PUBLIC HEALTH ASSESSMENT
NAVAL AIR WARFARE CENTER
[a/k/a NAVAL AIR DEVELOPMENT CENTER (8 WASTE AREAS)]
WARMINSTER TOWNSHIP, BUCKS COUNTY, PENNSYLVANIA
APPENDIX D: ESTIMATED EXPOSURES AND HEALTH EFFECTS FOR THE CASEY VILLAGE NEIGHBORHOOD
In the Casey Village neighborhood, sampling found carbon tetrachloride (to 8.7 parts per billion [ppb]), 1,1-dichloroethene (1,1-DCE) (to 19 ppb), cis-1,2-dichloroethene (cis-1,2-DCE) (to 530 ppb), tetrachloroethylene (PCE) (to 480 ppb), and trichloroethylene (TCE) (to 1,200 ppb). These volatile organic compounds (VOCs) were found in a TCE plume and PCE plume suspected to originate in the Casey Village neighborhood, rather than from site sources. These maximum detected concentrations were an order of magnitude higher than VOC concentrations found in other neighborhood private wells or public water supplies. As such, the Agency for Toxic Substances and Disease Registry (ATSDR) evaluated exposures to VOCs in drinking water supplies in Casey Village separately. ATSDR evaluated exposures to VOCs in drinking water during household use (ingestion, inhalation, and dermal contact) as described in Appendix C. In addition, ATSDR specifically evaluated inhalation exposures to TCE while showering because the maximum TCE concentration (1,200 ppb) found in one home was three orders of magnitude greater than its Maximum Contaminant Level (MCL) of 5 ppb.
When the Navy detected VOC contamination in private wells in Casey Village in 1993, bottled water was immediately provided to the homes where elevated VOC concentrations were detected. By 1995, the Navy and the U.S. Environmental Protection Agency (EPA) connected all homes in Casey Village to the municipal water supply. As a result of these actions, exposure to VOCs in private well water in Casey Village ceased. As such, ATSDR's evaluations focused on past exposures. Evaluation of past exposures and doses found that use of drinking water supplies is not expected to result in noncancer or cancer health effects.
Estimated Exposure Doses for Groundwater Use
As described in Appendix C, ATSDR estimated exposure doses for people using contaminated well water to determine whether exposures to contaminants in drinking water supplies may be related to adverse health effects. In estimating to what extent people might be exposed to contaminants, ATSDR used a number of "conservative" assumptions about contaminant concentrations in well water, as well as how much and how often people drink well water, to ensure that a worst-case exposure scenario was evaluated. ATSDR expects that few residents were actually exposed to the highest contaminant concentrations for the duration and frequency assumed.
ATSDR used the to following equation and exposure assumptions to estimate an exposure dose for drinking water:
where:
C Maximum concentration (parts per million [ppm]) IR Intake rate (accounts for ingestion, inhalation, and dermal contact): adult=4 liters per day; child=3 liters per day EF Exposure frequency: residents=365 days/year ED Exposure duration or the duration over which exposure occurs: residents (adults)=43 years, (children)=6 years (Exposure durations represent the time from when on-base disposal commenced and most homes in Casey Village were built in 1950 until private well users were provided with alternate water supplies in 1993 [43 years].) BW Body weight: adult=70 kg (154 pounds); child=10 kg (22 pounds) AT Averaging time or the period over which cumulative exposures are averaged (6 or 43 years x 365 days/year for noncancer effects and 70 year [considered a lifetime] x 365 days/year for cancer effects)
These assumptions are conservative because:
Noncancer
Table E-1 lists the noncancer doses for adults and children, the minimal risk levels (MRLs), and the no-observable-adverse-effects-level (NOAEL) or lowest-observable-adverse-effects-level (LOAEL) that served as the basis for the MRL. The doses for carbon tetrachloride, 1,1-DCE, and cis-1,2-DCE were below their MRLs. The child dose for TCE was above its MRL. The adult and child doses for PCE exceeded the MRLs. However, the estimated doses for exposure to each of these contaminants was well below the NOAEL or LOAEL used to develop the MRLs. Because of the toxicity data and the conservative assumptions described previously, ATSDR expects that actual exposure doses were below the estimated doses and that noncancer effects are not expected to occur.
Table E-1: Estimated Exposure Doses at Casey Village - Noncancer
Contaminant |
Maximum Detected Concentration (ppb) |
Estimated Exposure Dose (mg/kg/day) |
NOAEL or LOAEL (mg/kg/day) |
Health Guideline (mg/kg/day) |
Basis for Health Guideline |
|
Adult |
Child |
|||||
Carbon tetrachloride |
8.7 |
0.0005 |
0.003 |
1 |
0.007 |
MRLintermediate |
1,1-DCE |
19 |
0.001 |
0.006 |
9 |
0.009 |
MRLchronic |
cis-1,2-DCE |
530 |
0.03 |
0.2 |
97 |
0.3 |
MRLintermediate |
PCE |
480 |
0.03 |
0.2 |
5 |
0.05 |
MRLacute |
TCE |
1,200 |
0.08 |
0.4 |
50 |
0.2 |
MRLacute 1 |
1 A chronic MRL is not available for TCE, therefore, the acute MRL is presented.
Bolded text indicates doses that exceeded health guidelines.
DCE | dichloroethene |
LOAEL | lowest-observable-adverse-effects-level |
mg/kg/day | milligrams contaminant per kilogram body weight per day |
MRL | minimal risk level |
NOAEL | no-observable-adverse-effects-level |
PCE | tetrachloroethylene |
ppb | parts per billion |
TCE | trichloroethylene |
Cancer
The cancer doses, cancer effects levels from the scientific literature, and lifetime cancer risks are provided in Table E-2. Although EPA is currently reviewing literature regarding the carcinogenicity of TCE and PCE, ATSDR evaluated exposures to these contaminants using the previously derived cancer potency factors (CPFs). This approach provides a conservative evaluation of the likely effects from exposures to PCE and TCE in drinking water supplies. ATSDR derived lifetime cancer risks for 1,1-DCE, PCE, and TCE slightly above the regulatory range of 10-4 to 10-6. However, these are overestimates of the actual risk. In addition to using extremely conservative assumptions about the intake rates, exposure frequency, and exposure duration as described previously, the cancer effect level for 1,1-DCE (0.6 mg/kg/day) is about 800 times higher than the cancer dose (0.0007 mg/kg/day); the cancer effect level for PCE (386 mg/kg/day) is about 20,000 times higher than the cancer dose (0.02 mg/kg/day); and the cancer effect level for TCE (1,000 mg/kg/day) is about 20,000 times higher than the cancer dose (0.05 mg/kg/day) (ATSDR 1997b, 1997c). The cancer effect level is the lowest level associated with the onset of cancer, as seen in experimental studies. Because of the toxicity data and the conservative assumptions about exposures, ATSDR expects that actual exposure doses were below the estimated doses and cancer effects are not expected to occur.
Table E-2: Estimated Exposure Doses at Casey Village - Cancer
Contaminant |
Maximum Detected Concentration (ppb) |
Estimated Exposure Dose (mg/kg/day) |
CEL (mg/kg/day) |
CPF (mg/kg/day)-1 |
Lifetime Cancer Risk1 |
Carbon tetrachloride |
8.7 |
0.0003 |
20 |
0.1 |
4 x 10-5 |
1,1-DCE |
19 |
0.0007 |
N/A |
0.6 |
4 x 10-4 |
cis-1,2-DCE |
530 |
0.02 |
N/A |
unknown |
N/A |
PCE |
480 |
0.02 |
386 |
0.05 |
1x 10-3 |
TCE |
1,200 |
0.05 |
1,000 |
0.01 |
5 x 10-4 |
1lifetime cancer risk = dose x CPF
CPF | cancer potency factor |
CEL | cancer effects level |
DCE | dichloroethene |
mg/kg/day | milligrams contaminant per kilogram body weight per day |
N/A | not available |
PCE | tetrachloroethylene |
ppb | parts per billion |
TCE | trichloroethylene |
Estimated Exposures to TCE During Showering
ATSDR specifically evaluated inhalation exposures to TCE while showering because the maximum TCE concentration (1,200 ppb) found in one home was three orders of magnitude greater than its MCL of 5 ppb. TCE exposure during showering is a concern because it is a VOC, which means it can easily move from the water to the air. Exposure to TCE from drinking or contact with the skin, as evaluated previously in this appendix, was found to be below levels of health concern.
ATSDR used the to following equation and assumptions to estimate TCE concentrations in air during showering.
where:
Ca Concentration of TCE in air (micrograms per cubic meter [ug/m3]) Cw Concentration of TCE in water: 1,200 micrograms per liter (ug/L) MT Mass transfer: 1 (represents 100% transfer of TCE from water to the air) FR Flow rate (rate of water flowing from the shower head): 12 liters per minute (L/min). Based on EPA's Exposure Factors Handbook for average flow from a high flow shower head. T Time in shower: 10 minutes. Based on EPA's Exposure Factors Handbook for average shower length. V Volume of bathroom: 10 cubic meters (m3). Based on a small bathroom with the dimensions of 7 feet by 7 feet by 8 feet.
These assumptions are conservative because:
As a result of ATSDR's evaluation, showering with water containing 1,200 ug/L of TCE would result in an air concentration of 14,400 ug/m3. MRLs for exposures to contaminants in air are expressed as concentrations (i.e., ug/m3) so that air concentrations can be directly compared to the MRLs without needing to estimate doses. The calculated concentration of TCE in the bathroom air during showering (14,400 ug/m3), therefore, is slightly above ATSDR's acute MRL for TCE in air (10,700 ug/m3). The acute MRL is based on a study of people exposed to TCE at a concentration of approximately 1,070,000 ug/m3. At this concentration, identified as the LOAEL for acute exposures to TCE in air, people experienced fatigue and drowsiness. The lowest NOAEL found in a review of the toxicologic literature was approximately 510,000 ug/m3 of TCE in air, which is 35 higher than the estimated TCE concentration in air from showering with water containing the maximum detected concentration of TCE found in Casey Village (1,200 ug/L) (ATSDR 1997c). As such, no acute health effects are expected from showering with water from private wells in Casey Village.
To evaluate intermediate and chronic exposures, the calculated acute exposure concentration (14,400 ug/m3) is expressed as a time weighted average (TWA). A TWA is the concentration of TCE a person would have to be exposed to constantly over a 24 hour day to match the amount that person was exposed to in only a 10 minute shower, as assumed in ATSDR's calculations. The time waited average was calculated as follows:
Where:
14,400 ug/m3 The TCE concentration estimated in the bathroom air during a 10 minute shower 144 The number of 10 minute intervals in a day.
(1,440 minutes per day/10 minutes)
The time weighted average of TCE in air (100 ug/m3), therefore, is below ATSDR's intermediate MRL for TCE in air (500 ug/m3). As such, no long term health effects are expected from using water from private wells in Casey Village.
APPENDIX E: ATSDR PLAIN LANGUAGE GLOSSARY OF ENVIRONMENTAL HEALTH TERMS (Revised December 1999)
ATSDR defines an exposure pathway as having 5 parts:
When all 5 parts of an exposure pathway are present, it is called a Completed
Exposure Pathway. Each of these 5 terms is defined in this Glossary.
the area of a playground that has contaminated dirt, a contaminated spring used for drinking water, the location where fruits or vegetables are grown in contaminated soil, or the backyard area where someone might breathe contaminated air.
APPENDIX F: RESPONSE TO PUBLIC COMMENTS
The Agency for Toxic Substances and Disease Registry (ATSDR) received the following comments/questions during the public comment period (September 28 to November 16, 2001) for the Naval Air Warfare Center (NAWC) Public Health Assessment (PHA) (September 28, 2001). In addition to receiving written comments, ATSDR also contacted people included on the mailing list for receipt of the PHA to confirm that their comments were received, if submitted, and to ensure that these concerns were addressed in the PHA. For comments that questioned the validity of statements made in the PHA, ATSDR verified or corrected the statements. The list of comments presented below does not include editorial comments concerning such things as word spelling or sentence syntax.
General
Response: ATSDR evaluated possible current and future public health effects considering that proposed or ongoing remediation efforts and monitoring would be implemented as planned. ATSDR agrees that this PHA should not be misinterpreted to imply that no remediation is necessary.
Response: The "Remedial and Regulatory History" section of the PHA states that EPA identified an industrial area north of NAWC as a potential source of chlorinated solvents. EPA has confirmed that their investigations are ongoing and that no definitive determinations regarding additional sources of chlorinated solvents in groundwater north of NAWC have been made to date (Creamer 2002). The Navy's investigations identified off-base sources of groundwater contamination during the course of their RI investigations, but did not identify a specific off-base source.
Response: When groundwater contamination was found in several locations in the Warminster area, NAWC was identified as a potential source. In response, the Navy conducted investigations to characterize the nature and extent of groundwater contamination originating at the base. To provide a complete history of past events and address community concerns about groundwater contamination, ATSDR included information about water supplies that were impacted by NAWC sources, as well as water supplies included in Navy investigations, but found to be impacted by non-NAWC sources.
As a result of these investigations, NAWC was implicated as the source of contamination found in WMWA Well 26. On-base wells and private wells were also identified as being impacted by NAWC sources. ATSDR organized the "Evaluation of Groundwater Exposure Pathway" section of this PHA to first discuss those water supplies impacted by NAWC sources, and then to discuss those water supplies impacted by non-NAWC sources. ATSDR modified the text to clearly indicate which water supplies were considered impacted by NAWC, including WMWA Well 26.
Response: The "Quality Assurance and Quality Control" section of this PHA does note that several technical documents regarding NAWC are undergoing review and concerned parties, including the RAB, EPA, and PADEP, have not reached a consensus regarding conclusions provided in these documents because a concern about the source of groundwater contaminant in neighborhoods adjacent to NAWC remains. ATSDR added text stating that concerns about sources of groundwater contamination in municipal wells also remain.
Response: In the PHA process, ATSDR identifies possible exposures and potentially exposed populations before evaluating whether these exposures could lead to adverse health effects. As a result, ATSDR may identify exposures that occur infrequently or only at an individual household, which is the case with the single Aroclor-1248 detection in sediment and the TCE detection in a single well in the Speedway neighborhood. Evaluations of possible public health effects from these exposures are then conducted considering how often a person may contact a chemical (frequency), as well as other factors such as for how long exposures may occur (duration) and what chemical concentrations people may contact. Following this process, ATSDR uses conservative assumptions to purposely overestimate exposures during evaluations and ensure protection of public health. Removing chemicals detected in 5 percent or less than the total number of samples collected would preclude ATSDR from conducting a thorough evaluation of all public health impacts.
Water Supplies
Response: In comments on RIs submitted to the Navy, stakeholders have provided additional information and interpretations of groundwater conditions. These comments can be summarized as follows:
(Earth Data 1996; Tetra Tech 1998; Pennoni 2000)
The text provided in the "Hydrogeology" section of this PHA has been modified to reflect these comments. This information, however, does not change the conclusions drawn in the PHA. Possible past, current, and future exposures to contaminants through use of groundwater as a drinking water supply are too low to cause illness or adverse health effects. In addition, the Navy and municipal water suppliers are conducting activities, such as remediation and monitoring, to ensure the safety of the water supply.
Response: During the Phase II RI of Operable Unit 1 completed in 1993, the Navy sampled several off-base wells, including WMWA Well 26. Analysis of the sample collected from WMWA Well 26 detected arsenic at 3.7 parts per billion [ppb]. This concentration is below EPA's maximum contaminant level, but above ATSDR's comparison value. Although water from this well is treated using an air stripper, this treatment method is not designed to remove arsenic from the water. As such, ATSDR considers that exposures to arsenic were possible and evaluated the potential for adverse health effects from these exposures. ATSDR found that the detected arsenic concentration was below levels that would cause health effects in potentially exposed populations.
Lead Paint
Response: As requested, ATDSR reviewed the information used to draw the conclusion that lead exposures in one home (Quarters A) posed an indeterminant health hazard. Because the elevated concentration of lead in soil (a maximum of 8,734 parts per million [ppm]) is consistent with scientific literature reporting elevated blood lead levels and past exposures by children and pregnant women is unknown, ATSDR retained the classification of indeterminate public health hazard for exposures to lead at Quarters A. The following provides additional information.
Five surface soil samples were collected from the foundation, driveway, and 40 feet from the foundation of Quarters A. Detected concentrations ranged from 54 ppm, found 40 feet from the foundation, to 8,734 ppm, found at the foundation. The average detected concentration was approximately 1,980 ppm. A number of studies have been conducted to evaluate the relationship between elevated soil lead concentrations and elevated blood lead levels. ATSDR's Toxicological Profile reviews these studies and reports a 1 to 7 microgram per deciliter (ug/dL) increase in blood lead levels for every 1,000 ppm increase in soil lead concentrations. Based on these findings, an increase of 8.7 to 61 ug/dL in blood lead levels may result from exposure to the maximum lead concentration in soil (8,734 ppm) and an increase of 2 to 14 ug/dL in blood lead levels may result from exposure to the average lead concentration in soil (1,980 ppm). These increases exceed the Center for Disease Control's (CDC) level of concern of 10 ug/dL blood lead in children (ATSDR 1999).
ATSDR also reviewed EPA's risk analysis conducted to support the development of EPA lead standards in paint, dust, and soil. One of the studies considered in this analysis was a 1996 EPA study of lead exposures to children in the Baltimore, Maryland, area. In this study, lead was found in soil at a maximum concentration of 3,450 ppm and an average concentration of 1,260 ppm at homes slated for lead abatement. The corresponding blood lead levels found in children living in these homes was a maximum of 65 ug/dL and an average of 10 ug/L. These levels meet or exceed CDC's level of concern (10 ug/dL). Children in this study were also exposed to lead in dust and paint in homes, nonetheless, soil lead concentrations in this study were similar to, if not lower than, concentrations found at Quarters A (EPA 1998).
Based on this information, ATSDR believes that lead levels found at Quarters A have the potential to results in adverse health effects in exposed populations of children. Because lead exposures to pregnant woman can adversely affect the unborn child, ATSDR also considers pregnant woman as a susceptible population. However, no information is available to determine if a receptor populationchildren and/or pregnant womenlived in Quarters A when lead exposures were possible. Nor is information available to determine if the receptor population's activities would have resulted in frequent contact with elevated soil lead concentrations (e.g., gardening or playing in areas of elevated lead concentrations). Because this information is lacking, ATSDR categorized past exposures to lead at Quarters A as indeterminate. The Navy has completed lead abatement at Quarters A and other housing areas, therefore, ATSDR categorized current and future exposures as posing no public health hazard.
Response: A review of the scientific literature indicates that lead ingested or inhaled during pregnancy or lead released from the mother's bones can be sources of lead exposure to an unborn child. Lead exposure may continue during breast feeding. Unborn children exposed to lead may experience the following health effects: impaired neurological development, neurobehavioral deficits, growth retardation, low birth weights, and low gestational age. As discussed in the response to comment 8, information regarding a possible receptor population and possible activities (e.g. gardening) in areas of high lead concentrations is unavailable. As such, ATSDR considered pregnant woman as a possible susceptible population to past lead exposures at Quarters A and categorized past lead exposures as posing an indeterminate public health hazard.
Response: ATSDR agrees that landscaping and a vegetative cover would reduce potential contact with soil lead concentrations. The Navy's 1997 "Lead Management Plan, Senior Enlisted Quarters" report, which provided the information about lead sampling conducted at Quarters A, Quarters B, and the officer housing area used in this PHA, contains information about the vegetative cover at areas of soil sampling. At the location where the highest lead concentration (8,734 ppm) was detected, a vegetative cover of 95% was reported. However, at the location of the second highest lead concentration (884 ppm), a vegetative cover of only 20% was reported (Department of the Navy 1997). This information indicates that at least some areas surrounding Quarters A included bare soil.
References
Agency for Toxic Substances and Disease Registry (ATSDR). 1999. Toxicological profile for lead. Atlanta, GA: Agency for Toxic Substances and Disease Registry. July 1999.
Creamer, Charlene. 2002. Personal Communication with Charlene Creamer, EPA Region 3 Representative. February 27, 2002.
Department of the Navy. 1997. Lead Management Plan, Senior Enlisted Quarters, Naval Air Station Joint Reserve Base Willow Grove. January 1997.
Earth Data Incorporated and Pennoni Associates, Inc. (Earth Data). 1996. Correspondence from W. David Fennimore, J. Anthony Sauder, and Anthony S. Bartolomeo to Orlando Monaco regarding NAWC Warminster. October 9, 1996.
Pennoni Associates, Inc. (Pennoni). 2000. Correspondence from J. Anthony Sauder and Kevin J. Davis to Lonnie Monaco regarding RI/FS for Area D Groundwater, Former NAWC Warminster, Pennsylvania. May 30, 2002.
Tetra Tech NUS, Inc. (Tetra Tech). 1998. Correspondence from Neil Teamerson to Lonnie Monaco regarding Responses to Comments for Groundwater Monitoring Reports, Former Naval Air Warfare Center (NAWC) Warminster, Pennsylvania. December 31, 1998.
U.S. Environmental Protection Agency (EPA). 1998. TSCA Section 403, Risk Analysis to Support Standards for Lead in Paint, Dust, and Soil. Office of Pollution Prevention and Toxics. Publication No.: EPA 747-R97-006. June 1998.