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PUBLIC HEALTH ASSESSMENT

FISH AND SHELLFISH EVALUATION

ISLA DE VIEQUES BOMBING RANGE

VIEQUES, PUERTO RICO

June 27, 2003

Prepared by:

Federal Facilities Assessment Branch

Division of Health Assessment and Consultation

Agency for Toxic Substances and Disease Registry

FOREWORD

In 1980, as part of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), as amended, also known as the Superfund law, Congress created the Agency for Toxic Substances and Disease Registry (ATSDR). The Superfund is an amount of money used to investigate and--when necessary--clean up hazardous waste sites. The US Environmental Protection Agency (EPA) works with the individual states to investigate hazardous waste sites. The EPA can place sites on the National Priorities List (NPL), thus qualifying them for cleanup with Superfund money.

Since 1986, ATSDR has been required by the Superfund law to conduct a public health assessment at each of the sites on the National Priorities List (NPL). The assessment determines whether people are being exposed to hazardous substances and, if so, whether that exposure is harmful and should be stopped or reduced. The US Navy sites under review in this public health assessment are not NPL sites. But ATSDR can conduct public health assessments at the request of concerned individuals. Such requests are initiated through an ATSDR process known as a petition. This public health assessment, and related ATSDR public health actions currently underway in Vieques result from a petition submitted by a resident of the Isla de Vieques, Puerto Rico.

Exposure: As the first step in the assessment process, ATSDR scientists review site environmental data to determine the types of contamination, their quantity and location, and how people could come into contact with them. Generally, ATSDR does not collect its own environmental sampling data; it usually reviews information provided by EPA, other government agencies, businesses, and the public. When sufficient environmental information is not available, ATSDR scientists will indicate what further sampling data is needed.

Health Effects: If, however, the environmental data shows that people have or could come into contact with hazardous substances at the site, ATSDR scientists evaluate whether any harmful effects could result from these exposures. Their report will focus on public health, or the health impact on the community as a whole, rather than on individual risks. Again, ATSDR generally makes use of existing scientific information. This can include the results of medical, toxicologic and epidemiologic studies, as well as data collected in disease registries. Because the science of environmental health is still developing, information about the health effects of certain substances is sometimes not available. When this happens, the report will suggest what further research studies are needed.

Conclusions: The report will present conclusions about the level of health threat, if any, posed by a site and will recommend ways to stop or reduce that threat. Because ATSDR is primarily an advisory agency, the report will usually identify those actions that should be undertaken by EPA, other agencies or responsible parties, or by ATSDR's research or education divisions. If, however, the health threat is urgent, ATSDR can issue a public health advisory warning of the danger. ATSDR can also authorize health education or health effects pilot studies, full-scale epidemiology studies, disease registries, surveillance studies, or research about specific hazardous substances.

Interactive Process: The health assessment process is interactive. ATSDR solicits and evaluates information from city, state, and federal agencies, from companies responsible for cleaning up the site; and from the community. ATSDR then publicly shares its conclusions. State and federal agencies review and comment on an early version of the report to make sure the data they have provided is current and accurately presented. After learning of ATSDR's conclusions and recommendations, agencies will sometimes begin to act on them--even before the final release of the report.

Community: ATSDR also wants to learn what local citizens know about the site and what concerns they have about its effect on their health. Accordingly, throughout the evaluation process ATSDR gathers information and comments from the people who live or work near a site, including area residents, civic leaders, health professionals, and community groups. To ensure the report responds to the community's health concerns, an early version is also distributed to the public for its comments. Comments received from the public are addressed in the report's final version.

Comments: If, after reading this report, you have questions or comments, we encourage you to send them to us.

Letters should be addressed as follows:

Attention: Chief, Program Evaluation, Records, and Information Services Branch, Agency for Toxic Substances and Disease Registry, 1600 Clifton Road (E-56), Atlanta, GA 30333.


TABLE OF CONTENTS

FOREWORD

LIST OF TABLES

LIST OF FIGURES

LIST OF APPENDICES

LIST OF ABBREVIATIONS

SUMMARY

INTRODUCTION

BACKGROUND
Land Use
Demographics
Climate
Geology
Naval Operational History
ATSDR Involvement at Vieques

PREVIOUS RESEARCH

ATSDR'S FISH AND SHELLFISH SAMPLING
Sample Locations
Methods
Results

EVALUATION OF FISH AND SHELLFISH FROM VIEQUES

Introduction

What is meant by exposure?
If someone is exposed, will they get sick?
What exposure situations were evaluated in this PHA?
Public Health Evaluation
Is it safe to eat fish and shellfish from Vieques?
Is it safe to eat fish and shellfish every day?
Is it safe to eat fish and shellfish from any location?
Is it safe to eat the most commonly caught and consumed fish every day?
COMMUNITY HEALTH CONCERNS
Drums on Sunken Navy Vessels
Radiological Contamination from the former USS Killen
Metals Contamination from the former USS Killen
Eating Boxfish

CHILD HEALTH CONSIDERATIONS

CONCLUSIONS

PUBLIC HEALTH ACTION PLAN
Actions Completed
Actions Ongoing

PREPARERS OF REPORT

REFERENCES

TABLES

FIGURES

APPENDICES

LIST OF TABLES

Table 1. 2000 US Census Data for Vieques
Table 2. Summary of Metal Analysis in Fiddler Crabs Sampled by Casa Pueblo de Adjuntas and the University of Puerto Rico
Table 3. Summary of Metal Analysis in Fish Fillets Sampled by Universidad Metropolitana
Table 4. Summary of Metal Analysis in Fish Skins Sampled by Universidad Metropolitana
Table 5. Summary of Chemical Analysis in Fiddler Crabs from the LIA and West Vieques
Table 6. Summary of Land Crab Sampling in West Vieques by the US Fish and Wildlife Service
Table 7. Fish and Shellfish Collected by ATSDR
Table 8. Summary of Chemical Analysis in Fish Sampled by ATSDR
Table 9. Summary of Chemical Analysis in Shellfish Sampled by ATSDR
Table 10. Summary of Chemical Analysis in Cowfish

LIST OF FIGURES

Figure 1. Location of Vieques
Figure 2. Vieques Land Use
Figure 3. Sample Locations

LIST OF APPENDICES

Appendix A. ATSDR's Glossary of Environmental Health Terms
Appendix B. Sampling Methods for ATSDR's Fish and Shellfish Investigation
Appendix C. Condition of the Reefs
Appendix D. Estimates of Human Exposure Doses and Determination of Health Effects
Table D-1. Exposure Doses for Chemicals Below the Oral Health Guideline in Fish
Table D-2. Exposure Doses for Chemicals Below the Oral Health Guideline in Shellfish
Table D-3. Estimated Exposure Doses from Ingestion of Fish
Table D-4. Estimated Exposure Doses from Ingestion of Shellfish
Table D-5. Inorganic Arsenic Exposure Doses According to Location
Table D-6. Inorganic Arsenic Exposure Doses for Species of Shellfish
Table D-7. Cadmium Exposure Doses According to Location
Table D-8. Chromium Exposure Doses According to Location
Table D-9. Copper Exposure Doses According to Location
Table D-10. Iron Exposure Doses According to Location
Table D-11. Iron Daily Doses According to Location
Table D-12. Lead Exposure Doses According to Location
Table D-13. Blood Lead Levels According to Location
Table D-14. Mercury Exposure Doses According to Location
Table D-15. Selenium Exposure Doses According to Location
Table D-16. Zinc Exposure Doses According to Location
Table D-17. Estimated Exposure Doses from Ingestion of the Maximum Snapper Concentration
Table D-18. Estimated Exposure Doses from Ingestion of the Average Snapper Concentration
Table D-19. Estimated Exposure Doses from Ingestion of Boxfish
Table D-20. Estimated Exposure Doses from Ingestion of the Maximum Concentrations Detected by Universidad Metropolitana
Table D-21. Estimated Exposure Doses from Ingestion of the Average Concentrations Detected by Universidad Metropolitana
Appendix E. Pictures of the Species Collected by ATSDR
Appendix F. Pictures Referenced in the Public Health Assessment
Appendix G. Responses to Public Comments

LIST OF ABBREVIATIONS

AT averaging time
ATSDR Agency for Toxic Substances and Disease Registry
AFWTF Atlantic Fleet Weapons Training Facility
BW body weight
CDC Centers for Disease Control and Prevention
CEL cancer effects level
Conc. Concentration of chemical
DHHS US Department of Health and Human Services
DNER Puerto Rico Department of Natural and Environmental Resources
ED exposure duration
EF exposure frequency
EMA Eastern Maneuver Area
EPA US Environmental Protection Agency
ERT Environmental Response Team
FDA US Food and Drug Administration
FWS US Fish and Wildlife Service
HMX cyclotetramethylene tetranitramine
IARC International Agency for Research on Cancer
IR ingestion rate
kg kilograms
LIA Live Impact Area
mg milligrams
MRL minimal risk level
NASD Naval Ammunition Support Detachment
NOAEL no observed adverse effects level
NTP National Toxicology Program
PHA public health assessment
ppm parts per million
PRDOH Puerto Rico Department of Health
PREQB Puerto Rico Environmental Quality Board
QC quality control
RDX cyclotrimethylene trinitramine
RfD reference dose
tetryl methyl-2,4,6-trinitrophenylnitramine
TNT 2,4,6-trinitrotoluene
m g/day micrograms per day
m g/dl micrograms per deciliter
R/h microroentgen per hour
USGS US Geological Survey
WHO World Health Organization

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