r Friday July 18, 1997 e t s i g e r Part II l Environmental a Protection Agency 40 CFR Part 50 r National Ambient Air Quality Standards for Particulate Matter; Final Rule e d e f 38651 38652 Federal Register / Vol. 62, No. 138 / Friday, July 18, 1997 / Rules and Regulations ENVIRONMENTAL PROTECTION of the PM primary and secondary inspection and copying in the EPA AGENCY standards (Docket No. A–95–54) is docket at the address under available for public inspection in the ‘‘ADDRESSES,’’ at the beginning of this 40 CFR Part 50 Central Docket Section of the U.S. document. Environmental Protection Agency, [AD–FRL–5725–2] Electronic Availability South Conference Center, Rm. 4, 401 M RIN 2060–AE66 St., SW., Washington, DC. This docket The Staff Paper and human health incorporates the docket established for risk assessment support documents are National Ambient Air Quality the air quality Criteria Document available on the Agency’s Office of Air Standards for Particulate Matter (Docket No. ECAO–CD–92–0671). The Quality Planning and Standards’ AGENCY: Environmental Protection docket may be inspected between 8 a.m. (OAQPS) Technology Transfer Network Agency (EPA). and 3 p.m., Monday through Friday, (TTN) Bulletin Board System (BBS) in ACTION: Final rule. except legal holidays, and a reasonable the Clean Air Act Amendments area, SUMMARY: This document describes fee may be charged for copying. The under Title I, Policy/Guidance EPA’s decision to revise the national information in the docket constitutes Documents. To access the bulletin ambient air quality standards (NAAQS) the complete basis for the decision board, a modem and communications for particulate matter (PM) based on its announced in this document. For the software are necessary. To dial up, set review of the available scientific availability of related information, see your communications software to 8 data evidence linking exposures to ambient ‘‘SUPPLEMENTARY INFORMATION.’’ bits, no parity and one stop bit. Dial PM to adverse health and welfare effects FORFURTHERINFORMATIONCONTACT: John (919) 541–5742 and follow the on- at levels allowed by the current PM H. Haines, MD–15, Air Quality screen instructions to register for access. standards. The current primary PM Strategies and Standards Division, After registering, proceed to choice standards are revised in several Office of Air Quality Planning and ‘‘<T> Gateway to TTN Technical respects: Two new PM2.5standards are Standards, U.S. Environmental Areas’’, then choose ‘‘<E> CAAA BBS’’. added, set at 15 m g/m3, based on the 3- Protection Agency, Research Triangle From the main menu, choose ‘‘<1> Title year average of annual arithmetic mean Park, NC 27711; telephone: (919) 541– I: Attain/Maint of NAAQS’’, then ‘‘<P> PM2.5concentrations from single or 5533; e-mail: Policy Guidance Documents.’’ To access multiple community-oriented monitors, [email protected]. these documents through the World and 65 m g/m 3, based on the 3-year SUPPLEMENTARYINFORMATION: Wide Web, click on ‘‘TTN BBSWeb’’, average of the 98thpercentile of 24-hour then proceed to the Gateway to TTN Related Final Rules on PM Monitoring PM2.5concentrations at each Technical areas, as above. If assistance population-oriented monitor within an In a separate document published is needed in accessing the system, call area; and the current 24-hour PM10 elsewhere in this issue of the Federal the help desk at (919) 541–5384 in standard is revised to be based on the Register, EPA is amending its ambient Research Triangle Park, NC. 99thpercentile of 24-hour PM air quality surveillance requirements (40 10 Implementation Strategy For Revised concentrations at each monitor within CFR part 58) and its ambient air Air Quality Standards an area. The new suite of primary monitoring reference and equivalent standards will provide increased methods (40 CFR part 53) for PM. On Wednesday, July 16, 1997, protection against a wide range of PM- President Clinton signed a Availability of Related Information related health effects, including memorandum to the Administrator premature mortality and increased Certain documents are available from specifying his goals for the hospital admissions and emergency the U.S. Department of Commerce, implementation of the O and PM 3 room visits, primarily in the elderly and National Technical Information Service, standards. Attached to the President’s individuals with cardiopulmonary 5285 Port Royal Road, Springfield, VA memorandum is a strategy prepared by disease; increased respiratory symptoms 22161. Available documents include: an interagency Administration group and disease, in children and individuals (1) Air Quality Criteria for Particulate outlining the next steps that would be with cardiopulmonary disease such as Matter (Criteria Document) (three necessary for implementing these asthma; decreased lung function, volumes, EPA/600/P–95–001aF thru standards. The EPA will prepare particularly in children and individuals EPA/600/P–95–001cF, April 1996, NTIS guidance and proposed rules consistent with asthma; and alterations in lung #PB–96–168224, $234.00 paper copy). with the President’s memorandum. tissue and structure and in respiratory (2) Review of the National Ambient Copies of the Presidential document are tract defense mechanisms. The current Air Quality Standards for Particulate available in paper copy by contacting secondary standards are revised by Matter: Policy Assessment of Scientific the U.S. Environmental Protection making them identical in all respects to and Technical Information (Staff Paper) Agency Library at the address under the new suite of primary standards. The (EPA–452/R–96–013, July 1996, NTIS ‘‘Availability of Related Information’’ new secondary standards, in #PB–97–115406, $47.00 paper copy and and in electronic form as discussed conjunction with a regional haze $19.50 microfiche). (Add a $3.00 above in ‘‘Electronic Availability.’’ program, will provide appropriate handling charge per order.) The following topics are discussed in protection against PM-related public A limited number of copies of other this preamble: welfare effects including soiling, documents generated in connection I. Background material damage, and visibility with this standard review, such as A. Legislative Requirements impairment. In conjunction with the technical support documents pertaining B. Related Control Requirements new PM standards, a new reference to air quality, monitoring, and health C. Review of Air Quality Criteria and method 2h.5as been specified for risk assessment, can be obtained from: Standards for PM D. Summary of Proposed Revisions to the monitoring PM as PM . Environmental Protection Agency 2.5 PM Standards EFFECTIVEDATE: This action is effective Library (MD–35), Research Triangle II. Rationale for the Primary PM Standards September 16, 1997. Park, NC 27711, telephone (919) 541– A. Introduction ADDRESSES: A docket containing 2777. These and other related B. Need for Revision of the Current information relating to the EPA’s review documents are also available for Primary PM Standards Federal Register / Vol. 62, No. 138 / Friday, July 18, 1997 / Rules and Regulations 38653 C. Indicators of PM primary standard as one ‘‘the attainment criteria and standards, as appropriate. D. Averaging Time of PM2.5Standards and maintenance of which in the The committee established under E. Form of PM2.5Standards judgment of the Administrator, based on section 109(d)(2) of the Act is known as F. Levels for the Annual and 24-Hour PM2.5 [the] criteria and allowing an adequate the Clean Air Scientific Advisory Standards margin of safety, are requisite to protect Committee (CASAC), a standing G. SCtoanndclaursdisons Regarding the Current PM10 the public health.’’ The margin of safety committee of EPA’s Science Advisory H. Final Decisions on Primary PM requirement was intended to address Board. Standards uncertainties associated with III. Rationale for the Secondary Standards inconclusive scientific and technical B. Related Control Requirements A. Need for Revision of the Current information available at the time of States are primarily responsible for SecondaryStandards standard setting, as well as to provide a B. Decision on the Secondary Standards reasonable degree of protection against ensuring attainment and maintenance of IV. Other Issues ambient air quality standards once EPA hazards that research has not yet A. Consideration of Costs has established them. Under section 110 identified. Both kinds of uncertainties B. Margin of Safety of the Act (42 U.S.C. 7410) and related are components of the risk associated C. Data Availability provisions, States are to submit, for EPA D. 1990 Amendments with pollution at levels below those at approval, State implementation plans V. Revisions to 40 CFR Part 50, Appendix which human health effects can be said (SIP’s) that provide for the attainment K—Interpretation of the PM NAAQS to occur with reasonable scientific and maintenance of such standards A. PM2.5Computations and Data Handling certainty. Thus, by selecting primary Conventions standards that provide an adequate through control programs directed to B. PM10Computations and Data Handling margin of safety, the Administrator is sources of the pollutants involved. The Conventions States, in conjunction with EPA, also seeking not only to prevent pollution C. Changes that Apply to Both PM2.5and levels that have been demonstrated to be administer the prevention of significant PM10Computations harmful but also to prevent lower deterioration program (42 U.S.C. 7470– VI. Reference Methods for the Determination 7479) for these pollutants. In addition, of Particulate Matter as PM10and PM2.5 pollutant levels that she finds may pose Federal programs provide for in the Atmosphere an unacceptable risk of harm, even if the nationwide reductions in emissions of A. Revisions to 40 CFR Part 50, Appendix risk is not precisely identified as to these and other air pollutants through J—Reference Method for PM10 nature or degree. The Act does not B. 40 CFR Part 50, Appendix L—New require the Administrator to establish a the Federal Motor Vehicle Control Reference Method for PM2.5 primary NAAQS at a zero-risk level, but Program under Title II of the Act (42 VII. Effective Date of the Revised PM rather at a level that reduces risk U.S.C. 7521–7574), which involves Standards and Applicability of the controls for automobile, truck, bus, sufficiently so as to protect public Existing PM10Standards health with an adequate margin of motorcycle, nonroad engine, and aircraft VIII. Regulatory and Environmental Impact safety. The selection of any particular emissions; the new source performance Analyses A. Executive Order 12866 approach to providing an adequate standards under section 111 of the Act B. Regulatory Flexibility Analysis margin of safety is a policy choice left (42 U.S.C. 7411); and the national C. Impact on Reporting Requirements specifically to the Administrator’s emission standards for hazardous air D. Unfunded Mandates Reform Act judgment. Lead Industries Ass’n v. EPA, pollutants under section 112 of the Act E. Environmental Justice 647 F.2d 1130, 1161–1162 (D.C. (42 U.S.C. 7412). F. Submission to Congress and the Cir.1980). C. Review of Air Quality Criteria and Comptroller General A secondary standard, as defined in IX. Response to Petition for Administrator section 109 (b)(2) of the Act, must Standards for PM Browner’s Recusal ‘‘specify a level of air quality the Particulate matter is the generic term X. References attainment and maintenance of which in for a broad class of chemically and I. Background the judgment of the Administrator, physically diverse substances that exist A. Legislative Requirements based on [the] criteria, [are] requisite to as discrete particles (liquid droplets or protect the public welfare from any solids) over a wide range of sizes. Two sections of the Clean Air Act known or anticipated adverse effects Particles originate from a variety of (Act) govern the establishment, review, associated with the presence of [the] anthropogenic stationary and mobile and revision of NAAQS. Section 108 of pollutant in the ambient air.’’ Welfare sources as well as from natural sources. the Act (42 U.S.C. 7408) directs the effects as defined in section 302(h) of Particles may be emitted directly or Administrator to identify certain the Act (42 U.S.C. 7602(h)) include, but formed in the atmosphere by pollutants which ‘‘may reasonably be are not limited to, ‘‘effects on soils, transformations of gaseous emissions anticipated to endanger public health water, crops, vegetation, manmade such as sulfur oxides (SO ), nitrogen and welfare’’ and to issue air quality materials, animals, wildlife, weather, oxides (NO ), and volatilex organic criteria for them. These air quality visibility, and climate, damage to and x compounds (VOC). The chemical and criteria are to ‘‘accurately reflect the deterioration of property, and hazards to physical properties of PM vary greatly latest scientific knowledge useful in transportation, as well as effects on with time, region, meteorology, and indicating the kind and extent of all economic values and on personal source category, thus complicating the identifiable effects on public health or comfort and well-being.’’ assessment of health and welfare effects. welfare which may be expected from the Section 109(d)(1) of the Act requires presence of [a] pollutant in the ambient periodic review and, if appropriate, The last review of PM air quality air * * *.’’ revision of existing air quality criteria criteria and standards was completed in Section 109 of the Act (42 U.S.C. and NAAQS. Section 109(d)(2) of the July 1987 with notice of a final decision 7409) directs the Administrator to Act requires appointment of an to revise the existing standards propose and promulgate ‘‘primary’’ and independent scientific review published in the Federal Register (52 ‘‘secondary’’ NAAQS for pollutants committee to review criteria and FR 24854, July 1, 1987). In that decision, identified under section 108 of the Act. standards and recommend new EPA changed the indicator for PM from Section 109(b)(1) of the Act defines a standards or revisions of existing total suspended particles (TSP) to 38654 Federal Register / Vol. 62, No. 138 / Friday, July 18, 1997 / Rules and Regulations PM .1Identical primary and secondary and May 1996.4The CASAC came to City, UT. A fourth public hearing, 10 PM10standards were set for two closure in its review of the Staff Paper, which focused primarily on PM averaging times: 50 m g/m3, expected advising the Administrator in a June 13, monitoring issues, was held in Durham, annual arithmetic mean, averaged over 1996 closure letter (Wolff, 1996b) that NC on January 14, 1997. Over 400 3 years, and 150 m g/m3, 24-hour average, ‘‘the Staff Paper, when revised, will citizens and organizations testified with no more than one expected provide an adequate summary of our during these public hearings. EPA also exceedance per year.2 present understanding of the scientific held two national satellite telecasts to The EPA initiated this current review basis for making regulatory decisions answer questions on the standards and of the air quality criteria and standards concerning PM standards.’’ CASAC and participated in meetings sponsored by for PM in April 1994 by announcing its public comments from these meetings, the Air and Waste Management intention to develop a revised Air subsequent written comments, and the Association on the proposed revisions Quality Criteria Document for CASAC closure letter were incorporated to the standards at more than 10 Particulate Matter (henceforth, the as appropriate in the final Staff Paper locations across the country. Beyond ‘‘Criteria Document’’). Thereafter, the (U.S. EPA, 1996b). that, several EPA regional offices held EPA presented its plans for review of On November 27, 1996, EPA public meetings and workshops and the criteria and standards for PM under announced its proposed decision to participated in hearings that States and a highly accelerated, court-ordered revise the NAAQS for PM (61 FR 65638, schedule3at a public meeting of the December 13, 1996) (hereafter cities held around the country. CASAC in December 1994. Several ‘‘proposal’’) as well as its proposed As a result of this intensive effort to workshops were held by EPA’s National decision to revise the NAAQS for ozone solicit public input, over 50,000 written Center for Environmental Assessment (O3)(61 FR 65716, December 13, 1996). and oral comments were received on the (NCEA) to discuss important new health In the proposal, EPA identified proposed revisions to the PM NAAQS effects information in November 1994 proposed revisions, based on the air by the close of the public comment and January 1995. External review drafts quality criteria for PM, and solicited period on March 12, 1997. Major issues of the Criteria Document were made public comments on alternative primary raised in the comments are discussed available for public comment and were standards and on the proposed forms of throughout the preamble of this final reviewed by CASAC at public meetings the standards. decision. A comprehensive summary of To ensure the broadest possible held in August and December 1995 and all significant comments, along with public input on the PM and O February 1996. The CASAC came to 3 EPA’s response to such comments proposals, EPA took extensive and closure in its review of the Criteria (hereafter ‘‘Response to Comments’’), unprecedented steps to facilitate the Document, advising the Administrator can be found in the docket for this public comment process beyond the in a March 15, 1996 closure letter rulemaking (Docket No. A–95–54). normal process of providing an (Wolff, 1996a) that ‘‘although our opportunity to request a hearing and The principal focus of this current understanding of the health effects of receiving written comments submitted review of the air quality criteria and PM is far from complete, a revised to the rulemaking docket. The EPA standards for PM is on recent Criteria Document which incorporates established a national toll-free epidemiological evidence reporting the Panel’s latest comments will provide telephone hotline to facilitate public associations between ambient an adequate review of the available comments on the proposed revisions to concentrations of PM and a range of scientific data and relevant studies of PM.’’ CASAC and public comments the PM and O3NAAQS, and on related serious health effects. Particular from these meetings, and from notices dealing with the implementation attention has been given to several size- subsequent written comments and the of revised PM and O3standards, as well specific classes of particles, including closure letter, were incorporated as as a system for the public to submit PM10and the principal fractions of appropriate in the final Criteria comments on the proposals PM10, referred to as the fine (PM2.5)5and Document (U.S. EPA, 1996a). electronically via the Internet. Over coarse (PM10–2.5)6fractions. As External review drafts of a Staff Paper 14,000 calls and over 4,000 electronic discussed in the Criteria Document, fine prepared by the Office of Air Quality mail messages were received through and coarse fraction particles can be Planning and Standards (OAQPS), these channels. The public could also differentiated by their sources and Review of the National Ambient Air access key supporting documents formation processes and their chemical (including the Criteria Document, Staff Quality Standards for Particulate Matter: and physical properties, including Paper, related technical documents and Assessment of Scientific and Technical behavior in the atmosphere. Detailed fact sheets) via the Internet. Information (henceforth, the ‘‘Staff discussions of atmospheric formation, The EPA also held several public Paper’’), were made available for public ambient concentrations, and health and hearings and meetings across the comment and were reviewed by CASAC welfare effects of PM, as well as country to provide direct opportunities at public meetings in December 1995 quantitative estimates of human health for public comment on the proposed risks associated with exposure to PM, revisions to the PM and O NAAQS and dia1mPMete10r rleefsesr tsh taon p oarr teiqclueasl wtoi tah n aonm aienraold 1y0namic to disseminate information3 to the public caannd bine tfhoue nSdta ifnf Pthaep eCrr.iteria Document micrometers. Technical details further specifying about the proposed standard revisions. the measurement of PM10are contained in 40 CFR On January 14 and 15, 1997, EPA held part 50, Appendices J and M. concurrent, 2-day public hearings in 5PM2.5refers to particles with an aerodynamic 2A more complete history of the PM NAAQS is diameter less than or equal to a nominal 2.5 Boston, MA, Chicago, IL, and Salt Lake presented in section II.B of the OAQPS Staff Paper, micrometers, as further specified in 40 CFR part 50, Review of National Ambient Air Quality Standards Appendix L in this document. for Particulate Matter: Assessment of Scientific and 4The Staff Paper evaluates policy implications of 6PM10–2.5refers to those particles with an Technical Information (U.S. EPA, 1996b). the key studies and scientific information in the aerodynamic diameter less than or equal to a 3A court order entered in American Lung Criteria Document, identifies critical elements that nominal 10 micrometers but greater than 2.5 Association v. Browner, CIV–93–643–TUC–ACM (D. EPA staff believes should be considered, and micrometers. In other words, it refers to the Ariz.,October 6, 1994), as subsequently modified, presents staff conclusions and recommendations of inhalable particles that remain if fine (PM2.5) requires publication of EPA’s final decision on the suggested options for the Administrator’s particles are removed from a sample of PM10 review of the PM NAAQS by July 19, 1997. consideration. particles. Federal Register / Vol. 62, No. 138 / Friday, July 18, 1997 / Rules and Regulations 38655 D. Summary of Proposed Revisions to in the ambient air. These decisions also unusually high degree of scrutiny and the PM Standards take into account: reanalysis over the past several years, (1) Staff Paper assessments of the beginning with a series of workshops For reasons discussed in the proposal, most policy-relevant information in the held early in the review process to the Administrator proposed to revise the Criteria Document, upon which staff discuss important new information. A current primary standards for PM (as recommendations for new and revised number of opportunities were provided indicated by PM ), by adding two new 10 primary standards are based. for public comment on successive drafts primary PM2.5standards set at 15 m g/m3, (2) CASAC advice and of the Criteria Document and Staff annual mean, and 50 m g/m3, 24-hour recommendations, as reflected in Paper, as well as for intensive peer average. The proposed annual PM2.5 discussions of drafts of the Criteria review of these documents by CASAC at standard would be based on the 3-year Document and Staff Paper at public several public meetings attended by average of the annual arithmetic mean meetings, in separate written comments, many knowledgeable individuals and PM2.5concentrations, spatially averaged and in the CASAC’s closure letters to representatives of interested across an area. The proposed 24-hour the Administrator. organizations. In addition, there have PM2.5standard would be based on the (3) Public comments received during been a number of important scientific 3-year average of the 98thpercentile of the development of these documents, conferences, symposia, and colloquia on 24-hour PM2.5concentrations at each either in connection with CASAC PM issues, sponsored by the EPA and population-oriented monitor within an meetings or separately. others, in the U.S. and abroad, during area. The proposal solicited comment (4) Extensive public comments this period. While significant on two alternative approaches for received on the proposed decisions uncertainties exist, the review of the selecting the levels of PM2.5standards. regarding the primary PM standards. health effects information has been The Administrator also proposed to After taking this information and thorough and deliberate. In the revise the current 24-hour primary PM10 comments into account, and for the judgment of the Administrator, this standard of 150 m g/m3by replacing the reasons discussed below in this unit, the intensive evaluation of the scientific 1-expected-exceedance form with a 98th Administrator concludes that revisions evidence has provided an adequate percentile form, averaged over 3 years at to the current primary standards to basis for regulatory decision making at each monitor within an area, solicited provide increased public health this time, as well as for the comment on an alternative proposal to protection against a variety of health comprehensive research needs revoke the 24-hour PM10standard, and risks are appropriate. More specifically, document recently developed by EPA, proposed to retain the current annual the Administrator has determined that it and reviewed by CASAC and others, for primary PM10standard of 50 m g/m3. The is appropriate to establish new annual improving our future understanding of proposal also solicited comment on and 24-hour PM2.5standards, to revise the relationships between ambient PM proposed revisions to 40 CFR part 50, the current 24-hour PM10standard, and exposures and health effects. Appendix K to establish new data to retain the current annual PM10 The health effects information and handling conventions for calculating standard. As discussed more fully below human risk assessment were 98thpercentile values and spatial in this unit, the rationale for the final summarized in the proposal and are averages, revisions to 40 CFR part 50, decisions regarding the PM primary only briefly outlined below in this unit. Appendix J to modify the reference NAAQS includes consideration of: Subsequent units provide a more method for monitoring PM as PM , and (1) Health effects information, and complete discussion of the 10 a proposed new reference method for alternative views on the appropriate Administrator’s rationale, in light of key monitoring PM as PM (40 CFR part 50, interpretation and use of the issues raised in public comments, for 2.5 Appendix L). information, as the basis for judgments concluding that it is appropriate to With regard to the secondary about the risks to public health revise the current primary standards standards, the Administrator proposed presented by population exposures to (Unit II.B. of this preamble) and to to revise the current secondary ambient PM. revise the specific elements of the standards by making them identical to (2) Insights gained from a quantitative standards including indicator (Unit II.C. the suite of proposed primary standards, risk assessment conducted to provide a of this preamble); averaging time, form, in conjunction with the establishment of broader perspective for judgments about and level of new PM2.5standards (Units a regional haze program under section protecting public health from the risks II.D., II.E., and II.F. of this preamble); 169A of the Act. associated with PM exposures. and averaging time, form, and level of (3) Specific conclusions regarding the revised PM standards (Unit II.G. of 10 II. Rationale for the Primary Standards need for revisions to the current this preamble). standards and the elements of PM 2. Summary of the health effects A. Introduction standards (i.e., indicator, averaging evidence. In brief, since the last review 1. Overview. This document presents time, form, and level) that, taken of the PM criteria and standards, the the Administrator’s final decisions together, would be appropriate to most significant new evidence on the regarding the need to revise the current protect public health with an adequate health effects of PM is the greatly primary ambient air quality standards margin of safety. expanded body of community for PM, and, more specifically, As with virtually any policy-relevant epidemiological studies. The Criteria regarding the establishment of new scientific research, there is uncertainty Document stated that these recent annual and 24-hour PM2.5primary in the characterization of health effects studies provide ‘‘evidence that serious standards and revisions to the form of attributable to exposure to ambient PM. health effects (mortality, exacerbation of the current 24-hour PM10primary As discussed in the proposal, however, chronic disease, increased hospital NAAQS. These decisions are based on there is now a greatly expanded body of admissions, etc.) are associated with a thorough review, in the Criteria health effects information as compared exposures to ambient levels of PM Document, of the latest scientific with that available during the last found in contemporary U.S. urban information on known and potential review of the PM standards. Moreover, airsheds even at concentrations below human health effects associated with the recent evidence on PM-related current U.S. PM standard’’ (U.S. EPA, exposure to PM at levels typically found health effects has undergone an 1996a; p. 13-1). Although a variety of 38656 Federal Register / Vol. 62, No. 138 / Friday, July 18, 1997 / Rules and Regulations responses to constituents of ambient PM with: existing PM air quality levels, order of hundreds of premature deaths have been hypothesized to contribute to projected PM air quality levels that each year, hundreds to thousands of the reported health effects, the relevant would occur upon attainment of the respiratory-related hospital admissions, toxicological and controlled human current PM10standards, and projected and tens of thousands of additional studies published to date have not PM air quality levels that would occur respiratory related symptoms in identified any accepted mechanism(s) upon attainment of alternative PM2.5 children. that would explain how such relatively standards. The risk assessment is (2) Based on the results from the low concentrations of ambient PM intended as an aid to the Administrator sensitivity analyses of key uncertainties might cause the health effects reported in judging which alternative PM and the integrated uncertainty analyses, in the epidemiological literature. NAAQS would reduce risks sufficiently the single most important factor Unit II.A. of the proposal further to protect public health with an influencing the uncertainty associated outlines key information contained in adequate margin of safety, recognizing with the risk estimates is whether or not the Criteria Document, Chapters 10-13, that such standards will not be risk-free. a threshold concentration exists below and the Staff Paper, Chapter V, on the The risk assessment is described more which PM-associated health risks are known and potential health effects fully in the Staff Paper and summarized not likely to occur. associated with airborne PM, alone and in the proposal. Related technical (3) Over the course of a year, the few in combination with other pollutants reports and updates7have been placed peak 24-hour PM2.5concentrations that are routinely present in the ambient in the docket (Abt Associates, 1996a,b; appear to contribute a relatively small air. The information highlighted there 1997a,b). amount to the total health risk posed by summarizes: EPA emphasizes that it places greater the entire air quality distribution as (1) The nature of the effects that have weight on the overall conclusions compared to the aggregated risks been reported to be associated with derived from the studies—that PM air associated with the low to mid-range ambient PM, which include premature pollution is likely causing or concentrations. mortality, aggravation of respiratory and contributing to significant adverse (4) There is greater uncertainty about cardiovascular disease (as indicated by effects at levels below those permitted both the existence and the magnitude of increased hospital admissions and by the current standards—than on the estimated excess mortality and other emergency room visits, school absences, specific concentration-response effects associated with PM exposures as work loss days, and restricted activity functions and quantitative risk estimates one considers increasingly lower days), changes in lung function and derived from them. These quantitative concentrations approaching background increased respiratory symptoms, risk estimates include significant levels. changes to lung tissues and structure, uncertainty and, therefore, should not B. Need for Revision of the Current and altered respiratory defense be viewed as demonstrated health Primary PM Standards mechanisms. impacts. EPA believes, however, that (2) Sensitive subpopulations that they do represent reasonable estimates 1. Introduction. The overarching issue appear to be at greater risk to such as to the possible extent of risk for these in the present review of the primary effects, specifically individuals with effects given the available information. NAAQS is whether, in view of the respiratory disease and cardiovascular Keeping in mind the important advances in scientific knowledge disease and the elderly (premature uncertainties inherent in any such reflected in the Criteria Document and mortality and hospitalization), children analyses, the key insights from the risk Staff Paper, the existing PM standards (increased respiratory symptoms and assessment that are most pertinent to should be revised and, if so, what decreased lung function), and asthmatic the current decision include: revised or new standards would be children and adults (aggravation of (1) Fairly wide ranges of estimates of appropriate. The concluding section of symptoms). the incidence of PM-related mortality the integrative synthesis of health (3) An integrated evaluation of the and morbidity effects and risk effects information in the Criteria health effects evidence, with an reductions associated with attainment of Document, which CASAC characterized emphasis on the key issues raised in alternative standards were calculated for as EPA’s ‘‘best ever example of a true assessing community epidemiological the two locations analyzed when the integrative summary of the state of studies, including alternative effects of key uncertainties and knowledge about the health effects of interpretations of the evidence, both for alternative assumptions were airborne PM,’’ (Wolff, 1996b) provides individual studies and for the evidence considered. Significantly, the combined the following summary of the science as a whole. analysis for these two cities alone found with respect to this issue: (4) The PM fractions of greatest that the risk remaining after attaining The evidence for PM-related effects from concern to health. the current PM10standards was on the epidemiological studies is fairly strong, with most studies showing increases in mortality, The summary in the proposal will not 7The risk assessment results that appear in the hospital admissions, respiratory symptoms, be repeated here. EPA emphasizes that Staff Paper and are summarized in the proposal and pulmonary function decrements the final decisions on these standards have been updated to include analyses of the associated with several PM indices. These take into account the more particular forms of standard alternatives contained epidemiological findings cannot be wholly comprehensive and detailed discussions in the proposal and to correct estimates for one attributed to inappropriate or incorrect effects category (mortality from long-term exposure) of the scientific information on these to reflect the actual statistics used in the study upon statistical methods, misspecification of issues contained in the Criteria which they were based (Pope et al., 1995). The concentration-effect models, biases in study Document and Staff Paper, which were corrections, which cumulatively reduce estimates of design or implementation, measurement reviewed by the CASAC and the public. mortality associated with long-term exposures by 20 errors in health endpoint, pollution to 35%, have no effect on risk estimates for exposure, weather, or other variables, nor 3. Key insights from the risk mortality associated with short-term exposures or confounding of PM effects with effects of assessment. The Staff Paper presents the the estimates for any other effects. Because the key other factors. While the results of the results of a quantitative assessment of sensitivity analyses that provide additional insights epidemiological studies should be health risks for two example cities, raengda rrdeliantge dth irsessuheosl dinsv, ocolvpeodl ltuhtea nsthso, ratv-teerramgi nexgp toimsuere interpreted cautiously, they nonetheless including risk estimates for several studies, none of these results are affected by provide ample reason to be concerned that categories of health effects associated changes to the long-term exposure risk estimates. there are detectable health effects attributable Federal Register / Vol. 62, No. 138 / Friday, July 18, 1997 / Rules and Regulations 38657 to PM at levels below the current NAAQS. locations and the coherent nature of the states supporting even stronger [U.S. EPA, 1996a, p. 13-92] observed effects9are suggestive of a standards acknowledged the lack of Given the nature of the health effects likely causal role of ambient PM in demonstrated mechanism(s) and other in question, this finding, which is based contributing to the reported effects. uncertainties but stressed the strength of on a large number of studies that used 2. Comments on scientific basis for the other evidence in urging EPA to set PM measurements, as well as studies revision. A majority of the public protective standards. 10 using other indicators of PM, clearly comments received on the proposal Many comments were also received indicates that revision of the current PM agreed that, based on the available from representatives of environmental NAAQS is appropriate. Quite apart from scientific information, the current PM10 or community health organizations that the issue of whether PM should be the standards are not of themselves supported the adoption of air quality 10 sole indicator for the PM NAAQS, the sufficient to protect public health and it standards for PM2.5. These commenters extensive PM epidemiological data base would be appropriate to revise them. agreed with EPA’s finding that a large provides evidence of serious health Included in those calling for revisions to body of compelling evidence effects (e.g., mortality, exacerbation of the current standards are many public demonstrates that exposure to chronic disease, increased hospital health professionals, including particulate matter pollution, in general, admissions) in sensitive populations numerous medical doctors and is associated with premature death, (e.g., the elderly, individuals with academic researchers. For example, a aggravation of heart and lung diseases, cardiopulmonary disease), as well as group of 27 members of the scientific increased respiratory illness and significant adverse health effects (e.g., and medical community recognized as reduced lung function. They agreed increased respiratory symptoms, school having substantial expertise in with EPA that these studies present a absences, and lung function conducting research on the health consistent and coherent relationship decrements) in children. Moreover, effects of air pollution stated: between exposure to PM and both these effects associations are observed Health studies conducted in the U.S. and mortality and various measures of in areas or at times when the levels of around the world have demonstrated that morbidity. However, the majority of the current PM standards are met. levels of particulate and ozone air pollution these commenters argued that EPA’s 10 Although the increase in relative risk is below the current U.S. National Air Quality proposed standards for PM2.5were small for the most serious outcomes, Standards exacerbate serious respiratory inadequate and recommended adoption EPA believes it is significant from an disease and contribute to early death. A large of more stringent levels of the 24-hour overall public health perspective, body of scientific and medical evidence and/or annual air quality standards for clearly indicates that the current NAAQS are because of the large number of not sufficiently protective of public health. PM2.5. Many of these commenters also individuals in sensitive populations that [Thurston, 1997] urged EPA to revise the NAAQS for are exposed to ambient PM, as well as PM10to be more protective of public Similar conclusions were reached in a the significance of the health effects health. These commenters based their letter signed by more than 1,000 involved (U.S. EPA, 1996a, p. 1-21). The recommendations on the findings of the scientists, clinicians, researchers, and results of the two-city PM risk studies that were reviewed in the other health care professionals (Dickey, assessment reinforce these conclusions preparation of the Criteria Document 1997). The cosigners to this letter argued regarding the significance of the public and Staff Paper. One commenter used that tens of thousands of hospital visits health risk—even under a scenario in results from five of these studies as the and premature deaths could be awtthaiicnhe dth.e current PM10standards are prevented with the proposed air quality obfa s1i0s mfogr/ mre3co(amnmnueanld) ianngd P 1M8 2m.5gs/tman3d(2a4rd-s standard revisions. In fact, these While the lack of demonstrated hour) (Dockery et al., 1993; Pope et al., commenters argued that even stronger mechanisms that explain the extensive 1995; Schwartz et al., 1996; Schwartz et standards than those proposed by EPA body of epidemiological findings is an al., 1994; Thurston et al., 1994). The are needed to protect the health of the important caution, which presents commenters agreed with EPA on the most vulnerable residents of our difficulties in providing an integrated significance of these studies’ results and communities. assessment of PM health effects the need to revise the PM standards, A number of State and local research, a number of potential while differing with EPA’s government authorities also submitted mechanisms have been hypothesized in interpretation of the findings for comments in support of adopting new the recent literature (U.S. EPA, 1996b; p. purposes of developing the proposed air quality standards for fine particulate V-5 to V-8; appendix D). Moreover, PM standards. matter. The commenters concurred with qualitative information from laboratory Several commenters made reference conclusions reached through the EPA’s studies of the effects of particle to the conclusions of a number of peer review process that the PM components at high concentrations and international scientific panels regarding standards should be revised to protect dosimetry considerations suggest that the health effects of exposure to public health. A number of these the kinds of effects observed in airborne particulate matter—the British commenters suggested that the community studies (e.g., respiratory- Expert Panel on Air Quality Standards, standards proposed by EPA should be and cardiovascular-related responses) the British Committee on the Medical even stronger, while several other State are at least plausibly related to Effects of Air Pollutants, the World agencies recommended that EPA adopt inhalation of PM.8Indeed, as discussed Health Organization, the Canadian PM standards, but at less stringent in the Criteria Document and section 2.5 Ministry of Environment, Lands and levels. A number of the comments from V.E of the Staff Paper, the consistency Parks, and the Health Council of the of the results of the epidemiological Netherlands -- and argued that all these studies from a large number of different 9As noted in the proposal, the kinds of effects panels found that PM concentrations observed in the epidemiological studies are equivalent to the current U.S. standards logically related. For example, the association of 8As discussed more fully below in this unit, PM with mortality is mainly linked to respiratory for PM10are not protective of human epidemiological studies alone cannot be used to and cardiovascular causes, which is coherent with health and made recommendations for demonstrate mechanisms of action, but they can observed PM associations with respiratory and greater protection. One commenter provide evidence useful in making inferences with cardiovascular hospital admissions and respiratory noted that the findings of the British regard to causal relationships (U.S. EPA, 1996b, p. symptoms. Further, similar categories of effects are V-9). seen in long- and short-term exposure studies. Health Panel have resulted in a British 38658 Federal Register / Vol. 62, No. 138 / Friday, July 18, 1997 / Rules and Regulations proposal to adopt a 24-hour PM Comments, certain key points are EPA clearly specified the key criteria 10 standard of 50 m g/m3, which is one-third summarized below in this unit. by which it evaluated the available the level of the current U.S. NAAQS. a. General comments on the use of epidemiological studies in section In these comments, some epidemiological studies. The first 12.1.2 of the Criteria Document, with toxicological studies were cited as category of comments was largely substantial reliance on those specified providing evidence for toxicity of derived from ad hoc panels of by Hill (1965). In rejecting results with particulate pollution. These commenters occupational and other epidemiological relative risks less than 1.5 to 2 as disagreed with arguments that PM experts, consulting groups, and meaningful absent demonstrated standards cannot be adopted due to a individual consultants. Most of these biological mechanisms, the commenters lack of a sufficient understanding of the individuals and groups commented on fail to note that Hill and other expert biological mechanism of injury. The the use of epidemiology in reaching groups (U.S. DHEW, 1964) have commenters argued that there is scientific and policy conclusions emphasized that no one criterion is sufficient evidence that particulate primarily from an occupational or definitive by itself, nor is it necessary pollution is associated with adverse hazard assessment perspective, in that all be met in order to support a health effects to make it inappropriate to contrast to the perspective of the review determination of causality (U.S. EPA, delay the establishment of standards of ambient PM criteria and standards, 1996a, p. 12-3). while further studies are undertaken. With respect to biological plausibility, where the use of community air This group of commenters was also Hill noted that ‘‘this is a feature I am pollution epidemiological studies are critical of arguments against the convinced we cannot demand. What is central. Citing accepted criteria used in establishment of additional PM biologically plausible depends upon the evaluating epidemiological studies to standards based on the possibility of biological knowledge of the day’’ (Hill, assess the likelihood of causality (most confounding by other pollutants, and 1965). This statement is clearly notably those of Sir Austin Bradford urged that more attention be paid pertinent to the toxicological and Hill, 1965), these commenters argued instead to the possible additive or mechanistic understanding of the effects that in the absence of a demonstrated synergistic effects of multiple pollutant of PM and associated air pollutants, biological mechanism, the relative risks exposures. especially at lower concentrations. It is of effects in the PM epidemiological In general, the EPA agrees with these also important to stress that while the studies are too low (less than values commenters’ arguments regarding the mechanistic evidence published as of variously cited as 1.5 to 2.0) to reach need to revise the PM standards. The the time the Criteria Document closed any conclusions regarding causality or scientific studies cited by these does not provide quantitative support to form the basis for regulations. In commenters were the same studies used for the epidemiological results, neither general, the commenters applied these in the development of the Criteria can such limited evidence refute these criteria to a subset of studies evaluated Document and the Staff Paper, and the findings. It is also important to stress in the Criteria Document, including as EPA agrees that there is a sufficient that our understanding of biological few as two long-term exposure studies body of evidence that the current mechanisms for PM pollution effects is (EOP Group) (API, 1997), a group of 9 NAAQS for PM are not adequately not sufficient to explain the effects selected studies (Greenland panel) (API, protective of the public health. For observed at much higher concentrations 1997), those studies cited in the reasons detailed in Unit II.F. of this in air pollution episodes, for which proposal (AIHC, 1997), or as many as 23 preamble and in the Response to causality is generally accepted. selected short-term exposure studies Comments, EPA disagrees with aspects Moreover, the toxicological literature examined in a recently published of these commenters’ views on the level has only recently begun to examine review paper (Gamble and Lewis, 1996). of protection that is appropriate and animal models (or controlled human supported by the available scientific Based on a careful review of these studies) that might reflect the sensitive information. comments, EPA notes a number of populations in question (the elderly, Another body of commenters, limitations in these commenters’ individuals with chronic respiratory including almost all commenters evaluations of the epidemiological and cardiovascular disease) or that representing businesses and industry studies that they considered, as adequately reproduce all of the physico- associations, many local governmental discussed in detail in the Response to chemical properties of particles in the groups and private citizens, and some Comments. In summary, EPA notes that ambient atmosphere. In short, the States opposed revising the standards. these commenters provided scientific absence of evidence of a particular Many of these commenters argued that advice and conclusions that are in mechanism is hardly proof that there are the available scientific evidence does substantial disagreement with the no mechanisms that could explain the not provide an adequate basis for conclusions of the review reflected in effects observed so consistently in the revising the current standards. The the Criteria Document and Staff Paper. epidemiological studies. The absence of central arguments made by these EPA stands behind the scientific biological mechanisms did not deter commenters can be divided into two conclusions reached in these documents CASAC from recommending revisions categories: (1) General comments on the regarding the appropriate use of the to the PM standards in 1982, 1986, and appropriateness of relying on the available community epidemiological again in 1996. epidemiological evidence for making studies. These documents were the While Hill appropriately emphasized regulatory decisions, and (2) more product of an extended public process the strength of the association as specific comments challenging EPA’s that included conducting public important (e.g., size of the relative risk), appraisal of the consistency and workshops involving the leading he also pointed out that ‘‘We must not coherence of the available information, researchers in the field, drafts of the be too ready to dismiss a cause-and- EPA’s conclusions regarding causality, Criteria Document and Staff Paper effect hypothesis merely on the ground and the use of these studies for risk providing opportunities for public that the observed association appears to assessment and decisions on whether to scrutiny and comment on, and, not be slight. There are many occasions in revise the standards. While EPA has least, receiving the advice of an medicine when this in truth is so’’ (Hill, included comprehensive responses to independent panel of air pollution 1965). EPA believes that the effects of these comments in the Response to experts, including epidemiologists. air pollution containing PM is such a Federal Register / Vol. 62, No. 138 / Friday, July 18, 1997 / Rules and Regulations 38659 case. Unlike the ‘‘textbook’’ examples of different conclusions about the pollution, it is not realistic to require unlikely significant associations consistency of the observed associations personal monitors in air pollution provided by some commenters (e.g., ice because of their assumptions that all studies of daily mortality, which require cream consumption correlated with heat model building strategies by all authors urban scale population data over a stroke), the abundant epidemiological are equally valid. Even the most period of years. Furthermore, the use of literature on combustion particles thorough of these treatments (Gamble community monitoring-based documents numerous occasions in and Lewis, 1996) shared this flaw, epidemiological studies as a basis for which single short-term episodes of particularly in the discussion of the establishing standards and guidelines high air pollution produced series of Philadelphia mortality studies has a long history in air pollution, unequivocally elevated relative risks. and in the discussion of modeling including the British authorities’ For the week of the well documented approaches. The authors’ treatment of response to the London episodes and 1952 London air pollution episode, for modeling and confounding issues was the establishment of the original U.S. example, the relative risk of mortality further limited because they did not NAAQS in 1971. Rejecting the use of the for all causes was 2.6, while the relative include the most recent Philadelphia vast array of such studies on this basis risk for bronchitis mortality was as high results (Samet et al., 1996a,b) sponsored alone would also go against the advice as 9.3 (Ministry of Health, 1954). by the Health Effects Institute (HEI, of the independent scientific experts on Hospital admissions also increased by 1997). One of the important functions of every CASAC panel that has addressed more than a factor of two. British the Criteria Document is to evaluate the the subject of PM pollution through the epidemiologists in the 1950s concluded strengths and limitations of various years, each of which has recommended that increased mortality was likely studies. As discussed more fully below general PM standards based primarily when PM (as mass calibrated British in this unit, the Criteria Document on the results of community Smoke <4.5 m m in aerodynamic found that some of the studies cited by epidemiological studies (Friedlander, diameter) exceeded 500 m g/m3(Martin commenters as suggesting a lack of 1982; Lippmann, 1986; Wolff, 1996b). and Bradley, 1960). This is only about consistency had important limitations. As noted above in this unit, EPA has a factor of 3 higher than that allowed by In general, these commenters’ analyses included a more detailed discussion of the current PM standard. Unlike the suffered by ignoring the much more its responses to these comments in the ‘‘textbook’’ and other unlikely statistical thorough critical review of these studies Response to Comments. associations noted by some commenters, and issues contained in the Criteria b. Specific comments on where the only evidence is for low Document, notably that in section 12.6 epidemiologic studies. The second relative risk, clear and convincing links on alternative modeling approaches. group of commenters noted above made between high-level PM concentrations EPA also rejects the notion advanced more specific challenges to EPA’s and mortality and morbidity buttress the by these commenters that assessment of the epidemiological findings of similar associations at much epidemiological studies must use studies. These comments, although lower PM concentrations as suggested in personal exposure monitoring to be overlapping some of those made by the the more recent epidemiological considered for regulatory purposes. In first group, were generally made by literature. particular, commenters ignore the commenters who have taken a more These commenters also appear to significant strengths of the time-series active role in the review of the Criteria ignore several epidemiological studies studies and prospective cohort studies Document and Staff Paper. These conducted at low PM concentrations in relied on by EPA as compared to cross- commenters asserted that the U.S. and European cities, including both sectional epidemiological studies. Time- epidemiological evidence on PM is not short- and long-term exposures to PM series studies, such as the daily as consistent and coherent as EPA has air pollution, that find statistically mortality studies, look at changes in claimed, and, in particular, charged that significant relative risks of respiratory response rate in relation to changes in EPA ignored or downplayed a number symptom categories in children in the range of 1.5 to 5 (Schwartz et al., 1994; weather and air pollution over time of studies that the commenters argue Pope and Dockery, 1992; Braun- intervals of a few days. This controls for contradict the evidence the Agency Fahrlander et al., 1992; Dockery et al., other factors such as smoking and cited as supporting the consistency and 1989; Dockery et al., 1996). socioeconomic status, which are little coherence of PM effects. The studies, all Concentrations in these studies extend changed during such short intervals. of which commenters contend do a from moderately above to well below Prospective cohort studies (e.g., Pope et better job of addressing one or more key those permitted by the current PM al., 1995; Raizenne et al., 1996), on the issues, such as confounding pollutants, 10 standards. While, as noted in the other hand, look at changes in health weather, exposure misclassification, and proposal, most of the recent status in a selected cohort of model specification, than earlier epidemiological studies of mortality and individuals, which allows direct studies, include several that were hospital admissions report adjustment for smoking status, available during preparation of the comparatively small relative risks, the socioeconomic status, and other subject- Criteria Document, and a number that findings of relative risks well in excess specific factors. The commenters also appeared after the Criteria Document of the 1.5 to 2 criterion noted by ignore the Criteria Document and Staff Paper were completed. commenters for earlier studies of high conclusions on how properly conducted Because the status of the later studies PM episodes, as well as the relative monitoring can provide an adequate differ from that of the earlier ones for risks of 1.5 to 5 reported in more recent index of population exposure to purposes of decisions under section 109 studies of less serious, but still ambient air pollution in such studies of the Act, the two categories are important effects categories, lend that, as detailed below, is more relevant discussed separately below in this unit. credibility to EPA’s interpretation of the to establishing ambient air quality Additional responses to comments results. standards (U.S. EPA 1996a, chapter 7). relating to both sets of studies have been In addition to basing their Although personal monitoring may be included in the Response to Comments. conclusions primarily on their own practical for some occupational and In addition to the inclusion of specific assessment of a limited set of studies, epidemiological studies, and has been studies, commenters also raised other this group of commenters reached employed in some past studies of air issues regarding the limitations of the 38660 Federal Register / Vol. 62, No. 138 / Friday, July 18, 1997 / Rules and Regulations epidemiological information and the use et al., 1995)11, with extended analyses other investigators (Li and Roth, 1995; of these studies in EPA’s two-city risk for Philadelphia in Phase I.B (Samet et Wyzga and Lipfert, 1995). Further assessment. Both of these topics are also al., 1996a,b). The most important analytical studies of the Philadelphia discussed below in this unit. finding in the HEI Phase I.A reanalyses data set were carried out by HEI (Samet (i) Studies available for inclusion in of the six areas is ‘‘the confirmation of et al., 1996a,b) and have largely resolved the criteria review. With some the numerical results of the earlier many of the uncertainties in the earlier exceptions, most of the above analyses of all six data sets’’ (HEI, analyses; in EPA’s opinion, these commenters cited somewhat similar 1995)12. After replicating the original studies supersede the results of the lists of ‘‘negative’’ studies that they investigators’ analyses, Samet et al. original investigators (Schwartz and argue EPA ignored or downplayed in (1995) also found similar results Dockery, 1992a) and the several earlier arriving at conclusions on consistency analyzing the data using an improved reanalyses, including Moolgavkar and coherence. Of the most commonly statistical model. The HEI Oversight (1995a), Moolgavkar and Luebeck cited studies, the following were Committee found (1996), Li and Roth (1995), Wyzga and available for inclusion in the Criteria Lipfert (1995), and Samet et al. (1995). [I]t is reasonable to conclude that, in these Document: daily mortality studies by six data sets, daily mortality from all causes Even though TSP is not the best PM Styer et al. (1995), Lyon et al. (1995), Li combined, and from cardiovascular and indicator for health effects, since it and Roth (1995), Moolgavkar (1995a,b), respiratory causes in particular, increases as includes a substantial fraction of non- Wyzga and Lipfert (1995), Lipfert and levels of particulate air pollution indexes thoracic particles, the extended Criteria Wyzga (1995), and Samet et al. (1995, increase. [HEI, 1995] Document assessment (U.S. EPA, 1996a, 1996a,b); the long-term exposure It is important to note that these pp. 12-291 to -299; 12-327) of the Phase mortality study by Abbey et al. (1991); reanalyses by respected independent I.B HEI analyses in Philadelphia (Samet and the re-examination of the Six-City scientists confirm the reliability and et al., 1996a,b) serves to support the mortality results (Dockery et al., 1993) reproducibility of the work of the following findings: by Lipfert (1995). original investigators, particularly in (1) The mortality effects estimates for The written record of EPA’s view of the concerns some commenters TSP do not depend heavily on statistical evaluations of these studies effectively have expressed about EPA’s reliance on methods when appropriate models are refutes the claim that the Agency a number of PM studies published by used. ignored any of these studies and these authors. (2) Estimated PM effects are not supports the treatment the Agency The Phase I.A HEI results for highly sensitive to appropriate methods accorded to each of them. All of the Philadelphia also found that it was for adjusting for time trends and for studies available to EPA at the time of difficult to separate the effects of PM weather. CASAC closure on the PM Criteria from those of co-occurring SO2, in (3) Air pollution has significant health Document (March 1996) were examined agreement with the Moolgavkar et effects above and beyond those of for inclusion in the Criteria Document al.(1995a) analysis. Subsequent HEI weather. and Staff Paper, which form the basis work, and several of the other so-called (4) Copollutants such as ozone, CO, for the PM proposal. ‘‘Negative’’10 ‘‘negative’’ studies cited above in this and NO2may be important predictors of studies were evaluated in detail along unit, further examined this issue in mortality, but their effects can be with ‘‘positive’’ studies when they were terms of confounding or effects substantially separated from those of found to have no critical methodological modification by one or more co- TSP and SO2. (5) The health effects of TSP in deficiencies, or to point out strengths occurring gaseous pollutants or weather. Philadelphia cannot be completely and limitations. Studies that had more Contrary to commenters’ claims, this separated from SO , which is itself a serious problems were generally issue and these studies received 2 precursor of fine particles, based solely discussed in less detail, whether considerable attention in the Criteria on the epidemiological analyses in this positive or negative, than studies with Document and Staff Paper, and the single city. fewer or small deficiencies. The EPA overall implications and conclusions The most recent HEI Oversight assessments were evaluated by peer from these assessments were Committee comments on these studies reviewers, by CASAC, and by the summarized in the proposal. In (HEI, 1997), which were submitted to public. particular, the so-called ‘‘negative’’ and the docket by HEI, state that: Most of the short-term exposure other findings of Moolgalvkar et al. studies cited above in this unit are (1995a,b) in their Philadelphia and Although individual air pollutants (TSP, reanalyses and extensions of PM/ Steubenville studies were discussed in SO2, and ozone) are associated with mortality studies that had been great detail in section 12.6 of the PM increased daily mortality in these data, the limitations of the Philadelphia data make it published by other investigators. In Critera Document and compared to impossible to establish that particulate air general, the Criteria Document those of the original investigators pollution alone is responsible for the widely concluded that the most comprehensive (Schwartz and Dockery, 1992a,b) and observed associations between increased and thorough reanalyses were those in mortality and air pollution in that city. All the series conducted for the HEI, which 11Data sets were those used in the original we can conclude is that it appears to play a reanalyzed data sets used in studies studies by Dockery et al. (1992) for St. Louis and role. [HEI, 1997; p.38.] Eastern Tennessee; Pope et al. (1992) for Utah from six urban areas in Phase I.A (Samet Valley; Schwartz and Dockery (1992a) for While recognizing the limitations in the Philadelphia; Schwartz (1993) for Birmingham; and conclusions that can be made based on 10The term ‘‘negative’’ studies, as used in these a portion of the Santa Clara data from Fairley studies in a single city, the Oversight comments, should not be construed to mean those (1990). The data set from the Moolgavkar et al. Committee endorses the approach taken in which there is a negative effects estimate (either (1995a) Philadelphia reanalysis was also included significant or non-significant) for the nominal (Samet et al., 1995). by EPA in evaluating a broader set of cause. As used by these commenters, the term also 12The HEI Board of Directors appointed an eight epidemiological studies: includes statistically non-significant positive effect member Oversight Committee consisting of leading Consistent and repeated observations in estimates. In other words, the commenters define scientists in several disciplines relevant to air ‘‘positive’’ studies as including only those in which pollution epidemiology to oversee key aspects of locales with different air pollution profiles the effect estimate is both positive and statistically the project and to prepare HEI’s assessment of the can provide the most convincing significant. results. epidemiological evidence to support
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