) cited in Hogsett et al„ 1995 Hogsett et al„
1997. SUM06: 9.2,12, 47,125.4

21

(y)

Tulip Poplar

SM
NP

1990

6/30-9/12
(75)

1

SUM06

W126:

N100:

0.1
0.1

0

0.1
0.1

0

0.9
1.5
0

13.3
11.2
16

30.1
25.3
53





Neufeld (pers comm) cited in Hogsett et al„ 1995 Hogsett et al„
1997, SUM06: 0.1, 0.5,1.4, 34.5, 88.7 (for full 184 d exposure over

Tulip Poplar

SM
NP

1991

5/3-8/19
(109)1



SUM06

W126:

N100:

0
0
0

0.3
0.4
1

0.7
1.5
0

22.7
18.7
8

54.2

45.3
103





2 vrs, as 3-mo, 24hr metric)

Tulip Poplar

SM
NP

1990-
91

2-yr total
(184)

3

















22

Tulip Poplar

SM
NP

1992

5/20-10/8
(142) J

1

SUM06

W126:

N100:

0
0
0

0
0
0

0.9
1.4
0

18,7
15.2

5

45.9
39.7
106







23

Loblolly GAKR
15-23

AL

1988-
89

5/23/88-
11/28/89
(555)

3

W126:
(24hr)

6.7





50.8

267.8

486



Qiu et al„ 1992 and Lefohn et al„ 1992 (cited by Hogsett et al„ 1995
Hogsett et al„ 1997; SUM06: 4.9, 58.5, 301.5, 507)

Loblolly GAKR
15-91

AL

3

March 2023

4A-24 External Review Draft v2 - Do Not Quote or Cite


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Stu-
dy

IDA

(B)

Species

Site

Year

Exposure
Period

(days)c

Har-
vest

D

Exposure (derived from hourly O3 concentrations
over the identified exposure periods). Values are
averages of replicates for these metrics for each
experiment's full exposure period. N100 values are
based on all hours during the exposure, and rounded
to whole numbers. W126 and SUM06 are for O3
during the 12-hrs, 8am-8pm.E

Study/Source and notes,

with SUM06 (ppm-hr)F reported for full exposure period, e.g., per
Hogsett et at 1997, Table 2 (which does not specify whether 12 or
24 hrs SUM06).

Rows including a harvest code indicate individual experimental datasets (uniquely defined by Ist four columns and harvest) from which E-R functions in Lee & Hogsett, 1996
(e.g., Table 12), were derived as described in Attachment 1 to this Appendix (and also presented in W96AQCD, Table5-28).





























Statistically significant reductions at highest treatment for GARK15-
91 only (90h percentile for 2nd highest treatment ranges 142-156
ppb across replicates; maximum ranqes 210-260 ppb)

24

(199
0

data
only
are
in

2022
pape
D

Sugar Maple

Ml

1990

(83)

1

(y)

SUM06

W126:

N100:

0
0
0

0.6
0.8
0

6.8
5.7
1

7.3
6.5
9

8
7
7

26.1
22.5
74



Karnosky (pers. comm.) cited by Hogsett et al„ 1995 Hogsett et al„
1997(SUM06: 0.0, 25.2, 27.8, 49.8, 67.6, 94.4, for full 2-vr 180 d
exoosure, as 3-mo 24hr metric?).

Sugar Maple

Ml

1991

(97)



















May be described in Rebbeck and Loats, 1997, who reported no
statistically significant treatment effects in any of the seedlings
exposed to O3 between two individual seasons or after exposure to
304 ppm (SUM00 index) over two growing seasons (total of 225
days).

Sugar Maple

Ml



2-yr total
(180)

3

SUM06

W126:

N100















25

(y)

E. White Pine

Ml

1990

6/20-9/10
(83)

1

SUM06

W126:

N100:

0
0
0

0.6
0.8
0

7.3
6.5
9

6.8
5.7
1

8.0
7.0
7

26.1
22.5
74



Karnosky (pers. comm.) cited by Hogsett et al„ 1995 Hogsett et al„
1997 (SUM06: 0.0, 25.2, 27.7, 49.8, 64.2, 94.4, for full 2-vr, 180 d
exposure as 3-mo, 24hr metric)

May be described in Isebrands et al„ 2000 pg 170 which reported
no statistically significant difference in height, stem, root or current
year needle biomass in response to O3

E. White Pine

Ml

1991

(97)



SUM06

W126:

N100:

0
0
0

3.0
3.0
0

14.2
12.7
30

19.2
16.6
46

32.0
27.0
64

36.3
31.5
96



E. White Pine

Ml

1990-
1991

2-yr total
(180)

3

SUM06

W126:

N100:















26

Virginia Pine

SM
NP

1992

5/4-10/9
(159) J

1

SUM06

W126:

N100:

0
0
0

0
0.1

0

2.0
2.5
0



24.6
20.0
18

56.1
49.1
137



Neufeld (pers. comm.) cited in Hogsett et al„ 1995 Hogsett et al„
1997 (SUM06: 0.0, 0.0,1.9, 21.7, 51.6)

Described in Neufeld et al. (2000), who reported no statistically
significant treatment effects on biomass from 152-day duration
(SUM06 up to 56.2).

March 2023

4A-25 External Review Draft v2 - Do Not Quote or Cite


-------
Stu-
dy

IDA

(!L_

Species

Site

Year

Exposure
Period

(days)c

Har-
vest ti

D

Exposure (derived from hourly O3 concentrations
over the identified exposure periods). Values are
averages of replicates for these metrics for each
experiment's full exposure period. N100 values are
based on all hours during the exposure, and rounded
:o whole numbers. W126 and SUM06 are for O3
during the 12-hrs, 8am-8pm.E	

Study/Source and notes,

with SUM06 (ppm-hr)F reported for full exposure period, e.g., per
Hogsett et al 1997, Table 2 (which does not specify whether 12 or
24 hrs SUM06).	

Rows including a harvest code indicate individual experimental datasets (uniquely defined by 1st four columns and harvest) from which E-R functions in Lee & Hogsett, 1996
(e.g., Table 12), were derived as described in Attachment 1 to this Appendix (and also presented in 1996AQCD, Table 5-28).	

k Study ID as in Lee and Hogsett (1996), Table 12 (and 1996 AQCD).

B Y/N if also in Lee et al 2022, and OR experiment code if available.

C Duration corresponds to length in days of the first year of exposure for Harvests 1 and 2 and to the total length of the first and second years' exposure periods for Harvest 3. Note that Lee et al
2002 used a different coding, assigning "2" to the harvest at the end of the second year's exposure (which would be harvest 3 per Lee and Hogsett, 1996 and this table).

D Harvest 1 occurs immediately following end of first year of exposure. Harvest 2 occurs in spring following first year of exposures. Harvest 3 occurs immediately following end of second year of
exposures. Harvest 4 occurs in spring following second year of exposures.

E Exposure metric values derived from recently recovered datasets associated with Lee and Hogsett research at U.S. EPA, Center for Public Health and Environmental Assessment, Pacific
Ecological Systems Division, Corvallis, WA.

F First SUM06 treatment value corresponds to charcoal-filtered exposure (Hogsett et al., 1997 Table 2).

G For the three Oregon exposures of aspen in 1989,1990 and 1991, the durations of exposure reported in Lee and Hogsett, 1996, Hogsett et al 1995 and Hogsett et al 1997 (84,118 and 112
days, respectively) differ from the number of days of exposure data for each in the recovered dataset for the research described in footnote C above (105,99 and 107 days, respectively). Based
on review of the information by staff from USEPA, CPHEA, PSAD (including coauthor on Lee and Hogsett, 1996), the values for numbers of days duration in the 1995-1997 publications are
presumed to reflect typographic errors. Accordingly, the exposure metric values reported in this table are concluded to reflect the study exposures and the dataset from which the E-R functions
were derived in Lee and Hogsett, 1996.

H SMNP = Great Smoky Mountains National Park, TN.

- Per Herrick 3/14/2022 email, 2nd year of Study ID 21 is 109 days, 5/3-8/19. This duration is consistent with Lee & Hogsett 1996. Exposure dates and duration in Lee etal 2022, Table 4
appears erroneous

J The duration of exposure reported in Lee and Hogsett, 1996, Hogsett et al 1995 and Hogsett et al 1997 for the 1992 tulip poplar and Virginia pine exposures (81 and 98 days, respectively)
differs from the number of days of exposure data in the recovered dataset for the research (142 and 159 or 152 days). The lead investigator on these studies has affirmed that the values for
number of days duration in the 1995-1997 publications are erroneous. Accordingly, the exposure metric values reported in this table are concluded to reflect the study exposures and the dataset
from which the E-R functions were derived in Lee and Hogsett, 1996.

K - Per Lee email, there is typographical error in Lee et al 2022, Table3 for second Eastern white pine entry (and in associated data file). The years of exposure should be "2."	

March 2023

4A-26 External Review Draft v2 - Do Not Quote or Cite


-------
4A.2 EXPOSURE-RESPONSE FUNCTIONS OF LEE ET AL (2022)

This section is focused on a study recommended by the CASAC for consideration in this
reconsideration of the 2020 O3 NAAQS decision that was published subsequent to the 2020
review and accordingly not yet assessed as part of the full evidence base as in an ISA (Lee et al.,
2022; Sheppard, 2022). This study by Lee et al. (2022) presents new analyses of experimental
data for seedlings of 10 of the 11 tree species analyzed by Lee and Hogsett (1996) and for six
additional species (American sycamore, chestnut oak, sweetgum, table mountain pine, yellow
buckeye, and winged sumac). This section summarizes key aspects of the E-R analyses of Lee et
al. (2022) and the underlying dataset, additionally noting differences from the data and analyses
of Lee and Hogsett (1996).

4A.2.1 Tree Seedling Studies

The tree seedling studies for which data are analyzed in Lee et al. (2022) include nearly
all of those for which data are analyzed in Lee and Hogsett (1996), which are summarized in
section 4A.1.4 above. For three of the species previously analyzed by Lee and Hogsett
(ponderosa pine, sugar maple, and Virginia pine), additional data (not part of the prior analyses)
are included in the analyses by Lee et al. (2022). The new publication also includes data for six
additional species. The experiments are conducted generally as described in section 4A.1.4
above (Lee et al., 2022). The O3 treatments for all experiments not previously analyzed by Lee
and Hogsett (1996) are summarized in Table 4A-8 below. More complete data are available in
the EPA Science Hub entry for Lee et al. (2022)
(https://sciencehub.epa.gov/sciencehub/distribution/7890/download).

March 2023

4A-27 External Review Draft v2 - Do Not Quote or Cite


-------
Table 4A-8. Additional tree seedling experimental exposures included in the analysis of Lee et al. (2022).

Stu-
dy
IDA

Species

Site

Year

Exposure
Period

(days)6

Exposure (derived from hourly O3 concentrations over the
identified exposure periods). Values are averages of
replicates for each experiment's full exposure period. N100
values are based on all hours during the exposure, and
rounded to whole numbers. W126 and SUM06 are for O3
during the 12-hrs of 8am-8pm.c

Harvest

D

Study/Source and notes

Species in Lee et al. (2022) and not included in Lee and Hogsett (1996)

-

American
Sycamore

SMNP

E

1989

6/14/89-
8/21/89
(69)

SUM06
W126
N100

0
0
0



1.9
1.9
1

12.9
10.7
15

24.6
22.1
99



X

Mentioned in Neufeld et al. (2013) presentation abstract

-

Chestnut
Oak

SMNP

1991

5/23/91 -
10/8/91
(139)

SUM06
W126
N100

0
0
0

0.2
0.2
1

0.6
1.2
0

19.9
16.4
7

46.6
39.0
89



X

Mentioned in Neufeld et al. (2013) presentation abstract

-

Sweetgum

SMNP

1989

6/19/89-
9/28/89
(102)

SUM06
W126
N100

0.1

2
1



2.1

2.2
1

13.8
11.4
15

26.5
23.4
93





This year's exposure data not in Lee SciHub file. These values
are from winged sumac per H. Lee (12/21122).

Plus
1990

6/30/90 -
8/8/90 (40)

SUM06
W126
N100

0.1
0.1

0



1.0
1.0

0

7.3
6.3
14

15.5
13.2

33









2-yr total
(142)

SUM06
W126
N100













X

This 2-year exposure study is described in Neufeld et al. (2013)
presentation abstract

-

Table
Mountain
Pine

SMNP

1988

7/1/88 -
8/24/88
(55)

SUM06
W126
N100

0
0
0



15.7
12.0

8



64.4
59.8
738





This year's exposure data not in Lee SciHub file. Per H Lee
(12/19) these values taken from 1988 red maple data file.

Plus
1989

6/15/89-
9/28/89
(106)

SUM06
W126
N100

0.1.

2
1



2.1
2.1
1



26.5
23.4
93





This year's exposure data not in Lee SciHub file. Per H Lee
(12/21), these values taken from winged sumac data file,
although W126 values differ slightly in Lee et al 2022 Table 4.

Plus
1990

6/30/90 -
8/22/90
(54)

SUM06
W126
N100

0.1
0.1

0



0.8
1.2
0



21.1
17.5
37





This year's data are in Lee SciHub file.



3-yr total
(215)

SUM06
W126
N100













X

This 3-year exposure study is described in Neufeld et al. (2013)
presentation abstract; and Neufeld et al. (2000).

-

Yellow
Buckeye

SMNP

1990

6/30/90 -
7/30/90
(31)

SUM06
W126
N100

0.1
0.1

0

0.1
0.1

0

0.8
0.9
0

5.7
5.0
11

11.3

9.8
29



X

Mentioned in Neufeld et al. (2013) presentation abstract

March 2023

4A-28 External Review Draft v2 - Do Not Quote or Cite


-------
Stu-
dy
IDA

Species

Site

Year

Exposure
Period

(days)6

Exposure (derived from hourly O3 concentrations over the
identified exposure periods). Values are averages of
replicates for each experiment's full exposure period. N100
values are based on all hours during the exposure, and
rounded to whole numbers. W126 and SUM06 are for O3
during the 12-hrs of 8am-8pm.c

Harvest

D

Study/Source and notes

-

Winged
Sumac

SMNP

1989

6/19/89-
9/25/89
(99)

SUM06:

W126:

N100:

0.1

0.2
1



2.1
2.1
1

13.8
11.4
15

26.5
23.4
93



X

Mentioned in Neufeld et al. (2013) presentation abstract



Exposures in Lee et al. (2022) and not in Lee and Hogsett (1996) for Species are in Lee and Hogsett (1996)













CF

EPXLOW

HIXLOW

XLOWHI

EPHIGH







(26)

Ponderosa
Pine

OR

1990

5/16/90-
10/3/90
(141)

SUM06:
W126:
N100:

0.1

0.0
0

20
15.8

28

52.1
47.9

237

53.5
49
237

139
130
684



X









Plus
1991

5/1/91-
9/16/91
(139)

SUM06:
W126:
N100:

0.6
0.5
0

19.7
16.1

35

72.7
66.7
321

84.0
77.7
401

137
128.3
688















2-yr total
(280)

SUM06:
W126:
N100:













X















CF





EP120









(45)

Ponderosa
Pine

OR

1992

5/13/92-
9/1/92
(112)

SUM06:
W126:
N100:

0.1
0.1

0





64.1
56.9
243





X















CF

EP90

PEAK135

EP120

PEAK214

BROAD120





(48)

Ponderosa
Pine

OR

1993

6/1/93-
9/21/93
(113)

SUM06:
W126:
N100:

0
0
0

30.3
28.0
90

56.3
51.3
171

67.4
60.4

261

67.5
64.5
340

66.7
64.4
450

X















CF



PEAK135

EP120

PEAK214







(57)

Ponderosa
Pine

OR

1994

6/16/94-
10/4/94
(111)

SUM06:
W126:
N100:

0
0
0



53.3
47.9
155

64.6
56.6
240

64.2
60.1

305





No 1994 (study 57) exposure values in SciHub PP data file.
These come from H Lee 12/21/22 (PEAK135, EP120,
PEAK214).







Plus
1995

6/16/95-
10/5/95
(112)

SUM06:
W126:
N100:

0
0
0



55.4
50.0
166

64.5

57.6
251

64.2
61.1

308



X











2-yr total
(223)

SUM06:
W126:
N100:

















March 2023

4A-29 External Review Draft v2 - Do Not Quote or Cite


-------
Stu-
dy
IDA

Species

Site

Year

Exposure
Period

(days)6

Exposure (derived from hourly O3 concentrations over the
identified exposure periods). Values are averages of
replicates for each experiment's full exposure period. N100
values are based on all hours during the exposure, and
rounded to whole numbers. W126 and SUM06 are for O3
during the 12-hrs of 8am-8pm.c

Harvest

D

Study/Source and notes













CF

EPXLOW

XLOWHI

HIXLOW

EPHIGH







-

Sugar
Maple

OR

1990

5/16/90-
10/3/90
(141)

SUM06
W126
N100

0.1

0
0

19.8
15.8

28

52.2
48.0
240

53.6
49.1

239

139
130
684



X







SMNP

1990

6/30/90-
9/27/90
(90)

SUM06
W126
N100

0.1
0.1

0

0.1
0.1

0

0.9
1.5
0

13.3
11.2
16

30.1
25.3
53



X

[Per H. Lee, data file is incorrect in specifying exposure duration
as 75. it is 90 days.]

-

Virginia
Pine



Plus
1991

5/6/91 -
9/23/91
(141)

SUM06
W126
N100

0
0
0

0.3
0.4
1

0.6
1.3
0

20.7
17.0
7

47.9
40.2
91



X











2-yr total
(231)

SUM06
W126
N100















This 2-year exposure study is described in Neufeld et al. (2013)
presentation abstract; and Neufeld et al. (2000).

A Study ID referenced in data files for OR experiments.

B Exposure dates (and length in days of each year's treatment, reported in Lee et al. (2022), Tables 2, 3 or 4, and for the total length of multiyear treatments
C Exposure metric values provided in or derived from datasets associated with Lee et al. (2022) in EPA's Science Hub.

D Plants were harvested (and measured) at the end of year denoted by "X." Some multiyear studies have more than one harvest; some only have a harvest at the end of full multiyear exposure.
E SMNP = Great Smoky Mountains National Park, TN.

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4A.2.2 Tree Species Seedling E-R Functions

Lee et al. (2022) derived species-specific E-R functions for RBL (termed "PRBL"
[predicted RBL] in Lee et al al., 2022), by a different approach than that of Lee and Hogsett
(1996). The different approaches yield different RBL functions for species common to both
studies even when based on the same experiments (see Table 4A-2 and Table 4A-9). While the
Lee and Hogsett (1996) analysis explicitly derived functions describing the response for each
experimental dataset and then derived a composite function in terms of a 92-day W126 from the
experiment-specific functions for each species, Lee et al. (2022) applied a statistical model to all
exposure and response datasets for each species. Before application of the model, the authors
scaled the W126 index for single-year exposures to 92 days (through application of a factor of 92
divided by the experiment duration). For 2-year exposures, the authors assigned the scaled 92-
day W126 index for the second year of exposure to the 2-year responses.

The analyses by Lee et al. (2022) derived parameters for functions to estimate RBL from
W126 index based on linear or Weibull models parameterized to describe tree seedling biomass
(as log total dry weight) for each species at the chamber mean level as a function of 92-day
W126 index. The Weibull model is then used to derive the function for RBL (termed "PRBL"
[predicted RBL] in Lee et al al., 2022).10 The three-parameter Weibull model was fit using a
mixed-effects model to estimate the 3 parameters. This allowed the inclusion of additional
explanatory variables that are correlated with the response, but not related to O3 exposure. In
these analyses, this was primarily related to initial plant size, which varied from chamber to
chamber. Four species assessed response after both one and two years of exposure. For three of
those species the response was not significantly different for the 2-yr exposure (than for the first
year of exposure), however there was a significant difference in response between the two for
ponderosa pine, so two sets of parameters were included, one for the single-year exposure and
one for the 2-year exposure (Table 4A-9 and section 4A.3.2below).

The sixteen species-specific functions for a predicted tree seedling RBL based on a 92-
day W126 index, as given in Table 5 of Lee et al. (2022), are presented in Table 4A-9 and
plotted in Figure 4A-15 below. These RBL functions use the same functional form as Lee and
Hogsett (1996), as illustrated by the formula below compared to Equation 4A-3 above.

Lee et al. (2022):	PRBL = l-exp(-(W126/B)c)	Equation 4A-4

10 While the models for all species included the basic Weibull model parameters that are then used to parameterize
the RBL function, there were differences among some species' models regarding the inclusion of additional
parameters. As one example, for several studies, a covariate (log of initial plant volume) was included to account
for chamber-to-chamber variation in plant size. As described by the authors, "[d]ata were combined across studies
and harvests for each tree species and analyzed using the three- or four-parameter Weibull model with or without
random coefficients" (Lee et al., 2022).

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Table 4A-9. PRBL functions for 16 tree species from Lee et al. (2022).

Species

PRBL Function

B

C

Red Maple {Acer rubruni)

1 - exp[-(W126/B)c]

406

1

Sugar Maple [Acer saccharum)

559

1

Red Alder {A/nus rubra)

180

1

Tulip Poplar (Iiriodendron tulipifera)

69

1



188A

1ft

i onoerosa i ine {iinus ponueiosa) 2 years

133

1

Eastern White Pine [Pinus strobus)

706

1

Virginia Pine (Pinus virqiniana)

644

1

Quaking Aspen (Popu/us tremu/oides)

67

1.5

Black Cherry [Prunits serotina)

49

1

Douglas Fir (Pseudotsuga menziesii)

1002

1

American sycamore (Platanus occidentalis)

137

1

Winged Sumac (Rhus copallinum)

34

2.1

Sweetgum (Liquidambar styraciflua)

34

9.7

Chestnut Oak (Quercus prius)

811

1

Table Mountain Pine (Pinus punqens)

1180

1 I

Yellow Buckeye (Aesculus flava)

Constant 0%
response

Source: Lee et al. (2022), Table 5

A Lee et al. (2022) presents two sets of coefficients, one based on first year's RBL and W126 (12hr,
adjusted 92d) and second based on 2- year RBL and second year W12.6 (12.hr, adjusted 92d).

	Red Maple

Sugar Maple
Red Alder
Tulip Poplar
— Ponderosa Pine

	Eastern White Pine

	Virginia Pine

	Quaking Aspen

	Black Cherry

—-Douglas Fir

	American Sycamore

Winged Sumac
Sweetgum
Chestnut Oak
Table Mountain Pine
Yellow Buckeye

20	30

W126 Index (ppm-hrs)

Figure 4A-15. RBL functions for seedlings of 16 tree species (Lee et al., 2022).

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The 16 species in Lee et al. (2022) include 10 species for which E-R functions for RBL
with 92 day W126 index were also derived in Lee and Hogsett (1996). For these ten species
common to both analyses, the parameter values differ between the two sets of functions.
Accordingly, the shapes of the functions from the two sources differ, as illustrated in Figure 4A-
16. Two species, black cheny and sugar maple show somewhat noticeably different curves.
However, for most of these 10 species, the overall pattern is not appreciably different. This is
particularly the case for W126 index values below 20 ppm-hrs (the range of most interest here).
For example, for a W126 index of 15 ppm-hrs, RBL estimates from both analyses are above 5%
for five species, with one of the five having RBLs via both analyses above 25%. The RBL
estimates for three of the other four species are between five and 10% via both sets of functions.
For the fifth species (tulip poplar), the RBL estimate from Lee and Hogsett (1996) falls between
five and 10% while the estimate from Lee et al. (2022) is between 15 and 20%. Yet data from the
same set of experiments are analyzed for tulip poplar by the two studies. Differences in the
resultant functions appear relate to differences in the analysis approaches.

•

black cherry



tulip poplar



ponderosa pine

•

quaking aspen

•

red alder



red maple

•

sugar maple



Virginia pine

•

eastern white pine

•

Douglas-fir

W126 (ppm-hrs)

Figure 4A-16. E-R functions for RBL and W126 index for seedlings of 10 tree species from
Lee and Hogsett (1996) (left) and Lee et al. (2022) (right).

4A.2.3 Summary Table for 16 Tree Species in Lee et al. (2022)

Similar to Table 4A-4 based on Lee and Hogsett (1996), Table 4A-10 below provides
RBL estimates based on the Lee et al. (2022) functions described in section 4A.2.2 above for
each species for each integer value of W126 index from 7 ppm-hrs through 30 ppm-hrs. The
cross-species median of the estimates at each integer W126 index value is also presented for all
16 tree species.

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Table 4A-10. RBL for sixteen tree species (Lee et al., 2022), and the median, for W126 index from 30 to 7 ppm-hrs.

W126

Douglas Fir

Virginia Pine

Red maple

Sugar maple

Red Alder

Ponderosa
Pine

Quaking
Aspen

Tulip Poplar

Eastern
White Pine

Black Cherry

American
Sycamore

Winged
Sumac

Sweetgum

Chestnut
Oak

Table
Mountain

Yellow
Buckeye

Median
(16 species)

# of Species
<2%

# of Species
<5%

# of Species
<10%

# of Species
<15%

30

2.9%

4.6%

7.1%

5.2%

15.4%

17.3%

25.9%

35.3%

4.2%

45.8%

19.7%

53.6%

25.7%

3.6%

2.5%

0.0%

11.2%

l

6

7

7

29

2.9%

4.4%

6.9%

5.1%

14.9%

16.7%

24.8%

34.3%

4.0%

44.7%

19.1%

51.1%

19.2%

3.5%

2.4%

0.0%

10.9%

l

6

7

8

28

2.8%

4.3%

6.7%

4.9%

14.4%

16.2%

23.7%

33.4%

3.9%

43.5%

18.5%

48.6%

14.1%

3.4%

2.3%

0.0%

10.4%

1

7

7

9

27

2.7%

4.1%

6.4%

4.7%

13.9%

15.7%

22.6%

32.4%

3.8%

42.4%

17.9%

46.0%

10.1%

3.3%

2.3%

0.0%

8.3%

1

7

7

9

26

2.6%

4.0%

6.2%

4.5%

13.4%

15.1%

21.5%

31.4%

3.6%

41.2%

17.3%

43.4%

7.1%

3.2%

2.2%

0.0%

6.7%

1

7

8

9

25

2.5%

3.8%

6.0%

4.4%

13.0%

14.6%

20.4%

30.4%

3.5%

40.0%

16.7%

40.8%

4.9%

3.0%

2.1%

0.0%

5.5%

1



8

10

24

2.4%

3.7%

5.7%

4.2%

12.5%

14.1%

19.3%

29.4%

3.3%

38.7%

16.1%

38.2%

3.4%

2.9%

2.0%

0.0%

5.0%

1

8

8

10

23

2.3%

3.5%

5.5%

4.0%

12.0%

13.5%

18.2%

28.3%

3.2%

37.5%

15.5%

35.6%

2.2%

2.8%

1.9%

0.0%

4.8%

/

8

8

10

22

2.2%

3.4%

5.3%

3.9%

11.5%

13.0%

17.2%

27.3%

3.1%

36.2%

14.8%

33.0%

1.5%

2.7%

1.8%

0.0%

4.6%

ฆ;

8

8

11

21

2.1%

3.2%

5.0%

3.7%

11.0%

12.4%

16.1%

26.2%

2.9%

34.9%

14.2%

30.5%

0.9%

2.6%

1.8%

0.0%

4.4%

ฆ;

8

8

11

20

2.0%

3.1%

4.8%

3.5%

10.5%

11.9%

15.0%

25.2%

2.8%

33.5%

13.6%

28.0%

0.6%

2.4%

1.7%

0.0%

4.2%

l

8

8

11

19

1.9%

2.9%

4.6%

3.3%

10.0%

11.3%

14.0%

24.1%

2.7%

32.1%

12.9%

25.5%

0.4%

2.3%

1.6%

0.0%

4.0%

l



8

12

18

1.8%

2.8%

4.3%

3.2%

9.5%

10.8%

13.0%

23.0%

2.5%

30.7%

12.3%

23.1%

0.2%

2.2%

1.5%

0.0%

3.8%

l

8

Q

12

17

1.7%

2.6%

4.1%

3.0%

9.0%

10.2%

12.0%

21.8%

2.4%

29.3%

11.7%

20.8%

0.1%

2.1%

1.4%

0.0%

3.5%

l



9

12

16

1.6%

2.5%

3.9%

2.8%

8.5%

9.6%

11.0%

20.7%

2.2%

27.9%

11.0%

18.6%

0.1%

2.0%

1.3%

0.0%

3.3%



8

10

12

15

1.5%

2.3%

3.6%

2.6%

8.0%

9.0%

10.1%

19.5%

2.1%

26.4%

10.4%

16.4%

0.0%

1.8%

1.3%

0.0%

3.1%



8

10

12

14

1.4%

2.2%

3.4%

2.5%

7.5%

8.5%

9.1%

18.4%

2.0%

24.9%

9.7%

14.4%

0.0%

1.7%

1.2%

0.0%

2.9%



8

12

13

13

1.3%

2.0%

3.2%

2.3%

7.0%

7.9%

8.2%

17.2%

1.8%

23.3%

9.1%

12.4%

0.0%

1.6%

1.1%

0.0%

2.7%

/



12

13

12

1.2%

1.8%

2.9%

2.1%

b.4%

7.3%

7.3%

16.0%

1.7%

21.7%

8.4%

10.6%

0.0%

1.5%

1.0%

0.0%

2.5%

/

8

12

13

11

1.1%

1.7%

2.7%

1.9%

5.9%

6.7%

6.4%

14.7%

1.5%

20.1%

7.7%

8.9%

0.0%

1.3%

0.9%

0.0%

2.3%

::



13

14

10

1.0%

1.5%

2.4%

1.8%

5.4%

6.1%

5.6%

13.5%

1.4%

18.5%

7.0%

7.4%

0.0%

1.2%

0.8%

0.0%

2.1%



8

13

14

9

0.9%

1.4%

2.2%

1.6%

4.9%

5.5%

4.8%

12.2%

1.3%

16.8%

6.4%

6.0%

0.0%

1.1%

0.8%

0.0%

1.9%

::

10

13

14

8

0.8%

1.2%

2.0%

1.4%

4.3%

4.9%

4.0%

10.9%

1.1%

15.1%

5.7%

4.7%

0.0%

1.0%

0.7%

0.0%

1.7%

"

12

13

14

7

0.7%

1.1%

1.7%

1.2%

3.8%

4.3%

3.3%

9.6%

1.0%

13.3%

5.0%

3.6%

0.0%

0.9%

0.6%

0.0%

1.5%

9

13

14

15

March 2023

4A-34 External Review Draft v2 - Do Not Quote or Cite


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4A.3 ADDITIONAL FINDINGS OF LEE ET AL. 2022

In addition to statistically analyzing associations of growth reduction with O3 exposure in
terms of W126 index and reporting RBL E-R functions for 16 species (as described in section
4A.3 above), the study by Lee et al. (2022) reported findings on two aspects of the analyses that
are informative to issues considered in reviewing the secondary O3 standard. These include
differences in seedling growth response between exposures with similar W126 index but in
which the number of hours at or above 100 ppb differs, and differences in responses to single-
year and 2-year exposures. These two sets of findings are summarized here.

4A.3.1 Role of Peak Concentrations

The first set of findings concerns tree seedling growth response to controlled exposure
conditions in which cumulative O3 exposure was influenced by different patterns of high and
repeated hourly concentrations (Lee et al., 2022). Statistical modeling of seedling biomass as a
function of W126 index (12-hr, 92-day) observed significant differences in models describing
responses for exposures with a pattern of higher and/or more prevalent peak hourly
concentrations vs exposures with lower, less prevalent peaks (Lee et al., 2022, section 3.3).
Differences in the datasets include treatments with similar W126 index values yet appreciable
differences in the number of hours at or above 100 ppb (N100). As a whole, these datasets
contain multiple single-year exposure experiments with many years containing hundreds of
hours of O3 concentrations above 100 ppb, with some years for ponderosa pine approaching 700
hours of such concentrations.

For both species analyzed (quaking aspen and ponderosa pine), the total biomass
response was significantly lower for the treatment with similar W126 index values with lower
versus higher N100 (Lee et al., 2022). Specifically, statistical modeling concluded significant
differences in models describing responses for the treatments with higher vs lower N100 for
similar magnitude of W126 index. As a specific example, the authors note the significantly less
response to the "daily peak high ozone treatment for the 1989 quaking aspen study 11" (for
which N100 is approximately 80 across the full, 24-hr/day exposure) than that for the "episodic
high treatment" (for which N100 is over 500 for the full, 24-hr/day exposure), with both having
similar W126 index (92-d) of between 80 and 90 ppm-hrs (Lee et al., 2022). A similar difference
is noted by the authors for a ponderosa pine study that involved treatments with comparable peak
patterns and W126 (1989 Study 12D and Study 12R). That is, the analyses indicate that high
hourly concentrations can exert an impact on growth separate or additional to what might be
related to the cumulative exposure quantified by the W126 index (as illustrated for these data
points in Figures 7 and 8 of Lee et al., 2022).

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4A.3.2 Multiple Years of Exposure

The datasets analyzed by Lee et al. (2022) and Lee and Hogsett (1996) include several
species for which there are multiple years of experimental exposures. The publication by Lee et
al. (2022) reported on differences (and similarities) in responses to single-year and 2-year
exposures. In these analyses, the exposure assigned to the 2-year response was the 92-day W126
index for the second year of exposure. The authors found that three of the four species assessed
(Douglas fir, eastern white pine and tulip poplar) did not exhibit a greater response for two years
of O3 exposure than for a single year exposure. That is, the test of a common plant biomass
response to one and two years of ozone exposure was not rejected (at the 0.05 level of
significance) for those species. The fourth species, ponderosa pine, exhibited a greater reduction
in growth after two years exposure than after a single year, but the effect was less than additive;
i.e., the study reported a lesser reduction in the second year than the first (Lee et al., 2022).

In summary, while the reduction in plant growth from one season of exposure persisted
following a second season of exposure in three of the species (eastern white pine was only
"marginally affected by ozone following one or two years of exposure"), in none of these four
species was the additional response to a second year of exposure as great as the response elicited
to the first exposure year. And the datasets for three of the four species did not show two years of
exposure to yield additional response compared to that of a single year. For one of the species
(ponderosa pine), significant additional response, of a magnitude somewhat less than that of the
first exposure year, was observed after the second year of exposure.

4A.4 RBL ESTIMATES BASED ON CONSIDERATION OF E-R

FUNCTIONS FROM BOTH LEE ET AL. (2022) AND LEE AND
HOGSETT (1996)

The RBL estimates derived with functions from both Lee et al. (2022) and Lee and
Hogsett (1996) are considered here in combination. As summarized in sections 4A.1 and 4A.4
above, two different approaches are employed in these two approaches. There are strengths and
limitations of each, and together they provide estimates for 17 species. These include the 10
species common to both analyses (Douglas fir, Virginia pine, red maple, sugar maple, red alder,
ponderosa pine, aspen, tulip poplar, and black cherry), the six species analyzed only in Lee et al.
(2022) (American sycamore, winged sumac, sweetgum, chestnut oak, table mountain pine, and
yellow buckeye), and loblolly pine, which was analyzed only in Lee and Hogsett (1996).

Estimates of RBL for these 17 species, based on this combined consideration of both sets
of E-R functions, for O3 exposure in terms of 92-day W126 index across a range from 7 to 30
ppm-hrs are presented in Table 4A-11. Where the two sets of functions differ in RBL estimated
for a species, we take the central tendency of the two estimates in the form of the arithmetic

March 2023

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mean. Accordingly, for the 10 species common to both publications, the table presents averages
of the two RBL estimates derived from the two sets of E-R functions. For the species exclusive
to one of the two analyses, estimates derived from the E-R function for that species are
presented. For example, Douglas Fir RBL estimates in the table are averages of the two estimates
derived for each W126 index value using the Douglas fir functions from the two publications,
while RBL estimates for American sycamore are based on the function in Lee et al. (2022), as a
function for this species was not developed in Lee and Hogsett (1996). As a summary metric
consistent with Tables 4A-4 and 4A-10 above, the median of the RBL estimates for the 17
species is also presented in Table 4A-11 for each W126 index value.

March 2023

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Table 4A-11. Relative biomass loss for seventeen individual tree seedlings and median at various W126 index values using
averages of RBLs for 10 common species.

W126

Douglas Fir

Virginia Pine

Red maple

Sugar maple

Red Alder

Ponderosa
Pine

Aspen

Tulip Poplar

E. White Pine

Black Cherry

American
Sycamore

Winged
Sumac

Sweetgum

Chestnut Oak

Table
Mountain Pine

Yellow
Buckeye

Loblolly Pine

Median
(16 species)

# of Species
<2%

# of Species
<5%

# of Species
<10%

# of Species
<15%

30

1.5%

3.1%

5.5%

16.7%

12.9%

15.0%

22.2%

31.5%

14.7%

49.8%

19.7%

53.6%

25.7%

3.6%

2.5%

0.0%

2.9%

14.7%

2

6

7

9

29

1.4%

3.0%

5.3%

14.4%

12.4%

14.5%

21.3%

30.2%

14.0%

48.6%

19.1%

51.1%

19.2%

3.5%

2.4%

0.0%

2.8%

14.0%

2

6

7

11

28

1.4%

2.9%

5.1%

12.4%

12.0%

14.0%

20.4%

28.9%

13.4%

47.5%

18.5%

48.6%

14.1%

3.4%

2.3%

0.0%

2.7%

12.4%

2

6

7

12

27

1.3%

2.8%

4.9%

10.6%

11.5%

13.5%

19.5%

27.7%

12.7%

46.2%

17.9%

46.0%

10.1%

3.3%

2.3%

0.0%

2.7%

10.6%

2

7

7

12

26

1.3%

2.7%

4.7%

9.0%

11.1%

13.0%

18.7%

26.4%

12.0%

45.0%

17.3%

43.4%

7.1%

3.2%

2.2%

0.0%

2.6%

9.0%

2

7

9

12

25

1.2%

2.6%

4.5%

7.6%

10.7%

12.5%

17.8%

25.2%

11.4%

43.7%

16.7%

40.8%

4.9%

3.0%

2.1%

0.0%

2.5%

7.6%

2

8

9

12

24

1.2%

2.5%

4.3%

6.4%

10.2%

12.0%

16.9%

23.9%

10.8%

42.4%

16.1%

38.2%

3.4%

2.9%

2.0%

0.0%

2.4%

6.4%

2

8

9

12

23

1.1%

2.4%

4.1%

5.4%

9.8%

11.5%

16.0%

22.7%

10.1%

41.1%

15.5%

35.6%

2.2%

2.8%

1.9%

0.0%

2.3%

5.4%

3

8

10

12

22

1.1%

2.3%

3.9%

4.6%

9.3%

11.0%

15.1%

21.5%

9.5%

39.7%

14.8%

33.0%

1.5%

2.7%

1.8%

0.0%

2.2%

4.6%

4

9

11

13

21

1.0%

2.2%

3.7%

3.9%

8.9%

10.5%

14.3%

20.3%

8.9%

38.4%

14.2%

30.5%

0.9%

2.6%

1.8%

0.0%

2.1%

3.9%

4

9

11

14

20

1.0%

2.1%

3.5%

3.3%

8.5%

10.0%

13.4%

19.1%

8.3%

36.9%

13.6%

28.0%

0.6%

2.4%

1.7%

0.0%

2.0%

3.5%

5

9

12

14

19

0.9%

2.0%

3.3%

2.8%

8.0%

9.5%

12.6%

17.9%

7.7%

35.5%

12.9%

25.5%

0.4%

2.3%

1.6%

0.0%

1.9%

3.3%

5

9

12

14

18

0.9%

1.9%

3.1%

2.4%

7.6%

9.0%

11.7%

16.8%

7.1%

34.0%

12.3%

23.1%

0.2%

2.2%

1.5%

0.0%

1.8%

3.1%

6

9

12

14

17

0.8%

1.8%

2.9%

2.1%

7.1%

8.5%

10.9%

15.6%

6.5%

32.4%

11.7%

20.8%

0.1%

2.1%

1.4%

0.0%

1.7%

2.9%

6

9

12

14

16

0.8%

1.7%

2.7%

1.8%

6.7%

7.9%

10.1%

14.5%

6.0%

30.9%

11.0%

18.6%

0.1%

2.0%

1.3%

0.0%

1.6%

2.7%

8

9

12

15

15

0.7%

1.6%

2.6%

1.6%

6.3%

7.4%

9.2%

13.4%

5.4%

29.3%

10.4%

16.4%

0.0%

1.8%

1.3%

0.0%

1.5%

2.6%

8

9

13

15

14

0.7%

1.5%

2.4%

1.4%

5.8%

6.9%

8.4%

12.4%

4.9%

27.6%

9.7%

14.4%

0.0%

1.7%

1.2%

0.0%

1.4%

2.4%

8

10

14

16

13

0.6%

1.4%

2.2%

1.3%

5.4%

6.4%

7.7%

11.3%

4.4%

26.0%

9.1%

12.4%

0.0%

1.6%

1.1%

0.0%

1.3%

2.2%

8

10

14

16

12

0.6%

1.3%

2.0%

1.1%

5.0%

5.9%

6.9%

10.3%

3.9%

24.2%

8.4%

10.6%

0.0%

1.5%

1.0%

0.0%

1.2%

2.0%

8

11

14

16

11

0.5%

1.2%

1.8%

1.0%

4.5%

5.4%

6.1%

9.3%

3.4%

22.5%

7.7%

8.9%

0.0%

1.3%

0.9%

0.0%

1.1%

1.8%

9

11

16

16

10

0.5%

1.1%

1.6%

0.9%

4.1%

4.9%

5.4%

8.4%

3.0%

20.7%

7.0%

7.4%

0.0%

1.2%

0.8%

0.0%

1.0%

1.6%

9

12

16

16

9

0.4%

1.0%

1.5%

0.8%

3.7%

4.4%

4.7%

7.4%

2.6%

18.8%

6.4%

6.0%

0.0%

1.1%

0.8%

0.0%

0.9%

1.5%

9

13

16

16

8

0.4%

0.9%

1.3%

0.7%

3.2%

3.9%

4.0%

6.5%

2.2%

16.9%

5.7%

4.7%

0.0%

1.0%

0.7%

0.0%

0.8%

1.3%

9

14

16

16

7

0.3%

0.7%

1.1%

0.6%

2.8%

3.4%

3.4%

5.6%

1.8%

15.0%

5.0%

3.6%

0.0%

0.9%

0.6%

0.0%

0.7%

1.1%

10

15

16

17

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Medians of the species-specific RBL estimates derived by E-R functions of Lee and
Hogsett (1996), of Lee et al. (2022), and of a combination of the two are presented in Table 4A-
12 for a set of W126 index values for which the median nears or exceeds 6.0%. This RBL value
is of interest given its identification, initially in 2015, for use in considering RBL as a proxy or
surrogate for the array of growth-related welfare effects associated with O3. While there are any
number of ways by which these functions might be used to estimate a species median RBL for
differing values of W126 index, three straightforward approaches are presented. The first focuses
only on the 11 species and associated RBL estimated by application of the Lee and Hogsett
(1996) E-R functions. The second focuses only on the 16 species and associated RBL estimated
by application of the Lee et al., (2022) E-R functions. And the last approach is based on
utilization of E-R functions from both, such that for species common to both, the species-specific
estimates are averaged.

Table 4A-12. Medians of the species-specific RBL estimates for a specified W126 index
based on Lee and Hogsett (1996) and Lee et al. (2022)

Source of E-R functions

Median RE
17

3L across
19

species for
(ppm-hrs
21

a specified
)

23

JV126 index
25

Number

of
Species

Lee and Hogsett (1996)

5.3%

6.0%

6.8%

7.6%

10.4%

11

Lee et al. (2022)

3.5%

4.0%

4.4%

4.8%

5.5%

16

Both A

2.9%

3.3%

3.9%

5.4%

7.6%

17

A The averages of the 10 common species were calculated by taking the average of t
species RBL at each W126, and then finding the median of those new averages. The
W126 index values, which may seem counter-intuitive, reflects different shaped E-R f
RBLs near the median. The species contributing the median RBL switches between 2

ne 1996 and 2022 individual
pattern of RBL across
unctions of species with
1 and 23 ppm-hrs.

4A.5 COMPARISON OF PREDICTED AND OBSERVED 03 GROWTH
IMPACTS IN THE 2013 AND 2020 ISAS

The 2013 and 2020 ISAs present comparisons of aspen stand growth observations from
an Aspen FACE multiyear O3 exposure study with predictions derived through the application of
a median composite E-R function for wild aspen and aspen clones11 to seasonal W126 index
values (2013 ISA, section 9.6.3.2; 2020 ISA, Appendix 8, Figure 8-17). The Aspen FACE study
monitored growth of aspen stands annually from 1997 through 2003 (King et al., 2005).12

11	The median composite function used in the ISAs "was developed from NHEERL/WED data for 11 studies of
wild-type seedlings of aspen as well as four clonally propagated genotypes" (2013 ISA, p. 9-133).

12	Other studies have involved observations involving the same aspen stand extended out to 2008 (e.g., Talhelm et
al., 2014; Zak et al., 2011). Complications associated with performing similar types of comparisons over this
longer time period relate to variation in both the tree measurements taken over the extended period (e.g., diameter
measurements at varying tree heights), and the O3 treatments (e.g., the difference in single-year W126 index

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-------
Growth was monitored for stands grown in ambient air and under elevated O3 conditions. The
elevated O3 treatment involved increasing hourly concentrations by approximately 1.5 times over
the O3 concentrations occurring in ambient air at the site (King et al., 2005).

For the ISA comparisons of growth impacts predicted using the aspen E-R function
(described in section 4A.1.1 above) to those observed in the study, hourly O3 measurements were
obtained from the authors (for both the "ambient" and "elevated" treatments) and used to
calculate seasonal W126 index. For the 2013 ISA, a cumulative (multiyear) seasonal average
W126 index was related to growth response and for the 2020 ISA the single-year seasonal W126
index was used. The values for "observed" above ground total biomass for the aspen stands were
derived from measurements obtained from the authors and allometric equations (2013 ISA,
section 9.6.3.2; King et al., 2005 and associated Corrigendum).13

Both the 2013 ISA comparison of observed biomass to predicted biomass based on
application of the E-R function to W126 in terms of cumulative (multiyear) seasonal average14
and the 2020 ISA comparison using W126 in terms of single year seasonal index indicate the E-
R function to describe generally similar O3 impacts on Aspen biomass. Based on the 2013
analysis (presented in the Tables 9-14 and 9-15, and Figure 9-20 of the 2013 ISA), the 2013 ISA
concludes "the agreement between predictions ... and observations was very close" and "the
function based on one year of growth was shown to be applicable to subsequent years." (p 9-
135).15 The 2020 ISA also notes a closeness of predictions to observations (2020 ISA, Appendix
8, p. 8-192 and Figure 8-17). The variation in the comparisons of predictions to observations in
the two presentations illustrate the variability inherent in the magnitude of growth impacts of O3
and also the quantitative relationship of O3 exposure and RBL, while also supporting ISA
conclusions of a general agreement of model predictions using either multiyear or single year
W126 estimates with experimental observations (2013 ISA, Figure 9-20; 2020 ISA, Appendix 8,
Figure 8-17).

ranged from approximately 20 to 30 ppm-hrs through 2003 and then dropped to 10 ppm-hrs for four of the last
five years), as well as changing growth patterns associated with aging trees.

13	The publication by King et al., (2005) reports on measurements for the years 1997 through 2003.

14	The cumulative seasonal average for each year is calculated as the average of the seasonal W126 index values for
that year and all of the preceding years.

15	Using the values reported in Table 9-15 of the 2013 ISA (which are plotted in Figure 9-20), to derive correlation
coefficients related to that analysis, the r2 for predicted O3 impact versus observed impact is 0.99 and for the
percent difference versus year is approximately 0.85. This indicates a strong correlation for the 2013 ISA analysis
of the experimental observations with predictions based on a cumulative multiyear W126 index, and a good fit for
the exposure metric reflecting cumulative multiyear exposure.

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Control Administration Washington, DC. U.S. DHEW. publication no. AP-63. NTIS,
Springfield, VA; PB-190262/BA.

U.S. EPA (1978). Air Quality Criteria for Ozone and Other Photochemical Oxidants

Environmental Criteria and Assessment Office. Research Triangle Park, NC. EPA-600/8-
78-004. April 1978. Available at:

https.Y/nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=200089CW. txt.

U.S. EPA (1986). Air Quality Criteria for Ozone and Other Photochemical Oxidants (Volume I -
V). Environmental Criteria and Assessment Office. Research Triangle Park, NC. U.S.
EPA. EPA-600/8-84-020aF, EPA-600/8-84-020bF, EPA-600/8-84-020cF, EPA-600/8-
84-020dF, EPA-600/8-84-020eF. August 1986. Available at:
https.Y/nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=30001D3J. txt
https.Y/nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=30001DA V. txt
https.Y/nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=30001DNN. txt
https.Y/nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=30001EOF. txt
https.Y/nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=30001E9R. txt.

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

U.S. EPA (1992). Summary of Selected New Information on Effects of Ozone on Health and

Vegetation: Supplement to 1986 Air Quality Criteria for Ozone and Other Photochemical
Oxidants. Office of Research and Development. Washington, DC. U.S. EPA. EPA/600/8-
88/105F.

U.S. EPA (1996). Air Quality Criteria for Ozone and Related Photochemical Oxidants. Volume I
- III. Office of Research and Development Research Triangle Park, NC. U.S. EPA. EPA-
600/P-93-004aF, EPA-600/P-93-004bF, EPA-600/P-93-004cF. July 1996. Available at:
https.Y/nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=300026GN. txt

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https.Y/nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=300026SH. txt
https.Y/nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=l0004RHL. txt.

U.S. EPA (2006). Air Quality Criteria for Ozone and Related Photochemical Oxidants (Volume I
- III). Office of Research and Development U.S. EPA. EPA-600/R-05-004aF, EPA-
600/R-05-004bF, EPA-600/R-05-004cF February 2006. Available at:
https.Y/cfpub. epa.gov/ncea/risk/recordisplay. cfm ?deid=l49923.

U.S. EPA (2013). Integrated Science Assessment of Ozone and Related Photochemical Oxidants
(Final Report). Office of Research and Development, National Center for Environmental
Assessment. Research Triangle Park, NC. U.S. EPA. EPA-600/R-10-076F. February
2013. Available at: https://nepis.epa.gov/Exe/ZyPURL.cgi?Dockey=P 100KETF.txt.

U.S. EPA (2014a). Policy Assessment for the Review of National Ambient Air Quality

Standards for Ozone (Final Report). Office of Air Quality Planning and Standards, Health
and Environmental Impacts Divison. Research Triangle Park, NC. U.S. EPA. EPA-
452/R-14-006 August 2014. Available at:
https.Y/nepis. epa.gov/Exe/ZyPDF. cgi?Dockey=Pl 00KCZ5. txt.

U.S. EPA (2014b). Welfare Risk and Exposure Assessment for Ozone (Final).. Office of Air

Quality Planning and Standards. Research Triangle Park, NC. U.S. EPA. EPA-452/P-14-
005a August 2014. Available at:

https.Y/nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=Pl 00KB9D. txt.

U.S. EPA (2014c). Health Risk and Exposure Assessment for Ozone. (Final Report). Office of
Air Quality Planning and Standards. Research Triangle Park, NC. U.S. EPA. EPA-452/R-
14-004a. August 2014. Available at:

https.Y/nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=Pl OOKBUF. txt.

U.S. EPA (2019). Integrated Review Plan for the Ozone National Ambient Air Quality

Standards. Office of Air Quality Planning and Standards. Research Triangle Park, NC.
U.S. EPA. EPA-452/R-19-002. Available at:

httpsY/www.epa.gov/sites/production/files/2019-08/documents/o3-irp-aug27-
2019_final.pdf.

U.S. EPA (2020). Integrated Science Assessment for Ozone and Related Photochemical

Oxidants. U.S. Environmental Protection Agency. Washington, DC. Office of Research
and Development. EPA/600/R-20/012. Available at: https.Y/www.epa.gov/isa/integrated-
science-assessment-isa-ozone-and-related-photochemical-oxidants.

Zak, DR, Pregitzer, KS, Kubiske, ME and Burton, AJ (2011). Forest productivity under elevated
C02 and 03: positive feedbacks to soil N cycling sustain decade-long net primary
productivity enhancement by C02. Ecol Lett 14(12): 1220-1226.

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Attachment to Appendix 4A

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Derivation of Composite Median Equations (parameterized models)
in Lee and Hogsett (1996)

The following describes the methodology used to produce the sets of parameters in Tables 2, 12,
and 13 of Lee and Hogsett (1996), which have been used in some form in AQCDs and IS As since
1996. "Regression", "parameter estimation", "model estimation" and "model fitting" all refer
to the same statistical procedure of using nonlinear ordinary least square regression to obtain
values for model parameters from a dataset.

1)	Tables 12, 13, and 2 in Lee and Hogsett (1996) primarily summarize parameter values

estimated through regression from 51 controlled exposure studies of tree seedlings conducted
by NHEERL/WED. In those studies, 11 species of trees were exposed to a set of ozone
concentrations for durations varying from 55 to 234 days or up to 555 days (in the case of
one species).

2)	The model fitted to the data from each of the 51 individual studies (in Table 12) is a three-

parameter Weibull model with the following parameterization: Predicted Biomass = A exp(-
[exposure/B]c). When removing the intercept A, this model gives biomass relative to no
exposure, and the resulting two-parameter equations all have the same 0-1 range of relative
biomass response and can thus be compared or aggregated across studies with different
ranges of absolute biomass. Predicted Relative Biomass = exp(-[exposure/B]c) and Predicted
Relative Biomass Loss= 1- exp(-[exposure/B]c). When estimating each set of three
parameters for each separate study, the ozone exposure was quantified using the 12-hour
daytime W126 index, summed over the duration of each study.

a.	Table 12 gives parameter values for 51 models, one per study, that reflect W126
over each study duration. This table also presents the W126 index estimated for a
92-day duration for RBLs of 10% and 20%.

b.	Table 13 presents parameter values for the 51 models given in Table 12, as well
as parameter values for composite models for the 11 tree species included in those
51 studies, two sets of values per species (one for the median and the second for
the 75th percentile). This table also presents W126 index estimates for RBLs of
10%, 20% and 30%. These three estimates for the composite models are estimates
for a 92-day duration.

c.	Table 2 presents values for composite models for all experiments for all species
aggregated.

3) The median composite models, one per species (table 13) are derived as follows. For each of
the studies for a given species, the predicted relative biomass loss is first generated at six
values of exposure: 10, 20, 30, 40, 50, and 60 ppm-hr, using the study-specific two-parameter
equation. This is done in a way to obtain six RBL values for exposure for 12-hour daytime
exposures summed over 92 days (92-day W126 index).16 All but the median of the relative

16 Since the W126 index is cumulative, and the duration of exposure varied between studies, the calculated values of
exposure at which some given percent loss is expected were prorated to 92 days using simple linear scaling. For
example, the duration of the first ponderosa pine study in Table 12 is 111 days. To derive the 92day RBL for 10
ppm-hrs, a factor of 92/111 is applied to 10 ppm-hrs before it is input to the experiment-specific equation to
derive an RBL estimate for 10 ppm-hrs over a 92-day exposure.

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biomass loss estimates at each value of exposure are then discarded, and the two-parameter
model for relative biomass loss is fitted to the remaining six median points. For example,
Ponderosa Pine was the subject of 11 studies; 11 sets of parameters were estimated through
regression (see item 2 above); 66 values of predicted relative biomass loss were then
computed, 11 at each of the six exposure values. All but the median of those 11 relative
biomass loss estimates were discarded at each of the six levels of exposure, and the two-
parameter model fitted to the six remaining points, giving the Ponderosa Pine median
composite equation for a 92-day exposure. This is illustrated for each of the 11 species in the
following figures reproduced from Lee and Hogsett (1996).

4)	The all-species, median composite models (table 2) were estimated using the same
aggregation method but applied to all 51 studies at once. The 51 equations in Table 12 were
used to compute 306 values of relative biomass loss, six values each for the 51 sets of B and C
parameters, with those six values of exposure generated in a way to obtain 12-hour daytime
exposures summed over 92 days. The two-parameter model was then fitted to the 75th
percentile and the median as in item 3 above. Table 2 also includes the results of the same
method using other exposure indices besides the 12-hour W126 index.

5)	For every equation in the tables, values of exposure at which some given percent loss is
expected relative to no exposure, or any other exposure, can be back-calculated using:
Exposure = B * (-In (1 -predicted relative biomass loss))1/c. Some of those expected values of
exposure are presented for various loss percentages in tables 2, 12, and 13 for the all-species
median composite model, the 51 studies, and the 11 species-level median composite,
respectively. In the case of single-study calculations in Table 12, the value of exposure for a
given loss percentage was first calculated based on the respective duration of each study, then
simply prorated. For example, the duration of Study 1 Harvest 1 in table 12 was 84 days and
the exposure at which 10% loss is expected over that duration is 13.71 ppm-hr. The prorated
exposure value for a 10% loss over 92 days is calculated as 13.71*92/84 = 15.01 ppm-hr.
Median models for species in Table 13 or for all species in Table 2 were parameterized with
92-day durations and the exposure values for the various loss percentages did not therefore
require prorating.

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A. PRYL.50 * 1 - axp [ -(W126 / 49.eri.497 ]

B. PRYLSO a 1 - exp [ -(W1261109.8rt.220 J

C. PRYLSQ = 1 - e*p [ -(W126 /36.9J"DJ92 J

D, PRYLSQ = 1 - exp t "(W1261106,fl)"5.963 J

to	20	30	40	50

2th W126 adjusted to 92-day ported per yoar (ppm-h)

60

Figure 16. Magnitude of predicted relative biomass loss as a function of 12-h Wl 26 for A. seven aspen
clone cases. 8. seven asoen wild cases, C. two black cherry cases arid ~. seven dougias fir cases.

Figure 4A-17. Median species-specific RBL (PRYL50) function and distribution of RBL
estimated from experiment-specific functions for aspen, black cheery and
Douglas fir (Figure 16 of Lee and Hogsett, 1996).

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5 ^

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A. PRYL50-1 - exp (-{W126/159.6)"*1.119 ]

B. PRYL50 = 1 - exp[ -(W126 /179.1)"1.238 J

C. PRYL50 - 1 - exp (-(W126/318.1)"1.376 ]

D. PRYL50 - 1 • expI-(Wl26 / 36.4)"5.

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20	30	40	SO

24-h W126 adjusted to 92-
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8:

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Rgura 18. Mftantuci* el pfปdtetฎd fsfsฎwป btom*aซ teป aฎ a function of 12-h W128 tor A, two tulip

poplar GftSM, B. one i. Virgin* pi* mm, and C, two white pint csms.

Figure 4A-19. Median species-specific RBL (PRYL50) function and distribution of RBL
estimated from experiment-specific functions for tulip poplar, Virginia pine
and eastern white pine (Figure 18 of Lee and Hogsett, 1996).

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1	APPENDIX 4B

2	U.S. DISTRIBUTION OF 11 TREE SPECIES

3

4

5

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1 4B.1. DESCRIPTION

2	This appendix presents maps of the distribution across the U.S. of 11 tree species for

3	which there are established exposure-response (E-R) functions, as described in Appendix 4A.

4	Historical ranges were based on Little (1971, 1976, 1977, and 1978) and basal area of each

5	species was taken from Wilson et. al (2013) raster data to show present range and estimated

6	density. Basal area is computed at the stand level as the sum of the basal area values for each

7	individual tree (in sq. ft.), which is summed across all of the basal area per tree in the

8	hectare. The map construction consists of tree species abundance, distribution, and basal area at

9	a 250-meter (m) pixel size for the contiguous United States (Wilson 2013).

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1

2

Table 4B-2. Distribution of red maple {Acer rub rum) in the continental U.S.

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Red maple (Acer rubrum)

Range (Little, 1971)

~ Historic range

Basal area (Wilson et al. 2013)

m—r 111.04

ฆฆฆฆ- < 0.0001 square meters/hectare


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1

2

Table 4B-3. Distribution of sugar maple (Acer saccharum) in the continental U.S.

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Sugar maple (Acer saccharum)

Range (Little, 1971)

Historic range
Basal area (Wilson et al. 2013)

ฆw 123 J21

< 0-0001 square meters./hectare


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1

Red alder (Alnus rubra)

Range (Little, 1971)

(=~ Historic range

Basal area (Wilson et al, 2013)

139 96

.0016 square rneters/hectare

2		

3	Table 4B-4. Distribution of red alder {Alnus rubra) in the continental U.S.

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1

2

Table 4B-5. Distribution of tulip poplar (Liriodendrun tulip if era) in the continental U.S.

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Yellow-poplar (Liriodendron tulipifera)

Range (Little, 1971)

~ Historic range

Basal area (Wilson et al. 2013)

mhw 103 62

0 0005 square meters/hectare


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1

2

Table 4B-6. Distribution of ponderosa pine (Pinus ponderosa) in the continental U.S.

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Ponderosa pine (Pinus ponderosa)

Range (Little, 1971)

~ Historic range
Basal area (Wilson et al. 2013)

159.77

0 0005 square meters/hectare


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1

2

Table 4B-7. Distribution of eastern white pine (Pinus strobus) in the continental U.S.

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Eastern white pine (Pinus strobus)

Range (Little, 1971)

CD Historic range

Basal area (Wilson et al. 2013)

nmr 113-7

' 0.0004 square meters/hectare


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Loblolly pine (Pinus taeda)

Range (Little, 1971)

~ Historic range

Basal area (Wilson et al. 2013)

ฆv 142 7 3

0 0004 square meters/hectare

Table 4B-8. Distribution of loblolly pine (Pinus taeda) in the continental U.S.

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2

Table 4B-10. Distribution of black cherry (Prunus serotina) in the continental U.S.

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Black cherry (Prunus serotina)

Range (Little, 1971)

~ Historic range

Basal area (Wilson et alo2013)

	r	 85-39

0.0002 square meters/hectare


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1

2	Table 4B-11. Distribution of Douglas fir (Pseudotsuga menziesii) in the continental U.S.

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Douglas fir (Pseudostuga menziesii)

Range (Little, 1971)

~ Historic range
Basal area (Wilson et al. 2013)

_ 374.66

ฆ ' 0.0008 square meters/hectare


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REFERENCES

Little, E.L., Jr., 1971, Atlas of United States trees, volume 1, conifers and important hardwoods:
U.S. Department of Agriculture Miscellaneous Publication 1146, 9 p., 200 maps.

Little, E.L., Jr., 1976, Atlas of United States trees, volume 3, minor Western hardwoods: U.S.
Department of Agriculture Miscellaneous Publication 1314, 13 p., 290 maps.

Little, E.L., Jr., 1977, Atlas of United States trees, volume 4, minor Eastern hardwoods: U.S.
Department of Agriculture Miscellaneous Publication 1342, 17 p., 230 maps.

Little, E.L., Jr. 1978, Atlas of United States trees, volume 5, Florida: U.S. Department of
Agriculture Miscellaneous Publication 1361, 262 maps.

Wilson, Barry Tyler; Lister, Andrew J.; Riemann, Rachel I.; Griffith, Douglas M. 2013. Live tree
species basal area of the contiguous United States (2000-2009). Newtown Square, PA:
USDA Forest Service, Rocky Mountain Research Station. https://doi.org/10.2737/RDS-
2013-0013

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APPENDIX 4C

VISIBLE FOLIAR INJURY SCORES AT U.S. FOREST SERVICE

BIOSITES (2006-2010)

TABLE OF CONTENTS

4C.1 Introduction	2

4C.2 Dataset Preparation	2

4C.3 Dataset Characteristics	5

4C.4 Relationships of Biosite Index Scores with W126 Estimates and Soil Moisture

Categories	6

4C.4.1 Relationships Examined in Full Dataset	6

4C.4.2Examination of Relationships in Dataset Stratified by Soil Moisture Category	9

4C.5 Limitations and Uncertainties	19

4C.6 Summary and Key Observations	20

References	23

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4C.1 INTRODUCTION

It has long been recognized that elevated ozone (O3) can cause visible foliar injury in
some plants (ISA, Appendix 8, section 8.2). As discussed in the current and past ISAs as well as
past Air Quality Criteria Documents, the severity and extent of visible foliar injury can vary with
a variety of environmental variables (e.g., climatic variables as well as pollutant exposure) as
well as variation in genetic factors within the same plant population (ISA, Appendix 8, section
8.2). Visible foliar injury "occurs only when sensitive plants are exposed to elevated O3
concentrations in a predisposing environment," and "a major modifying factor is the amount of
soil moisture available to a plant during the year when assessed" (U.S. EPA, 2013 [2013 ISA], p.
9-39).

In recognition of the long-standing evidence regarding O3 and visible foliar injury in
susceptible species, the U.S. Forest Service (USFS) and U.S. Park Service have used plant
species with this susceptibility in their biomonitoring programs. A number of publications have
focused on findings from biomonitoring surveys in the USFS-Forest Health Monitoring (FHM)
and Forest Inventory and Analyses (FIA) programs. From the mid 1990s through 2010, this
survey work included collecting information on the presence of visible foliar injury at the
biomonitoring sites (biosites). Data on visible foliar injury incidence and severity data were
collected each year at biosites in forested areas at states across the U.S. and summarized in terms
of a biosite index (BI). The BI is a measure of the severity of 03-induced visible foliar injury
observed at each biosite.

Data from the multi-year USFS survey were used in analyses developed in the 2015 O3
NAAQS review (80 FR 65292, October 26, 2015). These analyses utilized a dataset that had
been developed by merging biosite data collected as part of the USFS FHM/FIA Network during
the years 2006 through 2010, with NOAA soil moisture index values (as a surrogate for soil
moisture measurements) and W126 estimates of seasonal O3 exposure for those sites based on
ambient air monitoring data for those 5 years (Smith and Murphy, 2015; U.S. EPA, 2014 [2014
WREA]) The resultant combined dataset included a BI score, soil moisture index value and a
W126 index estimate each for 5,284 records at locations in 37 states for 1 or more of the years in
the 5-year period from 2006-2010. This appendix brings forward key presentations developed
from the combined dataset for the 2015 O3 review and also includes additional presentations of
key aspects of the dataset and the variables represented within it.

4C.2 DATASET PREPARATION

The combined dataset was developed from three datasets: (1) the national-scale
FIA/FHM dataset of BI scores, (2) the NOAA's National Climatic Data Center national dataset
of monthly drought indices and (3) national surfaces of estimated seasonal W126 index

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developed by the EPA for the WREA in the last O3 NAAQS review and further analyzed in a
subsequent technical memo (Smith and Murphy, 2015). These individual datasets and how they
were used to create the combined dataset, are described below.

Biosite Index: The USFS O3 biomonitoring program has developed a national-scale data
set focused on visible foliar injury and that includes BI scores at biosites in U.S. forests (Smith,
2012). The field methods, sampling procedures, and analytical techniques are consistent across
biosites and years. The BI is calculated from species-specific scores based on a combination of
the proportion of leaves affected on individual bioindicator plants and the severity of symptoms
on injured foliage using an established scale (Horsfall and Cowling, 1978; Smith, 2012). Each
site is sampled until 30 plants of at least two species have been evaluated (Smith et al., 2007).
The site BI is the average score for each species averaged across all species on the biosite
multiplied by 1,000 (Smith, 2012). The BI score ranges from zero to greater than 25, with a score
of zero indicating no presence of foliar injury symptoms and scores increasingly greater than
zero indicating increasingly greater severity of symptoms (Smith, 2012). Categories that have
been used in publications include little or very light injury (BI greater than 0 up to 5), light injury
(BI greater than 5 up to 15), moderate (BI greater than 15 up to 25) and heavy/severe (BI above
25) (Smith, 2012; Coulston etal., 2003).

The biosite data (BI scores) were obtained from the USFS for the years 2006 to 2010.
While including most states in the contiguous U.S., the data obtained did not include records for
most of the western states (Montana, Idaho, Wyoming, Nevada, Utah, Colorado, Arizona, New
Mexico, Oklahoma, and portions of Texas) because biosite data were not available for those
states during the 2006-2010 period (Smith et al., 2012).

Soil Moisture Index: The NOAA Palmer Z drought index is a monthly moisture anomaly
index that is derived from measurements such as precipitation and temperature. This index
represents the difference between monthly soil moisture and long-term average soil moisture
(Palmer, 1965). The Palmer Z index is derived each month for each of 344 climate region
divisions within the contiguous U.S. by the National Climatic Data Center (NCDC).1 The index
values typically range from -4 to +4, with positive values representing more wetness than normal
and negative values representing more dryness than normal. For the combined dataset, index
values for April through August in the years 2006-2010 were obtained from the NCDC website
(NOAA, 2012). These monthly values were then averaged to create a single growing season
index for each year in each division. Moisture categories were then assigned consistent with

1 There are 344 climate divisions in the continental U.S. For each climate division, monthly station temperature and
precipitation values are computed from the daily observations as described on the website for the National
Climatic Data Center of the U.S. National Atmospheric and Oceanic Administration:
https://www.ncdc.noaa.gov/monitoring-references/maps/us-climate-divisions.php

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NOAA's Palmer Z drought index, with index values less than -1.25 identified as "dry", values
greater than or equal to 1 identified as "wet", and index values between 1.25 and 1 identified as
"normal." Values beyond the range from 2.75 to +3.5 could be interpreted as extreme drought
and extremely moist, respectively (NCDC, 2012c). The NCDC climate divisions with Palmer Z
data are shown in Figure 4C-1.

Figure 4C-1. Climate divisions for which there are Palmer Z soil moisture index values.

W126 Index Estimates; Estimates of seasonal VV126 exposure index for the years 2006
through 2010 were developed for 12 kilometer (km) by 12 km grid cells in a national-scale
spatial surface. The estimates at this scale were derived from applying a spatial interpolation
technique to annual W126 values derived from O3 measurements at ambient air monitoring
locations. Specifically, the Voronoi Neighbor Averaging (VNA) spatial interpolation technique
was applied to the monitor-location W126 index values to derive an W126 index estimates for
each grid cell (U.S. EPA, 2014, Appendix 4A).2

Combined Dataset: To create the dataset that relates the grid cells with W126 index
estimates to grid cells with BI scores, the EPA provided a file with the national scale surface of
grid cells (a "shape" file) to USFS staff, who assigned the BI scores (with sampling year
specified) to grid cells for all but three states. Having this step performed by the USFS ensured

2 The VNA application step used to estimate W126 indices at the centroid of every 12 km x 12 km grid cell, rather
than only at each monitor location (described in Appendix 4 A of the WREA), can result in a lowering of the
highest values in each region (80 FR 65374-65375; October 26, 2015).

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that the precise and accurate geographic coordinates for each biosite were used in this step,
which allowed the most accurate matching of Palmer Z and W126 index values as possible with
these datasets.3 For three states (California, Oregon, and Washington) the EPA downloaded
biosite indices from the public website and assigned them to the grid cells in which the biosite
was located based on the publicly available geographic coordinates.4 The EPA overlaid the
Palmer Z dataset for each year on the national surface of W126 index estimates for that year to
assign a Palmer Z index to each grid cell in each year's national surface. The completed dataset
(Smith and Murphy, 2015, Appendix) includes the following variables: identifier, year, W126
index, BI score, Palmer Z index, state and soil moisture category (dry, wet, normal)5.

4C.3 DATASET CHARACTERISTICS

The dataset for the analyses included 5,284 biosite records distributed across the 37
different states and the five years from 2006 - 2010 (Smith and Murphy, 2015, Appendix).

Figure 4C-2, reprinted from 2014 WREA, indicates the distribution of sites across the
continental U.S. Table 4C-2 summarizes the biosite index values for each year. The "Damage"
categories used follow the USFS risk categories with the exception of including a separate
category for a biosite index of zero (Smith, 2008, 2012). The zero category was defined and used
as a measure of the presence or absence of any level of visible foliar injury. Across all of the
sites, over 81 percent of the observations recorded no foliar injury. This percentage was similar
across all of the years, with a low value of 78 percent and a high value of 85 percent. Across the
5,284 records in the dataset, only 998 had BI scores greater than zero.

3	This step was taken because the publicly available USFS BI dataset includes location coordinates that have been

slightly altered to avoid specifying the true biosite location for privacy considerations of some property owners.

4	As a result, there is a potential for the biosites for these states to be matched with the W126 index estimate for an

adjacent grid cell rather than the one in which the biosite is truly located.

5	As described earlier in the section on "Soil Moisture Index," all index values less than -1.25 were categorized as
"dry" and all index values greater than or equal to 1 were categorized as "wet."

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4	Table 4C-1. Summary of biosite index scores for 2006 to 2010 USFS biomonitoring sites.

Biosite
Index

Damage

2006

2007

2008

2009

2010

Total

0

None

744

769

796

902

1,075

4,286

<5

Very Liqht

139

131

98

135

183

686

5 to 15

Light

41

29

29

61

65

225

15 to 25

Moderate

15

6

8

6

12

47

>25

Heavy

12

4

4

8

12

40

Total

951

939

935

1,112

1,347

5,284

5

6	4C.4 RELATIONSHIPS OF BIOSITE INDEX SCORES WITH W126

7	ESTIMATES AND SOIL MOISTURE CATEGORIES

8	4C.4. I Relationships Examined in Full Dataset

9	Scatterplots of the full dataset show no clear relationship between Cb and biosite index

10	(Figure 4C-3), as well as no clear relationship between Os and the Palmer Z drought index,

11	measured as an average value of the months from April to August (Figure 4C 4). The lack of a

12	clear relationship is partly due to the high number of observations with no foliar injury (see

13	Table 4C-1 above and also the distribution of records by soil moisture category and W126

14	summarized in section 4C.4.2 below) and may also reflect, in part, differing spatial resolutions of

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the O3 exposure surface, NCDC climate divisions, and the biosites. To investigate the strength of
any relationship in light of the high percentage of zero values, a censored regression was
conducted using a threshold of zero (i.e., including only the non-zero observations). The results
of the regression (Table 4C-2) are consistent with the evaluation of the evidence in the ISA (and
prior ISA and AQCDs), indicating a significant relationship between foliar injury and both O3
and moisture (as measured by Palmer Z), and also a significant interaction between O3 and
moisture. The censored regression does not provide a "goodness of fit" statistic as easily
interpreted as the r-squared value associated with a standard regression, so the results are more
difficult to interpret. Thus, while higher O3 corresponds to higher BI score, the parameters
describing such a relationship in predictive quantitative terms are unresolved.

0	10	20	30 40 50 60

W126 (ppm-hrs)

Figure 4C-3. Scatter plot of biosite index score versus W126 index (ppm-hrs).

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O

LO —

o

o —

X T—

CD
"O

n.

B
"(7)
o

CD

O _

LO

-2	0	2	4

Average Palmer Z (April to August)

Figure 4C-4. Scatter plot of biosite index score versus Palmer Z (April to August).

Table 4C-2. Statistics from censored regression.

Coefficient

Intercept Estimate

Standard Error

t-value

P

Intercept

-22.5967

0.8934

-25.293

< 0.0001

W126

0.7307

0.0613

11.919

<0.0001

Palmer Z (Apr-Aug)

1.8357

0.4850

3.785

0.0002

W126: Palmer Z

0.1357

0.0437

3.104

0.0019



Marginal Effect







W126

0.1178

0.0099

11.918

<0.0001

Palmer Z (Apr-Aug)

0.2960

0.0777

3.812

0.0001

W126: Palmer Z

0.0219

0.0070

3.093

0.0020

An exploration (in the 2014 WREA) of the use of regression coefficients to calculate
estimated biosite index values did not accurately predict the observed values, likely due in part to
the large number of non-injury observations. It is also of note that the W126 index bin with the
largest percentage of records of each category of BI score (e.g., all, zero, above zero, above 5,
above 15) is that for the lowest W126 index values (0).

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Table 4C-3. Cumulative percentage of records with specified BI score.

<7

ppm-hrs

>7 -9
ppm-hrs

>9-11
ppm-hrs

>11 -13
ppm-hrs

>13-15
ppm-hrs

>15-17
ppm-hrs

>17-19
ppm-hrs

>19-25
ppm-hrs

>25

ppm-hrs

Cumulative Percentage of Records (percent of records in bin plus all bins to its left)

Of All Records

42%

59% 73%

82% 88%

92%

96%

98%

100%

Of Records with Bl=0 (total in dataset =4286)

43%

60% 73%

83% 88%

93%

97% 99%

100%

Of Record

s with Bl>0 (total in dataset =998)



37%

53% 69%

78%

84%

87%

93%

96%

100%

Of Record

s with Bl>5 (total in dataset =310)

36%

49%

64%

73% 78%

82%

88%

91%

100%

Of Record

s with BI >

5 (total in dataset =85)

33%

45%

49%

59%

64%

69%

78%

86%

100%

4C.4.2 Examination of Relationships in Dataset Stratified by Soil Moisture Category

The following tables and figures describe the data in this dataset with a focus on
consideration of potential trends with W126 index for the different soil moisture categories. The
W126 index estimates were rounded to integer values for consistency with Appendix 4D
analyses and associated clarity in binning of the values.6 Additionally, consistent with USFS
publications (e.g., Campbell et al., 2007), the BI scores7 are rounded to one decimal place. Table
4C-4 presents the counts of records in total and stratified by soil moisture category and W126
index bin. Table 4C-5 presents average BI scores by soil moisture category and W126 bin, and
Table 4C-6 presents the fraction of records with BI scores of differing severity levels
(corresponding to the USFS severity scheme), in the full dataset and also in the subsets by soil
moisture category.

The distribution of records across W126 bins are presented in Table 4C-4 and Figure 4C-
5, and the distribution of scores per bin is presented in Figure 4C-6 through Figure 4C-11. These
figures show that even the lowest W126 index bin (for estimates below 7 ppm-hrs) includes
scores well above 5, and several above 15. Further, zero scores comprise more than half the dry
and normal soil category record scores in every bin, including the highest bin (>25 ppm hrs), as

6	The presentations here are not precise statistical analyses. Rather, they are intended to generally inform

conclusions regarding ability of available datasets to discern air quality conditions contributing to visible foliar
injury occurrences of potential concern. In this light, binning was used to explore the potential for clear
differences in BI scores among sites with differing W126 estimates across the range of interest while also
maintaining reasonable sample sizes.

7	Two records with estimated W126 index below 7 ppm-hrs and BI scores just over 150 are omitted from

presentations in this section as the next highest BI score in this dataset for any W126 index was below 100.

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seen by the median lines merged with the zero line in Figure 4C-6 and Figure 4C-8. This is also
the case for all but the two highest bins for the wet soil moisture category records, which,
however, contain just a total of 9 records, limiting the extent to which they provide a basis for
interpretation of patterns across W126 bins. The wet soil moisture records have quite limited
sample sizes for the higher W126 index bins, e.g., the number of samples in bins for W126 index
estimates above 13 ppm-hrs represent no more than 1 percent of the total number of wet soil
moisture records (Figure 4C-10).

Focusing on the distribution of scores for records in the normal soil moisture category, it
can be seen that scores are noticeably increased in the highest W126 bin, index estimates greater
than 25 ppm-hrs, over those for the lower bins (Figure 4C-6 and Figure 4C-7). This is also for
the average BI scores per bin, where the highest W126 bin (>25 ppm-hrs) has an average BI
appreciably higher than the others (Table 4C-5). The average BI in this highest bin is 7.9 versus
averages of 1.6 (for W126 >19 to 25 ppm-hrs) and 2.3 (for W126 >17 to 19 ppm-hrs) in the next
lower bins and varying from 0.8 to 1.2 in all the others. Among the records with nonzero scores,
the highest average BI is also in the highest W126 index bin (>25 ppm-hrs); in this case the BI is
approximately 15, more than double the next highest average BI scores for any of the other
W126 index bins (for which no other trend is exhibited). The incidence of records with BI scores
categorized by the USFS as "moderate" or "severe" injury (BI score above 15) is also greatest in
the bin for the highest W126 index estimates (> 25 ppm-hrs), with 20% of those records in this
bin having such a BI score compared to only 2 to 4% of the records in each of the lower bins. A
similar pattern holds for the records with BI scores above 5, while there is much more variability
across the bins for records with any nonzero score (Table 4C-6).

With regard to the dry soil moisture category, there is a suggestion of an increased
incidence of the highest severity scores in the highest two W126 bins. For example, the
proportion of dry soil moisture category records with BI scores categorized by the USFS as
"moderate" or "severe" injury (BI score above 15), is 7 and 8% in the bin for the two highest
W126 index estimates (>19 to 25 and > 25 ppm-hrs, respectively), compared to 0 to 3% in each
of the lower bins. It is noteworthy, however, that the percentages of 7 and 8% reflect no more
than 4 or 5 individual records with this severity score.

As noted above, sample size for the wet soil moisture category is particularly limited for
the W126 index bins above 13 ppm-hrs. In the lower W126 bins, the proportion of such records
with BI scores above 15 varies from 1 to 2%. For BI scores above 5 or above 0, there is a
suggestion of an increased incidence in the relatively higher versus lower W126 index bins,
although it is not known if the significant reduction in sample size that also occurs in comparing
across these bins (see Table 4C-4) and associated variability is playing a role (Table 4C-6).

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1 Table 4C-4. Number of biosite records in different W126 index bins.



<7
ppm-hrs

>7 -9
ppm-hrs

>9-11
ppm-hrs

>11 -13
ppm-hrs

>13-15
ppm-hrs

>15-17
ppm-hrs

>17-19
ppm-hrs

>19-25
ppm-hrs

>25
ppm-hrs

All Records (n=5282 A)

Dry (n=866)

155

117

116

76

83

97

99

73

50

Normal (n=3227)

1181

613

522

360

222

147

92

49

41

Wet (n=1189)

868

179

81

43

9B

7B

2b

0B

0B

All

2204

909

719

479

314

251

193

122

91

Records with Bl > 15 (total in dataset =85)

Dry

3

0

0

0

0

0

3

5

4

Normal

20

7

3

7

4

3

3

2

8

Wet

5

3

1

1

0B

2B

1 B

0B

0B

All

28

10

4

8

4

5

7

7

12

Records with Bl>5 (total in dataset =310)

Dry

6

3

5

3

4

1

5

8

10

Normal

56

30

28

18

11

8

12

3

17

Wet

49

9

13

6

1 B

2b

2b

0B

0B

All

111

42

46

27

16

11

19

11

27

Records with Bl>0 (total in dataset =998)

Dry

10

13

9

6

6

9

15

15

23

Normal

158

117

109

68

52

20

35

15

21

Wet

197

36

34

17

5B

4B

2B

0B

0B

All

365

166

152

91

63

33

52

30

44

Records with Bl=0 (total in dataset =4286)

Dry

145

104

107

70

77

88

84

58

27

Normal

1023

496

413

292

170

127

57

34

20

Wet

671

143

47

26

4B

3B

0B

0B

0B

All

1839

743

567

388

251

218

141

92

47

A As noted in the beginning of section 4C.1.2, this count reflects the omission of two outlier values.
B Sample size for this W126 bin is below 1 % of all samples assigned this soil moisture category.

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All records (# records per W126 bin)

Bl>0 (# records per W126 bin)

2500
2000
1500
1000
500
0

400
350
300

Dry (n=866) i Normal (n=3227) >Wet(n=1189) i All (n=5282) 25Q

200
150
100
50
0

ฆill j.l .l-l .1 I .1 I .. I

Dry (n=106) ฆ Normal (n=595) Wet(n=284) All (n=996)

<7 >7-9 >9-11 >11-13 >13-15 >15-17 >17 -19 >19 - 25 >25	<7 >7-9 >9-11 >11-13 >13-15 >15-17 >17 -19 >19 - 25 >25

Bl>0 (# records per W126 bin)

Bl>15 (# records per W126 bin)

400
350
300
250
200
150
100
50
0

.11

30
25

Dry (n=106) I Normal (n=595) Wet(n=284) All (n=996) 20

15
10

Jl -I.I -lt-iL.il ฆฆ I ฆฆ I o

Dry (n=15) ฆ Normal (n=57) iWet(n=10) ฆ All (n=85)

1

ฆ





1

III 1.1

1.1 1

II ll

III

II

1.1

III

<7 >7-9 >9-11 >11-13 >13-15 >15-17 >17-19 >19-25 >25	<7 >7-9 >9-11 >11-13 >13-15 >15-17 >17-19 >19-25 >25

Figure 4C-5.

March 2023

Distribution of biosite records by W126 bin and soil moisture type.

4C-12 External Review Draft v2 - Do Not Quote or Cite


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10

<7

>7 -9

>9-11 >11-13 >13-15 >15-17 >17-19 >19-25

>25

7

8

Key: The boxes denote the 25th, 50th and 75th percentiles, the x's the mean and the whiskers denote the value equal to the 75th
percentile plus 1.5 times the interquartile range (75th minus 25th percentile). Circles show scores higher than that.

Figure 4C-6. Distribution of BI scores (including zeros) at USFS biosites (normal soil
moisture) grouped by W126 index values.

1?

12

15

16

o
u

<7

ฐ ฐ J I
r-i-j | j [ P~*) |	J

>7-9 >9-11 >11-13

>13-15 >15-17 >17-19

W126 Index Bin

>19 - 25 >25

Key: The boxes denote the 25th, 50th and 75th percentiles, the x's the mean and the whiskers denote the value equal to the 75th
percentile plus 1.5 times the interquartile range (75th minus 25th percentile). Circles show scores higher than that.

Figure 4C-7. Distribution of nonzero BI scores at USFS biosites (normal soil moisture)
grouped by W126 index values.

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so

70

60
50
40
30
20
1ฉ
0

<7 >7-9 >9-11 >11-13 >13-15 >15-17 >17-19 >19-25

W126 Index Vtlue

x
—ฃ_

>25

Key: The boxes denote the 25th, 50th and 75th percentiles, the x's the mean and the whiskers denote the value equal to the 75th
percentile plus 1.5 times the interquartile range (75th minus 25th percentile). Circles show scores higher than that.

Figure 4C-8. Distribution of BI scores (including zeros) at USFS biosites (dry soil
moisture) grouped by W126 index values.

^ 5 ^ a

>7-9 >9-11 >11-13

>13-15 >15-17 >17-19 >19-25

W12I Index Bin

>25

11	Key: The boxes denote the 25th, 50th and 75th percentiles, the x's the mean and the whiskers denote the value equal to the 75th

J ^	percentile plus (or 25th percentile minus) 1.5 times the interquartile range (75th minus 25th percentile). Circles show still higher scores

14	Figure 4C-9. Distribution of nonzero BI scores at USFS biosites (dry soil moisture)

15	grouped by W126 index values.

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vt

50
45
40

35
30
25
20
15
10
I
0

<7



X

JL

i

- small sample size- -

X

>7-9	>9-11 >11-13	>13-15

W126 index Bin

>15 -17

>17 -19

Key: The boxes denote the 25th, 50th and 75th percentiles, the x's the mean and the whiskers denote the value equal to the 75th
percentile plus 1.5 times the interquartile range (75th minus 25th percentile). Circles show scores higher than that.

Figure 4C-10. Distribution of BI scores (including zeros) at USFS biosites (wet soil
moisture) grouped by W126 index values.



50



45



40



35

m

30

Q



2

25

m





20



15



10



5



0

< 7

-small sample size--

x

x

>7-9	>9-11 >11-13 >13-15

W126 Index Bin

>15-17

>17 -19

Key: The boxes denote the 25th, 50th and 75th percentiles, the x's the mean and the whiskers denote the value equal to the 75th
percentile plus (and the 25th minus) 1.5 times the interquartile range (75th minus 25th percentile). Circles show scores above that.

Figure 4C-11. Distribution of nonzero BI scores at USFS biosites (wet soil moisture)
grouped by W126 index values.

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1 Table 4C-5. Average BI scores of the records in each W126 index bin.

Soil
Moisture

<7
ppm-hrs

>7 -9
ppm-hrs

>9-11
ppm-hrs

>11 -13
ppm-hrs

>13-15
ppm-hrs

>15-17
ppm-hrs

>17-19
ppm-hrs

>19-25
ppm-hrs

>25
ppm-hrs

Average BI (all records)

Dry

0.9

0.3

0.4

0.4

0.4

0.2

2.3

2.1

3.5

Normal

0.9

0.9

0.8

1.2

1.2

0.9

2.3

1.6

7.9

Wetc

0.9

0.9

1.9

1.9

[2.2]

[6.7]

[13.9]

-

-

All

0.9

0.8

0.8

1.1

1.0

0.8

2.4

1.9

5.5

Average BI (records with BI > 0)

Dry

14.2

3.0

5.1

4.2

5.1

2.6

15.0

10.40

7.60

Normal

6.8

4.7

3.7

6.3

5.2

6.9

6.0

5.19

15.42

Wetc

3.8

4.3

4.6

4.9

[4.0]

[11.8]

[13.9]

-

-

All

5.4

4.4

4.0

6.0

5.1

6.3

9.0

7.8

11.3

Average BI (records with BI >5)

Dry

23.6

6.9

8.1

6.6

7.1

6.3

41.1

18.4

14.2

Normal

17.0

14.3

10.5

19.0

19.7

15.1

13.8

18.3

18.5

Wetc

11.4

14.2

9.7

10.4

[12.5]

[20.2]

[13.9]

-

-

All

14.9

13.7

10.0

15.7

16.1

15.2

21.0

18.4

16.9

Average BI (records with BI >15)

Dry

39

-

-

-

-

-

60.3

24.1

22.9

Normal

32.0

31.2

22.2

36.0

38.0

27.5

30.5

24.4

27.9

Wetc

34.4

25.8

15.2

16.7

-

[20.2]

[17.4]

-

-

All

33.2

29.6

20.4

33.6

38.0

24.6

41.4

24.2

26.3

A Brackets indicate bins in which total sample size for that bin is below 1 % of all for that soil moisture category (i.e., 0 to 9 samples).

2

3

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1 Table 4C-6. Proportion of records in each W126 index bin with specified BI score.

Soil
Moisture

<7
ppm-hrs

>7 -9
ppm-hrs

>9-11
ppm-hrs

>11 -13
ppm-hrs

>13-15
ppm-hrs

>15-17
ppm-hrs

>17-19
ppm-hrs

>19-25
ppm-hrs

>25
ppm-hrs

Proportion of Records with BI >15 (USFS categories of "moderate"and "severe")

Dry

0.02

0.00

0.00

0.00

0.00

0.00

0.03

0.07

0.08

Normal

0.02

0.01

0.01

0.02

0.02

0.02

0.03

0.04

0.20

WetA

0.01

0.02

0.01

0.02

[0.00]

[0.29 (2)1

[0.50 (1)1

[0.00]

[0.00]

All

0.01

0.01

0.01

0.02

0.01

0.02

0.04

0.06

0.13

Proportion of Records with BI >5 (USFS categories of "low," "moderate"and "severe")

Dry

0.04

0.03

0.04

0.04

0.05

0.01

0.05

0.11

0.20

Normal

0.05

0.05

0.05

0.05

0.05

0.05

0.13

0.06

0.41

WetA

0.06

0.05

0.16

0.14

[0.11 (1)]

[0.29 (2)]

[1.00 (2)]

[0.00]

[0.00]

All

0.05

0.05

0.06

0.06

0.05

0.04

0.10

0.09

0.30

Proportion of Records with BI >5 & <15 (USFS category of "low")

Dry

0.02

0.03

0.04

0.04

0.05

0.01

0.02

0.04

0.12

Normal

0.03

0.04

0.05

0.03

0.03

0.03

0.10

0.02

0.22

WetA

0.05

0.03

0.15

0.12

[0.11 (1)]

[0.00]

[0.50 (1)]

[0.00]

[0.00]

All

0.04

0.04

0.06

0.04

0.04

0.02

0.06

0.03

0.16

Proportion of Records with BI >0 & <5 (USFS category of "little")

Dry

0.03

0.09

0.03

0.04

0.02

0.08

0.10

0.10

0.26

Normal

0.09

0.14

0.16

0.14

0.18

0.08

0.25

0.24

0.10

WetA

0.17

0.15

0.26

0.26

[0.44 (4)]

[0.29 (2)]

0.00

[0.00]

0.00

All

0.12

0.14

0.15

0.13

0.15

0.09

0.17

0.16

0.19

Proportion of Records with BI >0

(USFS categories of "little," "low," "moderate"and "severe")

Dry

0.

0.11

0.08

0.08

0.07

0.09

0.15

0.21

0.46

Normal

0.13

0.19

0.21

0.19

0.23

0.14

0.38

0.31

0.51

WetA

0.23

0.20

0.42

0.40

[0.56 (5)]

[0.57 (4)]

[1.00 (2)]

[0.00]

[0.00]

All

0.17

0.18

0.21

0.19

0.20

0.13

0.27

0.25

0.48

Proportion of Records with BI =0 (USFS category of no injury)

Dry

0.94

0.89

0.92

0.92

0.93

0.91

0.85

0.79

0.54

Normal

0.87

0.81

0.79

0.81

0.77

0.86

0.62

0.69

0.49

WetA

0.77

0.80

0.58

0.60

[0.44 (4)]

[0.43 (3)]

[0.00]

[0.00]

[0.00]

All

0.83

0.82

0.79

0.81

0.80

0.87

0.73

0.75

0.52

A Brackets indicate bins in which total sample size for that bin is below 1% of all for that soil moisture category (i.e., 0 to 9 samples).
Additionally, for these entries the value in parenthesis is the number of records in specified BI bin.

2

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The observations of visible foliar injury for the highest W126 bin compared to the others
is generally consistent with the evidence regarding visible foliar injury as an indicator of O3
exposure (e.g., ISA, Appendix 8, section 8.2; 2013 ISA, section 9.4.2; U.S. EPA, 2006 [2006
AQCD], p. AX9-22). The evidence indicates a generally greater extent and severity of visible
foliar injury with higher O3 exposure levels and an influence for soil moisture conditions (ISA,
Appendix 8, Section 8.2). Further, consistent with this evidence, the censored regression of the
USFS dataset described in section 4C.1.1 above found a significant relationship between visible
foliar injury and both O3 and moisture, as measured by Palmer Z.

A study cited in the current and 2013 IS As, which analyzed trends in the incidence and
severity of foliar injury, observed a declining trend in the incidence of foliar injury as peak O3
concentrations declined (2013 ISA, p. 9-40; Smith, 2012). Another study, also available in the
last review, that focused on 03-induced visible foliar injury in west coast forests observed that
both percentage of biosites with injury and average BI were higher for sites with average
cumulative O3 concentrations above 25 ppm-hrs in terms of SUM068 as compared to groups of
biosites with lower average cumulative exposure concentrations, with much less clear differences
between the two lower exposure groups (Campbell et al., 2007, Figures 27 and 28 and p. 30). A
similar finding was reported in the 2007 Staff Paper which reported on an analysis that showed a
smaller percentage of biosites with injury among the group of biosites with O3 exposures aot or
below a SUM06 metric of 15 ppm-hrs or a 4th high metric of 74 ppb as compared to larger
groups that also included biosites with SUM06 values up to 25 ppm-hrs or 4th high metric up to
84 ppb, respectively (U.S. EPA, 2007 [2007 Staff Paper], pp. 7-63 to 7-64).

The observations described here have a general consistency with the extensive evidence
base on foliar injury, which indicates that visible foliar injury prevalence and severity are
generally higher at higher (compared to lower) O3 concentrations. As the FIA/FHM biosites vary
in the type of vegetation and species that are present and the vegetation types and species vary in
sensitivity, BI scores would be expected to differ even between two biosites identical in all
environmental characteristics when there are different species present. Therefore, limitations in
the biosite dataset can affect patterns and relationships observed in the BI scores. Additionally,
various environmental and genetic factors influence the exposure-response relationship, with the
most well understood being soil moisture conditions (ISA, Appendix 8, Section 8.2). Our
understanding of specific aspects of these influences on the relationship between O3 exposures,
the most appropriate exposure metrics, and the occurrence or severity of visible foliar injury is,
however, still incomplete.

8 Based on an approach used in the 2007 Staff Paper (and the associated temporal patterns of O3 concentrations in
data available at that time), a SUM06 index value of 2 5 ppm-hrs would be estimated to correspond to a W126
index of approximately 21 ppm-hrs (2007 Staff Paper, Appendix 7B, p. 7B-2).

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4C.5 LIMITATIONS AND UNCERTAINTIES

The purpose of the analyses and presentations summarized above was to investigate the
potential relationship between BI scores at USFS biosites and O3 in terms of the seasonal W126
index. The lack of a clear relationship (across W126 bins below 25 ppm-hrs) in the presentations
above may relate to inherent limitations and uncertainties in the different aspects of the dataset.
The limitations and uncertainties associated with aspects of the dataset developed for the 2014
WREA, and further investigated above, are presented here. In summarizing these below, they are
grouped into four areas: 1) biosite scores, 2) soil moisture categorization, 3) W126 index
estimates, and 4) combining of datasets.

Biosite data: Site selection, availability, and species presence also contribute to
uncertainty within the dataset and analysis. Data are lacking from many western states including
Montana, Idaho, Wyoming, Nevada, Utah, Colorado, Arizona, New Mexico, Oklahoma, and
portions of Texas. Furthermore, in certain states (California, Washington, and Oregon) exact
locations of sampled sites were not available, and these sites were assigned to the grid based on
publicly available geographic coordinates, increasing the level of uncertainty. Because the grid
sizes are relatively small, limiting the geographic skew of estimated location (7 km in any
direction), it is likely that these locations were at least assigned to adjacent grid cells. While the
extent of such differences and magnitude of any effect on the resultant dataset are unknown, it
may have relatively small difference and low magnitude of influence on the dataset (2014
WREA, p. 7-60).

Soil moisture categories: The use of the Palmer Z soil moisture index contributes
uncertainty of unknown directionality and magnitude. Short-term estimates of soil moisture can
be highly variable from month to month within a single year. Using averages contributes to a
potential temporal mismatch between soil moisture and injury. Soil moisture is also substantially
spatially variable, and the soil moisture data can be hundreds of miles wide in climate regions.
There is much diversity within regions, and some vegetation, such as that along riverbanks, may
experience sufficient soil moisture during periods of drought to exhibit foliar injury. All of these
factors contribute uncertainty to this categorization (2014 WREA, p. 7-61).

W126 index estimates: Ambient air quality measurements have some inherent
uncertainties (considered low [2014 WREA, p. 4-39]) associated with them. These uncertainties
relate to monitoring network design, O3 monitoring seasons, monitor malfunctions, wildlife and
wildfire/smoke impacts, and interpolations of missing data. There is likely somewhat greater
uncertainty associated with the assignment of W126 index estimates to all biosites due to the
need for interpolating between monitor sites to estimate concentrations in unmonitored areas

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(2014 WREA, sections 4A.2.1).9 Accordingly, there is relatively greater uncertainty associated
with sites at some distance from monitoring sites and lesser uncertainty in densely monitored
areas (2014 WREA, p. 4-40). Unfortunately, which sites are which is unknown.

Combining datasets: Uncertainty is associated with the combination of data types of
different spatial resolution. For example, the biosite scores are available at a much finer spatial
resolution than the W126 index estimates, which represent a much small spatial area than that
represented by the soil moisture categorization. Yet, as recognized above, soil moisture may vary
on much finer scales. To avoid losing resolution of the finest-scale dataset (the biosite scores),
the finest spatial resolution available was used (e.g., rather than averaging the BI scores across
the grids for which W126 index was estimated or across the climate regions for which the soil
moisture scores area available), although this approach contributes its own uncertainty.

There is also uncertainty in the combination step associated with the differing temporal
scales or time-of-year represented by the three types of data.

Overall, we recognize a number of limitations and uncertainties that may be affecting our
ability to identify a relationship between O3, as quantified by seasonal W126 index, and visible
foliar injury at USFS locations (based on BI scores), particularly at sites with W126 index
estimates at or below 25 ppm-hrs.

4C.6 SUMMARY AND KEY OBSERVATIONS

The following are key observations concerning the dataset presented in this appendix,
which includes the subset of USFS biosite data for the years 2006 through 2010, and for which
limitations and uncertainties are recognized in section 4C.5 above.

Full Dataset:

•	The combined dataset includes more than 5,000 records, each of which documents a biotic
index scores, soil moisture index value and W126 index estimate, for USFS biosites in 37
states in one or more years from 2006 to 2010.

•	The majority of the records are for W126 index estimates at or below 9 ppm-hrs, with
fewer than 10% of records assigned W126 index estimates above 15 ppm-hrs.

•	The BI scores (in all soil moisture categories) are quite variable, with at least half the
scores in nearly all bins being zero, and even the bin for the lowest W126 index estimates
(below 7 ppm-hrs) having at least one scores above 5 and 15.

•	With regard to soil moisture conditions most of the dataset (61% of all records) are for
soil moisture conditions categorized as normal. The remainder include somewhat more

9 Evaluations of the VNA interpolation technique describe correlations with monitoring data and indicate more
accurate prediction of monitoring data by the VNA method than use of an air quality model (2014 WREA,
section 4.A.3.1).

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records for wet soil moisture conditions than dry, with 23% of all records categorized as
wet soil moisture conditions and 16% as dry soil moisture.

Records in Wet Soil Moisture Category:

•	The wet soil moisture records are concentrated in the two lower W126 index bins which
contain nearly 90% of all records for this soil moisture category.

-	Accordingly, interpretations of patterns across W126 bins for this soil moisture
category are limited by small sample size across the bins. For example, the number of
records in each of the W126 bins above 13 ppm-hrs (ranging from zero to 9)
comprise less than 1% of the records in this soil moisture category.

Records in Normal Soil Moisture Category:

•	Among records in the normal soil moisture category, BI scores are noticeably increased in
the highest W126 index bin (index estimates above 25 ppm-hrs), averaging 7.9.

-	The percentages of records in this W126 bin with scores above 15 or above 5 are
more than three times greater than percentages for these score magnitudes in any of
the lower W126 index bins.

-	The average BI score for records in the highest W126 bin is also appreciably greater
than scores for records in the other bins. The average scores in the next two highest
W126 bins are 1.6 and 2.3, respectively, which are only slightly higher than average
scores for the rest of the bins, which vary from 0.8 to 1.2 without a clear relationship
to estimated W126 index.

-	Among the records in this category with nonzero scores, the highest average BI is
also in the highest W126 index bin (>25 ppm-hrs); in this case the BI is
approximately 15, more than double the next highest average scores across the other
W126 index bins (for which no other trend is exhibited). The proportion of records
with any injury is also highest in the highest W126 index bin; it is also slightly
increased in the next lower W126 bins compared to the rest (the bins at or below 17
ppm-hrs) across which there is little evident pattern.

Records in Dry Soil Moisture Category:

•	Dry soil moisture category records in the two highest W126 bins (>19 and > 25 ppm-hrs)
exhibit the greatest percentages of records with BI above 15 and above 5. For scores
above 15, the percentages are 7 and 8% compared to 0 to 3 % in the other bins, and for
scores above 5, the scores are 11 and 20% compared to 1 to 5% in the other bins.

In summary, the observations described here are generally consistent with the extensive
evidence base on foliar injury and O3, which indicates that foliar injury prevalence and severity
are generally higher at higher (compared to lower) O3 concentrations. The presentations here of
USFS data do not indicate clear trends in BI across the full range of W126 index estimates.
Rather, they indicate increased BI for the highest estimates, with the increase in both incidence
of higher scores and in average score being most clear for W126 index estimates above 25 ppm-
hrs, with a suggestion of slight increase for some records with W126 index estimates above 17 or

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1	19 ppm-hrs (dry soil moisture category). Variability as well as sample size limitations contribute

2	to the lack of more precise conclusions. Additionally, as indicated in the evidence summarized in

3	the ISA and prior scientific assessments, various environmental and genetic factors influence the

4	exposure-response relationship. Our understanding of specific aspects of these influences on the

5	relationship between O3 exposures, the most appropriate exposure metrics, and the occurrence or

6	severity of visible foliar injury is, however, still incomplete.

7

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REFERENCES

Campbell, SJ, Wanek, R and Coulston, JW (2007). Ozone injury in west coast forests: 6 years of
monitoring - Introduction. U.S. Department of Agriculture. Portland, OR.

Coulston, JW, Smith, GC and Smith, WD (2003). Regional assessment of ozone sensitive tree
species using bioindicator plants. Environmental Monitoring and Assessment 83(2): 113-
127.

Horsfall, J and Cowling, E (1978). Plant disease, an advanced treaties. Academic Press. New
York, NY.

Palmer, WC (1965). Meteorological drought. U.S. Department of Commerce. Washington, DC.
https://www.ncdc.noaa.gov/temp-and-precip/drought/docs/palmer.pdf.

Smith, G (2012). Ambient ozone injury to forest plants in Northeast and North Central USA: 16
years of biomonitoring. Environmental Monitoring and Assessment 184(7): 4049-4065.

Smith, GC, Morin, RS and McCaskill, GL (2012). Ozone injury to forests across the Northeast
and North Central United States, 1994-2010. General Technical Report NRS-103. United
States Department of Agriculture, US Forest Service, Northern Research Station.

Smith J. T.; Murphy, D. (2015). Memorandum to Ozone NAAQS Review Docket (EPA-HQ-
OAR-2008-0699). Additional Observations from WREA Datasets for Visible Foliar
Injury. September 24, 2015.. Docket ID No. EPA-HQ-OAR-2008-0699. Office of Air
Quality Planning and Standards Research Triangle Park, NC. Available at:
https://www.regulations.gov/contentStreamer7documentfd=EPA-HQ-OAR-2008-0699-
4250&contentType=pdf.

U.S. EPA (2006). Air Quality Criteria for Ozone and Related Photochemical Oxidants (Volume I
- III). Office of Research and Development U.S. EPA. EPA-600/R-05-004aF, EPA-
600/R-05-004bF, EPA-600/R-05-004cF February 2006. Available at:
https.Y/cfpub. epa.gov/ncea/risk/recordisplay. cfm ?deid=l49923.

U.S. EPA (2007). Review of the National Ambient Air Quality Standards for Ozone: Policy

Assessment of Scientific and Technical Information: OAQPS Staff Paper. Office of Air
Quality Planning and Standards. Research Triangle Park, NC. U.S. EPA. EPA-452/R-07-
003. January 2007. Available at:

https.Y/nepis. epa.gov/Exe/ZyPURL.cgi?Dockey=Pl0083VX. txt.

U.S. EPA (2013). Integrated Science Assessment of Ozone and Related Photochemical Oxidants
(Final Report). Office of Research and Development, National Center for Environmental
Assessment. Research Triangle Park, NC. U.S. EPA. EPA-600/R-10-076F. February
2013. Available at: https://nepis.epa.gov/Exe/ZyPURL.cgi?Dockey=P100KETF.txt.

U.S. EPA (2014). Welfare Risk and Exposure Assessment for Ozone (Final).. Office of Air

Quality Planning and Standards. Research Triangle Park, NC. U.S. EPA. EPA-452/P-14-

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1	005a August 2014. Available at:

2	https.Y/nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=Pl 00KB9D. txt.

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APPENDIX 4D

ANALYSIS OF THE W126 03 EXPOSURE INDEX AT U.S. AMBIENT AIR

MONITORING SITES

Table of Contents

4D.1 Overview	4D-2

4D.2 Data Handling	4D-2

4D.2.1 Data Retrieval and Preparation	4D-2

4D.2.2 Derivation of the 4th Max and W126 Metrics	4D-2

4D.2.3 Derivation of Temporal Trends	4D-4

4D.2.4 Identification of O3 Monitoring Sites in Federal Class I Areas	4D-5

4D.2.5 Assignment of Monitoring Sites to NOAA Climate Regions	4D-6

4D.3 Results	4D-6

4D.3.1 National Analysis Using Recent Air Quality Data	4D-6

4D.3.1.1 Comparison of the 4th Max and W126 Metrics	4D-8

4D.3.1.2 Relationships Between Metrics and the Annual W126 Index	4D-10

4D.3.2 National Analysis Using Historical Air Quality Data	4D-15

4D.3.2.1 Comparison of the 4th Max and W126 Metrics	4D-16

4D.3.2.2 Trends in W126 Metric	4D-18

4D.3.2.3 Comparison of Trends in the 4th Max and W126 Metrics	4D-20

4D.3.2.4 W126 Metric Values in Federal Class I Areas	4D-25

4D.4 Key Limitations and Uncertainties	4D-33

4D.5 Summary	4D-34

4D.6 References	4D-36

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4D.1 OVERVIEW

This appendix presents various analyses of ambient air monitoring data for ozone (O3)
concentrations in the U.S. relating to the W126-based cumulative exposure index. These
analyses focus on the annual maximum 3-month sum of daytime hourly weighted O3
concentrations, averaged over 3 consecutive years, hereafter referred to as the "W126 metric,"
calculated as described in section 2 below. These analyses examine spatial and temporal patterns
in the W126 metric using monitoring data from 2000 to 2020 and make various comparisons
between the W126 metric and design values for the current O3 standard (the annual 4th highest
daily maximum 8-hour O3 concentration, averaged over 3 consecutive years; hereafter referred to
as the "4th max metric"). Additional analyses assess the relative variability between the W126
metric and its constituent annual index values and the magnitude of W126 index values at
monitoring sites in or near federally protected ecosystems known as Class I areas. These
analyses are largely parallel to analyses that were completed for the last review of the O3
NAAQS (79 FR 75331, December 17, 2014; 80 FR 65385, October 26, 2015; U.S. EPA, 2014a,
Wells, 2014, Wells, 2015).

4D.2 DATA HANDLING

4D.2.1 Data Retrieval and Preparation

Hourly O3 concentration data were retrieved from the EPA's Air Quality System (AQS,
https://www.epa.gov/aqs) database for 2,021 ambient air monitoring sites which operated
between 2000 and 2020. These data were used to calculate W126 and 4th max metric values for
each 3-year period from 2000-2002 to 2018-2020. Before calculating these metrics, some initial
processing was done on the hourly data. First, data collected using monitoring methods other
than federal reference or equivalent methods, and data collected at monitoring sites not meeting
EPA's quality assurance or other criteria in 40 CFR part 58 were removed from the analysis.
Second, data collected by multiple monitoring instruments operating at the same location were
combined according to Appendix U to 40 CFR Part 50. Finally, data were combined across 108
pairs of monitoring sites approved for such combination by the EPA Regional Offices. The final
hourly O3 concentration dataset contained 1,808 monitoring sites.

4D.2.2 Derivation of the 4th Max and W126 Metrics

The 4th max metric values were calculated according to the data handling procedures in
Appendix U to 40 CFR part 50. First, moving 8-hour averages were calculated from the hourly
O3 concentration data for each site. For each 8-hour period, an 8-hour average value was
calculated if there were at least 6 hourly O3 concentrations available. Each 8-hour average was
stored in the first hour of the period (e.g., the 8-hour average from 12:00 PM to 8:00 PM is

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stored in the 12:00 PM hour). Daily maximum 8-hour average values were found using the 8-
hour periods beginning from 7:00 AM to 11:00 PM each day. These daily maximum values were
used if at least 13 of the 17 possible 8-hour averages were available, or if the daily maximum
value was greater than 70 parts per billion (ppb). Finally, the annual 4th highest daily maximum
value was found for each year, then averaged across each consecutive 3-year period to obtain the
final set of 4th max metric values in units of ppb. Any decimal digits in these values were
truncated for applications requiring direct comparison to a 4th max level (e.g., Table 4D-2),
otherwise, all decimal digits were retained. The 4th max metric values were considered valid if
daily maximum values were available for at least 90% of the days in the O3 monitoring season
(defined in Appendix D to 40 CFR part 58) on average across the three years, with a minimum of
75% of the days in the O3 monitoring season in any calendar year. In addition, 4th max metric
values were considered valid if they were greater than the 4th max levels to which they were
being compared.

The W126 metric values were calculated using the hourly O3 concentration data in parts
per million (80 FR 65374, October 26, 2015). For daytime hours (defined as the 12-hour period
from 8:00 AM to 8:00 PM Local Standard Time each day), the hourly concentration values at
each O3 monitoring site were weighted using the following equation:

Weighted 03 = 03 / (1 + 4403*exp (-126 * 03)).

These weighted values were summed over each calendar month, then adjusted for
missing data (e.g., if 80% of the daytime hourly concentrations were available, the sum would be
multiplied by 1/0.8 = 1.25) to obtain the monthly W126 index values. Monthly W126 index
values were not calculated for months where fewer than 75% of the possible daytime hourly
concentrations were available. Next, moving 3-month sums were calculated from the monthly
index values, and the highest of these 3-month sums was determined to be the annual W126
index. Three-month periods spanning multiple years (e.g., November to January, December to
February) were not considered in these calculations. The annual W126 index values were
averaged across each consecutive 3-year period to obtain the final W126 metric values, with
units in parts per million-hours (ppm-hrs). The W126 metric values were rounded to the nearest
unit ppm-hr for applications requiring direct comparison to a W126 level (e.g., Table 4D-3),
otherwise, all decimal digits were retained. For consistency with the 4th max metric calculations,
the W126 metric values were considered valid if hourly O3 concentration values were available
for at least 90% of the daytime hours during the O3 monitoring season on average across the
three years, with a minimum of 75% of the daytime hours during the O3 monitoring season in
any calendar year. Also, for consistency with the 4th max metric calculations, the W126 metric

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values were considered valid if they were greater than the W126 levels to which they were being
compared.

In summary, the "4th max metric" refers to the average of the 4th highest daily maximum
8-hour averages in three consecutive years and the "W126 metric" refers to the average of annual
W126 index values ("annual" or "single-year" W126 index) over three years. In the final dataset,
1,578 of the 1,808 O3 monitoring sites had sufficient data to calculate valid 4th max and W126
metric values for at least one 3-year period between 2000-2002 and 2018-2020. The number of
sites with valid 4th max and W126 metric values ranged from a low of 992 in 2000-2002 to a
high of 1,118 in 2015-2017, and 510 sites had valid 4th max and W126 metric values for all
nineteen 3-year periods.

4D.2.3 Derivation of Temporal Trends

Site-level trends for the W126 metric and annual W126 index values were computed in a
similar manner to the site-level trends for the 4th max metric presented in Chapter 2. Specifically,
for the annual W126 index, a site must have at least 75% annual data completeness for at least 16
of the 21 years, with no more than two consecutive years having less than 75% data
completeness in order to be included in the analysis. For the W126 metric, a site must have a
valid W126 metric value (according to the data completeness criteria presented in the previous
section) in at least 15 of the 19 3-year periods, and no more than two consecutive 3-year periods
that do not have valid W126 metric values. There were 822 sites meeting these criteria for the
annual W126 index and 666 sites meeting these criteria for the W126 metric. The national
median, 10th percentile, and 90th percentile values of these site-level trends are presented in
Figure 4D-9.

Other analyses presented in Section 4D.3.2.2 use trends in the 4th max and W126 metrics
as well as the annual W126 index calculated with non-parametric regression methods. These
trends were computed using the Theil-Sen estimator (Sen, 1968; Theil, 1950), a type of
regression method that chooses the median slope among all lines crossing through each possible
pair of sample points1. These trends are reported in units of ppb/yr for the 4th max metric or ppm-
hr/yr for the W126 metric and annual W126 index. The data completeness criteria described in
the previous paragraph were also applied to site for which these trends were calculated.2

1	For example, if applying this method to a dataset with W126 metric values for four consecutive years (e.g., W126i,

WI262, WI263, and W1264), the trend would be the median of the per-year changes observed in the six possible
pairs of values (e.g., the median of [W1264-W1263]/l, [W1263-W1262]/l, [W1262-W126i]/1, [W1264-W1262]/2,
[W1263- W126i]/2, and [W1264- W126i]/3).

2	For the 4th max metric, the data completeness criteria used were valid 4th max metric values (as defined in section

4D.2.2) in 15 of the 19 3-year periods, and no more than two consecutive periods that do not have valid 4th max

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Statistical tests for significance of the Theil-Sen estimator were computed using the non-
parametric Mann-Kendall test (Kendall, 1948; Mann; 1945).

4D.2.4 Identification of O3 Monitoring Sites in Federal Class I Areas

The Clean Air Act (section 162) designated certain federally areas as Class I areas. These
areas are federally mandated to preserve certain air quality values. Class I designation allows the
least amount of deterioration of existing air quality. Areas designated as Class I include all
international parks, national wilderness areas which exceed 5,000 acres in size, national
memorial parks which exceed 5,000 acres in size, and national parks which exceed 6,000 acres in
size, provided the park or wilderness area was in existence on August 7, 1977. There are 158
such areas (e.g., 44 FR 69122, November 30, 1979). Other areas may, and have been,
subsequently designated as Class I consistent with the CAA (section 162). As of January 2022,
six Class II areas on Tribal lands have been re-designated as Class I.3

To identify which O3 monitoring sites represented air quality in federal Class I areas,
shapefiles (i.e., files that specify area boundaries) for all 158 mandated federal Class I areas4
were downloaded from EPA's Environmental Dataset Gateway (EDG; https://edg.epa.govJ) and
augmented with the six tribal areas redesignated as Class I. These boundaries were matched to
the 1,808 O3 monitoring sites in the hourly O3 concentration dataset described in section 4D.2.1.
Since Class I areas include federally designated wilderness areas in which permanent structures
such as air monitoring trailers are prohibited, if there was no monitor located within the area
boundary, the matching was expanded to include the nearest monitoring site within 15 km of the
boundary. For each Class I area and 3-year period, if a 4th max or W126 metric value was not
available for the nearest monitor, the values from the next nearest monitor within 15 km were
used, where applicable. In addition, if a Class I area had multiple monitors inside the boundary,
we used the monitor with the highest 4th max metric value in each 3-year period. These monitors
were extracted from the 4th max and W126 dataset described in section 4D.2.2, yielding a final
Class I areas dataset with a total of 980 records that had valid 4th max and W126 metric values at
78 O3 monitoring sites representing 65 Class I areas (out of 164 total Class I areas).

metric values. There were 658 sites meeting these criteria, and all these sites also met the data completeness
criteria for the W126 metric and the annual W126 index.

3	The Class I areas on Tribal lands as of December 2020 are listed at:

https://www.nps.gov/subjects/air/tribalclassl.htm. Since then, one additional area has been designated Class I on
Tribal lands (84 FR 34306, July 18, 2019).

4	The set of Class I areas identified in 1977 are referred to here as "mandated."

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4D.2.5 Assignment of Monitoring Sites to NOAA Climate Regions

In order to examine regional differences, many of the further analyses were stratified into
the nine NOAA climate regions (Karl and Koss, 1984), which are shown in Figure 4D--1. Since
the NOAA climate regions only cover the contiguous U.S., Alaska was added to the Northwest
region, Hawaii was added to the West region, and Puerto Rico was added to the Southeast
region.

~	Northwest	ฆ WestNorthCentral ~ EastNorthCentral ~ Central	~ NorthEast

~	West	~ SouthWest	~ South	~ SouthEast

Figure 4D-1. Map of the nine NOAA climate regions.

4D.3 RESULTS

4D.3.1 National Analysis Using Recent Air Quality Data

This section presents various results based on the 4th max and W126 metrics for the 2018-
2020 period. Figure 4D-2 shows a map of the obseived VV126 metric values based on 2018-2020
data. From this figure, it is apparent that W126 metric values are generally at or below 13 ppm-
hrs in the eastern and northwestern U.S. In the U.S. as a whole, about 66% of all monitoring sites
recorded W126 metric values at or below 7 ppm-hrs, and about 93% of all monitoring sites
recorded W126 metric values at or below 17 ppm-hrs. The highest W126 metric values occur in
the southwestern U.S. where there are numerous monitoring sites with W126 metric values
above 17 ppm-hrs, however, none of these sites meet the current standard. Table 4D-1 shows the

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1	number of sites in each NOAA climate region that have a valid 2018-2020 design value meeting

2	the current standard and the number of sites in each region that have a 2018-2020 design value

3	not meeting the current standard.

• 0 - 7 ppm-hrs (720 sites) O 14-15 ppm-hrs (29 sites) • 18-58 ppm-hrs (77 sites)

^	O 8 -13 ppm-hrs (241 sites) O 16-17 ppm-hrs (21 sites) A 4th Max Value > 70 ppb

5	Figure 4D-2. Map of W126 metric values at U.S. O3 monitoring sites based on 2018-2020

6	data. Circles indicate monitoring sites with 4th max metric values less than or

7	equal to 70 ppb, while triangles indicate monitoring sites with 4th max metric

8	values greater than 70 ppb.

9	Table 4D-1. Number of O3 monitoring sites with valid 2018-2020 design values in each
10	NOAA climate region

NOAA Climate Region

Total # of
Sites

# of Sites with Design
Value < 70 ppb

# of Sites with Design
Value > 70 ppb

Central

203

179

24

1 asiNoithCentral

78

62

16 j

North East

179

160

19

Northwest

23

23

0 I

South

130

105

25 |

South East

157

157

0

Southwest

106

59

47

West

170

88

82 |

WeslNoilhCentral

44

44

0

National

1,090

I—
I—
CO

213

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4D.3.1.1 Comparison of the 4th Max and W126 Metrics

The following analyses make several comparisons between the 4th max and W126 metric
values (both of which are 3-year average metrics) based on 2018-2020 data. Table 4D-2 shows
the number of sites with 4th max metric values greater than each 4th max level, and the number of
sites with 4th max metric values less than or equal to each 4th max level. Table 4D-3 shows the
number of sites with W126 metric values greater than each W126 level, and the number of sites
with W126 metric values less than or equal to each W126 level.

The 4th max and W126 metric values were also compared to each combination of 4th max
and W126 levels based on 2018-2020 data. Table 4D-4 shows the number of sites with 4th max
metric values greater than each 4th max level, and W126 metric values less than or equal to each
W126 level (e.g., 127 sites had 4th max metric values greater than 70 ppb and W126 metric
values less than or equal to 13 ppm-hrs). Table 4D-5 shows the number of sites with 4th max
metric values less than or equal to each 4th max level, and W126 metric values greater than each
W126 level (e.g., 13 sites with a 4th max metric value at or below 70 ppb had a W126 metric
value greater than 13 ppm-hrs). Finally, Table 4D-6 shows the number of sites with 4th max
metric values greater than each 4th max level, and W126 metric values greater than each W126
level.

Table 4D-2. Number of sites with 4th max metric values greater than various 4th max levels
based on 2018-2020 data.

4th Max Level (ppb)

75

70

65

# of Sites > Level

!):•!

m

'168

# of Sites < Level

989

8//

629

Total # of SitesA

1.082

1.()!)()

1.0!)/

A For each 4lh max level, a site with a 4lh max metric value less than or equal to the level is
counted only if it meets the data completeness criteria described in section 4D.2.2, whereas a site
with a 4lh max metric value greater than the level is counted regardless of data completeness.
Therefore, the total number of sites may differ among the columns.

Table 4D-3. Number of sites with W126 metric values greater than various W126 levels
based on 2018-2020 data.

W126 Level (ppm-hrs)

19

17

15

13

11

9

7

# of Sites > Level

58

77

98

127

170

245

379

# of Sites < Level

1,027

1,009

991

963

921

850

722

Total # of SitesA

1.085

1.086

1.089

1,090

1.091

1.095

1.101

A For each W126 level, a site with a W126 metric value less than or equa
completeness criteria described in section 4D.2.2, whereas a site with a \
regardless of data completeness. Therefore, the total number of sites ma

to the level is counted only if it meets the data
VI26 metric value greater than the level is counted
y differ among the columns.

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1	Table 4D-4. Number of sites with 4th max metric values greater than various 4th max levels

2	and W126 metric values less than or equal to various W126 levels based on

3	2018-2020 data.

# Sites > 4th Max Level
AND < W126 Level

W126 Level (ppm-hrs)

19

17

15

13

11

9

7

4th Max
Level (ppb)

75

37

25

19

14

11

4

1

70

146

128

112

95

81

52

13

65

393

375

357

329

287

225

114

4	Table 4D-5. Number of sites with 4th max metric values less than or equal to various 4th

5	max levels and W126 metric values greater than various W126 levels based on

6	2018-2020 data.

# Sites < 4th Max Level

W126 Level (ppm-hrs)

AND > W126 Level

19

17

15

13

11

9

7

4th Max
Level (ppb)

75

3

9

21

44

83

14/

2/2

70

0

0

2

13

41

83

172

65

0

0

0

0

0

9

25

7	Table 4D-6. Number of sites with 4th max metric values greater than various 4th max levels

8	and W126 metric values greater than various W126 levels based on 2018-2020

9	data.

# Sites > 4th Max Level
AND > W126 Level

W126 Level (ppm-hrs)

19

17

15

13

11

9

7

4th Max
Level (ppb)

75

55

68

74

79

82

89

92

70

58

77

96

114

129

159

199

65

58

77

98

127

170

234

349

10

11	According to Table 4D-2, 9% of U.S. O3 monitoring sites had 2018-2020 4th max metric

12	values greater than 75 ppb, 19% of sites had 4th max metric values greater than 70 ppb, and 43%

13	of sites had 4th max metric values greater than 65 ppb. According to Table 4D-3, 7% of U.S. O3

14	monitoring sites had 2018-2020 W126 metric values greater than 17 ppm-hrs, 12% of sites had

15	W126 metric values greater than 13 ppm-hrs, and 34% of sites had W126 metric values greater

16	than 7 ppm-hrs. According to Table 4D-5, there were no monitoring sites with a 4th max metric

17	value less than or equal to 70 ppb and a W126 metric value greater than 17 ppm-hrs, only two

18	monitoring sites with a 4th max less than or equal to 70 ppb and a W126 greater than 15 ppm-hrs

19	in the 2018-2020 period.

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32

4D.3.1.2 Relationships Between Metrics and the Annual W126 Index

Figure 4D-3 shows a scatter plot comparing the 4th max (x-axis) and W126 (y-axis)
metric values (both 3-year averages) based on 2018-2020 data, with points colored by NOAA
climate region. This figure indicates that there is a strong, positive, non-linear relationship
between the 4th max and W126 metrics. The amount of variability in the relationship between the
4th max and W126 metrics appears to increase as the metric values themselves increase. The
relationship between the 4th max and W126 metrics also appears to vary across regions. In
particular, the Southwest and West regions (i.e., the southwestern U.S.) appear to have higher
W126 metric values relative to their respective 4th max metric values than the rest of the U.S.

Figure 4D-4 shows the same information as Figure 4D-3, but only for monitoring sites
meeting the current standard. This figure shows that all monitoring sites meeting the current
standard have W126 metric values of 16 ppm-hrs or less, and all sites outside the Southwest and
West climate regions have W126 metric values of 13 ppm-hrs or less.

Finally, Figure 4D-5 shows a scatter plot comparing the 4th max metric values (x-axis) to
the annual W126 index values (y-axis) based on 2018-2020 data, with points colored by NOAA
climate region. This figure shows that the annual W126 index values have a similar positive,
non-linear relationship with the 4th max metric values as the W126 metric values. As might be
expected, there is generally more variability in the relationship between the annual W126 index
values and the 4th max metric values than between the W126 metric values and the 4th max
metric values.

Figure 4D-6 shows a scatter plot of the deviations in the 2018, 2019, and 2020 annual
W126 index values (y-axis) from the 2018-2020 average W126 metric values (x-axis). This
figure shows that the magnitude of the annual W126 index deviations from the 3-year average
tend to increase as the W126 metric value increases. About 40% of the annual W126 index
values are within +/- 1 ppm-hr of the 3-year average value, about 73% are within +/- 2 ppm-hrs
of the 3-year average value, and about 96% are within +/- 5 ppm-hrs of the 3-year average value.
Figure 4D-7 also presents the deviations in the 2018, 2019, and 2020 annual W126 index values
from their respective 2018-2020 averages for the sites meeting the current standard. For these
sites, 42% of annual W126 index values are within 1 ppm-hr of the 3-yr average, 78% are within
2 ppm-hrs, and 99% are within 5 ppm-hrs (Figure 4D-7). From these two figures it can be seen
that lower 4th max metric values generally correspond to smaller inter-annual variation within
W126 metric values, especially for sites meeting the current standard.

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ฎ	Central

o	EastNorthCentral

o	NorthEast

O	Northwest

o	South

o	SouthEast

o	SouthWest

•	West

•	WestNorthCentral



•••

,.r3

40

50

60	70	80	90

4th Max Metric Value (ppb)

100

110

Figure 4D-3. Scatter plot of W126 metric values versus 4th max metric values (design
values) based on 2018-2020 monitoring data.

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o

CM

CO

CD

E

CL
CL

C\J

 -
u

L.

0)

2

ID OT
CM

to -1

CM -

ฎ Central

o EastNorthCentral
o NorthEast
o Northwest
o South
o SouthEast
o SouthWest

•	West

•	WestNorthCentral

er

o

o

o
-P

#



40

45

50	55	60

4th Max Metric Value (ppb)

65

70

2	Figure 4D-4. Scatter plot of W126 metric values versus 4th max metric values (design

3	values) at monitoring sites meeting the current standard based on 2018-2020

4	monitoring data.

Adarch 2023

41) 12 External Review Draft v2 - Do Not Quote or Cite


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o

CD

O
If)

m

5 o
E r*

CL
CL

X
0)

T3
_C

to -

2 8

=1

c

<

o

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ฎ Central

o EastNorthCentral
G NorthEast
o NorthWest
o South
o SouthEast
o SouthWest

•	West

•	WestNorthCentral

2018

2019

2020

4Ql

A *

* I „~

sj:-

—E •_	a

i 4

40

50

60	70	80	90

4th Max Metric Value (ppb)

100

110

Figure 4D-5. Scatter plot of annual W126 index values versus 4th max metric values
(design values) based on 2018-2020 monitoring data.

Adarch 2023

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2

">

-------
o

ฆ7 i	i	i	i	i	i	i	i	i	i

0	2	4	6	8 10 12 14 16 18 20

j	W126 Metric Value (ppm-hrs)

2	Figure 4D-7. Deviation in annual W126 index values from their respective 3-year averages

3	for all U.S. monitoring sites with 4th max metric values at or below 70 ppb in

4	2018-2020.

5	4D.3.2 National Analysis Using Historical Air Quality Data

6	This section presents various results based on the 4fh max and W126 metrics for the full

7	19-year period spanning years 2000 to 2020, Comparisons similar to those shown in section

8	4D.3.1 are shown in section 4D.3.2.1, trends in W126 are shown in section 4D.3.2.2, and several

9	comparisons of the trends in the 4th max and W126 metrics are shown in section 4D.3.2.3.

o

? " o Central	o Northwest	o Southwest	A 2018

O EastNorthCentral o South	• West	ฆ 2019

o NorthEast	O SouthEast	• WestNorthCentral	• 2020

i

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1

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9

10

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12

13

14

15

16

17

18

19

20

21

22

4D.3.2.1 Comparison of the 4th Max and W126 Metrics

Table 4D-7 to Table 4D-11 present similar information to Table 4D-2 to Table 4D-6,
respectively, except that the values shown in each cell contain the number of occurrences
summed over all 19 consecutive 3-year periods (2000-2002 to 2018-2020) instead of just the
2018-2020 period. For example, Table 4D-10 shows that over all 19 consecutive 3-year periods,
there were 276 occurrences where sites had 4th max metric values less than or equal to 70 ppb
and W126 metric values greater than 13 ppm-hrs. In general, the relative magnitudes of the
numbers shown in Table 4D-7 to Table 4D-11 compare well to their respective counterparts in
Table 4D-2 to Table 4D-6. According to Table 4D-10, there have been no occurrences over the
entire 21-year period where a site has had a 4th max metric value less than or equal to 70 ppb and
a W126 metric value greater than 19 ppm-hrs.5

Figure 4D-8 shows the distribution of annual W126 index values observed at sites during
3-year periods with different 4th max metric values (which are the design values for the current
standard). These distributions are illustrated by box-and-whisker plots with boxes showing the
25th, 50th, and 75th percentile of the annual W126 index values occurring with 4th max metric
values within each bin, whiskers extending to the 1st and 99th percentiles of the annual W126
index values, and points occurring outside the 1st and 99th percentiles represented by dots. This
figure shows that for the bin with the highest 4th max metric values meeting the current standard,
66-70 ppb, the 99th percentile of the annual W126 index values was about 19 ppm-hours, or in
other words, for sites meeting the current standard, annual W126 index values were less than or
equal to 19 ppm-hrs about 99% of the time.

5 There was a single occurrence of a site with a 4th max of 70 ppb and a W126 that when rounded, just equaled 19
ppm-hrs.

March 2023	4D-16 External Review Draft v2 - Do Not Quote or Cite


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1	Table 4D-7. Total number of 4th max metric values greater than various 4th max levels

2	based on all 17 consecutive 3-year periods (2000-2002 to 2018-2020).

4th Max Level (ppb)

75

70

65

Values > Level

6.8-18 (33";.)

n,H2 (53 a)

I!),!)'! / (/'I/o)

Values < Level

1 '1.()!.!) ((i/%)

10,039 (47%)

5,622 (26%)

Total # of ValuesA

20.90/

21,181

21,569

A For each 4lh max level, a site with a 4lh max metric value less than or equal to the level is
counted only if it meets the data completeness criteria described in section 4D.2.2, whereas a site
with a 4lh max metric value greater than the level is counted regardless of data completeness.
Therefore, the total number of values may differ among the columns.

3	Table 4D-8. Total number of W126 metric values greater than various W126 levels based

4	on all 17 consecutive 3-year periods (2000-2002 to 2018-2020).

W126 Level (ppm-hrs)

19

17

15

13

11

9

7

Values > Level

2,424

3,329

4,579

6,262

8,315

10,860

13,748

Values < Level

18,303

17,438

16,233

14,628

12,693

10,282

7,587

Total # of ValuesA

20.727

20.767

20.812

20.890

21.008

21.142

21.335

A For each W126 level, a site with a W126 metric value less than or egua
completeness criteria described in section 4D.2.2, whereas a site with a \
regardless of data completeness. Therefore, the total number of values rr

to the level is counted only if it meets the data
VI26 metric value greater than the level is counted
lay differ among the columns.

5	Table 4D-9. Total number of 4th max metric values greater than various 4th max levels and

6	W126 metric values less than or equal to various W126 levels based on all 17

7	consecutive 3-year periods (2000-2002 to 2018-2020).

Values > 4th Max Level
AND < W126 Level

W126 Level (ppm-hrs)

19

17

15

13

11

9

7

4th Max
Level (ppb)

75

'1,290

3,603

2,/19

1,/16

856

280

'11

70

8,228

7,372

6,228

4,837

3,254

1,529

408

65

12,650

11,785

10,580

8,975

7,056

4,781

2,340

8	Table 4D-10. Total number of 4th max metric values less than or equal to various 4th max

9	levels and W126 metric values greater than various W126 levels based on all
10 17 consecutive 3-year periods (2000-2002 to 2018-2020).

Values < 4th Max Level
AND > W126 Level

W126 Level (ppm-hrs)

19

17

15

13

11

9

7

4th Max
Level (ppb)

75

95

267

585

1,181

2,251

4,069

6,518

70

0

8

68

276

625

1,304

2,879

65

0

0

0

0

16

150

400

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12

Table 4D-11. Total number of 4th max metric values greater than various 4th max levels and
W126 metric values greater than various W126 levels based on all 17
consecutive 3-year periods (2000-2002 to 2018-2020).

Values > 4th Max Level
AND > W126 Level

W126 Level (ppm-hrs)

19

17

15

13

11

9

7

4th Max
Level (ppb)

75

2,318

3,032

3,940

4,982

5,895

6,506

6,761

70

2,424

3,317

4,500

5,946

7,615

9,420

10,611

65

2,424

3,329

4,579

6,262

8,295

10,685

13,286

O

E

Q_
Q_

X

a>

T3

c

CD
CM

r—

5

ra

3

c
c

<

<60 61-65 66-70 71-75 76-80
4th Max Metric Value (ppb)

> 80

Figure 4D-8. Annual W126 index values in ppm-hrs binned by 4th max metric values based
on monitoring data for years 2000-2020. Boxes show 25th, 50th, and 75th
percentiles, whiskers extend to the 1st and 99th percentiles, and points below the 1st
percentile or above the 99'h percentile are represented by dots.

4D.3.2.2 Trends in W126 Metric

Figure 4D-9 below shows national trends in both the annual VV126 index and the 3-year
W126 metric based on the monitoring sites reporting data for the full period. Most notably, the

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figure shows decreasing trends in W126 metric values, with the median value decreasing by
about 65% from 2002 to 2020. The annual W126 index shows considerable year-to-year
variability, with the median value sometimes increasing or decreasing by up to a factor of two
from one year to the next, while the 3-year average is less impacted by this inter-annual
variability, resulting in a smoother trend line.

m

OT-cMro^mtDr-coa)0'*-c\jro^rmtDr^ooa)o
OOOOOOOOOO^— T—	T— T— T— T— T— ฆ<— ฆ?— C\l

ooooooooooooooooooooo

CMCMCMCMCMCMCMCNJCMCMCMCNJCMCMCMCMCMCMCMCNJCM

Figure 4D-9. National trends in annual W126 index values (2000-2020) and W126 metric
values (2002-2020).

Figure 4D-10 shows a map of the site-level tr ends in the W126 metric values from 2000-
2002 to 2018-2020. According to Figure 4D-10, nearly 88% of U.S. monitoring sites
experienced significant decreases in W126 over this period, especially in the eastern U.S. and
California where many Os monitoring sites saw decreases of 0.5 ppm-hr/yr or more. Many
locations in the western U.S. experienced little or no change over this period. Only six monitors
in disparate locations showed significant increasing trends in the W126 metric during the 2002-
2020 period.

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Figure 4D-10.Map of trends in W126 metric values at U.S. O3 monitoring sites from 2000-
2002 to 2018-2020.

4D.3.2.3 Comparison of Trends in the 4lh Max and W126 Metrics

Figure 4D-11 shows a scatter plot comparing the trends in the 4th max metric values (x-
axis, ppb/yr) to the trends in the W126 metric values (y-axis, ppm hr/yr). These trends are
calculated using the Thiel-Sen estimator as in Figure 4D-10. The relationship between the trends
in the two metrics was linear and positive (Pearson correlation coefficient R = 0.81), meaning a
decrease in the 4 th max metric is usually accompanied by a decrease in the W126 metric. The
slope of the regression line shown in Table 41) 12 indicates that, on average, there was a change
of approximately 0.59 ppm hr in the W126 metric values per unit ppb change in the 4rtl max
metric values.

Figure 41) 12 shows scatter plots comparing the trends in the 4th max metric values (x
axis, ppb/yr) to the trends in the W126 metric values (y-axis, ppm-hr/yr) in each NOAA climate
region and the associated regression lines fit using the sites within each region. Table 4D -12
provides some summary statistics based on the regional trends comparisons. Figure 4D-12 and
Table 41) 12 show that the positive, linear relationship between the trends in the 4th max metric
values and the trends in the W126 metric values persists within each region, with Pearson
correlation coefficients ranging from 0.65 to 0.94. The regression lines shown in Figure 4D-12

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with slopes listed in Table 41) 12 indicate that the Southwest region, which had the greatest
potential for sites having higher VV126 metric values relative to their 4th max metric values, also
exhibited the greatest response in the W126 metric values per unit change in the 4th max metric
values. In Figure 4D-11 and Figure 4D-13 (as well as the West region panels in Figure 4D-12
and Figure 4D-14), there appear to be three sites in the West region with an increasing trend in
the W126 metric (slope > 0.3) and a decreasing trend in the 4th max metric (slope < -0.4). These
three sites are all located downwind of Los Angeles, CA and generally have 4th max metric
values of 100 ppb or greater, along with W126 metric values in the 30-50 ppm-hr range.

Figure 4D-13, Figure 4D-14 and Table 4D-13 present information similar to that shown
in Figure 41) 11. Figure 4D-12 and Table 4D-12, respectively, except that trends in annual W126
index values are presented instead of W126 metric values. The figures show that the same
general pattern occurs when comparing annual W126 index values to the 4th max metric values
as was seen for the W126 metric values. There is slightly more variability in the relationship, as
can be seen from the slight increase in scatter in the figures and the slightly lower correlation
values shown in Table 4D-12 as compared to Table 4D-11.

ฎ Central	o SouthEast

O EastNorthCentral o SouthWest
ฉ NorthEast	• West

Q Northwest	• WestNorthCentral

o South


-------
NorthWest	WestNorthCentral	EastNorthCentral

2	Figure 4D-12. Scatter plots comparing the trends in 4th max metric values (x-axis, ppb) and

3	W126 metric values (y-axis, ppni-hrs) based on Os monitoring sites within

4	each of the nine NO A A climate regions.

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Table 4D-12. Summary statistics based on regional comparisons of trends in 4th max metric
values to trends in W126 metric values.





Mean Trend in

Mean Trend in



Pearson



Number of 03

4th Max Metric

W126 Metric

Regression

Correlation

NOAA Climate Region

Sites

Value (ppb/yr)

Value (ppm-hr/yr)

Slope

Coefficient

Central

149

-1.06

-0.63

0.64

0,90

East North Central

45

-0.92

-0.38

0.39

0.75

Northeast

104

-1.33

-0.67

0.84

0,81

Northwest

12

-0.25

-0.06

0.23

0.79

South

83

-1.09

-0.55

0.40

0,65

Southeast

115

-1,22

-0.64

0.75

0.94

Southwest

39

-0.35

-0.24

0.93

0,83

West

102

-0.70

-0.49

0.83

0.76

West North Central

9

-0.16

-0.16

0.58

0,85

National

658

-1.00

-0.55

0.59

0.81

Trend in 4th Max Metric Value (ppb/yr)

Figure 4D-13. Scatter plot comparing trends in 4th max metric values (x-axis) and trends in
annual W126 index values (y-axis).

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NorthWest



WestNorthCentral



EastNorthCentral

































































































































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m













































































































































CN -

















CN -





















































































































-3



l

A
West





-



l

-2

1

-1

Central











I A
SouthEast

i



























































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•

•

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• •









































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mm
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SouthWest







3





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-1

South













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3	Figure 4D-14. Scatter plots comparing trends in 4th max metric values (x-axis, ppb) to

4	trends in annual W126 index values (y-axis, ppm-hrs) based on O3 monitoring

5	sites within each of the nine NO A A climate regions.

6

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Table 4D-13. Summary statistics based on regional comparisons of trends in 4th max metric
values and trends in annual W126 index values.







Mean Trend in









Mean Trend in

Annual W126



Pearson



Number of O3

4th Max Metric

Index Value

Regression

Correlation

NOAA Climate Region

Sites

Value (ppb/yr)

(ppm-hr/yr)

Slope

Coefficient

Central

149

-1.06

-0.56

0.64

0.88

East North Central

45

-0.92

-0.29

0.30

0.70

Northeast

104

-1.33

-0.61

0.75

0.79

Northwest

12

-0.25

-0.09

0.20

0.69

South

83

-1.09

-0.54

0.35

0.55

Southeast

115

-1.22

-0.61

0.67

0.91

Southwest

39

-0.35

-0.23

0.84

0.74

West

102

-0.70

-0.45

0.77

0.72

West North Central

9

-0.16

-0.15

0.50

0.80

National

658

-1.00

-0.50

0.55

0.78

4D.3.2.4 W126 Metric Values in Federal Class I Areas

Table 4D-14 below lists the 65 federal Class I areas for which we have monitoring data
available for at least one 3-year period within the 2000-2020 period from a monitor located
either within the area boundaries or within 15 km of the boundary. This summary table indicates
the number of three-year periods for which the two metrics are available, the number of periods
where 4th max metric values were at or below 70 ppb (i.e., when the current standard was met)
and the range of the W126 metric values (which are also 3-year averages) during those periods.
In total, the table is summarizing the 980 combinations of Class I areas and 3-year periods of
which 589 have a 4th max metric value at or below 70 ppb and 391 have a 4th max metric value
above 70 ppb. In the most recent period (2018-2020), of the 56 areas for which we have
monitors, 47 sites have 4th max metric values at or below 70 ppb.

Table 4D-15 lists the Class I areas with the highest W126 metric values when the 4th max
metric value is at or below 70 ppb. Among areas with a 4th max metric value at or below 70 ppb
during any of the 3-year periods from 2000 to 2020, five areas (all located in the Southwest
region) had one or more W126 metric values above 17 ppm-hrs, with the highest W126 metric
values equal to 19 ppm-hrs and the highest annual W126 index values equal to 23 ppm-hrs, when
rounded. All seven instances where a Class I area observed a 4th max metric value at or below 70
ppb and a W126 metric value above 17 ppm-hrs occurred prior to 2011. This contrasts with the
much higher values observed in Class I areas when the current standard is not met (Table 4D-
17). In the 2018-2020 period, the W126 metric values range up to 41 ppm-hrs at sites in Class I
areas when the standard is not met, with higher values in the historical Class I dataset.

Figure 4D-15 shows the distribution of annual W126 index values in Class I areas during
3-year periods with different 4th max metric values. The full distribution of annual W126 index

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values, including the minimum and maximums, increase with increasing 4th max metric values.
For example, the 99th percentile increases from about 20 ppm-hrs or lower to higher than 25
ppm-hrs for 4th max metric values at and below 70 ppb compared to 4th max metric values above
70 ppb. As indicated by Table 4D-15, the 3-year periods with the highest W126 metric values
occurring for 4th max metric values at or below 70 ppb occurred in the earlier years of the dataset
(2000-2010).

Table 4D-16 summarizes the occurrence of relatively higher annual W126 index values
in Class I areas during 3-year periods when the 4th max metric value is at or below 70 ppb. This
figure summarizes the W126 metric (i.e., 3-year average of annual W126 index values), as well
as maximum annual W126 index values in each 3-year period meeting the current standard. For
all instances of an area and 3-year period with a maximum annual W126 index value above 19
ppm-hrs, Figure 4D-16 illustrates the variation among the annual W126 index values and the
extent to which they differ from the 3-year average.

Finally, Table 4D-17 further documents the ranges of W126 metric values occurring
during periods when the 4th max metric value was above 70 ppb, indicating the extent to which
the current standard appears to be controlling the W126 metric.

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1	Table 4D-14. W126 metric values in Class I areas with 4th max metric values at or below 70

2	ppb (2000-2020).

NOAA Region





Number

Number
of 3-

Range of
W126

(number of Class





of 3-

year

Metric

1 areas1,
number of





year
periods

periods
with 4th

Values
when 4th

states1 with an





with

max<

max < 70

area in region)

State

Area Name2

data

70 ppb

ppb



Kentucky

Mammoth Cave National Park

19

9

5-11

Central
(7, 4)

Tennessee

Great Smoky Mountains National Park3 sw YP'LP'vp'RM'

BC.WP

19

8

6-10



West Virginia

Otter Creek Wilderness vp.Yp RM> *BC.Lp.wp

18

11

4-8



Michigan

Seney Wilderness Area*QA'RW *wp

17

9

4-6

EastNorthCentral



Boundary Waters Canoe Area Wilderness Area*sw





2-4

(6, 3)

Minnesota

QA, WP







Voyageurs National Park QA RM WP

15

15

2-6

North East
(6, 4)

Maine

Acadia National Park RW QA'sw wp

19

8

4-5

New Hampshire

Great Gulf Wilderness Area*wp

16

16

3-8

New Jersey

Brigantine Wilderness Area*BC

18

7

4-8



Idaho

Craters of the Moon Wilderness Area*DF'QA

13

13

6-13





Alpine Lakes Wilderness*DF'pp

19

17

2-6

Northwest

Washington

Mount Rainer National Park,DF

17

16

2-6

(29, 4)

North Cascades National Park*pp'DF'm

3

3

1-2





Olympic National ParkDF'm

8

8

1-6



Alaska

Denali National Park QA (Formerly Mt. McKinley Nat Pk)

19

19

2-4

South
(6, 4)

Arkansas

Caney Creek Wilderness Area*

14

8

4-7

Upper Buffalo Wilderness Area*SM

19

13

3-8

Texas

Big Bend National Park QA DF'pp

18

15

6-13



Alabama

Sipsey Wilderness*wp. RM> * Yp.Lp.vp

6

1

11



Florida

St. Marks Wilderness Area*

17

12

4-11



Georgia

Cohutta Wilderness Area*wp vp'YP

19

8

4-6





Great Smoky Mountains National Park*sw YP'LP'vp'RM'

See Tennessee for monitor with

South East
(16, 6)



BC, WP

highest design va

ue (4th max)

North Carolina

Linville Gorge Wilderness Area* vp>wp'RM'YP

19

15

5-11





Shining Rock Wilderness Area*

19

12

5-10



South Carolina

Cape Romain Wilderness*

17

10

3-8



Virginia

James River Face Wilderness*wp

19

13

3-10



Shenandoah National Park wp> vp>QA'RW sw YP

19

8

5-11

SouthWest
(38. 4)



Chiricahua National MonumentDF PP

19

11

11-17

Arizona

Grand Canyon National Park df,pp,qa

19

11

10-19



Mazatzal Wilderness Area DF'pp

19

2

15

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NOAA Region

(number of Class
1 areas1,
number of
states1 with an
area in region)

State

Area Name2

Number

of 3-

year

periods

with

data

Number
of 3-
year
periods
with 4th
max<
70 ppb

Range of

W126

Metric

Values

when 4th

max < 70

ppb





Petrified Forest National Park

11

11

11-17





Saguaro Wilderness Area*2 DF'pp

19

7

12-15





Superstition Wilderness Area*pp

19

1

13





Yavapai Reservation*QA' pp>DF

4

4

10-15





Maroon Bells-Snowmass Wilderness. Area*QA DF

14

14

11-19



Colorado

Mesa Verde National Park*pp DF

19

17

11-18



Rocky Mountain National Park*DF' pp>QA

19

5

13-15





Weminuche Wilderness Area*DF'pp

8

3

13-18



New Mexico

San Pedro Parks Wilderness*pp DF

5

5

11-14



Utah

Canyonlands National Parkpp'DF

18

12

10-15



Zion National Park* df.pp.qa

13

8

11-18





Agua Tibia Wilderness*DF

6

0

-





Cucamonga Wilderness Area*DF'pp

19

0

-





Desolation Wilderness Area*pp

8

4

8-13





Joshua Tree Wilderness Area*

19

0

-





Kaiser Wilderness Area*

1

0

-





Lassen Volcanic National ParkDF'pp

19

13

7-14

West
(32, 3)

California

Pinnacles Wilderness Area*

19

10

7-10

San Gabriel Wilderness Area*DF'pp

19

0

-



San Gorgonio Wilderness Area*pp QA

15

0

-





San Jacinto Wilderness Area*pp

19

0

-





San Rafael Wilderness Area*

19

11

5-9





Sequoia National Parkpp QA'DF

19

0

-





Ventana Wilderness Area*

19

19

2-4





Yosemite National ParkDF'pp QA

19

0

-



Hawaii

Hawaii Volcanoes National Park

2

2

0





Gates of the Mountain Wilderness Area*

8

8

3-6



Montana

Glacier National Park QA pp'DF

19

19

2-3

WestNorthCentral
(26, 4)



Northern Cheyenne Reservation*

9

9

3-5

North Dakota

Lostwood Wilderness*

15

15

4-5

Theodore Roosevelt National Park2 pp

18

18

4-7



South Dakota

Badlands Wilderness*

13

13

3-12



Wind Cave National Parkpp

12

12

5-15

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NOAA Region

(number of Class
1 areas1,
number of
states1 with an
area in region)

State

Area Name2

Number

of 3-

year

periods

with

data

Number
of 3-
year
periods
with 4th
max<
70 ppb

Range of

W126

Metric

Values

when 4th

max < 70

ppb





Bridger Wilderness*

15

14

9-16



Wyoming

Grand Teton National ParkDF QA

7

7

5-8





Yellowstone National ParkDF'QA

19

19

6-11

"The monitoring site is outside of the area but within 15 km of the area boundary.

1	Areas are counted in all regions and states with a Class I area.

2	The 2-letter superscripts associated with some area names are abbreviations for species documented to be present in the area for which
there is an established exposure-response function described in Appendix 4A: QA=Quaking Aspen, BC=Black Cherry, C=Cottonwood,
DF=Douglas Fir, LP=Loblolly Pine, PP=Ponderosa Pine, RM=Red Maple, SM=Sugar Maple, VP=Virginia Pine, YP=Yellow (Tulip) Poplar.
Sources include www.NPS.gov,www.inaturalist.org/guides,www.fs.usda.gov,www.msjnha.org/trees,www.wiiderness.net

3	This area has two monitors; it is represented by the one with consistently higher values.

1

2

3

Table 4D-15. Highest W126 metric values occurring in Class I areas when the 4th max
metric value is at or below 70 ppb (2000-2020).

Class I Area

State/County

4th max
Range

(ppb)

3-year Periods

W126 Metric
Range

(ppm-hrs)

Areas with W126 metric values above 17

Grand Canyon National Park

AZ/Coconino

70

2006-2008

19

Maroon Bells-Snowmass Wilderness

CO/Gunnison

70

2000-2002, 2001-2003,
2002-2004

18-19

Mesa Verde National Park

CO/Montezuma

70

2006-2008

18

Weminuche Wilderness A

CO/LaPlata

70

2006-2008

18

Zion National ParkB

UT/Washington

70

2008-2010

18

Areas with W126 metric values at or below 17 and above 15

Bridger Wilderness

WY/Sublette

70

2001-2003

16

Canyonlands National Park

UT/San Juan

70

2006-2008

17

Chiricahua National Monument

AZ/Cochise

69

2006-2008

17

Maroon Bells-Snowmass Wilderness

CO/Gunnison

68

2003-2005, 2004-2006,
2005-2007

16

Mesa Verde National Park

CO/Montezuma

67-70

2000-2002, 2001-2003
2002-2004, 2003-2005
2011-2013

16-17

Petrified Forest National Park

AZ/Navajo

70

2011-2013, 2012-2014

16-17

Zion National Park

UT/Washington

70

2007-2009, 2009-2011
2012-2014

16-17

A Monitoring site is 15.0 km from area.
B Monitoring site is 3.4 km from area.

March 2023

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4

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6

O
CD

O
LO

o.o
CL ^

X
0)

T3
C

CD O
CM CO

ซ5

C O

5 CM
<

<60 61-65 66-70 71-75 76-80
4th Max Metric Value (ppb)

> 80

Figure 4D-15. Range of annual W126 index values in ppm-hrs observed at monitoring sites
in Class I areas based on 2000-2020 monitoring data. Values are binned
according to 4th max metric values in ppb. Boxes show 25th, 50th, and 75th
percentiles, whiskers extend to 1st and 99th percentiles, and points below the 1st
percentile or above the 99th percentile are represented by dots.

7 Table 4D-16. Summary of Class I area W126 index values when 4th max is at/below 70 ppb.

Time period

Total number of
Area-DVs in time
period

(Number of areas)

Among areas with design values (DVs) < 70 ppb

Number of area-DVs with
W126 metric..,

(Number of areas)

\lumber of Area-DVs with
naximum annual W126 index...

Number of areas)

>19

>17

<17

>19

>17

<17

2018-2020

57 (56)

0

0

47 (46)

0

2 (2)A

45 (44)

2000-2020

980 (65)

0

7 (5) a

589 (56)

15 (10)B

39 (18)?

531 (55)

A These areas are all in the Southwest Region.

B All but two of these areas are in Southwest Region; the other two are in West and West North Central Regions. The highest maximum
annual W126 index value in dataset is 23 ppm-hrs of which there are four occurrences, all from prior to 2012 in SW. The most recent
maximum annual W126 index value above 19 ppm-hrs is during 2012-2014 period (in 2012) when there are three (20, 20 and 21 ppm-hrs).
:t All but eight of these areas are in Southwest Region; the others are in West, South, Central and West North Central Regions.

Adarch 2023

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1

to

C\j

o

CM

CL lO
Q_ r-

X

o>

"O
c

CD
CM

(0
3
c
c
<

~

~

a • i

s •

~ ~

~ ~

~

~

Chiricahua NM Wilderness
Desolation Wilderness
Grand Canyon NP
Maroon Bells-Snowmass Wilderness
Mazatzal Wilderness

Mesa Verde NP
Saguaro Wilderness
Weminuche Wilderness
Wind Cave National Park
Zion NP

3	Figure 4D-16. Range of annual W126 index values observed in each 3-year period where a

4	site in a Class I area had a design value meeting the current standard and had

5	at least one annual W126 index value greater than 19 ppm-lirs. Each vertical

6	column is one such 3-year period. Dots show annual W126 index values and

7	squares show the W126 metric value.

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4D-31 External Review Draft v2 - Do Not Quote or Cite


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1 Table 4D-17. W126 values in Class I areas with 4th max metric values above 70 ppb (2000-2020).

NOAA Region

W126 metric >19

W126 metric >17

W126 metric >15

W126 metric <15

Number
of areas

W126
metric
range
(ppm-hrs)

Annual

W126

index

range

(ppm-hrs)

Number
of areas

W126
metric
range
(ppm-hrs)

Annual

W126

index

range

(ppm-hrs)

Number
of areas

W126
metric
range
(ppm-hrs)

Annual

W126

index

range

(ppm-hrs)

Number
of areas

W126
metric
range
(ppm-hrs)

Annual

W126

index

range

(ppm-hrs)



2018-2020

Central

0

-

-

0

-

-

0

-

-

0

-

-

EastNorthCentral

0

-

-

0

-

-

0

-

-

0

-

-

NorthEast

0

-

-

0

-

-

0

-

-

0

-

-

NorthWest

0

-

-

0

-

-

0

-

-

0

-

-

South

0

-

-

0

-

-

0

-

-

0

-

-

SouthEast

0

-

-

0

-

-

0

-

-

0

-

-

SouthWest

0

-

-

0

-

-

2

17

11-21

0

-

-

West

7

20-41

14-47

8

19-41

12-47

8

19-41

12-47

0

-

-

WestNorthCentral

0

-

-

0

-

-

0

-

-

0

-

-



2000-2020

Central

1

20-31

9-37

2

19-31

9-37

2

16-31

9-37

3

9-15

6-22

EastNorthCentral

0

-

-

0

-

-

0

-

-

1

6-8

4-11

NorthEast

1

20

17-24

1

20

17-24

1

17-20

9-24

2

5-14

4-18

NorthWest

0

-

-

0

-

-

0

-

-

2

6-7

3-10

South

0

-

-

0

-

-

0

-

-

3

7-14

5-18

SouthEast

1

22

18-25

1

22

18-25

3

16-22

10-25

8

7-15

5-22

SouthWest

8

20-33

9-39

10

18-33

9-39

10

16-33

9-39

5

11-15

7-24

West

12

20-61

14-74

13

18-61

12-74

13

16-61

12-74

4

10-15

8-20

WestNorthCentral

0

-

-

0

-

-

1

17

14-19

0

-

-



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4D.4 KEY LIMITATIONS AND UNCERTAINTIES

This section summarizes key limitations and uncertainties associated with aspects of the
datasets analyzed in the preceding sections. The first section summarizes key limitations and
uncertainties associated with complete dataset monitoring sites in all U.S. locations (urban and
rural), which focus on patterns and relationships across all monitoring sites. The second section
concentrates on the Class I area sites. Overall, we recognize that while the datasets analyzed are
quite extensive (e.g., more than 1,100 sites covering all 50 states in the most recent 3-year
period), there are limitations and uncertainties associated with the spatial representation of O3
monitoring sites in rural areas and Class I areas, specifically.

Analyses of data for all U.S. monitoring sites: Given that there has been a longstanding
emphasis on urban areas in the EPA's monitoring regulations, urban areas are generally well
represented in the U.S. dataset, with the effect being that the current dataset is more
representative of locations where people live than of complete spatial coverage for all areas in
the U.S., (i.e., the current dataset is more population weighted than geographically weighted).
Thus, the spatial coverage of the current O3 monitoring network may be less representative of
natural areas which tend to be more sparsely populated. As O3 precursor sources are also
generally more associated with urban areas, one impact of this may be a greater representation of
relatively higher concentration sites. One method that has been suggested to create a more
geographically representative dataset is the use of photochemical air quality modeling to estimate
concentrations. However, this approach has been found to present its own uncertainties with
regard to estimating annual W126 index values (U.S. EPA, 2014b, Appendix 4A), making it less
useful for the current analyses.

Dataset for Class I monitoring sites: A limitation of this dataset is that it includes sites
in only 65 of the 164 Class I areas in the U.S. The representation of states containing Class I
areas is somewhat greater, with monitoring sites in Class I areas in 29 of the 36 states that have
such an area. All nine NOAA climate regions are represented. As can be seen from Figure 4D-2,
sites outside of Class I areas in the states not represented (LA, MO, NV, OK, OR, VT, WI) have
W126 metric values at or below 13 ppm-hrs during the recent 3-year period (2018-2020). Across
the states represented in the dataset, the fraction of a given state's Class I areas included in the
dataset generally ranges from about a third to 100%. An exception to that is New Mexico, for
which a monitoring site is in or near only one of the nine Class I areas in the state. This contrasts
with neighboring Arizona, also in the Southwest region and for which more than half the Class I
areas are represented in the dataset.

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4D.5 SUMMARY

The preceding sections present analyses based on 21 years of O3 concentration data
reported at monitoring sites across the U.S. These analyses, intended to inform the review of the
current O3 secondary standard, investigate spatial and temporal patterns in the W126 metric
using monitoring data from 2000 to 2020 and the extent of relationships between the W126
metric, annual W126 index values and design values for the current secondary O3 standard (i.e.,
the 4th max metric). Further analyses of O3 concentrations in or near federally protected
ecosystems known as Class I areas focus on examining the levels and distributions of levels of
the W126 metric and the annual W126 index occurring in such areas when the current secondary
standard is met and also when the current secondary standard is not met.

The analyses based on recent (2018-2020) data showed that about one in five U.S. sites
had 4th max metric values greater than the current standard level of 70 ppb. By contrast, only
about 1 in 14 U.S. sites had W126 metric values greater than 17 ppm-hrs, and about 1 in 9 U.S.
sites had W126 metric values greater than 13 ppm-hrs. There were O3 monitors exceeding the
current standard level of 70 ppb in 6 of 9 climate regions, while only two regions, the West and
Southwest, had O3 monitors with W126 metric values exceeding 13 ppm-hrs.

When examining the 4th max and W126 metrics in combination, the 2018-2020 data
showed that there were many U.S. O3 sites with 4th max metric values exceeding the current
standard that had W126 metric values less than or equal to 17 ppm-hrs (128) and 13 ppm-hrs
(95). By contrast, there were relatively few sites meeting the current standard that had W126
metric values greater than 13 ppm-hrs (13); and there were no sites that had a W126 metric value
above 17 ppm-hrs. The 13 sites that met the current standard and had W126 metric values greater
than 13 ppm-hrs were located exclusively in the Southwest and West climate regions, whereas
the 95 sites that exceeded the current standard and had W126 metric values less than or equal to
13 ppm-hrs had a much broader geographic distribution.

Among O3 monitoring sites in Federal Class I areas, few areas since 2000 have had 4th
max metric values meeting the current standard and W126 metric values above 17 ppm-hrs, the
most recent of which occurred during the 2012-2014 period. These instances are all in or near
Class I areas in the Southwest region, with the highest (19 ppm-hrs) occurring during the 2006-
2008 period.

The analysis of inter-annual variability shows that the distribution of annual W126 index
deviations from their respective 3-year averages generally increase with increasing W126 metric
values. For sites with W126 metric values below 20 ppm-hrs (e.g., focusing on W126 metric
values that have occurred with 4th max metric values at or below 70 ppb), the annual deviation
was generally within 5 ppm-hrs. Additionally, well over 99% of 4th max metric values meeting

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the current standard were associated with annual W126 index values of less than or equal to 19
ppm-hrs.

The trends analysis showed that both W126 metric values and annual W126 index values
have generally decreased since 2000, with U.S. median W126 metric values decreasing by over
65%, from 17 ppm-hrs in 2002 to less than 6 ppm-hrs in 2020. A substantial number of U.S. sites
have experienced decreases of over 10 ppm-hrs in the past decade, particularly in the eastern
U.S.

The analysis comparing trends in the 4th max metric values and to trends in the W126
metric values based on data from 2000-2020 showed that there was a positive, linear relationship
between the per-year changes in the 4th max and W126 metrics. Nationally, the W126 metric
values decreased by approximately 0.6 ppm-hr per unit ppb decrease in the 4th max metric
values. This relationship varied across the NOAA climate regions. The Southwest and West
regions which showed the greatest potential for exceeding only the W126 levels of interest also
showed the greatest improvement in the W126 metric values per unit decrease in 4th max metric
values. This analysis indicates that W126 metric values in those areas not meeting the current
standard would be expected to decline as the 4th max metric values are reduced to meet the
current standard, consistent with the relationship shown in Figure 4D-11.

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4D.6 REFERENCES

Karl, T and Koss, WJ (1984). Regional and national monthly, seasonal, and annual temperature
weighted by area, 1895-1983. 4-3. National Environmental Satellite and Data
Information Service (NESDIS). Asheville, NC.

U.S. EPA (2014a). Policy Assessment for the Review of National Ambient Air Quality

Standards for Ozone (Final Report). Office of Air Quality Planning and Standards, Health
and Environmental Impacts Divison. Research Triangle Park, NC. U.S. EPA. EPA-
452/R-14-006 August 2014. Available at:
https://nepis. epa.gov/Exe/ZyPDF. cgi?Dockey=Pl 00KCZ5. txt.

U.S. EPA (2014b). Welfare Risk and Exposure Assessment for Ozone (Final) with Executive
Summary and Appendices. Office of Air Quality Planning and Standards. Research
Triangle Park, NC. U.S. EPA. EPA-452/P-14-005a, EPA-452/R-14-005b and EPA-
452/R-14-005c February 2014. Available at:
https.Y/nepls. epa.gov/Exe/ZyPURL. cgi?Dockey=Pl OOKQLJ. txt.

Wells, B. (2014). Memorandum to Ozone NAAQS Review Docket (EPA-HQ-OAR-2008-0699).
Comparison of Ozone Metrics Considered in Current NAAQS Review. November 20,
2014. Docket ID No. EPA-HQ-OAR-2008-0699. Available at:
https://www.regulations.gov/contentStreamer?documentId=EPA-HQ-OAR-2008-0699-
0155&contentType=pdf.

Wells, B. (2015). Memorandum to Ozone NAAQS Review Docket (EPA-HQ-OAR-2008-0699).
Expanded Comparison of Ozone Metrics Considered in the Current NAAQS Review.
September 28, 2015. Docket ID No. EPA-HQ-OAR-2008-0699. Available at:
https://www.regulations.gov/contentStreamer?documentId=EPA-HQ-OAR-2008-0699-
4325&contentType=pdf.

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1	APPENDIX 4E

2	OZONE WELFARE EFFECTS AND RELATED ECOSYSTEM

3	SERVICES AND PUBLIC WELFARE ASPECTS

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1	Table 4E-1. Ecosystem services and aspects of public welfare potentially affected by the

2	different types of O3 welfare effects.

03 Effect*

Aspect of Public Welfare Potentially Affected (Examples)6

Ecosystem
Servicesc

Visible foliar injury

•	Appearance and scenic beauty of forests wilderness areas, including
federal, tribal, state, municipally protected areas

•	Quality of specific agricultural crops, plant leaf products

•	Appearance of plants in residential/commercial areas (ornamentals)

Cultural
Recreation
Provisioning

Reduced vegetation growth

•	Food, raw material, and unique biological material and product
production

•	Shade provision

•	Quality of plants of cultural importance to Native American Tribes

•	Changes to national yield and prices

Cultural
Provisioning

Reduced plant reproduction

Reduced yield and quality
of agricultural crops

Reduced productivity in
terrestrial ecosystems

Reduced carbon
sequestration in terrestrial
systems

•	Regulation/control of climatological features and meteorological
phenomena

•	Changes in pollution removal in urban areas

Regulating
Supporting

Increased tree mortality

•	Regulation/control of wildfires

•	Regulation of erosion and soil stability

•	Decline of ecosystem services provided by trees (see Table 4E-2)

Regulating
Cultural
Supporting
Provisioning

Alteration of terrestrial
community composition

•	Intrinsic value of areas specially protected from anthropogenic
degradation

•	Production of preferred species of timber

•	Preservation of unique or endangered ecosystems or species

•	Species diversity in protected areas

Cultural
Provisioning
Supporting

Alteration of belowground
biogeochemical cycles

•	Soil quality

•	Soil nutrient cycling, decomposition, and availability

•	Carbon storage

•	Regulation of soil fauna and microbial communities

•	Water quality and resource management

•	Regulation of hydraulic flow

Supporting
Regulating

Alteration of ecosystem
water cycling

•	Water quality and resource management

•	Regulation of hydraulic flow

Provisioning
Regulating
Supporting

Altered of herbivore growth
and reproduction

• Food sources, habitat, and protection for native fauna

Supporting
Regulating

Alteration of plant insect
signaling

•	Plant-pollinator interactions

•	Timber and agricultural plant resistance to insect pest damage

Supporting
Provisioning

Radiative forcing and
related climate effects

• Regulation/control of meteorological phenomena

Regulating

NOTE: Sources include ISA (Appendix 8, Fiaure 8-1 and Table 8-1) and 2014 WREA (Section 5).

A Effects identified as causally or likely causally related to O3 (draft ISA, Appendices 8 and 9).

B Examples provided in Costanza etal., 2017) and 2014 WREA, Section 5 (U.S. EPA, 2014)

c Description of Ecosystem Services in 2013 ISA, Section 9.4.1.2 and in the 2014 WREA, Section 5.1:

•	Regulating. Services of importance for human society such as carbon sequestration, climate and water regulation, protection from
natural hazards such as floods, avalanches, or rock-fall, water and air purification, and disease and pest regulation.

•	Supporting: The services needed by all the other ecosystem services, either indirectly or directly, such biomass production, production
of atmospheric 02, soil formation and retention, nutrient cycling, water cycling, biodiversity, and provisioning of habitat.

•	Provisioning: Services that include market goods, such as food, water, fiber, and medicinal and cosmetic products

•	Cultural, services that satisfy human spiritual and aesthetic appreciation of ecosystems and their components including recreational and
other nonmaterial benefits

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1	Table 4E-2. Ecosystem services and specific uses of the 11 tree species with robust E-R

2	functions for reduced growth.

Tree Species

O3 Effect

Role in Ecosystems and Public Uses

Black Cherry
Prunus serotina

Biomass loss,
Visible foliar injury

Cabinets, furniture, paneling, veneers, crafts, toys; Cough remedy, tonic, sedative;
Flavor for rum and brandy; Wine making and jellies; Food and habitat for songbirds,
game birds, and mammals

Eastern White Pine
Pinus strobus

Biomass loss

Commercial timber, furniture, woodworking, and Christmas trees; Medicinal uses as
expectorant and antiseptic; Food and habitat for songbirds and mammals; Used to
stabilize strip mine soils

Quaking Aspen
Populus tremuloides

Biomass loss,
Visible foliar injury

Commercial logging for pulp, flake-board, pallets, boxes, and plywood; Products
including matchsticks, tongue depressors, and ice cream sticks; Valued for its white
bark and brilliant fall color; Important as a fire break Habitat for variety of wildlife;
Traditional native American use as a food source

Yellow (Tulip) Poplar
Liriodendron tulipifera

Biomass loss,
Visible foliar injury

Furniture stock, veneer, and pulpwood; Street, shade, or ornamental tree - unusual
flowers; Food and habitat for wildlife; Rapid growth for reforestation projects

Ponderosa Pine
Pinus ponderosa

Biomass loss,
Visible foliar injury

Lumber for cabinets and construction; Ornamental and erosion control use;
Recreation areas; Food and habitat for many bird species, including the red-winged
blackbird, chickadee, finches, and nuthatches

Red Alder
Alnus rubra

Biomass loss,
Visible foliar injury

Commercial use in products such as furniture, cabinets, and millwork; Preferred for
smoked salmon; Dyes for baskets, hides, moccasins; Medicinal use for rheumatic
pain, diarrhea, stomach cramps - the bark contains salicin, a chemical similar to
aspirin; Roots used for baskets; Food and habitat for mammals and birds - dam and
lodge construction for beavers; Conservation and erosion control

Red MapleA
Acerrubrum

Biomass loss

One of the most abundant and widespread trees in eastern U.S. Used for
revegetation, especially in riparian buffers and landscaping, where it is valued for its
brilliant fall foliage, some lumber and syrup production; Important wildlife browse
food, especially for elk and white-tailed deer in winter, also leaves are important food
source for some species of butterflies and moths.

Virginia Pine
Pinus virginiana

Biomass loss,
Visible foliar injury

Pulpwood, stabilization of strip mine spoil banks and severely eroded soils; Nesting
for woodpeckers, food and habitat for songbirds and small mammals

Sugar Maple
Acer saccharum

Biomass loss

Commercial syrup production; Native Americans used sap as a candy, beverage -
fresh or fermented into beer, soured into vinegar and used to cook meat; Valued for
its fall foliage and as an ornamental; Commercial logging for furniture, flooring,
paneling, and veneer; Woodenware, musical instruments; Food and habitat for many
birds and mammals

Loblolly Pine*

Biomass loss,
visible foliar injury

Most important and widely cultivated timber species in the southern U.S.; Furniture,
pulpwood, plywood, composite boards, posts, poles, pilings, crates, boxes, pallets.
Also planted to stabilize eroded or damaged soils. It can be used for shade or
ornamental trees, as well as bark mulch; Provides habitat, food and cover for white-
tailed deer, gray squirrel, fox squirrel, bobwhite quail and wild turkey, red-cockaded
woodpeckers, and a variety of other birds and small mammals. Standing dead trees
are frequently used for cavity nests by woodpeckers.

Douglas Fir

Pseudotsuga menziesii

Biomass loss

Commercial timber and used for Christmas trees; Medicinal uses, spiritual and
cultural uses for several Native American tribes; Spotted owl habitat; Food and
habitat for mammals including antelope and mountain sheep

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Tree Species

O3 Effect

Role in Ecosystems and Public Uses

Sources: 2014 WREA, USDA-NRCS (2013); Burns and Honkala, 1990).

"Red maple information from https://www.srs.fs.usda.gov/pubs/misc/ag_654/volume_2/silvics_v2.pdf

'Loblolly pine use information from

https://projects.ncsu.edu/project/dendrology/index/plantae/vascular/seedplants/gymnosperms/conifers/pine/pinus/australes/loblolly/ioblollypine.html.

REFERENCES

Burns, RM and Honkala, BH, Eds. (1990). Volume 1: Conifers: Abies balsamea (L.) mill.
Balsam fir. Agriculture Handbook 654. U.S. Department of Agriculture, U.S. Forest
Service Washington, DC.

Costanza, R, De Groot, R, Braat, L, Kubiszewski, I, Fioramonti, L, Sutton, P, Farber, S and

Grasso, M (2017). Twenty years of ecosystem services: How far have we come and how
far do we still need to go? Ecosystem Services 28: 1-16.

U.S. EPA (2014). Welfare Risk and Exposure Assessment for Ozone (Final).. Office of Air

Quality Planning and Standards. Research Triangle Park, NC. U.S. EPA. EPA-452/P-14-
005a August 2014. Available at:

https://nepis. epa.gov/Exe/ZyPURL. cgi?Dockey=Pl 00KB9D. txt.

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APPENDIX 4F

ANALYSIS OF THE N100 AND D100 OZONE CONCENTRATION
METRICS AT U.S. AMBIENT AIR MONITORING SITES

TABLE OF CONTENTS

4F.1. Overview 	4F-2

4F.2. Data Handling	4F-2

4F.2.1 Data Retrieval and Preparation	4F-2

4F.2.2 Derivation of the Metrics	4F-2

4F.2.3 Assignment of Monitoring Sites to NOAA Climate Regions	4F-4

4F.3. Results 	4F-5

4F.3.1 National Analysis Using Recent Air Quality Data	4F-5

4F.3.2 National Analysis Using Historical Air Quality Data	4F-21

4F.4. Summary 	4F-25

4F.5. References	4F-27

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4F.1 OVERVIEW

This technical memorandum presents various analyses of ambient air monitoring data for
ozone (O3) concentrations in the U.S. relating to the form and averaging time of the current
secondary standard and some metrics reported in environmental assessments. These metrics
include the W126-based cumulative exposure index, the N100 (number of hours at or above 100
ppb), and D100 (number of days with one or more hours at or above 100 ppb). The calculation of
these metrics is described in Section 4F.2 below. These analyses describe relationships between
the three environmental metrics and the design values for the current standard (the annual 4th
highest daily maximum 8-hour O3 concentration, averaged over 3 consecutive years; hereafter
referred to as the "4th max metric"). The analyses presented here are an extension of analyses
that are presented Section 2.4.5, Appendix 2A, and Appendix 4D of the Policy Assessment for
the review (U.S. EPA, 2022).

4F.2 DATA HANDLING

4F.2.1	Data Retrieval and Preparation

Hourly O3 concentration data were retrieved from the EPA's Air Quality System (AQS,
https://www.epa.gov/aqs) database for 2,021 ambient air monitoring sites which operated
between 2000 and 2020. These data were used to calculate W126 and 4th max metric values for
each 3-year period from 2000-2002 to 2018-2020. Before calculating these metrics, some initial
processing was done on the hourly data. First, data collected using monitoring methods other
than federal reference or equivalent methods and data collected at monitoring sites not meeting
EPA's quality assurance or other criteria in 40 CFR part 58 were removed from the analysis.
Second, data collected by multiple monitoring instruments operating at the same location were
combined according to Appendix U to 40 CFR Part 50. Finally, data were combined across pairs
of monitoring sites approved for such combination by the EPA Regional Offices. The final
hourly O3 concentration dataset contained 1,808 monitoring sites.

4F.2.2	Derivation of the Metrics

The 4th max metric values were calculated according to the data handling procedures in
Appendix U to 40 CFR part 50. First, moving 8-hour averages were calculated from the hourly
O3 concentration data for each site. For each 8-hour period, an 8-hour average value was
calculated if there were at least 6 hourly O3 concentrations available. Each 8-hour average was
stored in the first hour of the period (e.g., the 8-hour average from 12:00 PM to 8:00 PM is
stored in the 12:00 PM hour). Daily maximum 8-hour average values were found using the 8-
hour periods beginning from 7:00 AM to 11:00 PM each day. These daily maximum values were
used if at least 13 of the 17 possible 8-hour averages were available, or if the daily maximum

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value was greater than 70 parts per billion (ppb). Finally, the annual 4th highest daily maximum
value was found for each year, then averaged across each consecutive 3-year period to obtain the
final set of 4th max metric values in units of ppb. Any decimal digits in these values were
truncated for applications requiring direct comparison to a 4th max level (e.g., Table 1),
otherwise, all decimal digits were retained. The 4th max metric values were considered valid if
daily maximum values were available for at least 90% of the days in the O3 monitoring season
(defined in Appendix D to 40 CFR part 58) on average across the three years, with a minimum of
75% of the days in the O3 monitoring season in any calendar year. In addition, 4th max metric
values were considered valid if they were greater than the 4th max levels to which they were
being compared.

The W126 metric values were calculated using the hourly O3 concentration data in parts
per million (80 FR 65374, October 26, 2015). For daytime hours (defined as the 12-hour period
from 8:00 AM to 8:00 PM Local Standard Time each day), the hourly concentration values at
each O3 monitoring site were weighted using the following equation:

Weighted 03 = 03 / (1 + 4403*exp(-126 * 03)).

These weighted values were summed over each calendar month, then adjusted for
missing data (e.g.; if 80% of the daytime hourly concentrations were available, the sum would be
multiplied by 1/0.8 = 1.25) to obtain the monthly W126 index values. Monthly W126 index
values were not calculated for months where fewer than 75% of the possible daytime hourly
concentrations were available. Next, moving 3-month sums were calculated from the monthly
index values, and the highest of these 3-month sums was determined to be the annual W126
index. Three-month periods spanning multiple years (e.g., November to January, December to
February) were not considered in these calculations. The annual W126 index values were
averaged across each consecutive 3-year period to obtain the final W126 metric values, with
units in parts per million-hours (ppm-hrs). The W126 metric values were rounded to the nearest
unit ppm-hr for applications requiring direct comparison to a W126 level (e.g., Table 1),
otherwise, all decimal digits were retained. For consistency with the 4th max metric calculations,
the W126 metric values were considered valid if hourly O3 concentration values were available
for at least 90% of the daytime hours during the O3 monitoring season on average across the
three years, with a minimum of 75% of the daytime hours during the O3 monitoring season in
any calendar year. For consistency with the 4th max metric calculations, the W126 metric values
were considered valid if they were greater than the W126 levels to which they were being
compared.

The N100 metric was calculated as the maximum number of hours with an hourly O3
concentration of 100 ppb or greater in the three consecutive calendar months yielding the highest

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number in a given year. Similarly, the D100 metric was calculated as the maximum number of
days with at least one hourly O3 concentration of 100 ppb or greater in the three consecutive
calendar months yielding the highest number in a given year. These metrics were considered
valid if the annual data completeness rate for the O3 monitoring season was at least 75 percent.

In summary, the "4th max metric" refers to the average of the 4th highest daily maximum
8-hour averages in three consecutive years and the "W126 metric" refers to the average of annual
W126 index values ("annual" or "single-year" W126 index) over three years. Where a single-
year value is intended, it is referred to as annual or single-year. In the final dataset, 1,757 of the
1,808 03 monitoring sites had sufficient data to calculate valid annual 4th max, W126, N100 and
D100 values for at least one year between 2000 and 2020. The number of sites with valid annual
metric values ranged from 1,102 in 2000 to 1,225 in 2014, and 586 sites had valid annual metric
values in all 21 years. Additionally, 1,578 of the 1,808 O3 monitoring sites had sufficient data to
calculate valid 4th max and W126 metric values for at least one 3-year period between 2000-
2002 and 2018-2020. The number of sites with valid 4th max and W126 metric values ranged
from a low of 992 in 2000-2002 to a high of 1,118 in 2015-2017, and 510 sites had valid 4th max
and W126 metric values for all nineteen 3-year periods.

4F.2.3	Assignment of Monitoring Sites to NOAA Climate Regions

In order to examine regional differences, many of the further analyses were stratified into
the nine NOAA climate regions (Karl and Koss, 1984), which are shown in Figure 4F-1. Since
the NOAA climate regions only cover the contiguous U.S., Alaska was added to the Northwest
region, Hawaii was added to the West region, and Puerto Rico was added to the Southeast
region.

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NorthWest	ฆ WestNorthCentral ~ EastNorthCentral ฆ Central	H NorthEast

West	~ SouthWest	~ South	~ SouthEast

Figure 4F-1. Map of the nine NOAA climate regions.

4F.3 RESULTS

4F.3.1 National Analysis Using Recent Air Quality Data

This section presents various results based on the annual 4th max, W126. N100, and D100
metrics as well as the 3-year average 4tb max and W126 metrics1 for the 2018-2020 period.

Figure 4F-2 and Figure 4F-3 show maps of the average annual N100 and D100 values,
respectively, at sites with valid 4th max metric values (design values) for 2018-2020. About 74%
of the O3 monitoring sites did not have any hourly concentrations at or above 100 ppb in 2018-
2020, and an additional 18% of the sites had an average of one day or less per year where hourly
O?, concentrations reached 100 ppb or more. Sites with more than one day per year where hourly
O3 concentrations reached 100 ppb or more were generally located near large urban areas, with
the most extreme values located downwind of Los Angeles, CA.

Figure 4F-4 and Figure 4F-5 show scatter plots comparing the 4tn max metric values (x
axis) at each O3 monitoring site for the 2018-2020 period to their respective XI00 and D100
values (y axis) for 2018, 2019, and 2020. Similarly, Figure 4F-6 and Figure 4F-7 show scatter
plots comparing W126 metric values (x-axis) at each O3 monitoring site for the 2018-2020
period to their respective N100 and DlOO values (y axis) for 2018, 2019, and 2020. For sites
meeting the current standard (i.e., 4!il max metric value <70 ppb), the hourly O3 concentrations

1 As defined in section 4F.2.2 above, the term "W126 metric" refers to the 3-year average W126 index. The term
"annual W126" is used in reference to single-year W126 index values.

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reached 100 ppb or more for at most ten hours across four distinct days. By contrast, it was only
at sites with W126 metric values of 7 ppm-hrs or lower where at most ten total hourly
concentrations reached 100 ppb or higher, occurring on no more than four distinct days. Sites
with W126 metric values of 10 ppm-hrs or lower had as many as ten days with at least one hour
at or above 100 ppb. Focusing on sites with W126 metric values below 20 ppm-hrs, several sites
had N100 values of ten or greater and D100 values of five or greater, with individual sites having
as many as 29 hours on up to 12 distinct days with concentrations of 100 ppb or greater.

Figure 4F-8 and Figure 4F-9 show scatter plots (similar to Figure 4F-4 and Figure 4F-5)
that compare sites having different 2018, 2019, and 2020 annual 4th max values (x-axis) with
regard to the 2018, 2019, and 2020 N100 and D100 values (y axis), respectively. As can be seen
from these figures, sites where the annual 4th max value was at or below 70 ppb generally had at
most five hours on two distinct days where the O3 concentrations reached 100 ppb or more.
Figure 4F-10 and Figure 4F-1.1 show similar scatter plots comparing sites having different 2018,
2019, and 2020 annual W126 values (x-axis) with regard to the 2018, 2019, and 2020 N100 and
D100 values (y axis), respectively. There were sites that had five or more hours at or above 100
ppb on up to three distinct days at annual W126 levels as low as 5 ppm-hrs. Focusing on sites
where the annual W126 values were below 20 ppm-hrs, several sites had ten or more hours on

Figure 4F-2. Map of 2018-2020 Average N100 Values at sites with valid design values.

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4F 6 External Review Draft v2 - Do Not Quote or Cite


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1

• 0 (814 sites)	0 1.1-2.0 (44 sites) • > 5.0 (21 sites)

2	ฎ 0.1-1.0 (202 sites) ฉ 2.1 - 5.0 (24 sites) A 4th Max Metric > 70 ppb

3	Figure 4F-3. Map of 2018-2020 Average D100 Values at sites with valid design values.

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4F 7 External Review Draft v2 - Do Not Quote or Cite


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4F 8 External Review Draft v2 - Do Not Quote or Cite


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Figure 4F-6. Scatter plot of annual N100 values (y-axis) versus W126 metric values (x-
axis) based on 2018-2020 monitoring data.

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Figure 4F-7. Scatter plot of annual D100 values (y-axis) versus W126 metric values (x-
axis) based on 2018-2020 monitoring data.

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4F-11 External Review Draft v2 - Do Not Quote or Cite


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Figure 4F-8. Scatter plot of annual N100 values (Y-axis) versus annual 4th max values (x-
axis), based on 2018-2020 monitoring data.

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4F-12 External Review Draft v2 - Do Not Quote or Cite


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2	Figure 4F-9. Scatter plot of annual D100 values (Y-axis) versus annual 4th max values (x-

3	axis), based on 2018-2020 monitoring data.

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4F-13 External Review Draft v2 - Do Not Quote or Cite


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Figure 4F-10. Scatter plot of annual N100 values (Y-axis) versus annual W126 values (x-
axis), based on 2018-2020 monitoring data.

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4F-14 External Review Draft v2 - Do Not Quote or Cite


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Figure 4F-11. Scatter plot of annual D100 values (Y-axis) versus annual W126 values (x-
axis), based on 2018-2020 monitoring data.

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ฆ4—4=

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3-year W126

<7

8-13	14-19

W126 Index (ppm-hrs)

> 19

Figure 4F-12. Boxplots showing distribution of N100 values (top panels) and D100 values
(bottom panels) based on 2016-2020 data binned according to design values
(left panels) and W126 values (right panels, annual W126 in red, 3-year
W126 in blue). The boxes represent the 25th, 50th and 75tb percentiles and the
whiskers extend to the 1st and 99th percentiles. Outlier values are represented by
circles.

Table 4F-1 below shows the number of sites where the 2018-2020 4th max metric values
meet the current standard or the number of instances (i.e., site-years) where the 2018, 2019, and
2020 annual 4th max values are at or below the level of the current standard and the 2018, 2019,
and 2020 N100 or D100 values are above various thresholds. The table also shows number of

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29

sites where the 2018-2020 W126 metric values are at or below specific W126 levels or the
number of instances where the 2018, 2019, and 2020 annual W126 values are at or below
specific W126 levels and the 2018, 2019, and 2020 N100 or D100 values are above various
thresholds. The number of sites or instances where the N100 and D100 values were nonzero are
always equal, because having at least one hour where the concentration is at or above 100 ppb
guarantees having at least one day where the maximum hourly concentration is at least 100 ppb.
The number of sites or instances where the D100 values exceeded 2 and 5 were generally similar
to the number of sites or instances where the N100 values exceeded 5 and 10, respectively.

With regard to sites at or below specific annual 4th max and W126 values in any of the
three years, according to Table 4F-1, there were no instances out of over 2,700 site-years where
the N100 value exceeded 5 for sites during a year where the annual 4th max value was at or
below the level of the current standard. Additionally, there were only ten sites out 877 (about
1%) that met the current standard based on 2018-2020 data and also had N100 values exceeding
5 in one or more years. By contrast, there were 47 instances out of over 3,300 (1.4%) where the
N100 value exceeded 5 for sites that had an annual W126 value at or below 19 ppm-hrs; and
additionally, 37 sites out of over 1,000 (more than 3%) that had a 2018-2020 W126 metric value
was at or below 17 ppm-hrs and a N100 value exceeding 5 in one or more years. Even when
looking at sites at or below a W126 level of 7 ppm-hrs, there were nearly as many sites (9) with
N100 values exceeding 5 than for sites meeting the current standard (10).

Table 4F-2 shows the same statistics as in Table 4F-1 for the annual 4th max and annual
W126 values broken out into individual years, with the maximum annual value across the three
years for each combination of 4th max/W126 and N100/D100 thresholds highlighted in light
blue. This table shows that while there is considerable inter-annual variation in the 4th max and
W126 values across years, the annual W126 values always have a higher proportion of sites
below the threshold and above the N100 or D100 thresholds compared to those of the annual 4th
max values. Further, during the highest year for the different N100 and D100 thresholds, the
proportion of sites exceeding those thresholds is greater for the sites at/below the different annual
W126 levels than it is for sites with design values at/below 70 ppb. This is also evident in
comparing Figure 4F-5 to Figure 4F-11 and Figure 4F-4 to Figure 4F-10.

March 2023

4F-17 External Review Draft v2 - Do Not Quote or Cite


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1	Table 4F-1. Number of instances where 4th max or W126 values are at or below various

2	thresholds and N100 or D100 values are above various thresholds based on

3	O3 monitoring data from recent years (2018-2020).





Number of instances where:

Number of instances where:





N100 > 0

N100 > 5

N100 >10

D100 > 0

D100 > 2

D100 > 5



Total*

Number of sites exceeding threshold in one or more years

3-year Total**

1,073

278
(26%)

80
(7%)

39
(4%)

278
(26%)

83
(8%)

34
(3%)

3-year 4th Max < 70

877

125
(14%)

10
(1%)

1

(0.1%)

125
(14%)

9

(1%)

0

(0%)

3-year W126< 19

1,027

233
(23%)

43
(4%)

12
(1%)

233
(23%)

41

(4%)

9

(0.9%)

3-year W126< 17

1,009

218
(22%)

37
(4%)

10
(1%)

218
(22%)

34
(3%)

7

(0.7%)

3-year W126< 15

991

207
(21%)

37
(4%)

10

(1%)

207
(21%)

34
(3%)

7

(0.7%)

3-year W126< 7

722

100
(14%)

11

(2%)

0

(0%)

100
(14%)

9

(1%)

0

(0%)



Average num

ber of sites exceeding threshold per year

3-year Total**

1,073

145.3
(14%)

44.7
(4%)

24.7
(2%)

145.3
(14%)

46.7
(4%)

22.7
(2%)

3-year 4th Max < 70

877

49
(6%)

3.3
(0.4%)

0.3
(<0.1 %)

49
(6%)

3

(0.3%)

0

(0%)

3-year W126< 19

1,027

107.7
(10%)

17.7
(2%)

4.7
(0.5%)

107.7
(10%)

16.3
(2%)

3.3
(0.3%)

3-year W126< 17

1,009

100
(10%)

15

(1%)

3.7
(0.4%)

100
(10%)

13.7

(1%)

2.7
(0.3%)

3-year W126< 15

991

94.7
(10%)

15
(2%)

3.7
(0.4%)

94.7
(10%)

13.7
(1%)

2.7
(0.3%)

3-year W126< 7

722

43
(6%)

4

(0.6%)

0

(0%)

43
(6%)

3.3
(0.5%)

0

(0%)



Total number of instances (site/years) exceeding threshold

Annual Total***

3,522

473
(13%)

143
(4%)

77

(2%)

473
(13%)

149
(4%)

70
(2%)

Annual 4th Max < 70

2,743

96
(3%)

0

(0%)

0

(0%)

96
(3%)

0

(0%)

0

(0%)

Annual W126< 25

3,421

375
(11%)

64
(2%)

19
(0.6%)

375
(11%)

66
(2%)

12
(0.4%)

Annual W126< 19

3,336

333
(10%)

47
(1%)

10
(0.3%)

333
(10%)

47
(1%)

6

(0.2%)

Annual W126< 17

3,285

309
(9%)

41

(1%)

7

(0.2%)

309
(9%)

38
(1%)

5

(0.2%)

Annual W126< 15

3,196

281
(9%)

37
(1%)

6

(0.2%)

281
(9%)

35
(1%)

4

(0.1%)

Annual W126< 7

2,319

115
(5%)

9

(0.4%)

0

(0%)

115
(5%)

8

(0.3%)

0

(0%)

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4F-18 External Review Draft v2 - Do Not Quote or Cite


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Total*

Number of instances where:
N100 > 0 N100 > 5 N100 >10

Number of instances where:
D100 > 0 D100 > 2 D100 > 5

Number of sites exceeding threshold in one or more years

* Total number of sites where the 3-year 4th max or W126 value is at or below the threshold, or the total number of instances
(i.e., site/years) where the annual 4th max or W126 value is at or below the threshold.

** First column shows the number of sites with sufficient data to calculate valid 3-year 4th max and W126 values. Subsequent
columns tally the subset of those sites where the N100 or D100 value exceeds the threshold in one or more years.

*** First column shows the number of instances where a site had sufficient data to calculate valid annual 4th max and W126
values. Subsequent columns tally the subset of those instances where the N100 or D100 value exceeds the threshold.

1

March 2023	4F-19 External Review Draft v2 - Do Not Quote or Cite


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1	Table 4F-2. Number of instances where annual 4th max or W126 values are at or below

2	various thresholds and N100 or D100 values are above various thresholds

3	based on O3 monitoring data from 2018-2020



Total
Number
of Sites*

Num
N100 > 0

ber of sites w
N100 > 5

iere:
N100 >10

Num
D100 > 0

ber of sites w
D100 > 2

here:
D100 > 5



Number of sites exceeding threshold in the maximum year of the three

3-year 4th Max < 70

877

75 (9%)

5 (0.6%)

1 (0.1%)

75 (9%)

4 (0.5%)

0 (0%)

Annual 4th Max < 70

See
Below

39 (4%)

0 (0%)

0 (0%)

39 (4%)

0 (0%)

0 (0%)

Annual W126<25

166 (15%)

26 (2%)

7 (0.6%)

166 (15%)

26 (2%)

5 (0.4%)

Annual W126 < 19

146 (13%)

21 (2%)

4 (0.4%)

146 (13%)

20 (28%)

3 (0.3%)

Annual W126<17

139 (13%)

20 (2%)

3 (0.3%)

139 (13%)

18 (2%)

3 (0.3%)

Annual W126 < 15

131 (13%)

20 (2%)

3 (0.3%)

131 (13%)

18 (2%)

3 (0.3%)

Annual W126 < 7

47 (8%)

8(1%)

0 (0%)

47 (8%)

6(1%)

0 (0%)



Number of sites exceeding threshold in individual years

2020 Total**

1,172

165 (14%)

56 (5%)

32 (3%)

165 (14%)

56 (5%)

27 (2%)

2019 Total**

1,163

101 (9%)

27 (2%)

19(2%)

101 (9%)

31 (3%)

19 (2%)

2018 Total**

1,187

207 (17%)

60 (5%)

26 (2%)

207 (17%)

62 (5%)

24 (2%)

2020 4th Max < 70

941

39 (4%)

0 (0%)

0 (0%)

39 (4%)

0 (0%)

0 (0%)

2019 4th Max <70

1,000

25 (3%)

0 (0%)

0 (0%)

25 (3%)

0 (0%)

0 (0%)

2018 4th Max <70

802

32 (4%)

0 (0%)

0 (0%)

32 (4%)

0 (0%)

0 (0%)

2020 W126<25

1,134

131 (12%)

26 (2%)

7 (0.6%)

131 (12%)

26 (2%)

5 (0.4%)

2019W126<25

1,144

78 (7%)

13(1%)

6 (0.5%)

78 (7%)

15(1%)

5 (0.4%)

2018W126<25

1,143

166 (15%)

25 (2%)

6 (0.5%)

166 (15%)

25 (2%)

2 (0.2%)

2020 W126 < 19

1,116

114(10%)

15(1%)

2 (0.2%)

114(10%)

14(1%)

2 (0.2%)

2019 W126 < 19

1,129

73 (6%)

11 (1%)

4 (0.4%)

73 (6%)

13 (1%)

3 (0.3%)

2018 W126 < 19

1,091

146 (13%)

21 (2%)

4 (0.4%)

146 (13%)

20 (2%)

1 (0.1%)

2020 W126 < 17

1,101

103 (9%)

11 (1%)

1 (0.1%)

103 (9%)

9 (0.9%)

1 (0.1%)

2019 W126 < 17

1,117

67 (6%)

10(0.9%)

3 (0.3%)

67 (6%)

11 (1%)

3 (0.3%)

2018 W126 < 17

1,067

139 (13%)

20 (27%)

3 (0.3%)

139 (13%)

18 (2%)

1 (0.1%)

2020 W126 < 15

1,074

85 (8%)

8 (0.7%)

0 (0%)

85 (8%)

6 (0.6%)

0 (0%)

2019 W126 < 15

1,091

65 (6%)

9 (0.8%)

3 (0.3%)

65 (6%)

11 (1%)

3 (0.3%)

2018 W126 < 15

1,031

131 (13%)

20 (2%)

3 (0.3%)

131 (13%)

18 (2%)

1 (0.1%)

2020 W126 < 7

833

34 (4%)

0 (0%)

0 (0%)

347 (4%)

0 (0%)

0 (0%)

2019 W126 < 7

860

34 (4%)

1 (0.1%)

0 (0%)

34 (4%)

2 (0.2%)

0 (0%)

2018W126<7

626

47 (8%)

8(1%)

0 (0%)

47 (8%)

6(1%)

0 (0%)

* Total number of sites where the annual 4th max or W126 value is at or below the t
" First column represents the number of sites with sufficient data to calculate a vali
columns tally the subset of those sites where the N100 or D100 value exceeds the

ireshold.

d annual 4th max value. Subsequent
hreshold in one or more years.

4

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4F-20 External Review Draft v2 - Do Not Quote or Cite


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Table 4F-3. Average % of monitoring sites per year during 2018-2020 with 4th max or
W126 metrics at or below various thresholds that have N100 or D100 values
above various thresholds.



Percent of sites where:

Percent of sites where:



N100 > 0

N100 > 5

N100> 10

D100 > 0

D100 > 2

D100 > 5



Average percent of sites exceeding N100 orDlOO threshold per year (2016 - 2020)

3-year 4th Max < 70

5.1

0.3

0.01

5.1

0.2

0

3-year W126< 19

10.1

1.4

0.4

10.1

1.4

0.2

3-year W126< 17

9.7

1.4

0.3

9.7

1.3

0.2

3-year W126< 15

9.4

1.3

0.3

9.4

1.2

0.2

3-year W126< 7

6.1

0.5

0.04

6.1

0.3

0.01

Annual W126<25

11.0

1.7

0.5

11.0

1.8

0.4

Annual W126<19

10.0

1.4

0.3

10.0

1.4

0.2

Annual W126<17

9.5

1.2

0.2

9.5

1.2

0.1

Annual W126<15

9.1

1.2

0.2

9.1

1.1

0.1

Annual W126<7

5.1

0.4

0

5.1

0.3

0

Annual 4th Max < 70

3.3

0.02

0

3.3

0.02

0

4F.3.2 National Analysis Using Historical Air Quality Data

Figure 4F-13 and Figure 4F-14 show the trend in national 10th percentile, median, 90th
percentile and mean N100 and D100 values, respectively, based on 822 U.S. O3 monitoring sites
with complete data for 2000 to 2020. A site must have 75% annual data completeness in terms of
the 4th max metric (see section 4F.2.2) for at least 16 of the 21 years, with no more than two
consecutive years missing to be included in the trend. As can be seen from the figures, the
median N100 and D100 values in the U.S. have been zero since 2006, meaning over half of the
monitoring sites have N100 and D100 values of zero. The mean N100 value has decreased from
more than ten in 2000-2002 to less than two in recent years, a decline of more than 80%.
Similarly, the mean D100 value has decreased from four or more in 2000-2002 to less than one
in recent years, also a decline of more than 80%. The 90th percentile values of both metrics have
decreased at an even faster rate.

March 2023

4F-21 External Review Draft v2 - Do Not Quote or Cite


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o*-c\ioo^riotor--cocr>OT~c\ico^ir>cor-coa>o

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2	Figure 4F-13. Trend in N100 values from 2000 to 2020 based on data from 808 U.S. O3

3	monitoring sites

4

Adarch 2023	4 F 22 External Review Draft v2 - Do Not Quote or Cite


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1

2

3

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17

14 -

12 -

10 -

o
o

5 6 -

4 -

2 -

0 -

Figure 4F-14. Trend in D100 values from 2000 to 2020 based on data from 808 U.S. O3
monitoring sites

Table 4F-4 below shows the number of instances (site-years) where a site had an annual
4th max value or 4th max metric value at or below the level of the current standard and an annual
X100 or D100 value above various thresholds based on the full dataset spanning years 2000 to
2020. The table also shows number of instances (site-years) where a site had an annual W126
value or W126 metric value at or below specific W126 levels and N1Q0 or D100 values above
various thresholds based on the full 2000-2020 dataset. The numbers in Table 4F-4 are generally
proportionally similar to those shown previously in Table 4F-1.

According to Table 4F-4, there were only 8 instances where the N100 value exceeded 5
at a site with an annual 4th max value at or below the level of the current standard, and only 107
instances out of over 10,000 (about 1%) that met the current standard and also had N100 values
exceeding 5 in one or more of the three years of the design value period. By contrast, there were
over .1,500 instances where the annual W126 value was less than or equal to 19 ppm-hrs and the
N100 value in that year exceeded 5, and over 2,600 instances (more than 15%) where the W126
metric value was at or below 17 ppm-hrs and the N100 value exceeded 5 in one or more years of





























































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Adarch 2023

4F-23 External Review Draft v2 - Do Not Quote or Cite


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1	the 3-year period. Even when looking at sites at or below a W126 level of 7 ppm-hrs, there were

2	more instances with N100 values exceeding 5 (170) than for sites meeting the current standard

3	(107).

4	Table 4F-4. Number of instances where 4th max or W126 values are at or below various

5	thresholds and N100 or D100 values are above various thresholds based on

6	data from all years (2000-2020)





Number of instances where:

Number of instances where:





N100 > 0

N100 > 5

N100 >10

D100 > 0

D100 > 2

D100 > 5



Total*

Number of instances where site exceeds threshold in one or more years

3-year Total**

20,483

10,103
(49%)

4,942
(24%)

3,213
(16%)

10,103
(49%)

4,920
(24%)

2,486
(12%)

3-year 4th Max < 70

10,026

1,638
(16%)

107
(1%)

16
(0.2%)

1,638
(16%)

89
(0.9%)

7

(0.1%)

3-year W126< 19

18,292

7,994
(44%)

3,178
(17%)

1,695
(9%)

7,994
(44%)

3,095
(17%)

1,054
(6%)

3-year W126< 17

17,427

7,255
(42%)

2,664
(15%)

1,328
(8%)

7,255
(42%)

2,576
(15%)

768
(4%)

3-year W126< 15

16,222

6,307
(39%)

2,076
(13%)

951
(6%)

6,307
(39%)

1,997
(12%)

522
(3%)

3-year W126< 7

7,576

1,427
(19%)

170
(2%)

40
(0.5%)

1,427
(19%)

152
(2%)

23
(0.3%)



Total number of instances (site/years) exceeding threshold

Annual Total***

24,987

7,908
(32%)

3,652
(15%)

2,327
(9%)

7,908
(32%)

3,609
(14%)

1,715
(7%)

Annual 4th Max < 70

12,402

563
(5%)

8

(0.1%)

0

(0%)

563
(5%)

3

(<0.1 %)

0

(0%)

Annual W126< 25

23,482

6,504
(28%)

2,444
(10%)

1,274
(5%)

6,504
(28%)

2,370
(10%)

709
(3%)

Annual W126< 19

21,660

5,121
(24%)

1,587
(7%)

736
(3%)

5,121
(24%)

1,503
(7%)

344
(2%)

Annual W126< 17

20,600

4,427
(21%)

1,226
(6%)

530
(3%)

4,427
(21%)

1,162
(6%)

234
(1%)

Annual W126< 15

19,225

3,663
(19%)

885
(5%)

324
(2%)

3,663
(19%)

839
(4%)

144
(0.8%)

Annual W126< 7

10,427

770
(7%)

62
(0.6%)

4

(<0.1 %)

770
(7%)

50
(0.5%)

2

(<0.1 %)

* Total number of sites where the 3-year 4th max or W126 value is at or below the threshold, or the total number of instances

(i.e., site/years) where the annual 4th max or W126 value is at or below the threshold.





** First column shows the number of sites with sufficient data to calculate valid 3-year 4th max and W126 values. Subsequent

columns tally the subset of those sites where the N100 or D100 value exceeds the threshold in one or more years.

*** First column shows the number of instances where a site had sufficient data to calculate valid annual 4th max and W126

values. Subsequent columns tally the subset of those instances where the N100 or D100 value exceeds the threshold.

7

March 2023

4F-24 External Review Draft v2 - Do Not Quote or Cite


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32

33

34

35

4F.4 SUMMARY

The presentation here shows various analyses of ambient air monitoring data for O3
concentrations in the U.S. relating to the form and averaging time of the current secondary
standard, the W126-based cumulative exposure index, the N100 metric (number of hours at or
above 100 ppb) and D100 metric (number of days with one or more hours at or above 100 ppb).

•	About 74% of the O3 monitoring sites with valid design values in 2018-2020 did not have
any hourly concentrations at or above 100 ppb, and another 18% had only a single day
where hourly O3 concentrations reached 100 ppb or more (Figure 4F-2 and Figure 4F-3).

•	Based on data from 2018-2020, sites where the current standard was met (4th max metric
value was at or below 70 ppb) had a maximum annual N100 count of 10 and D100 count
of 4 (Figure 4F-4 and Figure 4F-5). Sites with W126 metric values as low as 7 ppm-hrs
also had a maximum annual N100 count of 10 and D100 count of 4. At sites with W126
metric values below 20 ppm-hrs, several sites had N100 values of ten or greater and
D100 values of five or greater, with individual sites having as many as 29 hours on up to
12 distinct days with concentrations of 100 ppb or greater (Figure 4F-6 and Figure 4F-7).

•	In 2018-2020, sites where the annual 4th max value was at or below 70 ppb had a
maximum annual N100 count of 5 and D100 count of 2 (Figure 4F-8 and Figure 4F-9).
Sites with annual W126 values as low as 5 ppm-hrs had a maximum N100 count of 8 and
D100 count of 3. At sites with annual W126 values below 20 ppm-hrs, several sites had
ten or more hours on five or more distinct days where O3 concentrations reached 100 ppb
or more (Figure 4F-10 and Figure 4F-11).

•	Based on data from 2018-2020, about 1% of sites that met the current standard had an
N100 value exceeding 5 in one or more years. By comparison, more than 3% of sites
where the W126 metric value was at or below 17 ppm-hrs had an N100 value exceeding
5 (Table 4F-1). There were no sites with N100 values exceeding 5 among sites with
annual 4th max values at or below the level of the current standard compared with
between 11 and 21 sites per year with N100 values exceeding 5 among sites with annual
W126 values at or below 19 ppm-hrs (Table 4F-2).

•	Based on data from 2000-2020, about 1% of design values that met the current standard
had N100 values exceeding 5 in one or more years of the 3-year period. By comparison,
about 15% of W126 metric values at or below 17 ppm-hrs had N100 values exceeding 5
in one or more years of the 3-year period (Table 4F-4).

•	Since 2000-2002, the national mean N100 and D100 values have decreased by more than
80% (Figure 4F-13 and Figure 4F-14).

March 2023

4F-25 External Review Draft v2 - Do Not Quote or Cite


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1 4F.5 REFERENCES

2	Karl, T and Koss, WJ (1984). Regional and national monthly, seasonal, and annual temperature

3	weighted by area, 1895-1983. 4-3. National Environmental Satellite and Data

4	Information Service (NESDIS). Asheville, NC.

5	U.S. EPA (2020). Policy Assessment for the Review of National Ambient Air Quality Standards

6	for Ozone. Office of Air Quality Planning and Standards, Health and Environmental

7	Impacts Divison. Research Triangle Park, NC. U.S. EPA. EPA-452/R-20-001. May 2020.

8

March 2023

4F-26 External Review Draft v2 - Do Not Quote or Cite


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