Do Waste Incinerators Induce Adverse Respiratory Effects? An Air Quality and Epidemiological Study of Six Communities
Carl M. Shy,1 Darrah Degnan,2 Donald L. Fox,1 Shaibal Mukerjee,2 Milan J. Hazucha,1 Brian A. Boehlecke,1 Dietrich Rothenbacher,1 Patsy M. Briggs,3 Robert B. Devlin,2 Dennis D. Wallace,1 Robert K. Stevens,2 and Philip A. Bromberg1 1University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 USA
2U.S. Environmental Protection Agency, Research Triangle Park, NC 27711 USA
3Mecklenburg County Health Department, Charlotte, NC 28211 USA Abstract The purpose of the study presented here was to simultaneously measure air quality and respiratory function and symptoms in populations living in the neighborhood of waste incinerators and to estimate the contribution of incinerator emissions to the particulate air mass in these neighborhoods. We studied the residents of three communities having, respectively, a biomedical and a municipal incinerator, and a liquid hazardous waste-burning industrial furnace. We compared results with three matched-comparison communities. We did not detect differences in concentrations of particulate matter among any of the three pairs of study communities. Average fine particulate (PM2.5) concentrations measured for 35 days varied across study communities from 16 to 32 µg/m3. Within the same community, daily concentrations of fine particulates varied by as much as eightfold, from 10 to 80 µg/m3, and were nearly identical within each pair of communities. Direct measurements of air quality and estimates based on a chemical mass balance receptor model showed that incinerator emissions did not have a major or even a modest impact on routinely monitored air pollutants. A one-time baseline descriptive survey (n = 6963) did not reveal consistent community differences in the prevalence of chronic or acute respiratory symptoms between incinerator and comparison communities, nor did we see a difference in baseline lung function tests or in the average peak expiratory flow rate measured over a period of 35 days. Based on this analysis of the first year of our study, we conclude that we have no evidence to reject the null hypothesis of no acute or chronic respiratory effects associated with residence in any of the three incinerator communities. Key words: air pollution, particulate matter, respiratory hypersensitivity, respiratory function tests, respiratory tract diseases, toxic waste, waste incinerators. Environ Health Perspect 103:714-724 (1995) Address correspondence to C.M. Shy, Department of Epidemiology, CB7400, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599. We thank the personnel from the Mecklenburg County Health Department and personnel from the Mecklenburg County Department of Environmental Protection, particularly J. Frances and T. Ward. We also thank R.B. Kellogg, N. Vescio, D.C. Stiles, T.A. Lumpkin, E.L. Quesnell, and M.C. Somerville. The work of ManTech Environmental Technology, Inc. on this project was supported by the U.S. EPA under contract 68-DO-0106. The study was also supported by the Agency for Toxic Substances and Disease Registry cooperative agreement H75/ATH497177. This report has been reviewed by the ATSDR and EPA and approved for publication ; approval does not imply that these conclusions reflect the views and policies of these agencies. Mention of trade names or commercial products does not constitute endorsement or recommendation for use. Received 23 January 1995 ; accepted 15 May 1995. The full version of this article is available for free in HTML format. |