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Page 1: Biosolids Applied to Land

Biosolids Applied toLand

Advancing Standards and Practices

Committee on Toxicants and Pathogens in Biosolids Applied toLand

Board on Environmental Studies and ToxicologyDivision on Earth and Life Studies

NATIONAL RESEARCH COUNCIL OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESSWashington DC wwwnapedu

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THE NATIONAL ACADEMIES PRESS 500 Fifth Street NW Washington DC 20001

NOTICE The project that is the subject of this report was approved by the Governing Board of theNational Research Council whose members are drawn from the councils of the National Academyof Sciences the National Academy of Engineering and the Institute of Medicine The members ofthe committee responsible for the report were chosen for their special competences and with regardfor appropriate balance

This project was supported by Grant No X-82862501 between the National Academy of Sci-ences and the US Environmental Protection Agency Any opinions findings conclusions orrecommendations expressed in this publication are those of the author(s) and do not necessarilyreflect the view of the organizations or agencies that provided support for this project

International Standard Book Number 0-309-08486-5

Library of Congress Control Number 2002112634Cover photograph by Robert OrsquoDette Synagro

Additional copies of this report are available from The National Academies Press 500 Fifth StreetNW Box 285 Washington DC 20055 800ndash624ndash6242 202ndash334ndash3313 (in the Washington metropoli-tan area) httpwwwnapedu

Copyright 2002 by the National Academy of Sciences All rights reserved

Printed in the United States of America

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The National Academy of Sciences is a private nonprofit self-perpetuating society of distinguished scholars engaged in scientific and engineering research dedicated to the furtherance of science and technology and to their use for the general welfare Upon the authority of the charter granted to it by the Congress in 1863 the Academy has a mandate that requires it to advise the federal government on scientific and technical matters Dr Bruce M Alberts is president of the National Academy of Sciences

The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences as a parallel organization of outstanding engineers It is autonomous in its administration and in the selection of its members sharing with the National Academy of Sciences the responsibility for advising the federal government The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs encourages education and research and recognizes the superior achievements of engineers Dr Wm A Wulf is president of the National Academy of Engineering

The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and upon its own initiative to identify issues of medical care research and education Dr Harvey V Fineberg is president of the Institute of Medicine

The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academyrsquos purposes of furthering knowledge and advising the federal government Functioning in accordance with general policies determined by the Academy the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government the public and the scientific and engineering communities The Council is administered jointly by both Academies and the Institute of Medicine Dr Bruce M Alberts and Dr Wm A Wulf are chair and vice chair respectively of the National Research Council

wwwnational-academiesorg

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COMMITTEE ON TOXICANTS AND PATHOGENS INBIOSOLIDS APPLIED TO LAND

Members

THOMAS ABURKE (Chair) Johns Hopkins University Baltimore MarylandLAWRENCE RCURTIS Oregon State University Corvallis OregonCHARLES NHAAS Drexel University Philadelphia PennsylvaniaELLEN ZHARRISON Cornell University Ithaca New YorkWILLIAM EHALPERIN New Jersey Medical School Newark New JerseyJOHN BKANEENE Michigan State University East Lansing MichiganGREG KESTER Wisconsin Department of Natural Resources Madison WisconsinSTEPHEN PMCGRATH Institute for Arable Crops Research Rothamsted EnglandTHOMAS EMCKONE University of California Berkeley CaliforniaIAN LPEPPER University of Arizona Tucson ArizonaSURESH DPILLAI Texas AampM University College Station TexasFREDERICK GPOHLAND University of Pittsburgh Pittsburgh PennsylvaniaROBERT SREIMERS Tulane University New Orleans LouisianaROSALIND ASCHOOF Gradient Corporation Mercer Island WashingtonDONALD LSPARKS University of Delaware Newark DelawareROBERT CSPEAR University of California Berkeley California

Staff

SUSAN NJMARTEL Study DirectorMARK CGIBSON Program OfficerROBERTA MWEDGE Program Director for Risk AnalysisRUTH ECROSSGROVE EditorJESSICA BROCK Senior Project AssistantMIRSADA KARALIC-LONCAREVIC Research AssistantKELLY ACLARK Editorial Assistant

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BOARD ON ENVIRONMENTAL STUDIES ANDTOXICOLOGY1

Members

GORDON ORIANS (Chair) University of Washington SeattleJOHN DOULL (Vice Chair) University of Kansas Medical Center Kansas CityDAVID ALLEN University of Texas AustinINGRID CBURKE Colorado State University Fort CollinsTHOMAS BURKE Johns Hopkins University Baltimore MarylandWILLIAM LCHAMEIDES Georgia Institute of Technology AtlantaCHRISTOPHER BFIELD Carnegie Institute of Washington Stanford CaliforniaDANIEL SGREENBAUM Health Effects Institute Cambridge MassachusettsBRUCE DHAMMOCK University of California DavisROGENE HENDERSON Lovelace Respiratory Research Institute Albuquerque

New MexicoCAROL HENRY American Chemistry Council Arlington VirginiaROBERT HUGGETT Michigan State University East LansingJAMES HJOHNSON Howard University Washington DCJAMES FKITCHELL University of Wisconsin MadisonDANIEL KREWSKI University of Ottawa Ottawa OntarioJAMES AMACMAHON Utah State University LoganWILLEM FPASSCHIER Health Council of the Netherlands The HagueANN POWERS Pace University School of Law White Plains New YorkLOUISE MRYAN Harvard University Boston MassachusettsKIRK SMITH University of California BerkeleyLISA SPEER Natural Resources Defense Council New York New York

Senior Staff

JAMES JREISA DirectorDAVID JPOLICANSKY Associate Director and Senior Program Director for

Applied EcologyRAYMOND AWASSEL Senior Program Director for Environmental Sciences and

EngineeringKULBIR BAKSHI Program Director for the Committee on ToxicologyROBERTA MWEDGE Program Director for Risk AnalysisKJOHN HOLMES Senior Staff OfficerSUSAN NJMARTEL Senior Staff OfficerSUZANNE VAN DRUNICK Senior Staff OfficerRUTH ECROSSGROVE Managing Editor

1This study was planned overseen and supported by the Board on EnvironmentalStudies and Toxicology

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WATER SCIENCE AND TECHNOLOGY BOARD

Members

RICHARD GLUTHY (Chair) Stanford University Stanford CaliforniaJOAN BROSE (Vice Chair) University of South Florida St PetersburgRICHELLE MALLEN-KING Washington State University PullmanGREGORY BBAECHER University of Maryland College ParkKENNETH RBRADBURY Wisconsin Geological and Natural History Survey

MadisonJAMES CROOK CH2M Hill Boston MassachusettsEFI FOUFOULA-GEORGIOU University of Minnesota MinneapolisPETER GLEICK Pacific Institute for Studies in Development Environment and

Security Oakland CaliforniaSTEVEN PGLOSS US Geological Survey Flagstaff ArizonaJOHN LETEY JR University of California RiversideDIANE MMCKNIGHT University of Colorado BoulderCHRISTINE LMOE Emory University Atlanta GeorgiaRUTHERFORD HPLATT University of Massachusetts AmherstJERALD LSCHNOOR University of Iowa Iowa CityLEONARD SHABMAN Virginia Polytechnic Institute and State University

BlacksburgRRHODES TRUSSELL Montgomery Watson Pasadena California

Staff

STEPHEN DPARKER DirectorLAURA JEHLERS Senior Staff OfficerJEFFREY WJACOBS Senior Staff OfficerWILLIAM SLOGAN Senior Staff OfficerMARK CGIBSON Staff OfficerMJEANNE AQUILINO Administrative AssociateELLEN ADE GUZMAN Research AssociatePATRICIA JONES KERSHAW StudyResearch AssociateANITA AHALL Administrative AssistantANIKE LJOHNSON Project AssistantJON QSANDERS Project Assistant

viii

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setti

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peci

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rmat

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ever

can

not b

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tain

ed a

nd s

ome

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grap

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erro

rs m

ay h

ave

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tally

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rted

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ase

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OTHER REPORTS OF THE BOARD ONENVIRONMENTAL STUDIES AND TOXICOLOGY

The Airliner Cabin Environment and Health of Passengers and Crew (2002)Arsenic in Drinking Water 2001 Update (2001)Evaluating Vehicle Emissions Inspection and Maintenance Programs (2001)Compensating for Wetland Losses Under the Clean Water Act (2001)A Risk-Management Strategy for PCB-Contaminated Sediments (2001)Toxicological Effects of Methylmercury (2000)Strengthening Science at the US Environmental Protection Agency

Research-Management and Peer-Review Practices (2000)Scientific Frontiers in Developmental Toxicology and Risk Assessment

(2000)Copper in Drinking Water (2000)Ecological Indicators for the Nation (2000)Waste Incineration and Public Health (1999)Hormonally Active Agents in the Environment (1999)Research Priorities for Airborne Particulate Matter (3 reports 1998ndash2001)Ozone-Forming Potential of Reformulated Gasoline (1999)Risk-Based Waste Classification in California (1999)Arsenic in Drinking Water (1999)Brucellosis in the Greater Yellowstone Area (1998)The National Research Councilrsquos Committee on Toxicology The First 50

Years (1997)Carcinogens and Anticarcinogens in the Human Diet (1996)Upstream Salmon and Society in the Pacific Northwest (1996)Science and the Endangered Species Act (1995)Wetlands Characteristics and Boundaries (1995)Biologic Markers (5 reports 1989ndash1995)Review of EPArsquos Environmental Monitoring and Assessment Program (3

reports 1994ndash1995)Science and Judgment in Risk Assessment (1994)Pesticides in the Diets of Infants and Children (1993)Setting Priorities for Land Conservation (1993)Protecting Visibility in National Parks and Wilderness Areas (1993)Dolphins and the Tuna Industry (1992)Science and the National Parks (1992)Assessment of the US Outer Continental Shelf Environmental Studies

Program Volumes IndashIV (1991ndash1993)Human Exposure Assessment for Airborne Pollutants (1991)Rethinking the Ozone Problem in Urban and Regional Air Pollution (1991)Decline of the Sea Turtles (1990)Copies of these reports may be ordered from the National Academy Press(800) 624ndash6242 or (202) 334ndash3313wwwnapedu

ix

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Preface

In this report biosolids are defined as sewage sludge that has been treatedto meet the regulatory requirements for land application set out in the Code ofFederal Regulations Title 40 (Part 503) The US Environmental ProtectionAgency (EPA) established the Part 503 rule and is responsible for overseeingthe national biosolids program The land-application requirements includeconcentration limits and loading rates for chemical pollutants treatment and userequirements for controlling and reducing pathogens and the attraction ofvectors and management practices The requirements are intended to protectpublic health and the environment from any reasonably anticipated adverseeffects Over the past decade questions have been raised about the adequacy ofthe chemical and pathogen standards for protecting public health To helpaddress the questions and the requirement for periodic reassessment of the Part503 rule EPA asked the National Research Council (NRC) to independentlyreview the technical basis of the chemical and pathogen regulations forbiosolids focusing only on human health

In this report the NRCrsquos Committee on Toxicants and Pathogens inBiosolids Applied to Land (membership and biographical information providedin Appendix A) searched for evidence on human health effects related tobiosolids exposure and the technical methods and approaches used by EPA toestablish its human-health-based chemical and pathogen standards for biosolidsThe NRC and the committee are aware that some interested parties wereanticipating that this report might make a determination of whether EPA shouldcontinue to promote land application of biosolids However such a

PREFACE xi

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determination was not part of the committeersquos charge The committee agreesthat regulations must be adequate to protect human health and the environmentand that they must be complied with and enforced The committee was asked tofocus its review on approaches for identifying human health hazards forassessing exposure to those hazards and for assessing risk from the exposuresThis report offers numerous recommendations to update and strengthen thescientific credibility of the biosolids regulations and to ensure their consistentimplementation

This report has been reviewed in draft form by individuals chosen for theirdiverse perspectives and technical expertise in accordance with proceduresapproved by the NRCrsquos Report Review Committee The purpose of thisindependent review is to provide candid and critical comments that will assistthe institution in making its published report as sound as possible and to ensurethat the report meets institutional standards for objectivity evidence andresponsiveness to the study charge The review comments and draft manuscriptremain confidential to protect the integrity of the deliberative process We wishto thank the following individuals for their review of this report Robert CooperBioVir Laboratories Inc Benicia California Alison Cullen University ofWashington Seattle Washington Charles Henry University of WashingtonSeattle Washington Cecil Lue-Hing Cecil Lue-Hing amp Associates Inc BurrRidge Illinois Philip Landrigan Mount Sinai School of Medicine New YorkNew York Aaron Margolin University of New Hampshire Durham NewHampshire Penny Newman Center for Community Action and EnvironmentalJustice Riverside California George OrsquoConnor University of FloridaGainesville Florida Robert Southworth Marshall Virginia Alan Stern NewJersey Department of Environmental Protection Trenton New Jersey WillyVerstraete University of Gent Gent Belgium and William Yanko Big BearCity California

Although the reviewers listed above have provided many constructivecomments and suggestions they were not asked to endorse the conclusions orrecommendations nor did they see the final draft of the report before its releaseThe review of this report was overseen by Michael Kavanaugh Malcolm PirnieInc Emeryville California and Ronald Estabrook University of TexasSouthwestern Medical Center Dallas Texas Appointed by the NRC they wereresponsible for making certain that an independent examination of this reportwas carried out in accordance with institutional procedures and that all reviewcomments were carefully considered Responsibility for the final content of thisreport rests entirely with the authoring committee and the institution

The committee gratefully acknowledges the individuals who madepresentations to the committee at its public meetings A list of those individuals is

PREFACE xii

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provided in Appendix B The committee also wishes to thank EPA staffmembers Alan Hais Robert Bastian Alan Rubin James Smith and CharlesWhite for their assistance in providing documents and information

The committee is grateful for the assistance of the NRC staff in preparingthe report It particularly wishes to acknowledge the contributions of SusanMartel project director who coordinated the project and contributed to thecommitteersquos report Other staff members who contributed to this effort areJames JReisa director of the Board on Environmental Studies and ToxicologyRoberta MWedge program director for risk analysis Mark Gibson programofficer (Water Science and Technology Board) Ruth ECrossgrove editorMirsada Karalic-Loncarevic research assistant and Jessica Brock seniorproject assistant

Finally I would especially like to thank all the members of the committeefor their efforts throughout the development of this report

Thomas ABurke PhD Chair Committee

on

Toxicants and Pathogens in Biosolids

Applied to Land

PREFACE xiii

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PREFACE xiv

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Contents

ABBREVIATIONS xviii

SUMMARY 1

1 INTRODUCTION 17 Biosolids 18 Human Health and Risk-Assessment Issues 25 The Committeersquos Task 26 The Committeersquos Approach 27 Report Organization 29 References 29

2 BIOSOLIDS MANAGEMENT 31 Federal Biosolids Regulations and Current State of Program 35 European Biosolids Management 55 Pathogen Issues and Treatment Controls 74 Pathogen Equivalency Committee 80 Implementation and End-Use Practices 82 Characterization of Biosolids 91 Compliance Assistance and Enforcement 95 Findings and Recommendations 96 References 99

CONTENTS xv

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3 EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTSASSOCIATED WITH BIOSOLIDS PRODUCTION ANDAPPLICATION

106

Description of the Literature 107 Findings and Recommendations 121 References 122

4 ADVANCES IN RISK ASSESSMENT SINCE THE ESTAB-LISHMENT OF THE PART 503 RULE

126

The Risk-Assessment Process 126 New Approaches and Considerations in Risk Assessment 130 Changes in Risk-Assessment Approaches in EPA Offices 147 Findings and Recommendations 156 References 158

5 EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMI-CAL STANDARDS

164

Hazard Assessment and Chemical Selection 165 Exposure Assessment 178 Derivation of Risk-Based Standards 205 Inorganic Chemicals 207 Organic Chemicals 219 Findings and Recommendations 238 References 242

6 EVALUATION OF EPArsquoS APPROACH TO SETTINGPATHOGEN STANDARDS

257

Pathogen Standards 257 Pathogens in Biosolids 267 Exposure to Pathogens 279 Host Factors 287 Exposure to Workers 289 Antibiotic Resistance 290 Pathogen Risk Assessment 291 Findings and Recommendations 303 References 306

7 INTEGRATION OF CHEMICAL AND PATHOGEN RISKASSESSMENT

322

Agent-By-Agent Risk Assessment 322 Secondary Transmission 324

CONTENTS xvi

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Complex Mixtures 327 Findings and Recommendations 331 References 333

GLOSSARY 335

APPENDIXES

A Biographical Information on the Committee on Toxicants andPathogens in Biosolids Applied to Land

338

B Participants at Public Sessions 344

CONTENTS xvii

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Abbreviations

CFR Code of Federal Regulations

CFU colony forming units

CWA Clean Water Act

EQ exceptional quality

HEI highly exposed individual

MEI most exposed individual

MPN most probable number

MT metric tons

NIOSH National Institute for Occupational Safety and Health

NRC National Research Council

NSSS National Sewage Sludge Survey

OIG EPA Office of Inspector General

PCBs polychlorinated biphenyls

PEC Pathogen Equivalency Committee

PFRP process to further reduce pathogens

PFU plaque-forming unit

POTW publicly owned treatment works

PSRP process to significantly reduce pathogens

QMRA quantitative microbial risk assessment

RME reasonable maximum exposure

TEF toxicity equivalency factor

TS total solids

ABBREVIATIONS xviii

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xix

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Biosolids Applied to Land Advancing Standardsand Practices

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Summary

Wastewater treatment in the United States is a major cornerstone of effortsto keep the nationrsquos waters clean Sewage sludge is the solid semisolid orliquid residue generated during treatment of domestic sewage Since the early1970s the US Environmental Protection Agency (EPA) and the wastewatertreatment industry have promoted recycling of sewage sludge With theprohibition of ocean disposal of wastewater residuals in 1992 the use of sewagesludge as soil amendments (soil conditioners or fertilizers) or for landreclamation has been increased to reduce the volume of sewage sludge thatmust be landfilled incinerated or disposed of at surface sites Approximately56 million dry tons of sewage sludge are used or disposed of annually in theUnited States approximately 60 of that is used for land applicationDepending on the extent of treatment sewage sludge may be applied wherelittle exposure of the general public is expected to occur on the sites such as onagricultural land forests and reclamation sites or on public-contact sites suchas parks golf courses lawns and home gardens EPA estimates that sewagesludge is applied to approximately 01 of available agricultural land in theUnited States on an annual basis

The regulation governing land application of sewage sludge wasestablished by EPA in 1993 in the Code of Federal Regulations Title 40 (Part503) under Section 405 (d) of the Clean Water Act The regulation is intendedto protect public health and the environment The Part 503 rule establishedmanagement practices for land application of sewage sludge concentrationlimits and loading rates for chemicals and treatment and use requirements

SUMMARY 1

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designed to control and reduce pathogens and attraction of disease vectors(insects or other organisms that can transport pathogens) In this report the termbiosolids refers to sewage sludge treated to meet the land-application standardsin the Part 503 rule or any other equivalent land-application standards

The chemical and pathogen land-application standards in the Part 503 rulewere developed differently For chemicals EPA conducted extensive riskassessments that involved identifying the chemical constituents in biosolidsjudged likely to pose the greatest hazard characterizing the most likelyexposure scenarios and using scientific information and assumptions tocalculate concentration limits and loading rates (amount of chemical that can beapplied to a unit area of land) Nine inorganic chemicals in biosolids arecurrently regulated and EPA is considering the addition of a class of organicchemicals (dioxins) to its regulation Monitoring data on some of the regulatedinorganic chemicals indicate a decrease in their concentrations over the pastdecade due in part to the implementation of wastewater pretreatment programsThus the chemical limits for biosolids can be achieved easily In contrast to thechemical standards the pathogen standards are not risk-based concentrationlimits for individual pathogens but are technologically based requirementsaimed at reducing the presence of pathogens and potential exposures to them bytreatment or a combination of treatment and use restrictions Monitoringbiosolids is required for indicator organisms (certain species of organismsbelieved to indicate the presence of a larger set of pathogens)

THE COMMITTEErsquoS TASK

In response to the Clean Water Act requirement to reassess periodically thescientific basis of the Part 503 rule and to address public-health concerns EPAasked the National Research Council (NRC) to conduct an independentevaluation of the technical methods and approaches used to establish thechemical and pathogen standards for biosolids focusing specifically on humanhealth protection and not ecological or agricultural issues The NRC convenedthe Committee on Toxicants and Pathogens in Biosolids Applied to Landwhich prepared this report The committee was asked to perform the followingtasks

1 Review the risk-assessment methods and data used to establishconcentration limits for chemical pollutants in biosolids todetermine whether they are the most appropriate approachesConsider the NRCrsquos previous (1996) review and determine whetherthat reportrsquos recommendations have

SUMMARY 2

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been appropriately addressed Consider (a) how the relevantchemical pollutants were identified (b) whether all relevantexposure pathways were identified (c) whether exposure analysesparticularly from indirect exposures are realistic (d) whether thedefault assumptions used in the risk assessments are appropriateand (e) whether the calculations used to set pollutant limits areappropriate

2 Review the current standards for pathogen elimination in biosolidsand their adequacy for protecting public health Consider (a)whether all appropriate pathogens were considered in establishingthe standards (b) whether enough information on infectious doseand environmental persistence exists to support current controlapproaches for pathogens (c) risks from exposure to pathogensfound in biosolids and (d) new approaches for assessing risks tohuman health from pathogens in biosolids

3 Explore whether approaches for conducting pathogen riskassessment can be integrated with those for chemical riskassessment If appropriate recommend approaches for integratingpathogen and chemical risk assessments

MAJOR FINDINGS AND RECOMMENDATIONS

The committee recognizes that land application of biosolids is a widelyused practical option for managing the large volume of sewage sludgegenerated at wastewater treatment plants that otherwise would largely need tobe disposed of at landfills or by incineration In responding to its charge thecommittee searched for evidence on human health effects related to biosolidsexposure reviewed the risk assessments and technical data used by EPA toestablish the chemical and pathogen standards and reviewed the managementpractices of the Part 503 rule The committee did not attempt to determinewhether the approaches used by EPA to set the 1993 biosolids standards wereappropriate at the time of their development and the committeersquos findings andrecommendations should not be construed as either criticism or approval of thestandards issued at that time The committee found that EPA has not yetaddressed certain recommendations of the 1996 NRC report that pertain to thescope of the present study The committee is aware that some interested partieswere anticipating that this report might make a determination of whether EPAshould continue to promote land application of biosolids However such adetermination was not part of the committeersquos charge Nor was the committeeasked to judge the adequacy of the individual standards in protecting humanhealth The committeersquos report instead is focused on identifying how currentrisk-assessment practices and knowledge regarding chemi

SUMMARY 3

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cals and pathogens in biosolids can be used to update and strengthen thescientific basis and credibility of EPArsquos biosolids regulations

In this report the committee documents numerous findings and a numberof recommendations for addressing public-health concerns uncertainties anddata gaps about the technical basis of the biosolids standards To delineateissues needing the greatest attention the committee identified the followingoverarching findings and recommendation based on its review and synthesis ofthe specific findings and recommendations of each chapter

Overarching Findings

There is no documented scientific evidence that the Part 503 rule has failedto protect public health However additional scientific work is needed to reducepersistent uncertainty about the potential for adverse human health effects fromexposure to biosolids There have been anecdotal allegations of disease andmany scientific advances have occurred since the Part 503 rule waspromulgated To assure the public and to protect public health there is a criticalneed to update the scientific basis of the rule to (1) ensure that the chemical andpathogen standards are supported by current scientific data and risk-assessmentmethods (2) demonstrate effective enforcement of the Part 503 rule and (3)validate the effectiveness of biosolids-management practices

Overarching Recommendations

bull Use improved risk-assessment methods to better establish standardsfor chemicals and pathogens Risk-assessment methods for chemicalsand pathogens have advanced over the past decade to the extent that (1)new risk assessments should be conducted to update the scientific basis ofthe chemical limits and (2) risk assessments should be used tosupplement technological approaches to establishing regulatory criteriafor pathogens in biosolids

bull Conduct a new national survey of chemicals and pathogens in sewagesludge The committee endorses the recommendation of a previous NRCcommittee that a new national survey of chemicals be performed Thecommittee further recommends a survey of pathogen occurrence in rawand treated sewage sludges The survey should include a carefulexamination of management practices to ensure that risk-assessmentprinciples are effectively translated into practice Data from the surveyshould be used to provide feedback for continuous improvement in thescience and technology of biosolids applied to land

SUMMARY 4

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bull Establish a framework for an approach to implement human healthinvestigations A procedural framework should be established toimplement human health investigations including short-terminvestigations of unusual episodes of release exposure or disease andlarge-scale preplanned studies of exposures and their association if anywith disease The framework should have mechanisms to document state-of-the-art successes both technological and administrative in preventingor remediating exposure to pathogens and toxicants and their adversehealth outcomes Further the framework should include a means fortracking allegations and sentinel events (compliance management orhealth based) investigations and conclusions Such tracking should besystematic and developed in cooperation with states

bull Increase the resources devoted to EPArsquos biosolids program Toremedy the deficiencies and to implement the recommendations describedin this report more funding and staff resources are needed for EPArsquosbiosolids program EPA should support and facilitate greater delegation ofauthority to states to administer the federal biosolids regulationResources are also needed for conducting needed research and to revisethe regulation as appropriate and in a timely fashion

These recommendations are discussed in greater detail below and in thefollowing chapters

Health Effects

Toxic chemicals infectious organisms and endotoxins or cellular materialmay all be present in biosolids There are anecdotal reports attributing adversehealth effects to biosolids exposures ranging from relatively mild irritant andallergic reactions to severe and chronic health outcomes Odors are a commoncomplaint about biosolids and greater consideration should be given to whetherodors from biosolids could have adverse health effects However a causalassociation between biosolids exposures and adverse health outcomes has notbeen documented To date epidemiological studies have not been conducted onexposed populations such as biosolids appliers farmers who use biosolids ontheir fields and communities near land-application sites Because of theanecdotal reports of adverse health effects the public concerns and the lack ofepidemiological investigation the committee concluded that EPA shouldconduct studies that examine exposure and potential health risks to worker andresidential populations Studies of wastewater treatment workers exposed to rawsewage sludge should not be used as substitutes for studies of populationsexposed to biosolids The types and routes of exposure to sewage sludge andbiosolids constituents can be quite different and there are major differences inthe populations exposed For example exposures to

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biosolids go beyond the wastewater treatment plant to other worker populationssuch as appliers and farmers and to the general public such as communitiesliving near land-application sites and consumers of crops grown on biosolids-amended soils Exposed populations may also include sensitive subpopulationssuch as children immunocompromised individuals and the elderly who areunlikely to be prevalent in the workplace

Findings There is a lack of exposure and health information onpopulations exposed to biosolids Therefore although the land application ofbiosolids has occurred for many years with little if any systematic documentedevidence of adverse effects there is a need to gather epidemiological data andto investigate allegations of health incidents EPA needs to study morerigorously the exposure and health risks or the lack thereof in worker andcommunity populations exposed to biosolids

Recommendations Although routine human health surveillance of allpopulations exposed to biosolids is impractical the committee recommends thatEPA promote and support response investigations targeted exposuresurveillance studies and a few well-designed epidemiological investigations ofexposed populations This recommendation is intended to provide a means ofdocumenting whether health effects exist that can be linked to biosolidsexposure The committee recommends the following types of studies

bull Studies in response to unusual exposures and unusual occurrences ofdisease Occasionally the occurrence of unusual events can provideinformation on the agents of disease For example an outbreak or asymptom of disease might occur following a known exposure or anunusual exposure scenario In both instances exposure and healthoutcomes should be determined

bull Preplanned exposure-assessment studies Such studies should characterizethe exposures of workers such as biosolids appliers and farmers and thegeneral public who come into contact with constituents of biosolids eitherdirectly or indirectly The studies would require identification ofmicroorganisms and chemicals to be measured selection of measurementmethods for field samples and collection of adequate samples inappropriate scenarios A possible exposure-assessment study would be tomeasure endotoxin exposure of workers at biosolids production andapplication sites and of communities nearby

bull Complete epidemiological studies of biosolids use These studies shouldbe conducted to provide evidence of a causal association or a lackthereof between biosolids exposure and adverse human health effectsThey should include an assessment of the occurrence of disease and anassessment or measurement of potential exposures An example of alongitudinal epidemic

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logical study would be an evaluation of health effects in a cohort ofbiosolids appliers These workers should be characterized by duration andlevel of exposure and given appropriate follow-up Because completeepidemiological studies are expensive and require extensive data analysispriority should be given to studies that can address serious or widespreadproblems and help reduce uncertainty

Chemical and Pathogen Standards

EPArsquos 1993 chemical and pathogen standards for biosolids were based onthe scientific and technical information available at that time and theexpectation that the prescribed biosolids-management practices specified in thePart 503 rule would be effective in preventing harmful exposure to biosolidsconstituents To assure the public that the standards are protective of humanhealth it is important that EPA demonstrate that its chemical limits andpathogen-reduction requirements are supported by current scientific data andrisk-assessment methods Management practices (eg 10-meter setback fromwater bodies) are designed to control the potential risks therefore it isimportant to verify the effectiveness of the practices In addition EPA mustdemonstrate that the Part 503 rule is being enforced

Findings The committee found that no substantial reassessment has beendone to determine whether the chemical or pathogen standards promulgated in1993 are supported by current scientific data and risk-assessment methods Inaddition EPA does not have an adequate program to ensure compliance withthe biosolids regulations and has not documented the effectiveness of itsprescribed management practices Although there is no documented scientificevidence that the Part 503 rule has failed to protect public health there is a needto address scientific and management questions and uncertainties that challengeEPArsquos biosolids standards

Recommendations EPA should expand its biosolids oversight activities toinclude procedures for (1) assessing the reliability of the biosolids treatmentprocesses (2) monitoring compliance with the chemical and pathogenstandards (3) conducting environmental hazard surveillance and (4) studyinghuman exposure and health The committee recommends that Figure S-1 beused by EPA as a framework for establishing such a program The central partof the figure presents the general process by which biosolids are produced andused for land application Depicted on the left side of the figure areopportunities for conducting environmental hazard surveillance At these

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FIGURE S-1 Processing transport and land application of biosolids withoptions for hazard surveillance and studies of human exposures

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stages biosolids or environmental samples should be collected andanalyzed to verify that (1) treatment technologies for pathogen control areeffective (quality control) (2) chemical standards are met (compliance audits)and (3) unanticipated hazards are identified An important part of thisverification process is a review of the management practices required for landapplication because the practices are predicated on the assumption thatexposure to hazardous agents is further reduced by the implementation of suchpractices Studies should be conducted to determine whether the managementpractices specified in the Part 503 rule achieve their intended effect Additionalrisk-management practices should be considered in revising the Part 503 ruleConsiderations should include setbacks to residences or businesses setbacks toprivate and public water supplies limitations on holding or storage practicesslope restrictions soil permeability and depth to groundwater or bedrock andgreater distance to surface water

The right side of the figure depicts the various points in the process wherehuman exposures can occur Field research should be conducted to assesspotential exposure to biosolids constituents of concern Results from thisresearch could be used to identify populations that should be monitored orstudied at particular times and locations for abnormal health conditions andpotential biosolids exposure (see earlier recommendations for response andepidemiological studies) Studying environmental samples and reports ofadverse health outcomes can provide feedback to support or improve the risk-assessment and risk-management processes

The major aspect of the framework studied by the committee was thetechnical basis of the 1993 chemical and pathogen land-application standards ofthe Part 503 rule Recent EPA guidance recommends that risk assessment ofcomplex mixtures ideally be based on studies of the mixture rather than onselected individual components Such an approach is not feasible for biosolidshowever because studies of biosolids as complex mixtures are lackingFurthermore although methods for conducting risk assessments of chemicalmixtures are available no work has been done on risks from pathogen mixturesmuch less chemical-pathogen mixtures

Finding Because of data gaps and lack of risk-assessment methods forcomplex mixtures it is not possible at this time to integrate pathogen riskassessment with chemical risk assessment Thus it remains necessary to use acomponent-based approach to assessing risks from chemicals and pathogens inbiosolids There have been substantial improvements in conducting riskassessments since the Part 503 rule was promulgated and guidance for usingthese improved methods to update and strengthen the scientific basis of thechemical and pathogen standards is provided below

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Chemical Standards

In developing the original (1993) Part 503 rule EPA selected 10 inorganicchemicals (arsenic cadmium chromium1 copper lead mercurymolybdenum2 nickel selenium and zinc) to regulate for land application Riskassessments were conducted on each chemical to establish concentration limitsand loading rates However methods for conducting risk assessments haveevolved substantially since the 1993 regulations were established One of themajor developments has been a growing recognition of the need to includestakeholders in the risk-assessment process Stakeholders are groups who arepotentially affected by the risk groups who will manage the risk and groupswho will be affected by efforts to manage the source of the risk Stakeholderscan provide information and insights into how biosolids are used in practice andthe nature of potential exposures to chemicals and pathogens Involvingstakeholders throughout the risk-assessment process provides opportunities tobridge gaps in understanding language values and perspectives and to addressconcerns of affected communities Other important developments in riskassessment in recent years include improvements in measuring and predictingadverse health effects advancements in measuring and predicting exposureexplicit treatment of uncertainty and variability and improvements indescribing and communicating risk

In developing its 1993 chemical standards EPA selected chemicalsexposure conditions and risk-assessment assumptions that were intended to berepresentative and conservative enough to be applicable to all regions of theUnited States and to all land-application sites including agricultural fieldsforests and reclamation sites Thus the standards were expected to account forpossible variations in biosolids composition geographic and environmentalconditions or application and management practices EPA relied heavily on its1988ndash1989 National Sewage Sludge Survey (NSSS) to identify chemicals toregulate using percent detection and concentration values to exempt some

1Chromium was deleted from the regulation in 1995 This amendment was the resultof a petition seeking review of the pollutant limits for chromium filed in 1993 by theLeather Industries of America Inc to the US Circuit Court of Appeals for the Districtof Columbia Circuit The court remanded the request to EPA for additional justificationor modification of its chromium regulations in the Part 503 rule The agencysubsequently determined that there was insufficient support for regulating chromium inbiosolids

2Standards for molybdenum were dropped from the original regulation Currentlyonly a ceiling-concentration limit is available for molybdenum and a decision aboutestablishing new pollutant limits for this metal has not been made

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chemicals from regulation and to establish ceiling-concentration limits forothers A 1996 NRC report (Use of declaimed Water and Sludge in Food Crop Production) questioned the reliability of the results of the NSSS because oflimitations in sampling analyses and data-reporting methods Improvements inindustrial wastewater pretreatment processes and changes in chemical uses haveoccurred over the past decade Chemicals not included in the NSSS analyseshave since been identified as potential concerns and data gaps on toxicity andfate and transport characteristics that prevented risk assessment from beingperformed on some chemicals a decade ago might now be filled In addition thecommittee found no adequate justification for EPArsquos decision to eliminate fromregulation all chemicals detected at less than 5 frequency in the NSSS (or10 frequency in subsequent reanalysis) It should be noted that there are stilldata gaps that will continue to limit risk-assessment capability on many of thechemicals including those newly identified as potential concerns

EPA considered 14 major exposure pathways in setting the 1993 limits forthe nine regulated chemicals Nine of the pathways resulted in exposure tohumans two to animals two to soil organisms and one to plants The pathwayswere evaluated for agricultural and nonagricultural application scenarios For allnine of the regulated chemicals agricultural scenarios produced the lowestlimits that were subsequently used in the regulation EPA elected to evaluate thehuman exposure pathways for a theoretical highly exposed individual (HEI)(ie a hypothetical individual assumed to remain for an extended period of timeat or adjacent to the site where maximum exposure occurs) The degree ofrealism for the HEI varied among the exposure pathways and it was not clear tothe committee whether exposure estimates were comparably conservative for allpathways Moreover each pathway was evaluated independently and noconsideration was given to exposure from multiple pathways

Current risk-assessment practice is to perform comprehensivemultipathway risk assessments that estimate aggregate exposures for eachreceptor population (ie groups with potential exposure to contaminatedmedia) Such risk assessments are based on a conceptual site model thatidentifies the biosolids sources (eg biosolids tilled into soil or applied to thesurface for agricultural soil) the pathways by which biosolids constituentsmight be released and transported and the nature of human contacts with theconstituents General practice has changed from using the HEI as the receptorof concern because such an individual is unlikely to exist to using anindividual with reasonable maximum exposure (RME) An RME individual is ahypothetical individual who experiences the maximum exposure that isreasonably expected to occur (ie an upper-bound exposure estimate) RMEs

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should be based on receptor populations of concern such as a farm familyliving adjacent to and downhill from a land application site

A number of risk algorithms were used to calculate the 1993 chemicallimits The general algorithms are still valid but some fate and transport modelsand exposure parameter assumptions used in the calculations have advancedsince 1993 and some alternative assumptions have been supported by newstudies Chemical limits should be based on an integrated evaluation of allexposure pathways that might affect the identified receptors

Findings The committee found the technical basis of the 1993 chemicalstandards for biosolids to be outdated EPA has not reevaluated its chemicalstandards since promulgation so the data and methods used for the originalregulations are well over a decade old There have been substantial advances inrisk assessment since then and there are new concerns about some adversehealth outcomes and chemicals not originally considered Because of thediversity of exposed populations environmental conditions and agriculturalpractices in the United States it is important that nationwide chemicalregulations be based on the full range of exposure conditions that might occurFurthermore there is a need to investigate whether the biosolids produced todayare similar in composition to those used in the original assessments

Recommendations Using current risk-assessment practices EPA shouldreassess the standards for the regulated chemicals and conduct another chemicalselection process to determine whether additional chemicals should beconsidered for regulation On the basis of the revised risk assessments andchemical selection EPA can determine whether the standards or risk-management process should be revised and whether additional chemicalsshould be regulated Because the land-application standards are to be relevantnationally it is important that the revised risk assessments reflect regionalvariations in climate hydrology and biosolids use and characteristics and thatstandards are protective of populations reflecting reasonable estimates ofmaximum exposure The chemical standards should be reevaluated and updatedperiodically to ensure that they are supported by the best available scientificdata and methods Important elements for updating the risk assessments are thefollowing

bull As recommended by an earlier NRC committee a new national survey ofchemicals in biosolids should be conducted EPA should review availabledatabases from state programs in designing a new survey Other elementsthat should be included in the survey are an evaluation of the adequacy ofdetection methods and limits to support risk assessment consideration ofchemical categories such as odorants and pharmaceuticals that were notpreviously

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evaluated and assessment of the presence of multiple species of certainmetals such as mercury and arsenic that have different toxicity endpoints Data from this survey should be used to identify any additionalchemicals for potential regulation

bull Aggregate exposure assessments should be performed A conceptual sitemodel should be used to identify major and minor exposure pathways forvarious application scenarios Special consideration should be given toidentifying the application practices and environmental conditions that arelikely to result in the greatest human exposure Risks from long-term low-level exposures as well as short-term episodic exposures such as thosethat can occur with volatile chemicals should be evaluated

bull An RME individual rather than an HEI should be evaluated for eachexposure pathway Use of the RME is a more informed and reasonableestimate of exposure than the HEI because it reduces reliance on thesubjective application of default assumptions and reflects improvedmethods of characterizing population exposure When the RMEindividual is likely to be exposed by more than one pathway exposuresshould be added across pathways

bull Fate and transport models and exposure parameter assumptions used inthe risk assessment should be updated to reflect the most currentinformation on the RME individual for each exposure pathway

bull Representatives of stakeholders should be included in the risk-assessmentprocess to help identify exposure pathways local conditions that couldinfluence exposure and possible adverse health outcomes

Pathogen Standards

Pathogens are disease-causing microorganisms The two land-applicationclassifications for biosolids Class A and Class B are based on pathogencontent Class A biosolids have pathogen densities below specified detectionlimits whereas Class B biosolids have pathogen densities above those limitsNo risk assessments were conducted to establish the 1993 pathogen standardsfor these classes Instead EPA established technologically based requirementsto reduce the presence of pathogens by treatment or a combination of treatmentand use restrictions To meet Class A requirements demonstration of pathogenreduction is required by using one of several prescribed treatments Monitoringof indicator organisms is required of Class A biosolids at the time of usedistribution or land application to verify that treatment processes have reducedpathogen concentrations as expected (ie below the specified detection limits)Class B biosolids must also undergo treatment to reduce the presence ofpathogens but unlike Class A biosolids Class B biosolids may

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have detectable concentrations of pathogens Because of that site restrictionsare required to minimize contact with the biosolids until environmental factors(eg heat and desiccation) have further reduced the presence of pathogens Siterestrictions include restrictions on crop harvesting animal grazing and publicaccess for designated periods of time However there is no requirement that on-site measurements be taken at Class B application sites to confirm that thetreatment and the use restrictions resulted in below-detection pathogenconcentrations Such on-site measurements would help to estimate potentialrisks and the efficacy of site-management requirements

EPA considered a spectrum of bacteria viruses protozoa and helminths insetting its 1993 pathogen standards New information on some of these andother organisms are now available for updating hazard identification Humansmay be exposed to pathogens in biosolids from ingestion of contaminated foodwater or soil dermal contact and inhalation of bioaerosols (aerosolizedbiological particles) There is also the potential for humans to be exposed viasecondary transmission from exposure to pathogens shed from infectedindividuals either by direct contact or by routes through the environment Someexposure pathways such as the inhalation pathway were not adequatelyevaluated by EPA in the development of the 1993 Part 503 pathogenrequirements EPA also did not address sufficiently the potential for surface-water contamination by runoff groundwater contamination and secondarytransmission of disease

The reliability of biosolids treatment processes in reducing pathogens isessential for public-health protection There is a need to better document thereliability of EPArsquos prescribed treatment processes and to establish thatmanagement controls intended to reduce pathogens by natural attenuation areeffective An important consideration in making these determinations isensuring that the pathogen detection methods used are accurate and preciseSubstantial advances in detection and quantification of pathogens in theenvironment have been made since the 1993 promulgation of the Part 503 ruleFor example new molecular techniques for detecting pathogens (egpolymerase chain reaction) are now available In addition new approaches toenvironmental sample collection and processing are available Howeverimproved standardized methods for measuring pathogens in biosolids andbioaerosols need to be developed

As with the chemical standards EPA based its 1993 pathogen standards onselected pathogens and exposure conditions that were expected to berepresentative and conservative enough to be applicable to all areas of theUnited States and all types of land applications This includes the recognitionthat pathogen survival in soils can range from hours to years depending on thespecific pathogens biosolids application methods and rates initial patho

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gen concentrations soil composition and meteorological and geologicalconditions Little is know about pathogen transport and survival in bioaerosolsQuantitative microbial risk-assessment (QMRA) methods similar to those usedin chemical assessments have been developed for microbial agents in drinkingwater and food These methods are not as well established as those forchemicals and there are important differences between the two One of themajor differences is that microbial risk assessment must include the possibilityof secondary transmission of disease either through person-to-person contact orfrom transmission of the pathogen to others through air food or water Theimportance of secondary transmission depends in part on the level of acquiredimmunity to the pathogen in the community a phenomenon that has no analogin chemical risk assessment

Findings Given the variety of pathogens that have the potential to bepresent in biosolids the committee supports EPArsquos approach to establishingpathogen reduction requirements and monitoring indicator organisms Howeverthe reliability of EPArsquos prescribed treatment techniques should be betterdocumented using current pathogen detection technology and more research onenvironmental persistence and dose-response relationships is needed to verifythat current management controls for pathogens are adequate to maintainminimal exposure concentrations over an extended period of time QMRAmethods have developed sufficiently to provide better risk information thatshould be used to establish or support existing regulatory criteria

Recommendations

bull EPA should conduct a national survey of pathogen occurrence in raw andtreated sewage sludges Important elements in conducting the surveyinclude use of consistent sampling methods analysis of a broad spectrumof pathogens that could be present in sewage sludge and use of the bestavailable (preferably validated) pathogen measurement techniques

bull QMRAs should be developed and used to establish regulatory criteria(treatment requirements use restrictions and monitoring) for pathogensin biosolids For example EPA could stipulate an acceptable risk level fora particular pathogen QMRA could then be used to estimate theconcentration of that pathogen in biosolids either at the point ofapplication (where there is immediate potential for exposure) or followingany required holding period EPA could then determine experimentallybased relationships between the maximum acceptable pathogenconcentration and the process conditions (eg time temperature pHchemical doses and holding times) andor the pathogen indicatorconcentrations (either density or reduction through treatment) On thebasis of those relationships regulatory criteria and monitoring for land

SUMMARY 15

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application can be updated or developed to ensure consistent attainmentof target pathogen concentrations To conduct QMRAs a conceptual sitemodel should be used to identify all potential routes of exposureadditional input data (eg dose-response and pathogen-survival data)should be collected and consideration should be given to potentialsecondary transmission of infectious disease QMRAs also can be used toanalyze sensitivity and to ascertain what critical information is needed toreduce uncertainty about the risks from exposure to pathogens inbiosolids The pathogen standards should be reevaluated and updatedperiodically to ensure that they are supported by the best availablescientific data and methods and to ensure that anecdotal information is notbeing used for the predication of past current or future regulations

bull EPA should foster development of standardized methods for measuringpathogens in biosolids and bioaerosols

bull EPA should promote research that uses improved pathogen detectiontechnology to better establish the reliability of its prescribed pathogentreatment processes and biosolids-use controls to achieve and maintainminimal exposure over time In setting pathogen treatment requirementsit might be useful to establish metrics for typical (mean) treatmentperformance and concentrations not to be exceeded

bull Research should be conducted to assess whether other indicatororganisms such as Clostridium perfringens could be used in regulationof biosolids Such indicators along with traditional indicators andoperational parameters may be suitable for monitoring day-to-dayregulatory compliance

SUMMARY 16

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1

Introduction

Land application of treated sewage sludge (often referred to as biosolids)for soil-amendment and land-reclamation purposes has increased over the pastdecade as a result of the ban on ocean dumping of wastewater residuals (OceanDisposal Ban Act of 1988) and as an alternative to other disposal options suchas landfilling or incineration Recycling sewage sludge has been practiced formany decades In 1993 EPA promulgated Standards for the Use or Disposal ofSewage Sludge (Code of Federal Regulations Title 40 Part 503) which setpollutant limits operational standards for pathogen and vector-attractionreduction management practices and other provisions intended to protectpublic health and the environment from any reasonably anticipated adverseeffects from chemical pollutants and pathogenic organisms Many of theregulations (commonly referred to as the Part 503 rule) were based on riskassessments conducted to identify and characterize risks associated with the useor disposal of sewage sludge In this report the National Research Councilrsquos(NRCrsquos) Committee on Toxicants and Pathogens in Biosolids Applied to Landreviews the nature of the human health risks from chemicals and pathogens inbiosolids evaluates the scientific approaches that EPA used to establish itshuman-health-based land-application pollutant limits and pathogen reductiontechniques provides an overview of the advances in risk assessment since theestablishment of those standards and in light of the advancementsrecommends risk-based strategies for reevaluating the human-health-based land-application standards of the Part 503 rule

INTRODUCTION 17

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This chapter briefly reviews why biosolids are a public-health concernstates the task addressed by the committee sets forth the committeersquos activitiesand deliberative process in developing the report and describes the organizationof the report

BIOSOLIDS

Definitions and Use

Sewage sludge is defined in the Part 503 rule as the solid semi-solid orliquid residue generated during the treatment of domestic sewage in a treatmentworks The term biosolids is not used in the Part 503 rule but EPA (1995)defines biosolids as ldquothe primarily organic solid product yielded by municipalwastewater treatment processes that can be beneficially recycledrdquo as soilamendments Use of the term biosolids has been controversial because of theperception that it was created to improve the image of sewage sludge in apublic-relations campaign by the sewage industry (Rampton 1998) For thepurposes of this report the committee considers sewage sludge to be the solidsemi-solid or liquid residue generated during treatment of domestic sewageand biosolids to be sewage sludge that has been treated to meet the land-application standards in the Part 503 rule or any other equivalent land-application standards

It is estimated that approximately 56 million dry tons of sewage sludge areused or disposed of annually in the United States of which approximately 60are used for land-application or public distribution (see Chapter 2) On the basisof data from EPA (1999a) and USDA (1997) EPA estimates that approximately01 of available agricultural land in the United States is treated with biosolidsBiosolids are a complex mixture that may contain organic inorganic andbiological pollutants from the wastewaters of households commercialestablishments and industrial facilities and compounds added or formed duringvarious wastewater treatment processes Such pollutants include inorganiccontaminants (eg metals and trace elements) organic contaminants (egpolychlorinated biphenyls [PCBs] dioxins pharmaceuticals and surfactants)and pathogens (eg bacteria viruses and parasites) Sewage-sludge treatmentprocesses are intended to reduce the volume and organic content of biosolidsand to reduce the presence of pathogens but retain beneficial properties for soil-amendment and land-reclamation purposes Figure 1ndash1 provides a simplifiedschematic of how biosolids are produced and illustrates how the content ofbiosolids can vary depending on the wastewater streams and the variations intreatment processes See Figures 2ndash1 and 2ndash2 in

INTRODUCTION 18

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FIGURE 1ndash1 Biosolids production

aRequired by federal and state agenciesbPrior to dewatering sewage sludge is conditioned and thickened by addingchemicals (eg ferric chloride lime or polymers)

INTRODUCTION 19

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BOX 1ndash1 DEFINITIONS

Sewage sludge the solid semi-solid or liquid residue generatedduring the treatment of domestic sewage in a treatment works

Biosolids

bull EPArsquos definition the primarily organic solid product yielded bymunicipal wastewater treatment processes that can be beneficiallyrecycled (whether or not they are currently being recycled)

bull Committeersquos definition sewage sludge that has been treated to meetthe land-application standards in the Part 503 rule or any otherequivalent land-application standards or practices

Chapter 2 for more detailed diagrams of wastewater and sewage sludgetreatment

Biosolids are applied to agricultural and nonagricultural lands as soilamendments because they can improve the chemical and physical properties ofsoils and they contain nutrients and trace elements important for plant growthAgricultural lands include sites where food crops (for human or animalconsumption) and nonfood crops are grown Nonagricultural lands includeforests rangelands and public contact sites (eg public parks golf courses andcemeteries) Severely disturbed lands such as strip mines and gravel pits canbe reclaimed with biosolids

Biosolids are divided into two classes on the basis of pathogen contentClass A and Class B Class A biosolids are treated to reduce the presence ofpathogens to below detectable levels and can be used without any pathogen-related restrictions at the application site Class A biosolids can also be baggedand sold to the public if other requirements are met Class B biosolids aretreated to reduce pathogens but still contain detectable levels of them Class Bbiosolids have site restrictions that seek to minimize the potential for humanand animal exposure until environmental factors such as heat sunlight anddesiccation have reduced pathogens further Class B biosolids cannot be sold orgiven away in bags or other containers or used at sites with public use

Sewage sludge that is not treated to meet land-application standards isusually disposed of at landfills or surface disposal sites that contain only sewagesludge or is incinerated Regulations pertaining to these disposal practices arecontained in the Part 503 rule Review of disposal regulations is howeveroutside the scope of the committeersquos task

INTRODUCTION 20

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Pollutant Standards

Different methods were used to establish the chemical pollutant andpathogen standards in the Part 503 rule For the chemical pollutant limitssewage-sludge surveys (EPA 1982 1990) and risk assessments (EPA 1992ab)were used to identify and characterize risks from chemical pollutants in sewagesludge The risk assessments considered a variety of pathways by whichhumans animals plants and soil organisms could be exposed to biosolidpollutants Chemical standards (ie ceiling concentrations (mgkg) cumulativepollutant loading rates (kghectare) pollutant concentration limits (mgkg) andannual pollutant loading rates (kghectare365-day period) were originallyestablished for 10 inorganic chemicals using the most limiting exposurepathway These chemicals are arsenic cadmium chromium1 copper leadmercury molybdenum2 nickel selenium and zinc Standards for five of thecurrently regulated chemicals (arsenic cadmium lead mercury and selenium)are based on potential adverse human health effects Most standards are only foreight chemicals only a ceiling concentration is currently established formolybdenum as described in the footnote

In December 1999 EPA issued a proposal to amend the Part 503 rule forland-applied biosolids by adding a risk-based concentration limit for dioxins acategory of organic compounds that includes 29 specific congeners ofpolychlorinated dibenzo-p-dioxins polychlorinated dibenzofurans and coplanarpolychlorinated biphenyls (PCBs) (EPA 1999b) (More details about thisproposal are presented in Chapters 2 and 5)

EPA established operational standards for pathogens in biosolids ratherthan risk-based standards although it conducted a preliminary set of riskassessments for viruses (EPA 1992c) bacteria (EPA 1991a) and parasites (EPA1991b) The operational standards are pathogen-reduction requirements thegoal of which is to reduce the presence of pathogens (including

1Chromium was deleted from regulation in 1995 This amendment was the result of apetition filed in 1993 by the Leather Industries of America Inc to the US Circuit Courtof Appeals for the District of Columbia Circuit seeking review of the pollutant limits forchromium The court remanded the request to EPA for additional justification ormodification of its chromium regulations in the Part 503 rule The Agency subsequentlydetermined that there was ldquoan insufficient basis at this time for the regulation ofchromium in sewage sludge that is applied to landrdquo (EPA 1995)

2Standards for molybdenum were dropped from the original regulation Currentlyonly a ceiling-concentration limit is available for molybdenum and a decision aboutestablishing new pollutant limits for this metal has not been made

INTRODUCTION 21

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enteric viruses bacteria parasites and viable helminth ova) in biosolids tolevels that are unlikely to pose a threat to public health and the environmentunder specific use conditions Because of the variety of different pathogens thatmight be present in sewage sludge and the impracticality of testing for all ofthem EPA requires analyses of ldquoindicator organismsrdquo An indicator organism isa particular species of microorganism whose presence is used to indicate that acertain set of pathogenic organisms might also be present The Part 503 rulespecifies operational standards for fecal coliforms Salmonella sp bacteriaenteric viruses and viable helminth ova

Earlier NRC Review

In 1996 the NRC published the report Use of Reclaimed Water and Sludgein Food Crop Production which reviewed the practice of using wastewater andbiosolids for agricultural purposes That report focused specifically on issuesrelated to food-crop production and evaluated the regulations for chemicals andpathogens in the Part 503 rule reviewed the impacts on soil crops andgroundwater and considered the economic legal and institutional issues of thepractice The current report is different from the earlier one in that itencompasses all land-application uses (not only food-crop production) isfocused only on human health risks and provides an in-depth assessment of themethods used to assess those risks

The 1996 report concluded that ldquoWhile no disposal or reuse option canguarantee complete safety the use of [municipal wastewater and biosolids] inthe production of crops for human consumption when practiced in accordancewith existing federal guidelines and regulations presents negligible risk to theconsumer to crop production and to the environment Current technology toremove pollutants from wastewater coupled with existing regulations andguidelines governing the use of reclaimed wastewater and sludge in cropproduction are adequate to protect human health and the environmentrdquoHowever the report also highlighted limitations and inconsistencies in EPArsquosrisk evaluation and made recommendations for additional research Excerpts ofthe major recommendations of that report are presented in Box 1ndash2

One of the major concerns with respect to EPArsquos risk evaluation was thereliability of the National Sewage Sludge Survey (EPA 1990) which served asthe basis for many of the decisions made in the Part 503 rule including EPArsquosdecision to exempt organic pollutants from regulation Inconsistencies werefound in the surveyrsquos sampling and data-reporting methods that undermined thereliability of the data Therefore it was recommended that EPA conduct anothernational survey of pollutants in biosolids To date no comprehensive survey hasbeen performed

INTRODUCTION 22

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BOX 1ndash2 RECOMMENDATIONS IN NRC (1996) REPORT

Adequacy of Existing Regulations for Pathogens in ReclaimedWater and Biosolids

bull Until a more sensitive method for the detection of Salmonella inbiosolids is developed the present test should be used for supportdocumentation but not be substituted for the fecal coliform test inevaluating biosolids as Class A

bull EPA should continue to develop and evaluate effective ways to monitorfor specific pathogens in biosolids

bull EPA should reevaluate the adequacy of the 30-day waiting periodfollowing the application of Class B biosolids to pastures used forgrazing animals

Adequacy of Existing Regulations for Harmful Chemicals inReclaimed Water and Biosolids

bull A more comprehensive and consistent survey of municipal wastewatertreatment plants is needed to show whether or not toxic organiccompounds are present in biosolids at concentrations too low to pose arisk to human and animal health and to the environment In conductinga second NSSS EPA should strive to improve the integrity of the databy using more consistent sampling and data-reporting methods TheEPA should not exclude chemicals from regulatory considerationbased solely on whether or not those chemicals have been bannedfrom manufacture in the United States (eg PCBs) since they are stillfound in sewage sludge from many wastewater treatment plants

Marketing Biosolids Products to the Public

bull The Part 503 rule should be amended to more fully assure that onlybiosolids of exceptional quality in terms of both pathogen andchemical limits are marketed to the general public so that furtherregulation and management beyond the point of sale or give-awaywould not be necessary

Soil Crop and Groundwater Effects

bull When determining biosolids and fertilizer application rates an analysisof the rates of organic nitrogen mineralization should be performed inorder to avoid buildup of excess nitrate-nitrogen Nitrate-nitrogen that isnot taken up by plants may contribute to excess fertilisation andleaching Where excess phosphorus is of concern soil phosphoruslevels should be monitored and biosolids application rates should beadjusted to correspond to crop phosphorus rather than nitrogen needs

bull As more croplands are treated with biosolids and reach their regulatorylimit of chemical pollutant loading from biosolids applications additionalinforma

INTRODUCTION 23

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bull tion will be needed to assess potential long-term impacts of biosolidson groundwater quality and on the sustainability of soils for cropproduction

Economic Legal and Institutional Issues

bull Any payment program designed to promote agricultural use of treatedeffluents or biosolids should be carefully structured to avoid thecreation of incentives to apply reclaimed water or biosolids at rates inexcess of agronomic rates and to avoid undermining farmmanagement practices needed to protect public and occupationalhealth and the environment

bull States and municipalities that wish to implement a beneficial-useprogram need to address public concerns and provide assurances thatthe new uses of biosolids and wastewater do not endanger health orthe environment in application areas The public and local officialsshould be involved in the decision-making process at an early stage

bull The operators of municipal wastewater treatment facilities and theparties using biosolids and wastewater should implement visiblestringent management and self-regulation measures includingmonitoring and reliable reporting by farmers and should supportvigilant enforcement of appropriate regulations by local or stateagencies Implementation of these measures will be credible means ofpreventing nuisance risks and harm to people property and highlyvalued nearby resources

bull The municipal utility should carry out demonstration programs for publiceducation and to verify the effectiveness of management and self-regulatory systems In addition the utility should be prepared toindemnify farmers against potential liabilities when farmersrsquo financingby banks or other lenders may hinge on this assurance

bull Management of biosolids for beneficial use should be more visiblylinked to existing regulations governing its disposal Program credibilitymay be improved and public concern reduced if federal state andmunicipal regulators clearly assign authority to local governments forresponding to any reports of adverse consequences related tobeneficial use of biosolids such as ground water contamination odorattraction of vermin or illnesses The public should be aware that stateand local units of government have the necessary regulatory authorityto take corrective actions against parties who have violated rules andguidance

INTRODUCTION 24

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inal

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ng s

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ther

type

setti

ng-s

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fic fo

rmat

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ever

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not b

ere

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ed a

nd s

ome

typo

grap

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erro

rs m

ay h

ave

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tally

inse

rted

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e au

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r attr

ibut

ion

The 1996 NRC report also examined the adequacy of EPArsquos pathogenrequirements and made recommendations to improve them (Box 1ndash2) EPA3

has indicated that it plans to develop better analytical protocols for detectingpathogens including Salmonella as resources permit It notes that in generalmost biosolids producers continue to demonstrate Class A quality by relying onthe fecal coliform tests rather than the Salmonella test EPA also plans todevelop monitoring protocols for specific pathogens

EPA3 has not decided whether to reevaluate the 30-day waiting periodrequired before grazing is allowed on biosolids-amended pastures A decisionwill be based on EPArsquos review of a workshop held in June 2001 titled EmergingPathogen Issues in Biosolids Animal Manures and Other Similar By-productsand a microbial risk-assessment model currently being developed byresearchers at the University of California at Berkeley for the WaterEnvironment Research Foundation

HUMAN HEALTH AND RISK-ASSESSMENT ISSUES

A number of potential human health and risk-assessment issues werebrought to the committeersquos attention Some of the major human health issuesinclude the following

bull Differences in the extent of health complaints There are severalallegations of deaths caused by exposure to biosolids and anecdotalreports of illnesses ranging from acute to chronic problems includingheadaches respiratory problems and gastrointestinal illnesses Mosthealth complaints appear to be concentrated in specific locales Otherlocales receive few or no complaints

bull Citizen complaints Odors from biosolids are the principal complaint fromcitizens living near biosolids land-application sites Citizens have alsocomplained of attraction of vectors (eg insects birds) declines inproperty values and damage to property and public roads by the heavytrucks used to transport biosolids These types of complaints havesometimes been categorized as nuisance problems or aesthetic issues butconcerns have been raised that odors and vector attraction could havehealth impacts

3Responses to follow-up questions from US House Science Committee Hearing onBiosolids March 22 2000 Submitted to the committee by Elizabeth MSokul OversightCounsel Committee on Science US House of Representatives

INTRODUCTION 25

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setti

ng-s

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rmat

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ever

can

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ome

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bull Differences in public confidence in enforcement and compliance with thePart 503 rule A variety of alleged incidents were brought to thecommitteersquos attention including improper application of biosolidsinadequate public-access restrictions at Class-B application sites andviolations of the 30-day waiting period before allowing grazing on treatedpastures It was beyond the scope of the committeersquos task to investigate orverify these allegations but an audit of the national biosolids program byEPArsquos Office of Inspector General concluded that ldquoEPA does not have aneffective program for ensuring compliance with the land applicationrequirements of Part 503 Accordingly while EPA promotes landapplication EPA cannot assure the public that current land applicationpractices are protective of human health and the environmentrdquo (EPA 2000)

In addition to health issues questions have been raised about the risk-assessment approaches used to establish the biosolids standards Major issuesinclude the following

bull Regional and site-specific considerations Biosolids content use practicesand application-site characteristic (eg geology and climate) vary greatlyamong and within regions It is important that these variations areconsidered in the risk assessment used to establish the biosolids standards

bull Difficulties in conducting risk assessments when the available database ispoor Major gaps in the biosolids data include need for updatedcharacterization of biosolids constituents exposure information andunderstanding of relevant health effects

bull Challenge of assessing risks from a complex mixture Biosolids are amixture of organic and inorganic chemicals and biological agents Risk-assessment procedures typically quantify risks from single chemicals andassume additivity when multiple chemicals are present Although muchthought has been given to evaluating risks from chemical mixturesstrategies for considering risks from exposure to complex mixtures arestill in development

THE COMMITTEErsquoS TASK

The Clean Water Act requires EPA to periodically reassess the scientificbasis of the Part 503 rule including the option of adding pollutants to theregulation Several advances and improvements in conducting risk assessmentshave occurred since the promulgation of the rule in 1993 Some researchershave questioned the scientific basis and data used in establishing EPArsquosbiosolids standards noting data gaps nonprotective policy choices and

INTRODUCTION 26

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tting

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ue to

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e le

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nd o

ther

type

setti

ng-s

peci

fic fo

rmat

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not b

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more stringent standards set by other countries In addition there is increasingconcern among communities near land-application sites about the health risksfrom exposure to biosolids For these reasons EPA asked the NRC to conductan independent evaluation of the technical basis of the Part 503 rule land-application standards

In response to this request the NRC convened the multidisciplinaryCommittee on Toxicants and Pathogens in Biosolids Applied to Land Thecommittee was asked to review information on the land application of biosolidsand to evaluate the methods used by EPA to assess human health risks fromchemical pollutants and pathogens in biosolids Specifically the committee wasasked to

1 Review the risk-assessment methods and data used to establishconcentration limits for chemical pollutants in biosolids todetermine whether they are the most appropriate approachesConsider the NRCrsquos previous (1996) review and determine whetherthat reportrsquos recommendations have been appropriately addressedConsider (a) how the relevant chemical pollutants were identified(b) whether all relevant exposure pathways were identified (c)whether exposure analyses particularly from indirect exposuresare realistic (d) whether the default assumptions used in the riskassessments are appropriate and (e) whether the calculations usedto set pollutant limits are appropriate

2 Review the current standards for pathogen elimination in biosolidsand their adequacy for protecting public health Consider (a)whether all appropriate pathogens were considered in establishingthe standards (b) whether enough information on infectious doseand environmental persistence exists to support current controlapproaches for pathogens (c) risks from exposure to pathogensfound in biosolids and (d) new approaches for assessing risks tohuman health from pathogens in biosolids

3 Explore whether approaches for conducting pathogen riskassessment can be integrated with those for chemical riskassessment If appropriate recommend approaches for integratingpathogen and chemical risk assessments

THE COMMITTEErsquoS APPROACH

To accomplish its task the committee held five meetings between March2001 and May 2002 The first two meetings involved data-gathering sessionsthat were open to the public The committee heard from EPA the NationalInstitute for Occupational Safety and Health industry representativesenvironmental and community groups and academics Many concerned members

INTRODUCTION 27

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heor

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tting

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ks a

re tr

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how

ever

can

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ion

of the public attended the meetings and were given the opportunity to addressthe committee Citizens living near land-application sites voiced concerns aboutodors health effects lack of investigation into health complaints andapplication practices that do not comply with the regulations At its secondmeeting the committee also visited an agricultural field in Riverside CountyCalifornia where Class B biosolids were being applied The purpose of the visitwas to observe techniques used to apply biosolids to an agricultural field Thecommittee also reviewed a large body of written material on biosolids Thecommittee relied on peer-reviewed publications as its primary source ofinformation but unpublished data (submitted by various sources includingindustry representatives and the public) were sometimes used to supplementexisting information or when no other information was available

The committee is aware that some readers expect this report to cover allaspects of biosolids use and determine whether EPA should continue topromote its use That expectation goes well beyond the committeersquos chargeTherefore it is important to clarify what this report addresses and what it doesnot address

This report focuses on the land application of Class A and Class Bbiosolids It does not consider risks from sewage treatment processes (includingcomposting) storage or transporting nor does it cover risks from disposalpractices of landfilling surface disposal or incineration

The committee was asked to devote its efforts to evaluating existingbiosolids regulations (as of July 1 2000) in 40 CFR Part 503 Because theregulations cover only chemical (specifically inorganics) and pathogenicpollutants radioactive contaminants were not included in the committeersquosassessment even though the committee is aware that radioactive compoundsmay be present in biosolids The committeersquos assessment also excluded an in-depth evaluation of EPArsquos risk assessment and proposed regulations fordioxins because they were not finalized at the time of writing However thecommittee did evaluate the scientific basis of EPArsquos original decision not toregulate organic pollutants in biosolids

Although the Part 503 rule considers risks to both human andenvironmental health the committee was asked to focus its evaluation onhuman health risks and not on plant animal or ecological risks The committeeinterpreted this task to include an evaluation of relevant occupational health inaddition to public health It is also important to emphasize that the primarypurpose of this report is to provide an evaluation of the risk-assessment methodsand approaches used to establish the biosolids land-application standards and isnot an investigation into the validity of allegations of biosolids-related illnessesRisk assessment is the characterization of potential adverse health effectsresulting from exposure to environmental hazards It is a process

INTRODUCTION 28

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ed a

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rsio

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r attr

ibut

ion

separate from risk management which is the term used to describe the processby which risk-assessment results are integrated with other information (egsocial economic and engineering factors) to make decisions about thenecessity method and extent of risk reduction

REPORT ORGANIZATION

The remainder of this report is organized into six chapters Chapter 2describes the history of the biosolids regulations treatment processes usepractices compliance issues and risk-management practices in the UnitedStates It also provides a brief overview of biosolids regulations and practices inEurope Chapter 3 reviews the available evidence on human health effects fromexposure to biosolids Chapter 4 presents developments in risk assessment sincethe Part 503 rule was established and discusses current risk-assessmentpractices used by EPA Chapter 5 reviews EPArsquos risk-assessment approach tosetting limits for chemical pollutants in biosolids EPArsquos pathogen-reductionstandards are reviewed in Chapter 6 along with new developments in the areaof risk assessment for microbial agents Chapter 7 explores whether it ispossible to use an integrated approach to assess the risks from a complexmixture of chemical and biological agents

REFERENCES

EPA (US Environmental Protection Agency) 1982 Fate of Priority Pollutants in Publicly OwnedTreatment Works Vol 1 Final Report EPA4401ndash82303 Effluent Guidelines DivisionWater and Waste Management US Environmental Protection Agency Washington DCSeptember 1982

EPA (US Environmental Protection Agency) 1990 National Sewage Sludge Survey availabilityof information and data and anticipated impacts on proposed regulations Proposed ruleFed Regist 55(218)47210ndash47283 (November 9 1990)

EPA (US Environmental Protection Agency) 1991a Preliminary Risk Assessment for Bacteria inMunicipal Sewage Sludge Applied to Land EPA6006ndash91006 Office of Research andDevelopment US Environmental Protection Agency Washington DC July 1991

EPA (US Environmental Protection Agency) 1991b Preliminary Risk Assessment for Parasites inMunicipal Sewage Sludge Applied to Land EPA6006ndash91001 Office of Research andDevelopment US Environmental Protection Agency Washington DC March 1991

EPA (US Environmental Protection Agency) 1992a Technical Support Document for LandApplication of Sewage Sludge Vol 1 EPA 822R-93ndash001a Office of

INTRODUCTION 29

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from

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es c

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ed f

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heor

igin

al ty

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tting

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s P

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ks a

re tr

ue to

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orig

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e le

ngth

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ord

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ks h

eadi

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tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

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ay h

ave

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Ple

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ion

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e au

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itativ

e ve

rsio

n fo

r attr

ibut

ion

Water US Environmental Protection Agency Washington DC November 1992EPA (US Environmental Protection Agency) 1992b Technical Support Document for Land

Application of Sewage Sludge Vol 2 Appendices EPA 822R-93ndash001b Office of WaterUS Environmental Protection Agency Washington DC November 1992

EPA (US Environmental Protection Agency) 1992c Preliminary Risk Assessment for Viruses inMunicipal Sewage Sludge Applied to Land EPA600R-92064 Office of Research andDevelopment US Environmental Protection Agency Washington DC June 1992

EPA (US Environmental Protection Agency) 1993 Federal Register February 19 1993 40 CFRParts 257 403 and 503 The Standards for the Use or Disposal of Sewage Sludge FinalRules EPA 822Z-93001 US Environmental Protection Agency Washington DC

EPA (US Environmental Protection Agency) 1995 A Guide to the Biosolids Risk Assessmentsfor the EPA Part 503 Rule EPA832-B-93ndash005 Office of Wastewater Management USEnvironmental Protection Agency Washington DC September 1995 [Online] Availablehttpwwwepagovowmbio503ruleindexhtm [December 20 2001]

EPA (US Environmental Protection Agency) 1999a Biosolids Generation Use and Disposal inthe United States EPA530-R-99ndash009 Office of Solid Waste and Emergency ResponseUS Environmental Protection Agency Washington DC September 1999 [Online]Available httpwwwepagovepaoswernonhwcompostbiosolidpdf [March 19 2002]

EPA (US Environmental Protection Agency) 1999b Standards for the use or disposal of sewagesludge Proposed rule Fed Regist 64(246)72045ndash72062 (December 23 1999)

EPA (US Environmental Protection Agency) 2000 Water Biosolids Management andEnforcement Audit Report No 2000-P-10 Office of Inspector General March 20 2000[Online] Available httpwwwepagovoigearthauditlist30000P0010pdf [December20 2001]

NRC (National Research Council) 1996 Use of Reclaimed Water and Sludge in Food CropProduction Washington DC National Academy Press

Rampton S 1998 Let them eat nutri-cake Merriam-Webster thinks our ldquobiosolidsrdquo donrsquot stink(how the word biosolid became a dictionary term) Harperrsquos Magazine (November 1998)

USDA (US Department of Agriculture) 1997 1997 Census of Agriculture Vol 1 National Stateand Country Tables USDA National Agricultural Statistics Service [Online] Availablehttpwwwnassusdagovcensus [April 16 2002]

INTRODUCTION 30

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2

Biosolids Management

Wastewater treatment necessarily produces two end products effluent andsewage sludge All wastewater generated in homes businesses industries andother venues that is conveyed to wastewater treatment plants is treated to alloweffluent discharge back into the surface and groundwaters of the United StatesSewage sludge is likewise treated in the wastewater process generally throughaerobic or anaerobic microbial activity for specified time periods andtemperatures Both effluent and sewage sludge require treatment to ensure thattheir release into the environment is protective of human health and theenvironment as required by the Clean Water Act (CWA) Sewage sludge isdefined as the solid semi-solid or liquid residue generated during the treatmentof domestic sewage in a treatment works and biosolids are defined in thisreport as sewage sludge that has been treated to meet standards for landapplication under Part 503 of the CWA or any other equivalent land-applicationstandards

Of the nationrsquos estimated 263 million people in 1996 190 million of themor 72 contributed wastewater directly through a sewerage system toapproximately 16000 publicly owned treatment works (POTW) (EPA 2000a)The remaining 73 million people discharged wastewater to some form of on-sitetreatment system or holding tank more than half of which also is ultimatelydischarged to a POTW (Razvi 2000) Each person discharging human waste toa wastewater treatment system produces approximately 47 dry pounds (21kilograms) of sewage sludge each year (EPA 1993) As the population of the

BIOSOLIDS MANAGEMENT 31

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United States increases the percentage of the population directly discharging toPOTWs is projected to increase to 88 by 2016 (EPA 2000a) The ability toeffectively treat and return wastewater and sewage sludge to the environment ina protective manner is of paramount importance from both a public-health andan environmental perspective In partial recognition of this fact Congresspassed the CWA of 1972 and the federal government has contributed $611billion in grants and $161 billion in low-interest loans to municipal and localgovernments between 1972 and 1999 for capital construction costs to providenecessary support for wastewater and sewage-sludge treatment and dispositionof biosolids (EPA 2000a) Approximately 40 of that amount has been used forsewage sludge treatment and disposition of biosolids (Peavy et al 1985)Sewage sludge is generated in several treatment processes that generally includeprimary (from primary clarification) and secondary (from secondaryclarification) sewage sludge The general process of treating wastewater andsewage sludge is illustrated in Figures 2ndash1 and 2ndash2

EPA is responsible under Section 405 of the CWA to promulgateregulations for sewage sludge use or disposal The CWA Amendments of 1987added special provisions that required EPA to identify toxic pollutants and setsewage-sludge standards that are ldquoadequate to protect public health and theenvironment from any reasonably anticipated adverse effect of each pollutantrdquo(emphasis added) Recognizing that sewage-sludge production will continue toincrease and that sewage sludge possesses many potential beneficial propertiesfor agricultural production federal and state agencies have long advocated therecycling of it as biosolids through land application (EPA 1981 1984 1991)The other primary options for sewage sludge disposition are to bury it in alandfill or to incinerate it Although these latter options possess inherent risksand environmental difficulties these options are beyond the scope of this report(see Chapter 1)

Of the 16000 POTWs in the United States approximately 8650 generatesewage sludge that must be used or disposed of at least annually (WisconsinDepartment of Natural Resources unpublished data 2001) Based on data from37 states approximately 5900 of these sewage sludge generators (68) eitherland apply or publicly distribute over 34 million dry tons of biosolids each year(see also End Use Practice section of this chapter) Most of this recycling use isconducted without public opposition and with no documented adverse healtheffects However recent allegations of adverse health effects have receivedmedia and congressional attention Chapter 3 assesses the epidemiologicalevidence and approach for health effects associated with biosolids productionand application but does not systematically investigate these allegationsRather the report examines the process by which the regulations wereestablished and determines whether advances in risk-assessment methodswarrant a revisiting of the process

BIOSOLIDS MANAGEMENT 32

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ks a

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nd o

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ng-s

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ibut

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FIG

UR

E 2

ndash1 T

he p

roce

ss s

chem

atic

del

inea

ting

wat

er a

nd w

aste

wat

er tr

eatm

ent a

long

wit

h th

e se

wag

e sl

udge

str

eam

BIOSOLIDS MANAGEMENT 33

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BIOSOLIDS MANAGEMENT 34

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This chapter briefly examines the development of the Part 503 rule certainrelated issues and what EPA has done to implement the rule sincepromulgation It also reviews how states implement the rule whether or notthey have explicit delegated authority from EPA An examination of biosolidsregulations and practices in Europe is then used to compare and contrast thesepractices An overview of the acceptable pathogen treatment controls and landapplication site restrictions is presented as well as associated methods forstabilization to reduce the attraction to vectors such as rodents Issues are raisedthat relate to the verification of the efficacy of treatment Finally this chapterexamines end-use practices in the United States biosolids quality achieved dataon nonregulated pollutants risk-management practices inherent to landapplication of biosolids (primarily Class B) and to the risk-assessment processand compliance and enforcement strategies and action taken by EPA or states

FEDERAL BIOSOLIDS REGULATIONS AND CURRENTSTATE OF PROGRAM

History

The current biosolids standards became effective in Part 503 of Chapter 40of the Code of Federal Regulations (40 CFR 503) on March 22 1993 (EPA1993) More specifically the regulations are established as GeneralRequirements Pollutant Limits Management Practices Operational StandardsFrequency of Monitoring Requirements Record Keeping and Reporting Therequirements apply to each of the three major methods of ultimate disposition ofsewage sludge or biosolids recycling and public distribution burial in amunicipal solid-waste landfill or a surface disposal site or incinerationEnforceable standards are established for all three options but this reportfocuses only on land application and public distribution The standards weredeveloped over more than 10 years and received both public and private inputFrom September 13 1979 until 40 CFR 503 was published standards for theland application of biosolids were set in 40 CFR Part 257 (EPA 1979) Researchfocusing on the beneficial micro- and macronutrients present in treated sewagesludge had been conducted at numerous universities before the publication ofthe 1979 regulations (eg Keeney et al 1975) Indeed Wisconsin statutesspecifically encouraged the responsible recycling of biosolids through use onagricultural land beginning in 1973 (Wisconsin Statutes Assembly Bill 1281973)

BIOSOLIDS MANAGEMENT 35

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Because POTWs typically have industrial contributors to their wastewatercollection systems wastewater pretreatment regulations became effectivethrough 40 CFR Part 403 on June 26 1978 with a stated objective to

a prevent the introduction of pollutants into POTWs which willinterfere with the operation of a POTW including interference withits use or disposal of municipal biosolids

b prevent the introduction of pollutants into POTWs which will pass through the treatment works or otherwise be incompatible withsuch works and

c improve opportunities to recycle and reclaim municipal andindustrial wastewaters and biosolids (EPA 1999a)

These regulations to control pollution dramatically reduced theconcentrations of selected pollutants discharged to applicable sewerage systemsand therefore also the concentrations in the resultant biosolids (see alsoCharacterization of Biosolids section)

Federal Policy

EPA has had a long-standing policy of promoting the beneficial use ofbiosolids and a regulatory mandate to review and revise related regulationsperiodically as new research warrants In January 1981 EPA published astatement of federal policy and guidance with the US Food and DrugAdministration (FDA) and the US Department of Agriculture (USDA) for theproper management and necessary controls of land application of biosolids forthe production of fruits and vegetables EPA (1984) further formalized itspolicy of promoting beneficial use and developing a comprehensive regulatoryapproach as mandated by the CWA in the Federal Register on June 12 1984EPA again clarified that position through the publication of an interagencypolicy which with six other federal agencies promoted the beneficial use ofbiosolids in the Federal Register on July 18 1991 (EPA 1991)

Section 402 of the CWA sets provisions for permitting dischargesincluding sewage sludge to waters of the United States As authorized by theCWA the National Pollutant Discharge Elimination System (NPDES) permitprogram has been in place since 1972 and regulates point sources of waterpollution such as pollutants discharged from pipes or ditches Many statesconsider the land application of biosolids to be a point-source discharge togroundwater and regulate this practice under the permit program Individualhomes that are connected to a municipal system use a septic system or do not

BIOSOLIDS MANAGEMENT 36

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have a surface discharge do not need an NPDES permit however industrialmunicipal and other facilities must obtain permits if their discharges go directlyto surface waters In most cases the NPDES permit program is administered byauthorized states Chapter 40 of CFR 501 was published in 1989 to set aregulatory framework for states seeking delegated authority to implement abiosolids program under permits in compliance with Section 402 At presentthere are five states that have received delegation (Oklahoma Utah TexasWisconsin and South Dakota) and about 20 that are seeking such authorityConversely 44 states have received delegated implementation authority for theNPDES effluent permit program (EPA 1999a) Notably delegation for theeffluent permit program is funded and delegation for and implementation of thebiosolids program is not

Proposed Regulation

40 CFR 503 was published for public comments on February 6 1989EPArsquos original risk assessment (see Chapter 5 for further information) definedthe at-risk population as the most exposed individual (MEI) The MEI is aperson who is maximally exposed to a pollutant in biosolids for a lifetime EPAconducted an aggregate public-health risk assessment that estimated the riskfrom land application of biosolids in the absence of any regulation Thataggregate assessment found that the risk would be less than one cancer case peryear and that approximately 1000 persons would exceed a threshold leadconcentration and 500 would experience some lead-related health effects Withthe final regulation in place the resultant risk was predicted to be less than onecancer case less than one person exceeding a threshold blood lead level andless than one person experiencing adverse lead effects (EPA 1993) In additionthis risk would present itself only at such time as all assumptions in the riskassessment were fulfilled

The Cooperative State Research Service Technical Committee W-170composed of university researchers organized a Peer Review Committee (PRC)from academia EPA environmental groups and units of state and localgovernment to provide expert and extensive comments to EPA on the proposedrule (Cooperative State Research Service Technical Committee W-170 1989)Two critical points were raised during the public comment period by the PRC(1) The MEI was modeled with multiple layers of conservative exposures thatcould not exist in reality and this contradicted the notion of reasonablyanticipated adverse effects and (2) the research for metal uptake was based onmetal salts and pot studies in greenhouses rather than field research They alsorecommended a risk-based approach to pathogens Al

BIOSOLIDS MANAGEMENT 37

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though EPA had an official policy to promote beneficial use of biosolids theproposed regulation would have substantially curtailed such use thusencouraging increased surface disposal and incineration

As a result of this extensive peer review EPA initiated additional researchand substantially modified the risk assessment and ultimately the regulationFor example EPA decided to use a highly exposed individual (HEI) rather thanan MEI in the risk assessment The HEI is a person who remains for anextended period at or adjacent to the site where maximum exposure occurs TheHEI represented a more reasonable case of exposure and still provided multiplesafety factors of protection (EPA 1993 1995a)

Final Regulations

There are three major categories of requirements establishing biosolidsquality and site-management criteria for land application Each of thesecategories is further divided into two sections When biosolids meet the strictestsection in all three categories it is considered exceptional quality (EQ)Management-practice requirements establish site restrictions and limitapplication rates on agricultural land for the remaining non-EQ biosolids Thethree requirement categories that establish biosolids quality are as follow

bull Pollutant concentrations versus ceiling concentrationsbull Class A pathogen criteria versus Class B pathogen criteria that include

management practicesbull Process-control criteria to reduce attraction to vectors versus physical

barriers from vectors

Biosolids that meet the requirements to be deemed EQ can be publiclydistributed without further regulation under 40 CFR 503 (If biosolids do notmeet the pollutant concentration limits and the other requirements they can stillbe publicly distributed as long as an information sheet is included that specifiesa maximum annual application rate) It is further stipulated that biosolids mustbe land applied at an ldquoagronomic raterdquo to not exceed the nitrogen requirementsfor the crop grown This stipulation is to avoid loss from the root zone to thegroundwater and to avoid excessive nitrogen buildup that may ultimately runoff to surface water

The Part 503 federal regulations for pathogen and vector attraction controlare and have been technologically based instead of risk based That is in partdue to unreliable pathogen assays and insufficient and variable data with respectto the fate and transport of pathogens in the natural environment (see Chapter 6for more details)

BIOSOLIDS MANAGEMENT 38

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Pollutant Concentrations

Specific pollutant concentrations were derived for nine metals (EPA1995a) The risk assessment examined 14 pathways of exposure and amaximum cumulative loading rate was determined for the most limitingpathway for each pollutant These values are shown in column 2 of Table 2ndash1

Assumptions were then made that a site was used for 100 consecutiveyears at a loading rate of 10 MThectare per year Next a back calculation wasused to determine a maximum concentration in the biosolids that would notallow the maximum cumulative loading rate to be attained The pollutantconcentration limits are intended to define biosolids that can be land appliedwithout requiring the applier to track cumulative pollutant loadings Themethods used by EPA to identify the pollutant concentration limits aredescribed in Chapter 5 That concentration became the pollutant concentrationlimit in all but two cases (see below) The current pollutant concentration limitsare shown in column 3 of Table 2ndash1

A National Sewage Sludge Survey (NSSS) was conducted by EPA (1990)for the purpose of gathering needed data on sewage sludge quality in the nationThe ceiling limit was set at the 99th percentile level found in the NSSS or therisk-based number whichever was greater The current ceiling limitconcentrations are shown in column 1 of Table 2ndash1 The risk-derived numberbecame the ceiling limit only for chromium (which was later deleted fromregulation see discussion later in this chapter) selenium and nickel1 In thosecases the 99th percentile value became the pollutant concentration limitCurrently both the ceiling concentration and pollutant concentration limits arerisk based for nickel and selenium

Thus land-applied biosolids that contain chemical concentrations less thanthose shown in column 3 of Table 2ndash1 do not need to track cumulative loadingsto sites because it is assumed that loadings will never approach the limitsshown in column 2 If land-applied biosolids have any chemical concentrationsbetween the values of column 3 and column 1 then cumulative loading recordsmust be kept for any such bulk application

It is important to note that when biosolids are sold or given away in a bagor container that weighs less than 1 MT it must meet the strictest standards forpathogen and vector control but does not need to meet the pollutantconcentration limits shown in column 3 of Table 2ndash1 As noted previously if itdoes not meet the column 3 limits an information sheet must be supplied

1The risk-based number and 99th percentile level found in the NSSS were the samefor nickel

BIOSOLIDS MANAGEMENT 39

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BIOSOLIDS MANAGEMENT 40

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or instructions printed on the bag that prescribe loading rates that will notexceed annual loading rates shown in column 4 Because of the perceivedinfrequent use of this exception and the difficulty with tracking its use thecommittee concluded that it would be simpler to require that all biosolids soldor given away be EQ

Pathogen Control

Biosolids are divided into Class A and Class B on this basis of theirpathogen content and control Class A biosolids must undergo more extensivetreatment than Class B biosolids (described below) to reduce pathogensincluding bacteria enteric viruses and viable helminth ova to below detectableamounts Once these goals are achieved Class A biosolids can be land appliedwithout any pathogen-related restrictions at the site Biosolids having the leastfurther restrictions on land application are those meeting the Class A pathogenrequirements the vector control requirements and the high-quality pollutantconcentration limits for metals If all these requirements are met the biosolidscan be used with no more restrictions than any other fertilizer or soil-amendment product

The Class B pathogen requirements were developed from the 1979 40 CFR257 regulations for processes to significantly reduce pathogens (PSRP) In theinitial development of those requirements a PSRP was defined as a process thatreduces pathogenic viruses Salmonella bacteria and indicator bacteria (fecalcoliform) by at least 1 log (90) (EPA 1989)

The Class B biosolids requirements are intended to ensure that pathogensin biosolids have been reduced to amounts that are protective of public healthand the environment under the specific use conditions As a central element ofthe Class B criteria site restrictions designed to minimize potential for humanand animal contact apply until environmental factors have further reducedpathogens to low amounts Thus packaged Class B biosolids cannot be sold orgiven away for land application at public-contact sites lawns and homegardens but can be used in bulk quantities at appropriate types of land-application sites such as agricultural lands forests and mine reclamation sitesprovided the biosolids meet limits on pollutants vector-attraction reduction andother management requirements of Part 503 (EPA 1993) In addition biosolidscan be used as municipal-solid-waste (MSW) landfill cover in compliance with40 CFR Part 258

BIOSOLIDS MANAGEMENT 41

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Class A Pathogen Requirements

The Class A pathogen criteria require that both treatment-process controlrequirements and prescribed densities of either fecal coliform or Salmonella aresatisfied Pathogen criteria must be met at the same time or before the vector-attraction reduction requirements are met One of the following organismdensity requirements listed below must be satisfied for all Class A alternatives

Fecal Coliform Density Requirements The fecal coliform density mustbe less than 1000 most probable number (MPN) per gram (g) of total solids(TS) and that must be satisfied immediately after the treatment process iscompleted If the material is bagged or distributed at that time no retesting isrequired If the material is bagged distributed or land applied at a later time itmust be retested and the density requirement satisfied to ensure that regrowth ofbacteria has not occurred

Salmonella Density Requirements The Salmonella density must be lessthan 3 MPN per 4 g of TS and that must be satisfied immediately after thetreatment process is completed If the material is bagged or distributed at thattime no retesting is required If the material is bagged distributed or landapplied at a later time it must be retested and the density requirement satisfiedto ensure that regrowth of bacteria has not occurred

In addition one of the following treatment processes listed must be met tobe designated Class A biosolids (EPA 1999b) The goal of these processes is toreduce pathogen densities below specified detection limits for three types oforganisms Salmonella sp (lt3 MPN per 4g TS) enteric viruses (lt1 plaqueforming unit [PFU] per 4 g TS) and helminths (lt1 viable organism per 4 g TS)

Alternative 1mdashTemperature and Time Process These criteria werebased on a time-temperature relationship related to pasteurization studies and tocomposting data This alternative has been and is still used for aerobic digestionand anaerobic digestion An increased sewage-sludge temperature must bemaintained for a prescribed period according to the guidelines summarized inTable 2ndash2

Alternative 2mdashAlkaline Treatment Process The pH of the sewagesludge must be raised to greater than 12 for at least 72 hours (h) During thistime the temperature of the sewage sludge must be greater than 52degC for atleast 12 h In addition after the 72-h period the sewage sludge must be air driedto at least 50 TS

Alternative 3mdashPrior Test for Enteric Virus and Viable Helminth OvaThe sewage sludge must be analyzed for the presence of enteric viruses

BIOSOLIDS MANAGEMENT 42

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pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

TABLE 2ndash2 Guidelines for Temperature Treatments

Total Solids Temperature Time EquationD=Time inDays t=Tempin degC

Notes

`7 `50degC `20min No heating ofsmall particlesby warmedgases orimmiscibleliquid

`7 `50degC `15s Small particlesheated bywarmed gasesor immiscibleliquid

lt7 gt50degC `15s to lt30min

lt7 `50degC `30min

and viable helminth ova If the sewage sludge is analyzed before pathogen-reduction processing and found to have densities of enteric virus of less than 1plaque-forming unit (PFU) per 4 g of TS and viable helminth ova of less than 1per 4 g of TS the sewage sludge is considered Class A biosolids with respect toenteric virus and viable helminth ova until the next monitoring event If thesewage sludge is analyzed before pathogen-reduction processing and found tohave densities of enteric virus greater than or equal to 1 PFU4 g of TS or viablehelminth ova of more than 1 per 4 g of TS and is tested again after processingand found to have densities of enteric virus of less than 1 PFU4 g of TS andviable helminth ova less than 1 per 4 g of TS the sewage sludge is consideredClass A biosolids when the treatment process is operated under the sameconditions that successfully reduced enteric virus and helminth ovaNote Temperatures calculated using the appropriate equation must never be less than 50degC Thetime values are not used in the calculations but are provided to indicate the prescribed duration thattemperature must be maintainedSource EPA 1999b

Alternative 4mdashPost-Test for Enteric Virus and Viable Helminth OvaProcess If the sewage sludge is not analyzed before pathogen-reductionprocessing for enteric viruses and viable helminth ova the sewage-sludgedensity of enteric viruses must be less than 1 PFU4 g of TS and the density ofviable helminth ova must be less than 1 per 4 g of TS at the time the sew

BIOSOLIDS MANAGEMENT 43

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t th

is P

DF

file

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s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

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ed f

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inal

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tting

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sion

of t

his

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icat

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thor

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e ve

rsio

n fo

r attr

ibut

ion

age sludge is used disposed of or prepared for sale or giveaway in a bag orcontainer or when the biosolids meets EQ requirements

Alternative 5mdashProcesses to Further Reduce Pathogens (PFRP)Alternative 5amdashComposting Process Compost the sewage sludge using

either within-vessel or static-aerated-pile composting methods and maintain thetemperature of the sewage sludge at 55degC or higher for 3 days or compost thesewage sludge using windrow composting methods and maintain thetemperature of the sewage sludge at 55degC or higher for 15 days or longerDuring this period a minimum of five windrow turnings are required

Alternative 5bmdashHeat Drying Process Dry the sewage sludge by director indirect contact with hot gases to reduce the moisture content of the sewagesludge to 10 or lower Either the temperature of the sewage-sludge particlesmust exceed 80degC or the wet bulb temperature of the gas in contact with thesewage sludge leaving the dryer must exceed 80degC

Alternative 5cmdashHeat Treatment Process Heat liquid sewage sludge toa temperature of 180degC or higher for 30 min

Alternative 5dmdashThermophilic Aerobic Digestion Process Agitateliquid sewage sludge with air or oxygen to maintain aerobic conditions Themean cell residence time for the sewage sludge must be 10 days at 55degC to 60degC

Alternative 5emdashBeta Ray Irradiation Process Irradiate the sewagesludge with beta rays from an accelerator at a dose of at least 10 megarad atroom temperature

Alternative 5fmdashGamma Ray Irradiation Process Irradiate the sewagesludge with gamma rays from certain isotopes such as cobalt 60 and cesium137 at a dose of at least 10 megarad at room temperature

Alternative 5gmdashPasteurization Process Maintain the temperature of thesewage sludge at 70degC or higher for 30 min or longer

Alternative 6mdashProcess Equivalent to Process to Further Reduce Pathogens (PFRP) Treat the sewage sludge in a process that is equivalent toPFRP as approved by the permit authority To obtain a Class A biosolid ratingthe process must reduce Salmonella species or fecal coliforms to below Class Acriteria and must operate under the specified conditions used in its applicationdemonstration to the EPA Pathogen Equivalency Committee (see below)

Class B Pathogen Requirements

In addition to management-practice requirements including site restric

BIOSOLIDS MANAGEMENT 44

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of t

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sion

of t

his

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icat

ion

as th

e au

thor

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rsio

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r attr

ibut

ion

tions the Class B pathogen control requirements mandate that one of thefollowing be satisfied before land application

Fecal Coliform Limitation Compliance with the fecal coliform limitationfor Class B biosolids must be demonstrated by calculating the geometric meanof at least seven separate samples (TS analysis must be done on each sample)The geometric mean must be less than 2000000 MPN or colony-forming units(CFU) per g of TS

Aerobic Digestion Agitate the sewage sludge with air or oxygen tomaintain an aerobic condition for a mean cell residence time and temperaturebetween 40 days at 20degC and 60 days at 15degC (This process cannot be satisfiedduring the winter in most of the northern United States without additionalmeasures being taken to maintain adequate temperatures)

Anaerobic Digestion Treat the sewage sludge in the absence of air for aspecific mean cell residence time at a specific temperature Values for the meancell residence time and temperature must be between 15 days at 35degC to 55degCand 60 days at 20degC Straight-line interpolation to calculate mean cell residencetime is allowable when the temperature is between 35degC and 20degC

Lime Stabilization Add sufficient lime to the sewage sludge to raise thepH to 12 after 2 h of contact

Air Drying Dry the sewage sludge on sand beds or in paved or unpavedbasins for a minimum of 3 months During 2 of the 3 months the ambientaverage daily temperature must be above 0degC

Composting Compost the sewage sludge using either within-vessel static-aerated-pile or windrow composting methods and raise the temperature of thesewage sludge to 40degC or higher for 5 days For 4 h at some point during eachof the 5 days the temperature in the compost pile must exceed 55degC

Process Equivalent to Process to Significantly Reduce Pathogens (PSRP) Treat the sewage sludge in a process that is equivalent to a PSRP asapproved by the permit authority

Over the past 15 years two processes have been approved as PSRPequivalents by the EPA Pathogen Equivalency Committee (PEC) These are theN-Viro alkaline stabilization process and the Synox OxyOzone process Bothprocesses have been upgraded to PFRP status in more recent studiesSpecifically the N-Viro process meets the Class B equivalency criteria foralkaline stabilization and the Synox OxyOzone process meets the criteria ofpathogen monitoring from influent to effluent

BIOSOLIDS MANAGEMENT 45

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of t

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his

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icat

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as th

e au

thor

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e ve

rsio

n fo

r attr

ibut

ion

Reduction of Vector Attraction

Vector-attraction reduction may be classified as long-term or short-termstabilization or may be accomplished through physical barriers Long-termstabilization is defined as the biological degradation of the putrescible organicsand results in a reduction of vector attraction One of 10 options may be used tosatisfy vector control The first five options below are considered long-termstabilization and the next three are considered short-term stabilization (inhibitbiological activity before application) and must be demonstrated at the time ofuse to ensure that the criteria are satisfied It should be stressed that whenbiosolids are applied to land the vector-attraction-reduction requirements mustbe satisfied This can be a potential issue with the short-term options since theyare reversible It should also be noted that treatment should be complete prior toland application so that further reaction does not occur in the field which mayresult in the release of odorants One of the following eight vector controlrequirements may be used to qualify as EQ biosolids

Volatile Solids Reduction The mass of volatile solids in the sewagesludge shall be reduced by a minimum of 38

Specific Oxygen Uptake Rate The specific oxygen uptake rate (SOUR)for aerobic sewage sludge shall be equal to or less than 15 milligrams (mg) ofoxygen per hour per gram of TS on a dry-weight basis corrected to 20degC

Anaerobic Bench-Scale Test Demonstrate through additional digestionin a bench-scale test that additional volatile solids reduction for anaerobicallydigested sewage sludge is less than 17 This can be demonstrated byanaerobically digesting a portion of the previously digested sewage sludge inthe laboratory in a bench-scale unit for 40 additional days at a temperaturebetween 30degC and 37degC This requirement is satisfied when at the end of thetest volatile solids have been reduced by less than 17 as measured from thebeginning to the end of the test

Aerobic Bench-Scale Test Demonstrate through additional digestion in abench-scale test that additional volatile solids reduction for aerobically digestedsewage sludge is less than 15 This can be demonstrated by aerobicallydigesting a portion of the previously digested sewage sludge at a concentrationof 2 solids or less in the laboratory in a bench-scale unit for 30 additionaldays at a temperature of 20degC Sewage sludge with a higher percentage of solidsmust be diluted with effluent down to 2 at the start of the test Thisrequirement is satisfied when at the end of the test volatile solids have beenreduced by less than 15 as measured from the beginning to the end of the test

BIOSOLIDS MANAGEMENT 46

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of t

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Aerobic Process (for Compost) The sewage sludge must be treated in anaerobic process for 14 days or longer During that time the temperature of thesewage sludge must be higher than 40degC and the average temperature of thesewage sludge must be higher than 45degC

pH Adjustment The pH of the sewage sludge must be raised to 12 orhigher by alkali addition and without the addition of more alkali remain at 12or higher for 2 h and then at 115 or higher for an additional 22 h

Drying Without Primary Solids The percent solids of sewage sludgethat does not contain unstabilized solids generated in a primary wastewatertreatment process shall be equal to or greater than 75 based on the moisturecontent and total solids prior to mixing with other materials

Drying with Primary Solids The percent solids of sewage sludge thatcontains unstabilized solids generated in a primary wastewater treatmentprocess shall be equal to or greater than 90 based on the moisture content andtotal solids prior to mixing with other materials

In place of the process-based requirements one of the following tworequirements may be utilized during or after land application and are consideredphysical barriers to vector attraction

Injection No significant amount of the biosolids can be present on theland surface within 1 h of biosolids injection

Incorporation The biosolids must be incorporated within 6 h of surfaceapplication or as approved by the permit authority

Table 2ndash3 summarizes the above requirements

Treatment Design Standards

Sewage sludge treatment technology not only provides the primarymechanism for pathogen reduction and the necessary stabilization to reducebiosolids attraction as a food source for vectors but also provides the means toreduce odors and related public nuisance and public health concerns Although40 CFR 503 provides prescriptive standards for treatment process control theGreat Lakes-Upper Mississippi River Board of State and Provincial PublicHealth and Environment Managers (GLUMB) report Recommended Standardsfor Wastewater Facilities (GLUMB 1997) (commonly referred to as the ldquoTenStates Standardsrdquo) is used as a basis for minimum design requirements in manystates but does not require the minimum criteria for many of the PSRPs Thecommittee concludes that tightening the minimum treatment

BIOSOLIDS MANAGEMENT 47

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TA

BL

E 2

ndash3 S

umm

ary

of R

equi

rem

ents

for

Vec

tor

Att

ract

ion

Red

ucti

on U

nder

Par

t 503

Req

uire

men

tW

hat I

s R

equi

red

Mos

t App

ropr

iate

for

O

ptio

n 1

503

33(b

)(1)

At l

east

38

red

uctio

n in

vol

atile

sol

ids

duri

ng s

ewag

e sl

udge

trea

tmen

tS

ewag

e sl

udge

pro

cess

ed b

yndashA

naer

obic

bio

logi

cal t

reat

men

tndashA

erob

ic b

iolo

gica

l tre

atm

ent

ndashChe

mic

al o

xida

tion

Opt

ion

250

333

(b)(

2)L

ess

than

17

add

itio

nal

vola

tile

sol

ids

loss

dur

ing

benc

h-sc

ale

anae

robi

c ba

tch

dige

stio

n of

the

sew

age

slud

ge f

or 4

0 ad

ditio

nal

days

at 3

0degC

to 3

7degC

(86

degF to

99deg

F)

Onl

y fo

r an

aero

bica

lly

dige

sted

sew

age

slud

ge

Opt

ion

350

333

(b)(

3)L

ess

than

15

add

itio

nal

vola

tile

sol

ids

redu

ctio

n du

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ben

ch-

scal

e ae

robi

c ba

tch

dige

stio

n fo

r 30

add

itio

nal d

ays

at 2

0degC

(68

degF)

Onl

y fo

r ae

robi

call

y di

gest

ed s

ewag

e sl

udge

wit

h 2

or

less

sol

ids

Opt

ion

450

333

(b)(

4)S

OU

R a

t 20deg

C (

68degF

) is

`1

5 m

g of

oxy

gen

hg

tota

l sew

age

slud

ge s

olid

sS

ewag

e sl

udge

s fr

om a

erob

ic p

roce

sses

(sh

ould

not

be

used

for

com

post

ed s

ewag

e sl

udge

s)O

ptio

n 5

503

33(b

)(5)

Aer

obic

trea

tmen

t of

the

sew

age

slud

ge f

or a

t lea

st 1

4 da

ys a

tov

er 4

0degC

(10

4degF

) w

ith

an a

vera

ge te

mpe

ratu

re o

f ov

er 4

5degC

(113

degF)

Com

post

ed s

ewag

e sl

udge

(O

ptio

ns 3

and

4 a

re li

kely

to b

e ea

sier

to m

eet f

or s

ewag

e sl

udge

s fr

om o

ther

aer

obic

pro

cess

es)

Opt

ion

650

333

(b)(

6)A

ddit

ion

of s

uffi

cien

t alk

ali t

o ra

ise

the

pH to

at l

east

12

at 2

5degC

(77deg

F)

and

mai

ntai

n a

pH `

12

for

2 h

and

a pH

`1

15

for

22m

ore

hour

s

Alk

ali-

trea

ted

sew

age

slud

ge (

alka

lies

incl

ude

lim

e f

ly a

sh k

iln

dust

and

woo

d as

h)

Opt

ion

750

333

(b)(

7)P

erce

nt s

olid

s `7

5

pri

or to

mix

ing

wit

h ot

her

mat

eria

lsS

ewag

e sl

udge

s tr

eate

d by

an

aero

bic

or a

naer

obic

pro

cess

(ie

se

wag

e sl

udge

s th

at d

o no

t con

tain

uns

tabi

lized

sol

ids

gene

rate

d in

prim

ary

was

tew

ater

trea

tmen

t)

BIOSOLIDS MANAGEMENT 48

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his

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as th

e au

thor

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e ve

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n fo

r attr

ibut

ion

Opt

ion

850

333

(b)(

8)P

erce

nt s

olid

s `9

0

pri

or to

mix

ing

wit

h ot

her

mat

eria

lsS

ewag

e sl

udge

s th

at c

onta

in u

nsta

biliz

ed s

olid

s ge

nera

ted

inpr

imar

y w

aste

wat

er tr

eatm

ent (

eg

any

hea

t-dr

ied

sew

age

slud

ges)

Opt

ion

950

333

(b)(

9)B

ioso

lids

are

inje

cted

into

soi

l so

that

no

sign

ific

ant a

mou

nt o

fse

wag

e sl

udge

is p

rese

nt o

n th

e la

nd s

urfa

ce1

h af

ter

inje

ctio

n e

xcep

t Cla

ss A

bio

solid

s w

hich

mus

t be

inje

cted

wit

hin

8 h

afte

r th

e pa

thog

en r

educ

tion

pro

cess

Bio

soli

ds a

ppli

ed to

the

land

or

sew

age

slud

ge p

lace

d on

asu

rfac

e di

spos

al s

ite

dom

esti

c se

ptag

e ap

plie

d to

agr

icul

tura

lla

nd a

for

est

or a

rec

lam

atio

n si

te o

r pl

aced

on

a su

rfac

edi

spos

al s

ite

Opt

ion

1050

333

(b)(

10)

Bio

soli

ds a

re in

corp

orat

ed in

to th

e so

il w

ithi

n 6

h af

ter

appl

icat

ion

to la

nd o

r pl

acem

ent

on a

sur

face

dis

posa

l sit

e e

xcep

tC

lass

A b

ioso

lids

whi

ch m

ust b

e ap

plie

d to

or

plac

ed o

n th

e la

ndsu

rfac

e w

ithi

n 8

h of

the

path

ogen

red

ucti

on p

roce

ss

Bio

soli

ds a

ppli

ed to

the

land

or

sew

age

slud

ge p

lace

d on

asu

rfac

e di

spos

al s

ite

dom

esti

c se

ptag

e ap

plie

d to

agr

icul

tura

lla

nd f

ores

t or

a r

ecla

mat

ion

site

or

plac

ed o

n a

surf

ace

disp

osal

site

Opt

ion

1150

333

(b)(

11)

Sew

age

slud

ge p

lace

d on

a s

urfa

ce d

ispo

sal s

ite

mus

t be

cove

red

wit

h so

il o

r ot

her

mat

eria

l at t

he e

nd o

f ea

ch o

pera

ting

day

Sew

age

slud

ge o

r do

mes

tic

sept

age

plac

ed o

n a

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ace

disp

osal

site

Opt

ion

1250

333

(b)(

12)

pH o

f do

mes

tic

sept

age

mus

t be

rais

ed to

`1

2 at

25deg

C (

77degF

) by

alka

li a

dditi

on a

nd m

aint

aine

d at

`1

2 fo

r 30

min

with

out a

ddin

gm

ore

alka

li

Dom

esti

c se

ptag

e ap

plie

d to

agr

icul

tura

l lan

d a

for

est

or a

recl

amat

ion

site

or

plac

ed o

n a

surf

ace

disp

osal

sit

e

Sour

ce A

dapt

ed f

rom

EPA

199

9b

BIOSOLIDS MANAGEMENT 49

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ay h

ave

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rted

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ase

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sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

design standards by control agencies and GLUMB to reflect and beconsistent with the requirements of 40 CFR 503 would accomplish much in thearea of compliance and odor abatement Since odors are a primary source ofpublic complaints adequacy of treatment cannot be over-emphasized Odors area function of treatment quality and are minimized with effective treatment andmanagement

Rule Modifications

Two lawsuits were brought shortly after the 1993 rule promulgationinvolving three chemical pollutants (chromium selenium and molybdenum)that caused modifications to the land application section of 40 CFR 503 Thefirst lawsuit centered on the fact that the pollutant concentrations for chromiumand selenium were not based on risk and the petition argued that EPA wasrequired under the CWA to establish such limits based only on risk The courtagreed and required that the risk-based values become the pollutantconcentrations in all cases This meant that the ceiling concentrations in thosecases would also be the risk-based number (The pollutant limit for seleniumwas therefore increased from 36 [99] to 100 milligrams per kilogram [mgkg][risk based]) The suit also charged that the research used to assessphytotoxicity as the limiting pathway for chromium was based on pot studiesand not field research which showed no such effects The court again agreedbut EPA chose not to replace the standard with the next limiting pathwaybecause it would set the limit at 12000 mgkg Determining that no biosolidswould have chromium concentrations that high chromium was deleted fromregulation under 40 CFR 503 (EPA 1995b)

The second lawsuit asserted that the research used to determine thelimiting pathway for molybdenum (animal ingesting feed grown on biosolids-treated fields) was not scientifically supportable and calculated amounts ofmolybdenum that plants take in (eg plant uptake slopes) were based on highlycontaminated sewage sludge EPA agreed to conduct more research to betterestablish risk levels At this time the cumulative loading limit and pollutantconcentration limits have been deleted for molybdenum and only the ceilingconcentration remains (see Table 2ndash1) (EPA 1994) OrsquoConnor et al (2001)conducted a modified risk assessment and recommended values for the deletedtables However EPA has not acted to revise the molybdenum standard

BIOSOLIDS MANAGEMENT 50

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tting

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s P

age

brea

ks a

re tr

ue to

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inal

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e le

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s w

ord

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ks h

eadi

ng s

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setti

ng-s

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fic fo

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ting

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ever

can

not b

ere

tain

ed a

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ome

typo

grap

hic

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rs m

ay h

ave

been

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tally

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rted

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as th

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r attr

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Revision of Regulations

EPA was court-ordered to promulgate a second round of 40 CFR 503regulations by December 15 2001 In response EPA conducted a pollutantscreening hazard identification exercise and subsequently determined that theonly pollutants posing a potential risk that were not regulated in the first roundwere dioxin and dioxin-like compounds On December 23 1999 EPApublished proposed risk-based regulations for 7 dioxin 10 furan and 12coplanar PCB congeners (EPA 1999c) Once again EPA received numerouscomments on the proposal representing an array of perspectives As a result ofthe public comments received EPA contracted for a new biosolids survey toevaluate biosolids concentrations of the congeners of interest contracted for anew risk assessment using probabilistic or Monte Carlo simulation methodsrather than the deterministic methods used for the proposed rule and engaged apeer-review panel Agreement was recently reached between all parties toextend the deadline for the Round 2 land-application rule until October 172003 EPA (2002a) published a Notice of Data Availability on June 12 2002that summarizes new data and a revised risk assessment

Public Issue Forums

A number of public forums have been critical of the final Part 503regulations or of EPArsquos commitment to oversight in implementing theregulations The criticisms include the following

bull After promulgation of the Part 503 regulations in 1993 EPA decided thatthe land application of biosolids was a low risk to public health andtherefore the biosolids oversight program was given a low priority in itsannual budget That decision was based on the aggregate risk assessmentwhich showed negligible adverse effects even without regulationHowever the decision has had far-reaching negative consequences andhas forced the agency and state programs to operate in a conflictresolution mode rather than in an efficient proactive mode As a resultresources are expended only after a problem is identified rather thanworking to avoid the problem in the first place This policy decisionprovides little flexibility for dealing with perceived effects or emergingissues

bull A committee of the National Research Council (NRC) was convened in1993 to examine the science behind the federal biosolids regulations andthe use of biosolids on food-chain crops The NRC (1996) reportconcluded that ldquoif the regulations are properly adhered to the use of[biosolids] on food-

BIOSOLIDS MANAGEMENT 51

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tting

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ks a

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of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

chain crops for human consumption is protective of human healthrdquo Thereport also recommended that additional research be conducted in certainareas particularly in pathogen control and that EPA take steps to ensurethat the regulations were followed (see also Chapter 1 and Box 1ndash2 formore detail on that committeersquos recommendations)

bull There have been several allegations of human deaths and illnesses causedby land application of biosolids However there has been no documentedscientific evidence to substantiate those claims

bull There have also been several allegations of animal deaths caused by landapplication of biosolids (eg cases in Colorado and Georgia) Supportingevidence to substantiate these allegations has not been documented in thescientific literature but EPA did investigate them and has producedreports on their findings23 It found no substantiation for the allegations

bull The National Institute for Occupational Safety and Health (NIOSH)published a Hazard ID 10 (NIOSH 2000) in August 2000 based on aHealth Hazard Evaluation Report (Burton and Trout 1999) The reportswere based on an investigation of worker health effects at theLeSourdsville Ohio wastewater treatment facility owned and operatedby the Butler County Health Department The workers were involved inthe treatment storage and land application of sewage sludge There was alapse between the time of the workers becoming ill and the involvementof NIOSH At the time of the illnesses LeSourdsville had operatingdifficulties and the sewage sludge produced did not meet the Class Bbiosolids requirements (Lodor 2001) For example the sewage sludge hadfecal coliform densities more than 4 times the allowed limit At the timeof the NIOSH inquiry in 1999 coliform densities were well below thelimit However it was also found that good hygiene protocol was notgenerally followed by the biosolids workers thus precluding any relevantcorrelations NIOSH recently released guidance for controlling potentialrisks to workers exposed to Class B biosolids (NIOSH 2002) Thisdocument supercedes the Hazard ID 10 document

bull A congressional hearing before the Committee on Science chaired byCongressman FJames Sensenbrenner Jr was held on March 22 2000 tohold EPA accountable for how it dealt with criticism and the public ingeneral regarding its biosolids program (The hearing was not intended toquestion the science behind the existing regulations see also Kester2000a)

2DHGould GHLoneragan Integrated Livestock Management Group GKBeckand HDFraleigh Colorado State University and RBBrobst EPA unpublished datano date

3JWGaskin and EWTollner University of Georgia unpublished data no date

BIOSOLIDS MANAGEMENT 52

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ompo

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inal

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tting

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age

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ks a

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ue to

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ord

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ks h

eadi

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nd o

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type

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ng-s

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grap

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ay h

ave

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as th

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itativ

e ve

rsio

n fo

r attr

ibut

ion

bull An independent program audit by the EPA Office of the Inspector General(OIG) (EPA 2000b) requested by the EPA Office of Water (OW)concluded that there was a significant lack of oversight and resourcescommitted by the EPA Office of Enforcement and Compliance Assurance(OECA) the Office of Wastewater Management (OWM) the Office ofScience and Technology (OST) and the Office of Research andDevelopment (ORD) Therefore EPA could not guarantee that land-application and public-distribution practices were conducted incompliance with the CWA regulations and thus protective of public healthand the environment Notably the Inspector General did not claim thatthe regulations were not protective but rather criticized EPArsquos inability toconfirm compliance However OW and OECA officially declined to takeaction on many of the OIGrsquos recommendations due to budgetaryconstraints and other program priorities (EPA 2000c 2001a) The OIGsubsequently sent a letter stating that OWrsquos and OECArsquos formal responsewas inadequate The OIG suggested alternative means for fulfilling thereport recommendations and broadly criticized the lack of commitment tothe biosolids program and the absence of consensus regarding programimplementation within EPA (EPA 2001b) They also requested a timelinefrom OW and OECA for establishing a new biosolids goal and identifyingneeded resources to accomplish it under the Government Performanceand Results Act (GPRA) The OW and OECA responded with a letter(EPA 2002b) stating that to fulfill the OIG recommendations wouldrequire budget and staff resources the agency simply did not have Thusthe OW and OECA position continues to be that biosolids are a low riskto human health and the environment Given the ongoing need for OWand OECA to set priorities among its many programs concerning publichealth and environmental protection they maintain that their limitedresources are better allocated elsewhere

bull In late 2000 EPA requested and sponsored an NRC study to reviewinformation on the land application of biosolids and reexamine the risk-assessment methods used in developing the Part 503 regulations in lightof recent research findings and advances in risk assessment to determinewhether the standards were still adequately protective of human healthThis study is also reviewing pathogen control whether a risk-basedapproach for pathogens should be pursued and whether chemical andpathogen risk-assessment approaches can be integrated This report is theproduct of that committee

bull The EPA OIG released a status report of EPArsquos biosolids program inMarch 2002 (EPA 2002c) The major findings of the report were

- EPA places a low priority on the biosolids program and the number ofprogram staff assigned to it have been declining

- EPA has delegated authority of the biosolids program to only five statesEPA cannot be certain that all citizens in nondelegated states areprovided at least the same level of protection as in the federal program

BIOSOLIDS MANAGEMENT 53

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type

setti

ng-s

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- There can be wide variation in how states manage biosolids- EPA has no formal process for tracking health complaints Of 21

complaints that were brought to the OIGrsquos attention 14 wereinvestigated by EPA or a state agency five were not report to EPA orthe state and two were not related to biosolids

- EPA has no plans for conducting a comprehensive evaluation andmonitoring study to address risk assessment uncertainties Moreresearch on pathogen testing appears to be needed

- In reviewing EPArsquos relationship with the Water Environment Federation(WEF) OIG found that 96 of the $129 million given to WEF and itsresearch organization over a 3-year period was congressionallymandated and EPA had no discretion in awarding the funds

- The general public has concerns about the effects of biosolids on healthquality of life and natural resources Public perception of landapplication of biosolids has a significant impact on the implementationof the program

EPA Resources

The committee notes that it has long been recognized by those within EPAworking in the biosolids field and state agencies required to implement thebiosolids program that EPA disinvestment in the program has caused aninability to adequately ensure that the regulations are followed Although morethan 40 of the capital cost and the operation and maintenance expense ofwastewater treatment is expended on biosolids treatment and management(much of which is from federal dollars in the form of grants and low-interestloans) less than one-tenth of 1 of EPArsquos budget is devoted to the biosolidsprogram Of EPArsquos $78 billion budget in FY 2001 only about $4 million or005 was devoted to biosolids staff and the program (JWalker EPApresentation at Biosolids Regulator Workshop Potomac Maryland June 282001)

The Wisconsin Department of Natural Resources (WDNR) represents allstate environmental protection agencies to EPA including the EPA BiosolidsProgram Implementation Team (BPIT) on a number of biosolids issues In thiscapacity the WDNR has sent five letters to EPA between 1998 and 2001seeking program support (Meyer 1998 Kester 2000bc 2001ab) The areas ofmost critical need include technical support on biosolids treatment for pathogenand vector-attraction controls and staffing The Pathogen EquivalencyCommittee (PEC) comprises agency experts who primarily serve as volunteersto provide technical support regarding the adequacy of treatment technologywith respect to pathogen control Each of the 10 EPA Regions

BIOSOLIDS MANAGEMENT 54

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have between 02 and 2 full-time employees (FTEs) and a total nationwide of88 FTEs working in all areas of biosolids management The EPA ORD has 2FTEs devoted to the program and EPA headquarters has 48 FTEs (JWalkerEPA presentation at Biosolids Regulator Workshop Potomac Maryland June28 2001) In addition to these obvious staff shortages consideration should begiven to train new experts in the field to replace existing staff many of who areapproaching retirement

State Programs

Many states are responsible for implementing biosolids programs by theirown statutes and regulations In those states biosolids application falls underboth EPA and state rules with federal rules being required minimum standardsSome municipalities (or local units of government) in the United States haveadopted local ordinances pertaining to land application The authority of amunicipality and thus the scope that a local ordinance can address variesbetween the states (Harrison and Eaton 2001) Thus the ability of a localordinance to withstand legal challenge depends on the state As notedpreviously only five states (Oklahoma Utah Texas Wisconsin and SouthDakota) have received official delegated authority from EPA to administer thefederal regulations for biosolids Several states have submitted requests fordelegated authority but in many cases experience long waiting periods for areview of that request (eg Vermont and Iowa) or encounter other legal ortechnical roadblocks For example Colorado Indiana and South Carolina havehad legal issues with self-audit protection laws which are inconsistent withfederal requirements North Carolina has issues with implementing agreementscompliant with endangered species protection administered through the USFish and Wildlife Service and Michigan has potential issues with authority overnon-Native-American wastewater generated or used on Native American landNevertheless all states have varying degrees of commitment for biosolidsprogram administration Figure 2ndash3 shows the number of full-time employees(FTEs) working for state biosolids programs This figure is based on directcommunication between the WDNR and each state (WDNR unpublished data2001)

EUROPEAN BIOSOLIDS MANAGEMENT

The management of biosolids in Europe varies from country to country asdo the standards applied their derivation and their enforcement This situationis readily apparent when US regulations and their varying levels of

BIOSOLIDS MANAGEMENT 55

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FIG

UR

E 2

ndash3 N

umbe

r of

FT

Es

dedi

cate

d to

sta

te b

ioso

lids

pro

gram

s F

igur

es d

o no

t inc

lude

sep

tage

sta

ff S

ourc

e E

PA

200

2c

BIOSOLIDS MANAGEMENT 56

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enforcement are compared with those of European countries Some of thesubstantial differences in the contaminant standards between Europe and theUS are in part due to differences in approaches to environmental protectionand regulatory intent (public health and environmental protection) Forexample some European countries have taken the approach of minimizing anyaccumulation of metals beyond background environmental levels whereasother European countries and the US have performed risk assessments todetermine land-application concentrations that are protective of reasonablyanticipated adverse effects Even the latter approach has lead to substantiallydifferent standards between some countries A variety of factors influence theoutcomes of risk assessment (discussed in Chapter 5) but the majorcontributing factor to different risk-based standards between countries is eachcountryrsquos selection of target organism (humans animals plants soil organisms)to protect Although it was beyond the scope of this report to prepare acomprehensive evaluation of differences between US standards and those ofother countries it is important that the differences be acknowledged and thebases for those differences used to inform future risk assessments This sectionprovides an overview of how different European countries have approached themanagement of biosolids for land application

The European Union is composed of 15 member nations The Council ofEuropean Communities (1986) published the Sewage Sludge Directive (86278EEC) All members had to promulgate their own version of the directive asnational regulations by 1989 The directive included a recommended range ofpollutant concentration values for seven constituents in biosolids for membernations to use in adopting their standards (see Table 2ndash4) However individualnations could choose to adopt more stringent standards than thoserecommended in the directive New regulations were proposed but might not beadopted until 2005 (Luca Marmo European Commission Brussels personalcommunication 2002)

A comprehensive review of biosolids use and disposal practices waspublished by the International Association on Water Quality (IAWQ)International Water Association (IWA) the Water Environment Federation(WEF) and the European Water Pollution Control Association (EWPCA)(Matthews 1996) Selected information from that review and other referenceshas been presented with appropriate updates when available (Council of theEuropean Communities 1986 EPA 1990 1995ab 1999b Gendebien et al1999 European Union 2000ab and European Communities 2001)Accordingly representative data from Europe to complement US informationhave been assembled to provide a basis for comparison and some determinationof the current and future status of biosolids management

BIOSOLIDS MANAGEMENT 57

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TABLE 2ndash4 European Union Limit Values for Concentrations of Heavy Metals inBiosolids for Use on Land

Limit Values (mgkg of DM)Elements Directive 86278EEC ProposedCadmium 20ndash40 10Chromium - 1000Copper 1000ndash1750 1000Mercury 16ndash25 10Nickel 300ndash400 300Lead 750ndash1200 750Zinc 2500ndash4000 2500

Abbreviation DM dry matterSource Adapted from Council of the European Communities 1986

An assessment of the status of disposal and recycling within the Europeancommunity (European Communities 2001) reviewed existing legislation andregulations and provided an analysis of stakeholder positions motivations andconstraints as well as solutions for reducing constraints and encouraging theuse of biosolids Analysis of existing legislation indicated that specificrequirements focus principally on the use of biosolids in agriculture bothnationally and in Europe The EEC directives which have the strongestinfluence on biosolids use are directive 91271EEC on urban wastewatertreatment and 86278EEC on the use of biosolids in agriculture (Council of theEuropean Communities 1986) Requirements set by the latter directive are acrucial element in the management of biosolids produced in the member statesand some member states have introduced provisions that go beyond therequirements of the directive In particular the limit values for concentrationsof heavy metals in biosolids are lower than those specified in the directive in amajority of the countries

As indicated in Table 2ndash5 the countries in which the limitations on heavymetal concentrations are the most stringent are Belgium (Flanders region)Denmark Finland the Netherlands and Sweden Greece Luxembourg IrelandItaly Portugal and Spain have set limit values similar to those in the directivevalues for Poland an accession country are also lower than the EuropeanUnion standards The United Kingdom legislation differs by not providing anylimit values for heavy metals in biosolids but rather specifying the maximumannual average loads of heavy metals to soil that are similar to the directive(Table 2ndash6) In addition the regulations on biosolids use include limit valuesfor pathogens in France Italy and Luxembourg and for organic

BIOSOLIDS MANAGEMENT 58

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t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

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orig

inal

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ook

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fro

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heor

igin

al ty

pese

tting

file

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age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

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nd o

ther

type

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ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

TA

BL

E 2

ndash5 E

urop

ean

Uni

on L

imit

Val

ues

for

Hea

vy M

etal

s in

Bio

soli

ds m

illi

gram

s pe

r ki

logr

am o

f dr

y m

atte

r (D

M)

(Ita

lic

num

bers

rep

rese

nt li

mit

valu

es b

elow

thos

e re

quir

ed b

y di

rect

ive

862

78E

EC

)C

dC

rC

uH

gN

iP

bZ

nA

sM

oC

oD

irec

tive

86

278

EE

C20

ndash 40

-1

000 ndash

175

016

ndash 25

300 ndash

400

750ndash

120

02

500 ndash

400

0-

--

Aus

tria

2a50

a30

0a2a

2510

0a1

500a

--

10a

10b

500b

500b

10b

100b

400b

200

0b-

--

10c

500c

500c

10c

100c

500c

200

0c-

--

4d30

0d50

0d4d

100d

150d

180

0d-

--

10e

500e

500e

10c

100e

500c

200

0c20

c20

c10

0c

07ndash

25f

70ndash1

00f

70ndash3

00f

04ndash

25f

25ndash8

0f45

ndash150

f20

0ndash1

800f

--

-B

elgi

um (

Flan

ders

)6

250

375f

510

030

090

0f15

0-

-B

elgi

um (

Wal

loon

)10

500

600

1010

050

02

000

--

Den

mar

k-

dry

mat

ter

basi

s0

810

01

000

08

3012

g4

000

25h

--

- to

tal p

hosp

horu

s ba

sis

100

200

250

010

000

g

Fin

land

330

060

02

100

150

150

0-

--

15i

1i10

0I

Fra

nce

20j

100

01

000

1020

080

03

000

--

-G

erm

any

1090

080

08

200

900

250

0-

--

Gre

ece

20ndash 4

050

010

0ndash1

750

16ndash 2

530

0 ndash40

075

0ndash12

002

500 ndash

400

0-

--

BIOSOLIDS MANAGEMENT 59

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t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

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sed

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ng-s

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ting

how

ever

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ere

tain

ed a

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rs m

ay h

ave

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iden

tally

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rted

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ase

use

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prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Cd

Cr

Cu

Hg

Ni

Pb

Zn

As

Mo

Co

Dir

ecti

ve 8

627

8E

EC

20ndash 4

0-

100

0 ndash1

750

16ndash 2

530

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075

0 ndash1

200

250

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000

--

Irel

and

20-

100

016

300

750

250

0-

--

Ital

y20

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000

1030

075

02

500

--

-L

uxem

bour

g20

ndash 40

100

0 ndash1

750

100

0 ndash1

750

16ndash2

530

0ndash40

075

0ndash1

200

250

0ndash4

000

--

-N

ethe

rlan

ds1

2575

750

7530

100

300

--

-P

ortu

gal

2010

001

000

1630

075

02

500

--

-S

pain

- so

il p

H lt

720

100

01

000

1630

075

02

500

--

--

soil

pH

gt7

401

750

175

025

400

120

04

000

Sw

eden

210

060

02

550

100

800

--

-U

nite

d K

ingd

om-

--

--

--

--

-A

cces

sion

cou

ntri

esE

ston

ia15

120

080

016

400

900

290

0-

--

Lat

via

202

000

100

016

300

750

250

0-

--

Pol

and

1050

080

05

100

500

250

0-

--

a Low

er A

ustr

ia (

grad

e II

)b U

pper

Aus

tria

c B

urge

nlan

dd V

orar

lber

g

BIOSOLIDS MANAGEMENT 60

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

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L fil

es c

reat

ed f

rom

the

orig

inal

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er b

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pese

tting

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ks a

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orig

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lin

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ngth

s w

ord

brea

ks h

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ng s

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nd o

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type

setti

ng-s

peci

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rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

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rs m

ay h

ave

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tally

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rted

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t ver

sion

of t

his

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as th

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rsio

n fo

r attr

ibut

ion

e Ste

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ark

f Car

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ia

f The

se v

alue

s w

ill b

e re

duce

d to

125

(C

u) a

nd 3

00 (

Zn)

fro

m D

ecem

ber 3

1 2

007

g For

pri

vate

gar

deni

ng l

ead

valu

e is

red

uced

to 6

0 m

gkg

of

DM

or

500

0 m

gkg

of

phos

phor

us

h For

pri

vate

gar

deni

ng

i Tar

get l

imit

valu

es f

or 1

998

j 15

mg

kg o

f D

M f

rom

Jan

uary

1 2

001

and

10 m

gkg

of

DM

fro

m J

anua

ry 1

200

4A

bbre

viat

ions

As

ars

enic

Cd

cad

miu

m C

o c

obal

t C

r c

hrom

ium

Cu

cop

per

Hg

mer

cury

Mo

mol

ybde

num

Ni

nick

el P

b le

ad Z

n z

inc

Sour

ce A

dapt

ed f

rom

Eur

opea

n C

omm

unit

ies

2001

BIOSOLIDS MANAGEMENT 61

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

TABLE 2ndash6 European Union Limit Values for Amounts of Heavy Metals That MayBe Added Annually to Soil Based on a 10-Year Average

Limit Values (ghay)Elements Directive 86278EEC ProposedCadmium 150 30Chromium - 3000Copper 12000 3000Mercury 100 30Nickel 3000 900Lead 15000 2250Zinc 30000 7500

Note The component authority may decide to allow an increase in the loading rate for copper andzinc on a case-by-case basis for those plots of land that are copper-or zinc-deficient and if it hasbeen proved by qualified expert advice that there is a specific agronomic need for the cropsAbbreviations ghay gram per hectare per yearSources Adapted from Council of the European Communities 1986 European Union 2000b

compounds in Austria Belgium-Flanders Denmark France Germany andSweden neither of which are included in the directive (Tables 2ndash7 and 2ndash8)

In all member states regulations on the use of biosolids specify limitvalues for heavy metals in soil that are similar in most cases to the requirementsset in the directive (Table 2ndash9) Some countries have defined limit values forseveral categories of soil pH or limit the maximum load of heavy metals toagricultural lands on a 10-year basis Maximum quantities of biosolids that canbe applied on land have been set between 1 metric ton by the Netherlands forgrasslands and 10 metric tons by Denmark per hectare and per year

The debate on biosolids recycling and disposal differs in intensity andresolution throughout the European community An analysis of stakeholdergroups (European Communities 2001) including the farming communitylandowners industries water and wastewater plants and companies localauthorities national authorities and citizens and consumer groups indicated asignificant diversity of opinion ranging from opposition to advocacy as shownbelow

BIOSOLIDS MANAGEMENT 62

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t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

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ion

of t

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rigin

al w

ork

has

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ompo

sed

from

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L fil

es c

reat

ed f

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inal

pap

er b

ook

not

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m t

heor

igin

al ty

pese

tting

file

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age

brea

ks a

re tr

ue to

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orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

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type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

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grap

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rs m

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ave

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sion

of t

his

publ

icat

ion

as th

e au

thor

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rsio

n fo

r attr

ibut

ion

TABLE 2ndash7 European Limit Values for Pathogens Concentrations in Biosolids

Salmonella Other PathogensFrance 8 MPN10 g of DM Enterovirus 3 MPCN10 g of DM

Helminths eggs 310 g of DMItaly 1000 MPNg of DMLuxembourg Enterobacteria 100g

No egg of worm likely to becontagious

Poland Biosolids cannot be used inagriculture if it containsSalmonella

ldquoParasitesrdquo 10kg of DM

Abbreviations DM dry matter MPN most probable number MPCN most probable cytophaticnumberSource Adapted from European Communities 2001

bull The regulatory requirements in the Netherlands and Flanders region ofBelgium have prevented almost all use of biosolids in agriculture since1991 and 1999 respectively

bull In countries such as Denmark and the United Kingdom new regulationsare considered sufficiently strict to reduce risks to an acceptable level(Denmark) and agreement in 1998 between water and sewage operatorsand retailers as well as farmersrsquo associations and government (UnitedKingdom) led to the joint adoption of a ldquosafe sludge matrixrdquo providing foradditional restrictions on the use of biosolids on agricultural land as wellas the categories of crops on which biosolids may not be used

bull In Sweden a voluntary agreement was signed in 1994 between theSwedish Environmental Protection Agency the Swedish Federation ofFarmers (LRF) and the Swedish Water and Waste Water Associationconcerning quality assurances relating to the use of biosolids inagriculture However in October 1999 the LRF recommended that itsmembers stop using biosolids because of quality concerns

bull Public opinion in Germany has recently swung in favor of agriculturalland application mainly because this practice is considered economicallyviable and the potential risks are sufficiently reduced by the existinglegislation which is now being reviewed

bull In Austria France and the Walloon region of Belgium national (orregional) agreements have been considered and in France such anagreement

BIOSOLIDS MANAGEMENT 63

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t th

is P

DF

file

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w d

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his

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thor

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n fo

r attr

ibut

ion

TA

BL

E 2

ndash8 E

urop

ean

Lim

it V

alue

s fo

r O

rgan

ic C

ompo

unds

in B

ioso

lids

(m

illi

gram

s pe

r ki

logr

am o

f dr

y m

atte

r)

Dio

xins

and

Fur

ans

(PC

DD

PC

DF

) ng

TE

kg

of D

MPC

Bs

AO

XL

AS

DE

HP

NP

EP

AH

Tol

uene

Aus

tria

100a

bc

50e

02a

bc

1e50

0ab

d-

--

6d-

Bel

gium

(Fl

ande

rs)e

Den

mar

k-

--

260

010

050

6-

from

10

720

001

300

5030

3fr

om 1

07

2002

130

050

103

Fra

nce

-0

8f-

--

2ndash5g

15ndash

4h-

Ger

man

y10

00

2i50

0-

--

--

Sw

eden

-0

4-

-10

03

5a L

ower

Aus

tria

b U

pper

Aus

tria

c V

orar

lber

gd C

arin

thia

e L

imit

valu

es f

or a

ppro

xim

atel

y 30

org

anic

com

poun

ds

f Sum

of

seve

n pr

inci

pal P

CB

s (P

CB

28

52

101

118

138

153

180

)g F

luor

anth

ene

ben

zo[b

]flu

oran

then

e b

enzo

[a]p

yren

eh W

hen

used

on

past

ure

land

i F

or e

ach

one

of th

e si

x c o

ngen

ers

BIOSOLIDS MANAGEMENT 64

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

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his

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as th

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thor

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rsio

n fo

r attr

ibut

ion

TA

BL

E 2

ndash9 E

urop

ean

Uni

on L

imit

Val

ues

for

Hea

vy M

etal

s in

Soi

l (m

illi

gram

s pe

r ki

logr

am o

f dr

y m

atte

r) (

Sha

ded

cell

s re

pres

ent l

imit

val

ues

belo

wth

ose

requ

ired

by

Dir

ecti

ve 8

627

8E

EC

)C

dC

rC

uH

gN

iP

bZ

nA

sM

oC

oD

irec

tive

86

278

EE

C (

6ltpH

lt7)

1ndash3

mdash50

ndash 140

1ndash1

530

ndash75

50ndash 3

0015

0ndash30

0-

--

Aus

tria

15a

100a

60a

1a50

a10

0a20

0a-

--

1b10

0b10

0b1b

60b

100b

300b

--

-2c

100c

100c

15c

60c

100c

300c

--

-2d

100d

100d

1d60

d10

0d30

0d-

--

2e10

0e10

0e1e

60e

100e

300e

-10

e50

e

05ndash

15f

50ndash1

00f

40ndash1

00f

02ndash

1f30

ndash70f

50ndash1

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10ndash2

00f

--

-B

elgi

um (

Fla

nder

s)0

946

491

318

5617

022

--

Bel

gium

(W

allo

on)

210

050

150

100

200

--

-D

enm

ark

05

3040

05

1540

100

--

-F

inla

nd0

520

010

00

260

6015

0-

--

Fra

nce

215

010

01

5010

030

0-

--

Ger

man

y1

510

060

150

100

200

--

-G

reec

e1ndash

3-

50ndash1

401ndash

15

30ndash7

550

ndash300

150ndash

300

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BIOSOLIDS MANAGEMENT 65

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

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ion

of t

he o

rigin

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ever

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BIOSOLIDS MANAGEMENT 66

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BIOSOLIDS MANAGEMENT 67

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bull was supported on the condition that additional quality controls and aninsurance fund be developed One party to the agreement (farmersrsquo union)asked for a ban on biosolids because current methods used are notconsidered sufficient to address the perceived risks related to theagricultural cycling of biosolids

bull In Finland and Luxembourg the farming community is generally hostiletoward the use of biosolids for land application mainly because of thepressure to use animal manure (eg the Finnish Union of AgriculturalProducers requested a ban on the use of biosolids for land application andhas renewed its stand against the use of biosolids in agriculture in 2001)

bull In Ireland and Portugal farmers tend to support the agricultural use ofbiosolids for economic and for agronomic (organic matter and phosphoruscontent) reasons although biosolids use in these countries has beenrelatively recent

bull In Spain Italy and Greece available information indicates that there islittle debate on use of biosolids

The analysis of stakeholdersrsquo positions (European Communities 2001)indicates that the main concerns on sewage sludge disposal and biosolidsrecycling are that the growing quantities of sewage sludge must be treated withthe aim of keeping both environmental and economic costs as low as possibleSimilarly improving practices of treatment and use of biosolids is nowconsidered essential Moreover within the context of uncertainties concerningthe potential impacts on human health and the environment of the variousdisposal and recycling options additional research is needed to increaseconfidence in the use of biosolids in agriculture

Some strategies suggested by the recent European Union biosolids-management assessment for reducing constraints and encouraging recycling ofbiosolids include the following (European Communities 2001)

bull Certify the treatment process involved the quality of biosolids andrecycling practices

bull Develop a trust fund or insurance system to cover any loss of profitsdamages or other costs related to the use of biosolids in agriculturetogether with legal provisions to regulate producer liability

bull Standardize science-based laws and regulationsbull Enhance mutual confidence and communication and transfer of

information between stakeholders

BIOSOLIDS MANAGEMENT 68

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bull Diminish uncertainty over risks to human health and environment andextend the assessment and dissemination of information beyond heavymetals to include organic pollutants and pathogens

bull Develop codes of practice for the recycling of biosolids the possible useof labels for quality assurance and associated training programs andoutreach activities for stakeholders

When European Union biosolids-management practices are compared withthose of the US it is apparent that European and US contaminant limits applylargely to heavy metals and are based on (1) the concentration of the biosolidsitself (2) the loading or total amount of metal that can be added and howquickly it can be applied and (3) the maximum concentration of metals in soilallowed to build up after biosolids application

According to an analysis of regulations in the United States and someEuropean countries by McGrath et al (1994) three basic approaches to settinglimits were distinguished (1) analyzing the pathways of pollutant transfer toselected target organisms and an assessment of the likely harmful effects thatmetals might have on the target (2) setting limits consistent with the lowest-observed-adverse-effect concentrations which are actual cases of effects due tometals but not necessarily derived from studies that involved applications ofbiosolids and (3) attempting to match the metal inputs to soils to the smalllosses of metals due to crop removal soil erosion and leaching (metal balanceapproach) These approaches were considered responsible for the widelydifferent numerical limits for metals arising either from a policy decision toreach zero impact (metals balance) and associated low levels or fromapproaches that allow some increase in metal concentrations in soils based ontarget organisms and use of associated models and sparse toxicity data Thusthe practice of implementing vastly different regulations for biosolidsapplication to land in the United States and within European Union membernations create differing social economic technological and environmentalimpacts that beg consensus resolution in the scientific technical and regulatorycommunities

Within the European Union the intended goal and most widely appliedbiosolids disposition option is agricultural use However the selection of anoption and its implementation according to European Commission directives isaffected by local or national circumstances Thus the degree of flexibilityvaries Some indication of the production and disposal of domestic sewagesludge and biosolids in Europe as of 1992 is included in Table 2ndash10 Notablyocean disposal has been phased out so that the principal disposal options nowinclude agricultural use landfill and incineration As in the United States the

BIOSOLIDS MANAGEMENT 69

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BIOSOLIDS MANAGEMENT 70

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BIOSOLIDS MANAGEMENT 71

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European Commission has developed regulatory limits (Sewage SludgeDirective 86278EEC) when biosolids are used in agriculture The SewageSludge Directive requires member states to apply maximum limit values forcertain heavy metals in the biosolids and in the soil to which it is applied topretreat sewage sludge and to restrict its use including the frequency andquantity of application on certain soils

These regulations establish conditions relating to pretreatment nutrientneeds quality of soil protection of surface waters and groundwaters andcompliance with concentration limits of heavy metals in soil Use of biosolids isprohibited on specified categories of land within defined periods prior toharvesting and where concentrations of heavy metals in the soil exceedspecified limit values Records must be kept and made available to thecompetent authorities on the quantities composition use treatment and resultsof analysis on biosolids the names and addresses of recipients of biosolids andthe places where biosolids are to be used (European Union 2000a)Accordingly member states have performed biosolids surveys to comply withthe reporting requirements such as the UK Sludge Survey for 1996ndash1997(Gendebien et al 1999) Summary reports indicating biosolids quality andultimate disposition quantities are to be submitted to the European Union every5 years (eg UK Department of the Environment 1993)

A part of the implementation of the directive is that application forbiosolids use is made in advance of the operation and conditions are applied tothe methods and type of biosolids used Consideration is given to the linksbetween biosolids use and potential transmission of pathogens to the humanfood chain and into water courses or supplies through nutrient leaching Inaddition biosolids producers are obliged to provide details of biosolidscomposition to owners of land where biosolids will be applied (see Box 2ndash1)Analytical methods sampling frequencies monitoring procedures and record-keeping requirements are also prescribed (see Box 2ndash2)

Proposed revisions are included in the European Union WorkingDocument on Sludge (European Union 2000b) and changes in limit values arebeing considered for heavy metals and organic compounds on the basis ofbiosolids concentrations and soil characteristics The use of biosolids in soilswhere the concentrations of heavy metals exceed the limit values suggested inTable 2ndash11 would be allowed only on a case-specific basis and member stateswould have to ensure that those limit values are not exceeded as a result of theuse of biosolids If the concentrations of one or more heavy metals in biosolidsare higher than the concentration limits suggested in Table 2ndash4 or if theconcentrations of one or more organic compounds in biosolids are higher thanthe concentration limits proposed in Table 2ndash12 the use of biosolids

BIOSOLIDS MANAGEMENT 72

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BOX 2ndash1 EXAMPLES OF REGULATORY CONTROLS

One European Union member state (United Kingdom) operates aprenotification system through its competent authority This system isdesigned to ensure that biosolids are given suitable treatment beforespreading on agricultural land and has led to the setting of legal limits formetals in soil according to the requirements of the directive In additionthe UK has set limits for 10-y average rates of application for metals inbiosolids and requires that producers identify suitable sites A code ofpractice for the agricultural use of biosolids in agriculture has been issuedand there is a separate code dealing with the agricultural use of biosolidsin forests The responsibility for undertaking sampling and analysis lieswith the biosolids producers who must support their activities bymaintaining records and supplying data to the Environment MinistrySampling and analytical procedures are in accordance with the code ofpractice which incorporates the directiversquos requirements and specifiesrestrictions to minimize risks to health

The Sewage Sludge Directive has been incorporated into thelegislation of another member state (Sweden) through an order issued bythe Environment Ministry This order governs the monitoring of biosolidsquality and the spreading of biosolids on arable land It also lays downlimit values for inputs of nutrients to arable soil via biosolids limit valuesfor metals in arable soils and limit values for inputs of metals to arablesoil A separate ordinance specifies limit values for metal concentrationsin biosolids intended for agricultural use Biosolids must be treated beforebeing used in agriculture and producers of biosolids must supply adeclaration of contents to those who will use the biosolids Similarly theoperation of sewage plants in that state requires authorization fromnational and regional authorities

In a third member state (Portugal) the national law sets limit valuesfor heavy metal concentrations in the soil and the quantity of biosolids perhectare

Source Adapted from European Union 2000a

should not take place Compliance with Tables 2ndash4 and 2ndash12 is assumed if90 of samples in a 12-month period are less than the standards and if 10 ofsamples exceed the standards by less than 50 The maximum annualquantities of heavy metals indicated in Table 2ndash6 that may be added to the soilbecause of use of biosolids should not be exceeded These limit values areintended to be reviewed every 6 years with a view toward achieving medium-and long-term concentrations for pollution prevention

BIOSOLIDS MANAGEMENT 73

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BOX 2ndash2 EXAMPLES OF MONITORING PROCEDURES

In one member state (United Kingdom) monitoring is undertaken inaccordance with the directive whereby soil is analyzed on first applicationand at least every twentieth year while biosolids are spread to determineits pH and metals levels Biosolids are analyzed at least every six monthsand every time significant changes occur in the quality of the biosolidstreated at the works Analysis is the responsibility of the biosolidsproducer but records must be kept and made available to the EnvironmentMinistry The analytical methods used are in accordance with thedirective The parameters analyzed conform to the directive and there area number of additional ones

In another member state (Portugal) the national law requiressampling of both the biosolids and the soil The biosolids are analysed bythe user who has the burden of proof that it complies with the legallyestablished limits The results are then made available to the Institute ofWaste (INR) Regional Directorates of the Environment (DRAs) orGeneral Inspectorate of Environment (IGA) who give the final approvalThe analyses of the soil are to be undertaken before biosolids are appliedalthough there is no specification of sampling frequency after the biosolidsare spread The results must be kept for five years

In another member state (Sweden) the producer of biosolids isresponsible for carrying out sampling and analysis of biosolids in respectof dry matter and loss on ignition pH total phosphorus total nitrogenammonium nitrogen lead cadmium copper chromium mercury nickeland zinc The order that requires this also lays down detailed rules onsampling and analysis methods The frequency of sampling and analysisis determined according to the treatment capacity of the plant As aminimum the sampling and analysis must be done on an annual basisPermitting authorities are responsible for supervision and inspection

Source Adapted from European Union 2000a

PATHOGEN ISSUES AND TREATMENT CONTROLS

EPA sponsored the Workshop on Emerging Infectious Disease Agents andIssues Associated with Animal Manures Biosolids and Other Similar By-Products in Cincinnati Ohio in June 2001 This workshop was attended byover 100 participants from around the world who raised general concerns withrespect to bacteria viruses and parasites in these materials Although animalmanures are generally land applied and untreated and contain pathogens ofconcern only biosolids are addressed in this report Concerns for pathogencontrol in Classes A and B biosolids were expressed For example becauseClass B biosolids are only partially disinfected through treatment

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TABLE 2ndash11 European Union Limit Values for Concentrations of Heavy Metals inSoil

Limit Values (mgkg of DM)Elements Directive

86278EEC6ltpHlt7

Proposed5`pHlt6

Proposed6`pHlt7

ProposedpH`7

Cadmium 1ndash3 05 1 15Chromium - 30 60 100Copper 50ndash140 20 50 100Mercury 1ndash15 01 05 1Nickel 30ndash75 15 50 70Lead 50ndash300 70 70 100Zinc 150ndash300 60 150 200

Note When the concentration value of an element in a specific land area is higher than theconcentration limit set in the table the competent authority may still allow the use of biosolids onthat land on a case-by-case basis after evaluation of the following aspects (1) intake of heavymetals by animals (2) uptake of heavy metals by plants (3) groundwater contamination and (4)long-term effects on biodiversity particularly on soil biota The areas of land with higher metalconcentrations will be monitored and the possibility of using biosolids will be subject to a periodicalassessment by the competent authorityAbbreviation DM dry matterSource Adapted from European Union 2000b

further disinfection of land-applied Class B biosolids is related tomanagement and treatment by natural attenuation Workshop participantsagreed that more data are needed on rates of pathogen survival in soil or oncrops after application of biosolids As discussed earlier the criteria of at leastseven samples with a geometric mean of less than 2times106 MPN or CPU of fecalcoliform per gram of dry weight as a control is one of the means fordetermining Class B treatment adequacy Better documentation is needed tocorrelate that or any number to treatment efficiency

The process control requirements for Classes A and B designations areessentially identical to those established in 40 CFR 257 the 1979 regulationspreceding 40 CFR 503 The treatment controls were based on an assumed logreduction of at least 1 for each option (EPA 1985 1989) The fecal densityrequirement established in 40 CFR 503 was assumed to correlate to a roughly 2-log reduction (EPA 1985 1992) However as early as 1981 it was recognizedthat additional research was necessary to better document the presence ofpathogens and other organisms in raw sewage sludge and their

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TABLE 2ndash12 Proposed Limit Values for Concentrations of Organic Compounds andDioxins in Biosolids for Use on LandOrganic Compounds Proposed Limit Values (mgkg of DM)AOXa 500LASb 2600DEHPc 100NPEd 50PAHe 6PCBf 08Dioxins Proposed Limit Values (ng TEkg of DM)PCDDPCKFg 100

aSum of halogenated organic compoundsbLinear alkylbenzene sulfonatescDi(2-ethylhexyl)phthalatedIt comprises the substances nonylphenol and nonylphenolethoxylates with 1 or 2 ethoxy groupseSum of the following polycyclic aromatic hydrocarbons acenapthene phenanthrene fluoreneflouranthene pyrene benzo[b+j+k]fluoranthene benzo[a]pyrene benzo-[ghi]perylene indeno[123-cd]pyrenefSum of the polychlorinated biphenyl congeners number 28 52 101 118 138 153 180gPolychlorinated dibenzodioxins and dibenzofuransAbbreviations DM dry matter TE 2378-tetrachloro-p-dioxin toxicity equivalentsSource Adapted from European Union 2000b

fate through the various treatment regimes in the regulations and acomprehensive literature review of all relevant publications between 1940 and1980 was conducted (Pedersen 1981)

Based on limited analyses in EPArsquos National Risk Management ResearchLaboratory (NRMRL) in Cincinnati and more complete data collected inWisconsin between 1998 and 2000 fecal coliforms appear to be present at verylow densities in biosolids and perhaps even in raw sewage sludge That is alsotrue of Ascaris eggs and enteric virus (JSmith EPA personal communication2002 WDNR unpublished data 2000) These data raise the question of thevalidity of relying on numeric standards for various organisms because it isunclear what they represent For example enteric virus and helminth ova areused to measure treatment efficiency for Class A biosolids because of theirhardiness and resistance to treatment but they are also used as indicators ofClass A treatment in alternatives 3 and 4 (discussed previ

BIOSOLIDS MANAGEMENT 76

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ously) Thus numeric standards are not necessarily incorrect but there is a needto better define their regulatory meaning and adequacy Another point ofconcern raised at the EPA workshop was assay development For example withthe measurement of Ascaris there is no proper protocol for samplingpretreatment and purification before the assay and the appropriate quality-assurance and quality-control (QA and QC) protocols for the spike to be used inthe assays The assays for the other parasites and protozoan oocysts are alsounreliable and underdeveloped The analytical methods for other parasitesprotozoan oocysts and even fecal coliform in biosolids are also suspect andmethod development and validation are needed (EPA 2001c) Table 2ndash13provides a partial list of possible organisms that may be used as measures oftreatment efficiency and that was discussed at the EPA 2001 conference

Many organisms of concern have been known to be present in sewagesludge and regulations have been developed with the intent to maximize theirelimination and minimize the potential transport to humans This was evident inthe initial sewage sludge (40 CFR 257) regulations promulgated in 1979Nevertheless new organisms of concern have been identified and new researchshould be initiated to reconfirm the level of disinfection achieved throughvarious pathogen process controls Bacteria such as E coli 0157H7 Listeriaand Helicobacter have emerged as potential public-health problems (seeChapter 6 for more details) Table 2ndash14 lists these and other bacteria ofpotential regulatory concern including ones that represent a change in concernfrom low to high or are newly recognized In addition it is necessary tounderstand the mechanisms responsible for pathogen reduction and timerequired to meet the control-process requirements For these reasons it isnecessary to validate the rate of elimination of pathogens through varioustreatment regimes Research in this area is currently underway (JSmith EPApersonal communication May 2002)

In the area of virology the conference raised several issues concerningviruses such as coxsackievirus echovirus adenoviruses rotaviruses andreovirus (to name a few) Their potential impact on public health is included inTable 2ndash15 For pathogen monitoring the virologists discussed usingenteroviruses and coliphages for process disinfection efficacy but suggested Ecoli fecal coliforms enterococci and Clostridium perfringens for fieldmonitoring As a result of the workshop deliberations the consensus opinion ofthe participating virologists was that Class-B-treatment processes should yieldthe reductions summarized in Table 2ndash16 if the processes are properlyconducted and maintained and the sitersquos climate geology and soilcharacteristics enable natural attenuation

Regarding the assessment of helminth eggs and protozoan oocysts theefficacy of existing Class B disinfection processes for inactivating parasites

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TABLE 2ndash13 Process Criteria for Class B Biosolids

Bacterial InactivationProcess Temperature Critical

ParameterTime Possible

Measure ofEfficiency

Air drying gt0degC Desiccation by-products

2ndash3 mo E coli fecalcoliformClostridium perfringens

Alkalinestabilization

Ambient Ammonia pH 2 h Clostridium perfringens

Aerobicdigestion

15ndash20degC Endogenousmicrobialactivity

60ndash40 d Fecal coliformE coli

Anaerobicdigestion

20ndash35degC Endogenousmicrobialactivityorganic by-products

60ndash15 d Clostridium perfringens

Composting 40ndash55degC Organic by-products

5 d at40degC 4h at 55degC

Clostridium perfringens

Source EPA 2001c

remains a concern but the processes should be effective for protozoanoocysts However little information is available on treatment efficiency ofhelminth eggs There are also concerns with analytical methods for thedetection and identification of helminth eggs of the species noted in Table 2ndash17Therefore research is needed to develop reliable assays to measure helmintheggs and to assess the efficacy of Class B processes for inactivating helminths(eg Taenia and Toxicara) where fecal coliforms have traditionally been theonly means of monitoring pathogen-inactivation performance The workshopparticipants expressed interest in using Clostridium perfringens as an indicatororganism when noncharged biocides are the major agent for inactivation and foranaerobic digestion lagoon storage composting and alkaline stabilization Theexisting Part 503 regulation states that the Class A disinfected biosolids are farless a concern as a result of Ascaris egg controls along with the temperaturefactors In the current Class A requirements monitoring is required forSalmonella or fecal coliform in addition to meeting one of several treatmentcontrol processes which include several nationally approved processesdesignated equivalent to a process to further reduce pathogens (PFRP) (listed inTable 2ndash18)

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TABLE 2ndash14 Bacterial Pathogens of Potential Concern in Biosolids

Major ConcernmdashClassica New IssuesmdashChangesb

Salmonella E coli 0157H7Shigella ListeriaEnteropathogenic E coli HelicobacterYersinia enterocolitica MycobacteriaCampylobacter jejuni AeromonasVibrio cholera LegionellaLeptospira Burkholderia

EndotoxinsAntibiotic resistance

aKowal 1985bEPA 2001c

Concerns for Class A processes were also elucidated at the EPA workshopHowever there was less concern with pathogen contamination and more withthe confirmation of the efficiency of Class A processes (Approved mechanismsof pathogen control for Class A treatment for bacteria viruses and parasites aresummarized in Table 2ndash19) Issues of concern included regrowth of pathogenswith short-term stabilized biosolids and possible emission of odors Others werespecification of treatment process versus product control and the appropriatepoint in the treatment process to obtain pre-treatment samples and whether touse an indicator organism to predict pathogen survival and recontaminationHowever the major problem discussed at the workshop was the Class Aprocess criteria that do not take into account potentials for regrowth Regrowthof pathogens can occur in Class A biosolids but generally not in Class Bbiosolids To prevent pathogen regrowth a fairly stable background populationof microorganisms is needed Relevant research on composting indicates theneed for 104 to 105 microorganisms per gram of dry weight of solid (Burnhamet al 1992) With such background levels as would be common with Class Bbiosolids pathogen regrowth is inhibited by competition with the existingmicrobial ecosystem Class A disinfection processes generally eliminate thesecompeting microorganisms requiring retesting of Class A biosolids if used inbulk quantities more than 3 weeks or so after production

Bioaerosol generation is a concern with the processes of aerobic digestionanaerobic digestion composting alkaline stabilization and combinations The

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concerns are bacterial species viruses and bacteria in bioaerosols but probablynot parasites due to their greater size and weight

TABLE 2ndash15 Principal Viruses of Concern in Municipal Wastewater and SewageSludgeVirus Diseases of Public Health ConcernPoliovirus PoliomyelitisCoxsackievirus Meningitis pneumonia hepatitis fever etcEchovirus Meningitis paralysis encephalitis fever etcHepatitis A virus Infectious hepatitisRotavirus Acute gastroenteritis with sever diarrheaNorwalk agents Epidemic gastroenteritis with severe diarrheaReovirus Respiratory infections gastroenteritis

Source Kowal 1985

In summary several pathogen-related issues and research needs wereidentified at the EPA workshop and in related literature

bull Further information regarding pathogen survival in processing or emissionduring the process

bull Research on vectors carrying pathogens and toxinsbull Assessment of bioaerosols and other chemical aerosolsbull Test-method development and validation for various organisms in sewage

sludge and biosolidsbull Field verification of efficacy of Class A and Class B treatment processes

(including data to directly relate process controls to initial and finalpathogen and indicator densities)

bull Development of indicator pathogens for assessment of impact andattenuation in field situations

PATHOGEN EQUIVALENCY COMMITTEE

A critical function in the regulation of sewage sludge and biosolids isfulfilled by the Pathogen Equivalency Committee (PEC) established in 1985The PEC is composed of experts within EPA who evaluate treatmenttechnologies to determine whether they are equivalent in treatment efficiency toeither recognized PSRP (Class B) or PFRP (Class A) as defined in 40 CFR

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TABLE 2ndash16 Class B Virus Reduction for Biosolids Disinfection Process

Process Virus Log Reduction TimeLagoon storage 1ndash2 6ndash12 moMesophilic anaerobic digestion 1ndash2 15ndash30 dMesophilic aerobic digestion 1ndash2 15ndash30 dAlkaline stabilizationpH=11 to 12

1ndash3 1 d

Air drying lt3 solids lt1 2ndash3 moAir drying gt3 solids 3ndash4 2ndash3 moHeat drying 55ndash60degC 3ndash4 ~1 hComposting 40ndash55degC 3ndash4 6 wk

Source EPA 2001c

503 Determination of several such treatment technologies expected withina few years are vermicomposting microwave technology infrared irradiationtechnology alkaline stabilization anaerobic digestion and aerobic digestionThe equivalency criteria could be related to treatment alternatives 1 through 6for Class A or alternatives 1 through 3 for Class B

The long-term responsibilities of PEC include integrating and developingmethods for microbial assays gross biosolids parameters analysis of metalsand analytical techniques for organics many of which are included in Standard Methods manuals published by the American Society for Testing andMaterials and agricultural analyses In developing microbial assays protocoldevelopment and workshops to train EPA and other professionals are neededThe same issues relate to vector-attraction tests which need to be compiled andrefined for new stabilization techniques Due to the major problems arising withmanure in nonpoint source pollution USDA and EPA should collaborate onmethod development However EPA does not have a formal coordinated groupthat handles these important issues and there has been no logical protocol toresolve these questions Even so the committee believes that this ongoingproblem could be resolved with appropriate action from EPA

In the fall of 2000 Haas (2001) conducted an independent assessment ofthe pathogen equivalency process That report focused on the determination ofequivalency for both PSRP and PFRP process assessment Overall the reportfound that the members of the PEC need assistance to better conduct theirduties The reportrsquos short-term recommendations to support the PEC were asfollow

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TABLE 2ndash17 Principal Parasites of Concern in Municipal Wastewater and SewageSludgeHelminth Worms Symptoms or DiseasesAscaris lumbricoides Digestive disturbances abdominal painAscaris suum Coughing chest pain or asymptomaticTrichuris trichiura Abdominal pain diarrhea anemia weight lossToxocara canis Fever abdominal discomfort and muscle achesTaenia sasginata Nervousness insomnia anorexiaTaenia solium Nervousness insomnia anorexiaNecator americanus Hookworm diseaseHymenolepis nana Taeniasis

Source Kowal 1985

bull The PEC members should have a formal portion of their time allocated toPEC responsibilities

bull Travel funds should be put at the disposal of the PEC to enable meetingattendance and visits to selected sites of petitioners

bull There is a perception on the part of PEC members that EPArsquos Cincinnatilaboratories do not include biosolids as a formal part of their missionstatement This needs to be clarified and rectified

bull A formal procedure for designation of backup members should be devised

The report also included a protocol for formally handling a PECapplication and recommended that it be developed via a formal approval routeOverall the report found that the diverse background of EPA staff serving onthe PEC is a well-rounded forum and should be continued

IMPLEMENTATION AND END-USE PRACTICES

Overview

There are three major alternatives for final disposition of sewage sludge(1) recycling as biosolids to agricultural land as a fertilizer or soil amendmentor selling or giving away to the public for use on home gardens or lawns (2)

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TABLE 2ndash18 Processes Recommended as Equivalent to PFRP

Process Criteria for ApprovalCBI Walker IncAurora Illinois

Two-stage aerobic digestion processutilized time-temperature control withresulting mesophilic aerobic digestion forstabilization

Fuchs Gass and WasserteckinkMayen Germany

Two-stage autothermophilic aerobicdigestion process utilizing time-temperature control with resultingmesophilic aerobic digestion forstabilization

International Process Systems IncGlastonbay Connecticut

In-vessel composting process related totime-temperature disinfection followed bycompost maturation for stabilization

K-F Environmental Technologies IncPompton Plains New Jersey

Indirect drying process utilizing the PSRP(process to significantly reduce pathogens)heat drying process criteria and short-termstabilization at less than 10 moisturecontent

Lyonnaise des EauxPecz-Sur-Seine France

Two-phase thermophillic and mesophilicanaerobic digestion where pathogencriteria used to demonstrate PFRP(process for the further reduction ofpathogens) criteria with mesophilicstabilization

AJW IncSanta Barbara California

Thermophilic alkaline stabilization usedpasteurization criteria with short-termstabilization related by pH

N-ViroToledo Ohio

Advance alkaline stabilization that hasvarious alternatives for disinfection andalkaline composting for disinfection Theyused the pathogen criteria and alternative 2

Synox CorporationJacksonville Floride

OxyOzonation process is an acid-oxidizing process that utilizes a pathogencriteria from influent and effluent inalternative 3

Ultra Clear IncMarlboro New Jersey

Microbiological composting and dryingprocess which is a time-temperatureprocess equivalency

Source EPA 1999b

BIOSOLIDS MANAGEMENT 83

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TABLE 2ndash19 Class A Inactivation of Pathogens

Process Inactivation ConcernsAerobic digestion(thermophilic)

Time temperature Oxygen transfer solidscontent bioaerosols

Anaerobic digestion(thermophilic)

By-products timetemperature

Solids content odorbioaerosols pH

Composting(thermophilic)

By Products timetemperature

Solids content odorbioaerosols pH

Alkaline stabilization Ammonia time-temperature Solids content odoraerosols pH

Heat drying(gt80degC)

Time-temperature Explosions odors aerosols

Irradiation(gamma beta)

gt1 megarad Solids content stablization

CombinationsDigestorsLagoonsDrying beds

Time-temperature by-products

Solids content odorsbioaerosols

Sources Reimers et al 1986ab 1999 2001 EPA 2001c

burying in a municipal solid-waste landfill or a surface disposal site or (3)burning in an incinerator When assessing any of these practices they should beevaluated holistically for risk For instance if all land application should ceasehow would the overall risk be altered if additional landfills surface disposalsites and incinerators were constructed and operated to accommodate theadditional volumes In response to EPArsquos beneficial-use policy the publicationof risk-based regulations and the general trend toward recycling numerousstates began to encourage POTWs to use their biosolids in the late 1980s and1990s This policy was further aided by philosophical shifts away from andpolitical and legal difficulties associated with siting and constructingincinerators and landfills

Management Practices

Biosolids are applied to land through one of three methods

bull Injection Injection vehicles directly inject liquid biosolids at a depth of 6to 9 inches into the soil The injectors may simultaneously disc the field

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or include fine injection tubes for minimal soil breakup depending on thetype of farm-management practices used This method is considered themost effective for odor control and minimizes the risk of runoff to surfacewaters However it is not possible to use injection when applying to haycrops or frozen ground Application is usually prior to planting or afterharvest Vehicles range from 1500- to 5000-gallon capacity Injection isconsidered a physical-barrier option for satisfying vector-controlrequirements

bull Incorporation Biosolids are applied to the surface of the soil and thenphysically worked into the field within 6 h or as specified by the permitauthority This method is common for cake solids that cannot be injectedand is used either prior to planting or after harvest Biosolids are generallyincorporated at a depth of 6 to 9 inches Incorporation is also considered aphysical-barrier option for satisfying vector-control requirements

bull Surface Application Either liquid or cake solids are applied to the soilsurface but are not incorporated into the soil until normal farmingpractices disturb the soil This method is common for hay crops andapplication during winter months Surface application does not satisfyvector-control requirements and stabilization must be accomplishedthrough treatment prior to surface application

The federal regulations for managing a land-application site include thefollowing prescriptions

bull Biosolids shall not be applied to land if it is likely to adversely affect athreatened or endangered species or its critical habitat

bull Biosolids must not be applied to land that is frozen flooded or snowcovered so that biosolids cannot enter any wetland or waters of theUnited States except as provided in an National Pollutant DischargeElimination System (NPDES) permit

bull Biosolids must not be applied to land at a distance of less than 10 meters(33 feet) from any waters of the United States unless otherwise specifiedin a NPDES permit

bull Biosolids must be applied at a rate equal to or less than the agronomicnitrogen need of the crop to be grown

Some states require more stringent site criteria including greater distancesfrom surface waters maximum slope restrictions minimum depths togroundwater and bedrock minimum and maximum soil permeability ratesminimum distances to residences or recreation areas and minimum distances toprivate or public water-supply wells For example Table 2ndash20 compares thecriteria required by Wisconsin with those of the Part 503 rule

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TA

BL

E 2

ndash20

Wis

cons

in R

equi

rem

ents

for

Bio

soli

ds A

ppli

ed to

the

Lan

d in

Bul

k

Sit

e C

rite

ria

Sur

face

Inco

rpor

atio

nIn

ject

ion

Par

t 503

Req

uire

men

tsD

epth

to b

edro

ck3

ft3

ft3

ftD

epth

to h

igh

grou

ndw

ater

3 ft

3 ft

3 ft

All

owab

le s

lope

s0ndash

60ndash

12

0ndash12

D

ista

nce

to w

ells

- C

omm

unit

y w

ater

sup

ply

or s

choo

l10

00 f

t10

00 f

t10

00 f

t-

Oth

era

250

ft25

0 ft

a25

0 ft

a

Min

imum

dis

tanc

e to

res

iden

ce b

usin

ess

or r

ecre

atio

n ar

ea50

0 ft

200

ft20

0 ft

Min

imum

dis

tanc

e to

res

iden

ce o

r bu

sine

ss w

ith

perm

issi

on25

0 ft

100

ft10

0 ft

Dis

tanc

e to

rur

al s

choo

ls a

nd h

ealth

car

e fa

cilit

ies

1000

ft

1000

ft

500

ftD

ista

nce

to p

rope

rty

line

50 f

tb25

ftb

25 f

tb

Min

imum

dis

tanc

e to

str

eam

s la

kes

pon

ds w

etla

nds

or

chan

neli

zed

wat

erw

ays

conn

ecte

d to

a s

trea

m l

ake

or

wet

land

33 f

t

- S

lope

0 to

lt6

20

0 ft

150

ft10

0 ft

BIOSOLIDS MANAGEMENT 86

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- S

lope

6 to

lt12

N

ot a

llow

ed20

0 ft

150

ftM

inim

um d

ista

nce

to g

rass

wat

erw

ays

or

dry

run

wit

h a

50 f

t ran

ge g

rass

str

ipc

- S

lope

0 to

lt6

10

0 ft

50 f

t25

ft

- S

lope

6 to

lt12

N

ot a

llow

ed10

0 ft

50 f

tS

oil p

erm

eabi

lity

ran

ge (

inh

)0

2ndash6

00ndash

60

0ndash6

0a S

epar

atio

n di

stan

ces

to n

onpo

tabl

e w

ells

use

d fo

r ir

riga

tion

or

mon

itor

ing

may

be

redu

ced

to 5

0 ft

if

the

bios

olid

s ar

e in

corp

orat

ed o

r in

ject

ed a

nd th

e de

part

men

t doe

s no

tde

term

ine

that

a g

reat

er d

ista

nce

to th

e w

ells

is r

equi

red

to p

rote

ct th

e gr

ound

wat

er

b The

dis

tanc

es to

pro

pert

y li

nes

may

be

redu

ced

wit

h th

e w

ritt

en p

erm

issi

on o

f bo

th p

rope

rty

owne

rs

c Rep

arat

ion

dist

ance

s no

t req

uire

d if

gra

ss w

ater

way

or

dry

run

wit

h gr

ass

stri

p is

con

tain

ed w

ithi

n a

site

or

fiel

d fo

r th

e pu

rpos

e of

ero

sion

con

trol

So

urce

Ada

pted

fro

m W

isco

nsin

Adm

inis

trat

ive

Cod

e 19

96

BIOSOLIDS MANAGEMENT 87

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Inherent in the concept of developing two classes of pathogen-controlcriteria are management-practices and site-restriction requirements to equalizethe two standards EPA imposed limitations regarding minimum time durationsbetween application of Class B biosolids and the harvesting of certain crops thegrazing of animals and public access to the site Those limitations aresummarized in Table 2ndash21 If the limitations are followed EPA concluded thatthe level of protection from pathogenic organisms in Class B biosolids wasequal to the protection provided by the unregulated use of Class A biosolids

Three factors affect the potential dietary exposure to pathogens via cropsthrough land application (EPA 1999b) (1) pathogens must be in the biosolids(2) the application of biosolids to food crops must transfer the pathogens to theharvested crop and (3) the crop must be ingested before it is processed toreduce the pathogens If all three factors are not present potential exposure iseliminated The production of Class A biosolids reduces the pathogens inbiosolids to below detectable concentrations and may be used without furtherrestriction if it is also deemed exceptional quality (EQ) In contrast Class Bbiosolids may contain reduced but still measurable densities of pathogenicbacteria viruses protozoans and viable helminth ova

The site restrictions are imposed to allow for further reduction of thepathogenic populations through natural attenuation processes The restrictionsare based primarily on the survival rate of helminth ova which are consideredthe hardiest pathogens that might be present in biosolids Some of the factorsthat influence pathogen survival are sunlight moisture pH temperaturecations presence of soil microflora and organic material content Potentialpathways of exposure are also considered in setting the time restrictions Forinstance pathogen die-off is much different when crops are exposed on theirsurfaces compared with crops grown underground Helminth ova can survive ontop of soil or within soil for months to years depending on climate thus longerwaiting periods are required for food crops either grown in the biosolids-amended soil or in contact with the soil-biosolids mixture In practice far lessthan 1 of biosolids-amended land is used for the production of unprocessedfood-chain crops (WDNR unpublished data 2001) Of 27 states responding toan inquiry on this topic by the Wisconsin Department of Natural Resources(WDNR) 25 reported no such use and two reported less than 1 such useBased on these results this finding can be reasonably expected in the remaining23 states

Other management practices are intended to minimize the introduction ofbiosolids to surface water (primarily because of phosphorus and solidsconcerns) or the leaching of biosolids to groundwater (primarily because ofnitrate concerns) To this end for Class B and other non-EQ biosolids EPA

BIOSOLIDS MANAGEMENT 88

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TABLE 2ndash21 Minimum Duration Between Application and HarvestGrazingAccessforClass B Biosolids Applied to the LandCriteria Surface Incorporation InjectionFood crops whose harvested part maytouch the soilbiosolids mixture (beansmelons squash etc)

14 mo 14 mo 14 mo

Food crops whose harvested parts growin the soil (potatoes carrots etc)

2038 moa 38 mo 38 mo

Food feed and fiber crops (field cornhay sweet corn etc)

30 d 30 d 30 d

Grazing of animals 30 d 30 d 30 dPublic access restrictionHigh potentialb 1 y 1 y 1 yLow potential 30 d 30 d 30 d

aThe 20 month duration between application and harvesting applies when the biosolids that aresurface applied stays on the surface for 4 months or longer prior to incorporation into the soil The38 month duration is in effect when the biosolids remain on the surface for less than 4 months priorto incorporationbThis includes application to turf farms which place turf on land with a high potential for publicexposureSource Adapted from 40 CFR Part 503

requires minimum setback distances of 10 meters from surface watersalthough at least 21 states have increased their minimum setback distancebetween 50 and 300 feet Such factors as slope buffer strips method ofbiosolids application and the designated uses of nearby surface waters may beconsidered by states in setting setback distances EPA also requires thatapplication of non-EQ biosolids be limited to accommodate the nitrogenrequirements of the crop to be grown Notably federal statutes do not includegroundwater in the definition of waters of the United States and thus nominimum depth to groundwater or bedrock is included in federal regulationsHowever at least 23 states include such requirements and at least 10 haveprohibited land application of biosolids during winter months Whilerecognizing that there are vast differences in topography weather and soilconditions across the country EPA would be well advised to include morespecific site requirements in its biosolids regulations including minimum depthto groundwater controls on winter application and setback distances fromresidences

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In addition stockpiling of biosolids in fields should only be done withfully stabilized and treated biosolids for very short durations (generally for nomore than 72 h) and in a manner that ensures there is no runoff to surface wateror adjacent land Storage at treatment plants or off-site engineered facilitiesshould be considered to avoid the need to land apply during inclement weatherconditions

Most states mimic the federal requirements for limiting land-applicationrates to accommodate the nitrogen requirements of the intended crops Nitrogenis the limiting factor in assessing application rates The application rate must bebased on the nitrogen needs of the crop to be grown Available nitrogen shouldbe assessed based on mineralization rates for the organic nitrogen and methodof application for the ammonium-nitrogen Nitrogen supplied from all othersources must also be taken into account This should be implemented throughcommunication between the land applier and the farmer Because of thesenitrogen limitations biosolids are the most regulated fertilizer or soilamendment used on agricultural land However a small but growing number ofstates are also limiting the application rate based on the phosphorus needs of thecrop or some other phosphorus index As animal waste becomes furtherregulated based on phosphorus content phosphorus consideration is likely tohave an impact on the biosolids program as well (Animal waste has not to datebeen regulated to address pathogen or nutrient control) Excess phosphorusoften becomes a water-quality problem after it reaches surface waters becauseit promotes accelerated algae growth and eutrophication For these reasonswastewater treatment plants are increasingly being forced to limit thephosphorus in their effluent discharge to surface waters Therefore thephosphorus concentration in sewage sludge is necessarily increasing Althoughthe Part 503 rule does not address phosphorus many states require setbackdistances slope restrictions and winter prohibitions to minimize the potentialfor runoff and the associated problems with phosphorus

End-Use Practices

The WDNR has worked with all states to gain information regardingbiosolids-use practices quality pathogen control and vector-attractionreduction The following data from 37 states represent the best estimation ofcurrent biosolids use in the United States (WDNR unpublished data 2001)

bull 56 million dry tons of biosolids are used or disposed ofbull Of that 34 million dry tons of biosolids are used as soil amendments

BIOSOLIDS MANAGEMENT 90

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andor fertilizer in the United States representing 61 of the total amountused or disposed of

- 24 million dry tons of biosolids are land applied representing 43 ofthe total amount used or disposed of

- 1 million dry tons of biosolids are land applied or publicly distributed asEQ biosolids representing 18 of the total amount used or disposed of

bull 095 million dry tons of biosolids are disposed of in licensed municipalsolid waste landfills representing 17 of the total amount used ordisposed of

bull 008 million dry tons of biosolids are disposed of in surface disposal unitsrepresenting 1 of the total amount used or disposed of

bull 11 million dry tons of biosolids are burned through incinerationrepresenting 20 of the total amount used or disposed of

CHARACTERIZATION OF BIOSOLIDS

Several national surveys of biosolids quality have been conducted by EPAand the Association of Metropolitan Sewerage Agencies (AMSA) to quantifyconcentrations of pollutants and nutrients in biosolids In addition states havecollected data on biosolids as part of their biosolids program management andcompliance monitoring for many years Compliance is tracked largely throughstate programs and through the federal Biosolids Data Management System(BDMS) and Permit Compliance System (PCS) For chemicals monitoring isrequired for total percent solids the nine regulated inorganic compounds totalnitrogen and total nitrogen ammonium For pathogens the pathogen densityrequirements for Class A and Class B biosolids (discussed earlier in thischapter) are monitored Vector attraction reduction requirements are alsomonitored Minimum monitoring requirements are specified in 40 CFR 503based on the quantity of biosolids used or disposed of (see Table 2ndash22)

The current Part 503 regulations require that monitored biosolids must berepresentative of what is actually going to be used or disposed of Whenever thebiosolids are changed so that their characteristics change new sampling musttake place

The success of the pretreatment program is illustrated in the reducedconcentrations of selected inorganic pollutants in biosolids since theimplementation of regulations on nondomestic discharges to sewerage systemsThe data for biosolids show significant reductions in some of the regulatedinorganic chemicals from the inception of the pretreatment program until the

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TABLE 2ndash22 Frequency of Monitoring and Land Application and Landfilling

Amount of Biosolids (drymetric tons per 365 days)

Amount of Biosolids (dryUS tons per 365 days)a

Frequency ofMonitoring

0ltXlt290 0ltXlt320 Once per y290`Xlt1500 320`Xlt1654 Once per quarter1500`Xlt15000 1654`Xlt16540 Once per 60 d15000`X 16540`X Once per mo

aAmount that is land applied or landfilled on a dry weight basisbMetric tons=US tonstimes0907Source 40 CFR 503

mid-1990s when the concentrations leveled off For example datacollected in Pennsylvania from 1978 to 1997 showed large decreases incadmium copper lead mercury nickel and zinc and smaller rates ofdecreases for arsenic selenium and molybdenum (Stehouwer et al 2000)Wisconsin and New Jersey have extensive biosolids monitoring data and willbe used for illustrative purposes Tables 2ndash23 and 2ndash24 show pollutantconcentrations over time The numbers presented are state averages TheWisconsin data include any outlier data and nondetects are considered at thedetection limit Data from Portland Oregon (Portland 2002) Seattlemetropolitan area (King County 2000) and Milwaukee metropolitan area(MMSD 2001) depict similar trends

In addition to the regulated pollutants within EPArsquos biosolids program thepretreatment program is charged with controlling the 126 ldquopriority pollutantsrdquoas well as any other incompatible pollutants from industries that discharge intothe sewer systems as described in the Clean Water Act (EPA 1999a) There arefour criteria under the pretreatment program as described earlier Those criteriaare directed towards ensuring compliance with permits Selected contaminantsin their wastewater are monitored by industries to which the pretreatmentprogram or local ordinance limits apply and also in the effluent discharge of thePOTWs covered by the pretreatment program Toxic organic chemicalsdischarged to a POTW may be volatilized degraded deposited in the sewagesludge or passed through to the effluent Monitoring of the wastewater effluentmay be required for the 126 priority pollutants but there is no federalrequirement to test sewage sludge for them nor federal limits on most of theirconcentration in biosolids One issue with monitoring for these constituents isthat on the rare occasion that one or more of them are detected there are noestablished criteria levels of concern for many of them Reliable data on theimpact of pretreatment programs on the concentration of toxic organicchemicals in biosolids are not currently available

BIOSOLIDS MANAGEMENT 92

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TABLE 2ndash24 New Jersey Data (all values are in milligram per kilogram of dryweight)Element 1981ndash1983 1989ndash1994 1997As 27 285 433Cd 94 56 35Cr 93 39 26Cu 825 679 628Pb 210 100 65Hg 36 23 19Mo 15 13Ni 46 31 23Se 20 49Zn 1110 826 810

Source New Jersey Department of Environmental Protection unpublished data 2001

PCBs were considered a group of related organic compounds in the initialdevelopment of the Part 503 regulations but ultimately were not regulatedbecause their production had already been banned in the United StatesHowever 12 coplanar PCBs are still under consideration for regulation in Part503 A 2000 survey of 50 biosolids samples in Wisconsin found detectedconcentrations of total PCBs in 40 of the samples when the analysis wasperformed on an aroclor basis (WDNR unpublished material 2000) A furtheranalysis of a subset of the 50 samples (samples with detectable aroclors sixwith nondetectable aroclor samples and one resample) on a congener-specificbasis found detectable concentrations in 100 of the samples A similar 2001EPA survey of 101 biosolids samples from across the nation also founddetectable concentrations of coplanar PCBs (EPA 2002a) The total PCBconcentration mean in the Wisconsin survey was 023 mgkg for the arocloranalyses and 03 mgkg for the congener-specific analyses Current regulationsin 40 CFR 761 state that land-applied biosolids with concentrations of totalPCBs at less than 50 mgkg are regulated under 40 CFR 503 and sewage sludgewith concentrations greater than 50 mgkg cannot be land applied and is subjectto provisions within that regulation (EPA 1998) Furthermore 40 CFR 257requires industrial sludge with concentrations of total PCBs at greater than 10mgkg to be injected or incorporated when land applied

EPArsquos stated purpose in their sampling survey of 2001 was to determinetoxicity equivalent concentrations (TEQs) for the 29 congeners of dioxins

BIOSOLIDS MANAGEMENT 94

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furans and coplanar PCBs which they proposed to add to 40 CFR 503 Themean TEQ value for total dioxin and dioxin-like compounds was 3160nanograms per kilogram (ngkg) DM when nondetect measurements weresummed at one-half the detection limit (EPA 2002a) AMSA also conducted asurvey of member and nonmember facilities in late 2000 (Alvarado et al 2001)A total of 197 biosolids samples were collected from 170 facilities and meanand median TEQ concentrations of 485 and 217 ngkg were reportedrespectively The TEQ values ranged from 71 to 256 ngkg with a single outlierof 3590 ngkg Notably these TEQ concentrations are lower than thosereported in a similar survey conducted in 1994 (Green et al 1995) This findingmay be due to fewer medical-waste incinerators in operation and other reducedcombustion sources of dioxin but may in large part be explained by improvedanalytical techniques In all three surveys nondetectable congeners weresummed at one-half the detection concentration As detection concentrationscontinue to decrease so too do the added values of nondetections

The State of Vermont recently reported the results of a survey of the 17dioxin and furan congeners (but excluded coplanar PCBs) in a sampling of 20POTWs and 3 comingling EQ generating facilities (Kelley 2000) A total of 28samples were collected in November and December 1996 and in August 1998The mean and median TEQ concentrations were 1122 and 855 pptrespectively and the range was from 132 to 5944 ppt One importantdifference in the Vermont survey data compared with the EPA and AMSA datais that nondetectable congeners were summed as zero rather than one-half thedetection limit

COMPLIANCE ASSISTANCE AND ENFORCEMENT

Perhaps the most common and vocal complaint of EPArsquos biosolidsprogram is the lack of federal presence to ensure compliance with the existingregulations In the absence of that assurance and as the report of the Office ofthe Inspector General (OIG) concluded (EPA 2000b) EPA cannot claim thatthe regulations are followed and that public health and the environment areprotected as required by the CWA States do however implement their ownbiosolids programs to some greater or lesser extent and actively participate inboth compliance assistance and enforcement

State regulators report substantial compliance is prevalent when assessedEPArsquos Office of Enforcement and Compliance Assistance has taken a formalposition that biosolids are a low public-health and environmental priority andthus no formal program policy is in place However according to EPA all 10regional offices will take appropriate action as required if a case is brought totheir attention (DRegas EPA personal communication to OIG June 11

BIOSOLIDS MANAGEMENT 95

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2001) Although some EPA regional offices are more aggressive and involvedthan others little enforcement action is taken at the federal level Furthermoreenforcement strategies differ between states and EPA states tend to favorstepped enforcement that focuses on compliance assistance and education andEPA is likely to levy monetary penalties with less discussion

EPA recently established an incident-response team as part of theBiosolids Program Implementation Team to address and investigate criticalallegations of sewage sludge and biosolids violations and public-health threatsA problem this team has faced is that they are not notified of situations in atimely manner There is currently no process for registration or follow-up oncomplaints and alleged violations An administrative framework is necessary totrack such allegations investigations and outcomes

FINDINGS AND RECOMMENDATIONS

EPA provides insufficient support and oversight to the biosolids programEPA gives low priority to its biosolids program because it contends that risksfrom exposure to chemicals and pathogens in biosolids are low and that land-application programs generally function as intended and in compliance with theregulations This contention should be better substantiated

Recommendations

bull EPA should strengthen its biosolids-oversight program by increasing theamount of funding and staff (technical and administrative) devoted to it

bull EPA should provide additional funds (not diverted funds) to states toimplement biosolids programs and facilitate delegation of authority tostates to administer the federal biosolids regulations

bull Resources are also needed for conducting research into emerging issuesand to revise the regulations as appropriate and in a timely fashion (egmolybdenum standards should be proposed)

bull A process should be established to track allegations and sentinel events(compliance management or health based) investigations andconclusions Such tracking should be systematic developed incooperation with states and should document both positive and negativeoutcomes

The Pathogen Equivalency Committee (PEC) performs invaluabletechnical support and process assessment

Recommendations

bull The PEC should be funded supported and officially sanctioned as anintegral part of the federal biosolids program The following areimportant in supporting the PEC

BIOSOLIDS MANAGEMENT 96

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mdash The PEC members should have a formal portion of their time allocatedto PEC responsibilities

mdash Travel funds should be put at the disposal of the PEC to enable meeting attendance and visits to selected sites of petitioners

mdash There is a perception on the part of PEC members that EPArsquosCincinnati laboratories do not include biosolids as a formal part of theirmission statement This needs to be clarified and rectified

mdash formal procedure for designation of backup members should be devised

Biosolids risk-management practices are an integral component of the riskassessment and technological criteria that were used to establish the standardsof the Part 503 rule They are therefore an important component of theregulations for chemicals and pathogens

Recommendations

bull Studies should be conducted to determine whether the managementpractices specified in the Part 503 rule (eg 10-meter setback fromwaters) achieve their intended effect

bull Additional risk-management practices should be considered in futurerevisions to the Part 503 rule including setbacks from residences orbusinesses setbacks from private and public water-supply wells sloperestrictions soil permeability and depth to groundwater or bedrock andreexamination of whether a greater setback distance to surface water is warranted

bull Provisions for allowing distribution of Class A biosolids in bags or othercontainers (weighing less than 1 metric ton) should not be allowed whenthey do not meet pollutant concentration limits (ie all biosolids sold orgiven away should be EQ)

bull Exemptions from nutrient management and site restrictions for landapplication of bulk EQ biosolids should be eliminated

There are several prescribed treatment processes that can be used to meetregulatory requirements for classifying biosolids as Class A or Class BHowever the efficacy of the treatment processes needs verification and thestabilization regulations need to be refined for consistent control of vectorattraction

Recommendations

bull EPA should conduct national field and laboratory surveys to verify thatClass A and Class B treatment processes perform as assumed by theirengineering and design principles Determinations should be made ofpathogen density and elimination across the various accepted treatmentprocesses and in the biosolids or environmental media over time

bull Standard treatment design criteria should be adopted nationally to ensurecompliance with existing biosolids regulations

BIOSOLIDS MANAGEMENT 97

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bull Stabilization controls need to be further refined and directly correlated tometabolic techniques (eg SOUR test carbon dioxide metabolic releasemethane metabolic release)

The available methods for detecting and quantifying pathogens in biosolidshave not been validated There have been a number of advances in detectionand quantification of pathogens in the environment and in approaches toenvironmental sample collection and processing However no consensusstandards have been developed for pathogen measurements in biosolids

RecommendationEPA should support development standardization and validation of

detection and quantification methods for pathogens and indicator organismsregulated under the Part 503 rule The sufficiency of these methods and theirresults should be considered in conducting and interpreting future riskassessments and used to develop applicable risk-management technologies

The CWA requires EPA to establish biosolids regulations based on riskhowever it is important to acknowledge and consider other approaches toregulating land application of biosolids

RecommendationAs part of the process of revising the Part 503 rule EPA should review

biosolids protocols used by other nations This could provide valuable newperspectives and insights into the scientific technical and societal bases for thedevelopment and implementation of biosolids regulations

EPA and the US Department of Agriculture cosponsored a workshop onemerging pathogens in June 2001 with international experts in the field Thecommittee supports the major research recommendations from that workshop(listed below)

RecommendationsResearch is needed on the following topics

bull Pathogen survival in processing or emissions during the treatment processbull Vectors carrying pathogens and toxinsbull Bioaerosols and other chemical aerosolsbull Test-method development and validation for various organisms in sewage

sludge and biosolidsbull Field verification of efficacy of Class A and Class B treatment processes

(including data to directly relate process controls to initial and finalpathogen and indicator densities)

BIOSOLIDS MANAGEMENT 98

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bull Development of indicator pathogens for assessment of impact andattenuation in field situations

REFERENCES

Alvarado MJ SArmstrong and ECrouch 2001 The AMSA 20002001 Survey of Dioxin-likeCompounds in Biosolids Statistical Analyses Prepared by Cam bridge EnvironmentalInc Cambridge MA for the Association of Metropolitan Sewerage Agencies (AMSA)October 30 2001 [Online] Available httpwwwamsa-cleanwaterorgadvocacydioxinfinal_reportpdf [May 17 2002]

Burnham JC NHatfield GFBennett and TJLogan 1992 Use of kiln dust with quicklime foreffective municipal sludge pasteurization and stabilization with the N-Viro soil processPp 128ndash141 in Innovations and Uses for Lime DDWalker Jr TBHardy DCHoffmanand DDStanley eds ASTM STP 1135 Phildelphia PA American Society for Testingand Materials

Burton NC and DTrout 1999 NIOSH Health Hazard Evaluation Report BioSolids LandApplication Process LeSourdsville Ohio HETA 98ndash0118ndash2748 US Department ofHealth and Human Services Public Health Service Centers for Disease Control andPrevention National Institute for Occupational Safety and Health

Cooperative State Research Service Technical Committee W-l70 1989 Peer Review Standards forthe Disposal of Sewage Sludge US EPA Proposed Rule 40 CFR Parts-257 and 503(February 6 1989 Federal Register pp 5746ndash5902) Submitted to William RDiamondCriteria and Standards Division US Environmental Protection Agency WashingtonDC US Dept of Agriculture Cooperative State Research Service

Council of the European Communities 1986 Council Directive 86278EEC of 12 June 1986 on theProtection of the Environment and in Particular of the Soil When Sewage Sludge is Usedin Agriculture Community Legislation in Force Document 386L0278 [Online]Available httpeuropaeuinteur-lexenlifdat1986en_386L0278html [September 122001]

EPA (US Environmental Protection Agency) 1979 Criteria for classification of solid wastedisposal facilities and practices Fed Regist 44(179)53460ndash53464 (September 13 1979)

EPA (US Environmental Protection Agency) 1981 Land Application of Municipal SewageSludge for the Production of Fruits and Vegetables A Statement of Federal Policy andGuidance SW 905 US US Environmental Protection Agency US Food and DrugAdministration and US Department of Agriculture Washington DC

EPA (US Environmental Protection Agency) 1984 Municipal sludge management policy NoticeFed Regist 49(114)24849ndash24850 (June 12 1984)

EPA (US Environmental Protection Agency) 1985 Pathogen Risk Assessment Feasibility StudyEPA 6006ndash88003 Office of Research and Development

BIOSOLIDS MANAGEMENT 99

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Office of Health and Environmental Assessment Environmental Criteria and AssessmentOffice US Environmental Protection Agency Cincinnati OH November 1985

EPA (US Environmental Protection Agency) 1989 Environmental Regulation and TechnologyControl of the Pathogens in Municipal Wastewater Sludge for Land Application UnderCFR Part 257 Office of Technology Transfer and Regulatory Support USEnvironmental Protection Agency Cincinnati OH September 1989

EPA (US Environmental Protection Agency) 1990 National sewage sludge survey Availabilityof information and data and anticipated impacts on proposed regulations Fed Regist 55(218)47210ndash47283 (November 9 1990)

EPA (US Environmental Protection Agency) 1991 Interagency policy on beneficial use ofmunicipal sewage sludge on federal land Notice Fed Regist 56(138)33186ndash33188 (July18 1991)

EPA (US Environmental Protection Agency) 1992 Technical Support Document for Reduction ofPathogens and Vector Attraction in Sewage Sludge EPA 822R-93ndash004 Office of WaterUS Environmental Protection Agency November 1992

EPA (US Environmental Protection Agency) 1993 Federal Register February 19 1993 40 CFRParts 257 403 and 503 The Standards for the Use or Disposal of Sewage Sludge FinalRules EPA 822Z-93001 US Environmental Protection Agency

EPA (US Environmental Protection Agency) 1994 Federal register amendment to 40 CFR503Fed Regist 59(38)9095ndash9100 (February 25 1994)

EPA (US Environmental Protection Agency) 1995a A Guide to the Biosolids Risk Assessmentsfor the EPA Part 503 Rule EPA 832-B-93ndash005Office of Wastewater Management USEnvironmental Protection Agency Washington DC September 1995 [Online] Availablehttpwwwepagovowmbio503ruleindexhtm [December 20 2001]

EPA (US Environmental Protection Agency) 1995b Sewage sludge Use or disposal standardsFed Regist 60(206)54771ndash54792 (October 25 1995)

EPA (US Environmental Protection Agency) 1998 Part IV 40 CFR Parts 750 and 761 Disposalof polychlorinated biphenyls (PCBs) Final Rule Fed Regist 63(124)35383ndash35474(June 29 1998)

EPA (US Environmental Protection Agency) 1999a Introduction to the National PretreatmentProgram EPA-833-B-98ndash002 Office of Wastewater Management US EnvironmentalProtection Agency February 1999 [Online] Available wwwepagovnpdespubsfinal99pdf [March 19 2002]

EPA (US Environmental Protection Agency) 1999b Environmental Regulations and TechnologyControl of Pathogens and Vector Attraction in Sewage Sludge EPA625R-92013 Officeof Research and Development US Environmental Protection Agency Washington DC[Online] Available httpwwwepagovttbnrmrl625R-92013htm [January 4 2002]

BIOSOLIDS MANAGEMENT 100

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

EPA (US Environmental Protection Agency) 1999c Standards for the use or disposal of sewagesludge Proposed rule Fed Regist 64(246)72045ndash72062 (December 23 1999)

EPA (US Environmental Protection Agency) 2000a Progress in Water Quality An Evaluation ofthe National Investment in Municipal Wastewater Treatment EPA-832-R-00ndash008 Officeof Wastewater Management Office of Water US Environmental Protection AgencyJune 2000 [Online] Available httpwwwepagovOWOWMhtmlwqualitybenefitshtm[May 16 2002]

EPA (US Environmental Protection Agency) 2000b Water Biosolids Management andEnforcement Audit Report No 2000-P-10 Office of Inspector General March 20 2000[Online] Available httpwwwepagovoigearthauditlist30000P0010pdf [December20 2001]

EPA (US Environmental Protection Agency) 2000c OECArsquos Response to IG Report on Biosolids(2000-P-10) Memorandum from Steven AHerman Assistant Administrator Office ofEnforcement and Compliance Assurance to Jonathan CFox Assistant AdministratorOffice of Water US Environmental Protection Agency Washington DC June 23 2000

EPA (US Environmental Protection Agency) 2001a Final Audit Report on Biosolids Managementand Enforcement (No 2000-P-10) Memorandum to Michael Simmons Deputy AssistantInspector General for Internal Audits from Diane CRegas Acting AssistantAdministrator Office of Water US Environmental Protection Agency Washington DCJune 11 2001

EPA (US Environmental Protection Agency) 2001b Agency Response to Biosolids Managementand Enforcement Audit Report No 2000-P-10 Memorandum to GTracy Mehan AssistantAdministrator for Water and Sylvia KLowrance Acting Assistant Administrator forEnforcement and Compliance Assurance from Judith JVanderhoef Project ManagerHeadquarters Audit Division October 5 2001

EPA (US Environmental Protection Agency) 2001c Workshop on Emerging Infectious DiseaseAgents and Associated With Animal Manures Biosolids and Other Similar By-ProductsCincinnati OH June 4ndash6 2001 National Risk Management Research Laboratory USEnvironmental Protection Agency Cincinnati OH

EPA (US Environmental Protection Agency) 2002a Standards for the Use or Disposal of SewageSludge Notice Fed Regist 67(113)40554ndash40576 (June 12 2002)

EPA (US Environmental Protection Agency) 2002b Biosolids Management and EnforcementOIG Audit Report No 2000-P-10 Memorandum to Judith J Vanderhoef ProjectManager Headquarters Audit Division and Michael Wall Acting Divisional Inspector forAudit Headquarters Audit Division from GTracy Mehan Assistant Administrator forWater and Sylvia KLowrance Acting Assistant Administrator for Enforcement andCompliance Assurance US Environmental Protection Agency Washington DC Jan30 2002

EPA (US Environmental Protection Agency) 2002c Land Application of Biosolids Status Report2002-S-000004 Office of Inspector General US Environmental Agency March 28 2002

BIOSOLIDS MANAGEMENT 101

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

European Communities 2001 Disposal and Recycle Routes for Sewage Sludge Part 1 Sludge UseAcceptance Part 2 Regulatory Report European Communities DG EnvironmentLuxembourg Office for Official Publications of the European Communities October2001 [Online] Available httpeuropaeuintcommenvironmentsludgesludge_disposalhtm [March 27 2001]

European Union 2000a Waste management Chapter 4 in Handbook for Implementation of EUEnvironmental Legislation Enlargement and Co-Operation with European ThirdCountries Europa The European Union On-Line [Online] Available httpeuropaeuintcommenvironmentenlarghandbookwastepdf [September 12 2001]

European Union 2000b Working Document on Sludge 3rd Draft ENVE3LM European UnionBrussels April 27 2000 The European Union On-Line Available httpeuropaeuintcommenvironmentsludgesludge_enpdf [March 20 2002]

Gendebien A CCarlton-Smith MIzzo and JEHall 1999 UK Sewage Sludge Survey-NationalPresentation RampD Technical Report P 165 Environmental Agency Bristol UK

GLUMB (Great Lakes-Upper Mississippi River Board of State and Provincial Public Health andEnvironmental Managers) 1997 Recommended Standards for Wastewater FacilitiesAlbany NY Health Education Service

Green LC EACCrouch SRArmstrong TLLash and RLLester 1995 Comments onEstimating Exposure to Dioxin-Like Compounds Review Draft CambridgeEnvironmental Inc Cambridge MA January 12 1995

Haas CN 2001 Assessment of the PEC Process Report to US EPA Pathogen EquivalencyCommittee (PEC) Philadelphia PA Drexel University Philadelphia PA January 2 2001

Harrison EZ and MMEaton 2001 The role of municipalities in regulating the land applicationof sewage sludges and spetage Nat Res J 41(1)77ndash123

Keeney DR KWLee and LMWalsh 1975 Guidelines for the Application of WastewaterSludge to Agricultural Land in Wisconsin Technical Bulletin 88 Madison WIDepartment of Natural Resources

Kelley EF 2000 Vermont Biosolids Dioxin Sampling Project Final Report Vermont Departmentof Environmental Conservation December 7 2000

Kester G 2000a Letter to Chairman FJames Sensenbrenner US House of RepresentativeCommittee on Science Washington DC from GKester State Residuals CoordinatorBureau of Watershed Management State of Wisconsin Department of Natural ResourcesMadison WI April 6 2000

Kester G 2000b Letter to Michael Cook Director Office of Wastewater Management USEnvironmental Protection Agency Washington DC from GKester Wisconsin ResidualsCoordinator Bureau of Watershed Management State of Wisconsin Department ofNatural Resources Madison WI February 23 2000

Kester G 2000c Letter to Mike Cook Director Office of Wastewater Management USEnvironmental Protection Agency Washington DC from G Kester Wisconsin ResidualsCoordinator Bureau of Watershed Management State of Wisconsin Department ofNatural Resources Madison WI October 2 2000

BIOSOLIDS MANAGEMENT 102

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Kester G 2001a Letter to Michael BCook Director Office of Wastewater Management ElaineGStanley Director Office of Compliance Brian JMaas Director Water EnforcementDivision Eric VSchaffer Director Office of Regulatory Enforcement Elliott JGilbergDirector Chemical Commercial Services and Municipal Division and Frederick FStiehlDirector Environmental Planning Targeting and Data Division US EnvironmentalProtection Agency Washington DC from GKester State Residuals Coordinator Bureauof Watershed Management State of Wisconsin Department of Natural ResourcesMadison WI January 9 2001

Kester G 2001b Letter to The Honorable Christine Todd Whitman Administrator USEnvironmental Protection Agency Washington DC from GKester State ResidualsCoordinator Bureau of Watershed Management State of Wisconsin Department ofNatural Resources Madison WI September 10 2001

King County 2000 Biosolids Quality Summary Biosolids Management Program King CountyDepartment of Natural Resources Wastewater Treatment Division Seattle WA July 2001

Kowal NE 1985 Health Effects of Land Application of Municipal Sludge EPA6001ndash85015Health Effects Research Laboratory Office of Research and Development USEnvironmental Protection Agency Research Triangle Park NC (cited in EPA 1992)

Lodor ML 2001 NIOSH reports omits significant details in LeSourdsville case BiosolidsTechnical Bulletin 7(4)11ndash13

Matthews P ed 1996 Global Atlas of Wastewater Sludge and Biosolids Use and DisposalScientific and Technical Report No 4 London International Association on WaterQuality 197 pp

McGrath SP ACChang ALPage and EWitter 1994 Land application of sewage sludgeScientific perspectives of heavy metal loading limits in Europe and the United StatesEnviron Rev 2108ndash118

Meyer GE 1998 Letter to JCharles Fox Assistant Administrator Office of Water USEnvironmental Protection Agency Washington DC from GEMeyer Secretary State ofWisconsin Department of Natural Resources Madison WI November 13 1998

MMSD (Milwaukee Metropolitan Sewerage District) 2001 Pretreatment Program EffectivenessAnalysis 2000 Milwaukee Metropolitan Sewerage District May 2001

NIOSH (National Institute for Occupational Safety and Health) 2000 Workers Exposed to Class BBiosolids During and After Field Application NIOSH Hazard ID HID 10 DHHS(NIOSH) 2000ndash158 National Institute for Occupational Safety and Health Centers forDisease Control and Prevention Public Health Service US Department of Health andHuman Services August 2000

NIOSH (National Institute for Occupational Safety and Health) 2002 Guidance for ControllingPotential Risks to Workers Exposed to Class B Biosolids DHHS (NIOSH) 2002ndash149National Institute for Occupational Safety and Health Centers for Disease Control andPrevention Public Health Service US Department of Health and Human ServicesPreprint June 12 2002

BIOSOLIDS MANAGEMENT 103

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

NRC (National Research Council) 1996 Use of Reclaimed Water and Sludge in Food CropProduction Washington DC National Academy Press

OrsquoConnor G RBBrobst RLChaney RLKincaid LRMcDowell GM Pierzynski ARubinand GGVan Riper 2001 A modified risk assessment to establish molybdenum standardsfor land application of biosolids J Environ Qual 30(5)1490ndash1507

Pedersen D 1981 Density Levels of Pathogenic Organisms in Municipal Wastewater Sludge ALiterature Review EPA-6002ndash81ndash170 NTIS PB82ndash102286 Boston MA Camp Dresseramp McKee Inc

Peavy HS DRRowe and GTchobanoglous 1985 P 278 in Environmental Engineering NewYork McGraw-Hill

Portland 2002 Biosolids Management Plan Bureau of Environmental Services City of PortlandFebruary 2002

Razvi A 2000 Audit Report of DNR Septage Management Program College of NaturalResources University of Wisconsin-Stevens Point August 15 2000

Reimers RS ACAnderson AAAbdelhgani MCLockwood and LEWhite 1986a The usageof non-ionizing irradiation processes in the disinfection of water and wastes Pp 272ndash299in Applied Fields for Energy Conservation Water Treatment and Industrial ApplicationsFinal Report RSReimers SFBock and LEWhite eds DOECE40568-T1(DE86014306) Washington DC Technical Information Center Office of Scientific andTechnical Information US Department of Energy June 1986

Reimers RS MDLittle AJEnglande DBMcDonell DDBowman and JM Hughes 1986bInvestigation of Parasites in Sludges and Disinfection Tech niques EPA 6001ndash85022NTIS PB 86ndash135407 Prepared by the School of Public Health and Tropical MedicineTulane University New Orleans LA for the Health Effects Research LaboratoryResearch Triangle Park NC

Reimers RS AJEnglande RMBakeer DDBowman TACalamari HBBrad fordCFDufrechou and MMAtique 1999 Update on Current and Future Aspects ofResource Management for Animal Wastes WEFTEC rsquo99 Pre-Con ference WorkshopldquoBeneficial Use of Animal Waste Residuals-A Mandatory Aim for the 21st CenturyrdquoWater Environment Federation Alexandria VA October 1999

Reimers RS DDBowman PLSchafer PTata BDLeftwich and MMAtique 2001 FactorsAffecting Lagoon Storage Disinfection of Biosolids Proceedings of Joint WEFAWWACWEA Specialty Conference ldquoBiosolids 2001rdquo CD-ROM Water EnvironmentalFederation Alexandria VA February 2001

Stehouwer RC AMWolf and WTDoty 2000 Chemical monitoring of sewage sludge inPennsylvania Variability and application uncertainty J Environ Qual 29(5)1686ndash1695

UK Department of the Environment 1993 Sludge Use in Agriculture 19901991 Report to the ECCommission Under Directive 86278EEC Department of the Environment HMSOLondon

Wisconsin Administrative Code 1996 Domestic Sewage Sludge Management Chapter NR 204Register 49115ndash37 Department of Natural Resources State

BIOSOLIDS MANAGEMENT 104

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t th

is P

DF

file

Thi

s ne

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of t

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ork

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ompo

sed

from

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es c

reat

ed f

rom

the

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inal

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ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

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e le

ngth

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ord

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ks h

eadi

ng s

tyle

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ting

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ever

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ome

typo

grap

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rs m

ay h

ave

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tally

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rted

Ple

ase

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the

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t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

of Wisconsin Department of Administration [Online] Available httpwwwdoastatewiusdsasdocservdocsaleswiscodeasp [March 27 2002]

BIOSOLIDS MANAGEMENT 105

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t th

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ork

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rom

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ook

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brea

ks a

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ue to

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e le

ngth

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ord

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ks h

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ng s

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ere

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ay h

ave

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his

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e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

3

Epidemiological Evidence of Health EffectsAssociated with Biosolids Production and

Application

This chapter reviews the epidemiological literature concerning workersand community residents potentially exposed to biosolids during production andapplication This literature is valuable for four reasons (1) it may providedocumentation of human-health consequences of exposure to biosolids underthe circumstances of their production application and use (2) it may provideinformation on routes of exposure such as airborne transmission or ingestion(3) it may provide information on a dose-response relationship and (4) it mayidentify gaps in the literature Recognition of gaps is essential to distinguishbetween no evidence of effect and evidence of no effect Finally even thoughall prediction is based on logical extension from available information anepidemiological review can provide an assessment of the strength of theknowledge foundation from which predictions are made

The committee was apprised of various human-health allegationsassociated with biosolids exposure from news articles written submissions fromthe public and citizens who attended its public meetings It was beyond thecommitteersquos charge to investigate or verify these allegations Thus thecommittee limited review to studies published in the peer-reviewed literatureand reports from government agencies The review included studies thatinvestigated health effects or provided biomonitoring data (evidence ofbiological absorption [ie chemical absorption into the body]) and excludedstudies limited to human exposure without evidence of biological absorption orhuman health effects Although the committee was asked to focus on publichealth the review includes epidemiological studies involving production andapplication

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

106

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t th

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rom

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inal

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ks a

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ord

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his

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as th

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thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

of biosolids by workers in addition to assessments of health effects incommunity residents The rationale for inclusion of information on workerexposure is that occupational exposure which for many toxicants is usuallyhigher in exposed workers than in residents exposed from the generalenvironment often provides a substantial basis for extrapolating risk assessmentfrom higher occupational concentrations to lower environmental concentrations

The committee also considered potential risks from odors and diseasevectors but did not find any epidemiological studies of these types of risksrelated to biosolids Odors and disease vectors have often been categorized asnuisance or aesthetic issues but odors can have adverse physiological andpsychological effects (see Chapter 5) and vectors can transmit disease (seeChapter 6) These are issues that need careful consideration as there appears tobe a fine line between when odors or disease vectors are merely nuisance issuesand when they are health issues

DESCRIPTION OF THE LITERATURE

The committee evaluated 23 studies relevant to the assessment of humanhealth effects associated with biosolids exposure and divided them into sixmajor focus populations (1) biosolids users (eg farmers and home gardeners)(2) populations near agricultural application sites (3) workers involved inbiosolids production and application (4) populations near sewage treatmentplants (5) workers in sewage treatment plants and (6) compost workers Fewepidemiological studies were conducted specifically for biosolids exposureThere are substantially more studies of workers in sewage treatment plants andpopulations living near them Although those studies do not involve exposure tobiosolids per se they were included because they provide valuable informationabout hazards to sewer workers and others exposed to raw sewage that could beused to identify potential hazards from biosolids However an exhaustivereview of the literature on exposures from sewage treatment plants was notconducted

Table 3ndash1 provides the details of the studies that the committee evaluatedA summary of the populations studied the observed outcomes and thecommitteersquos assessment is provided below

Exposed Populations

bull Biosolids users One study documents chemical exposure fromavocational gardening use of biosolids (Baker et al 1980) This singleinvesti

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

107

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t th

is P

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s ne

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of t

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ork

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rom

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s P

age

brea

ks a

re tr

ue to

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orig

inal

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e le

ngth

s w

ord

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ks h

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ng s

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ther

type

setti

ng-s

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fic fo

rmat

ting

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ever

can

not b

ere

tain

ed a

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grap

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ay h

ave

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tally

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rted

Ple

ase

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the

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t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

TA

BL

E 3

ndash1 S

umm

ary

of H

uman

Hea

lth

Stu

dies

on

Bio

soli

ds a

nd B

ioso

lids

-rel

ated

Exp

osur

es

Stu

dy T

ype

End

Poi

nts

Eva

luat

edF

indi

ngs

Ref

eren

ces

Bio

soli

ds U

sers

Cro

ss-s

ecti

onal

Eva

luat

ion

of P

CB

exp

osur

e an

d he

alth

eff

ects

in (

1)bi

osol

ids

user

s (n

=89

) in

Blo

omin

gton

Ind

iana

ex

pose

d to

bio

soli

ds d

irec

tly

from

app

lica

tion

toga

rden

s or

indi

rect

ly f

rom

foo

ds g

row

n in

bio

soli

ds-

amen

ded

soil

s (

2) w

orke

rs o

ccup

atio

nall

y ex

pose

d to

PC

Bs

(n=

18 o

nly

1 ex

pose

d vi

a bi

osol

ids)

(3

) fa

mil

ym

embe

rs o

f w

orke

rs o

ccup

atio

nal

expo

sed

tobi

osol

ids

(n=

19)

and

(4)

indi

vidu

als

wit

h no

kno

wn

expo

sure

to P

CB

s (n

=22

) (

PC

Bs

wer

e di

scha

rged

into

the

mun

icip

al s

ewag

e sy

stem

by

a el

ectr

ical

capa

cito

r m

anuf

actu

ring

pla

nt)

Mea

n se

rum

con

cent

rati

ons

of P

CB

s w

ere

174

ppb

inbi

osol

ids

user

s 7

51

ppb

in P

CB

-exp

osed

wor

kers

33

6 p

pb in

wor

ker

fam

ily

mem

bers

an

d 24

4 p

pb in

none

xpos

ed in

divi

dual

s F

or b

ioso

lids

use

rs P

CB

seru

m c

once

ntra

tion

s w

ere

asso

ciat

ed p

osit

ivel

y w

ith

the

perc

enta

ge o

f ga

rden

car

e (p

=0

035)

and

nega

tive

ly w

ith

wea

ring

glo

ves

whi

le g

arde

ning

(p=

002

1) b

ut w

ere

not s

igni

fica

ntly

ass

ocia

ted

wit

hth

e am

ount

of

bios

olid

s us

ed o

r th

e du

rati

on o

fex

posu

re N

o ov

ert s

ympt

oms

of P

CB

toxi

city

wer

eob

serv

ed a

nd n

o co

rrel

atio

ns w

ere

foun

d be

twee

nP

CB

exp

osur

e an

d te

sts

of h

emat

olog

ical

hep

atic

or

rena

l fun

ctio

n P

lasm

a tr

igly

ceri

de c

once

ntra

tion

sw

ere

foun

d to

incr

ease

wit

h se

rum

PC

Bco

ncen

trat

ions

sug

gest

ing

that

PC

Bs

mig

ht a

lter

lipi

dm

etab

olis

m

Bak

er e

t al

1980

Pop

ulat

ions

Nea

r A

gric

ultu

ral A

ppli

cati

on S

ites

Pro

spec

tive

Thr

ee-y

ear

heal

th s

urve

y of

farm

resi

dent

s (n

=16

4)an

d do

mes

tic

anim

als

at f

arm

app

lica

tion

sit

es in

Ohi

o R

esid

ents

als

o un

der

No

sign

ific

ant d

iffe

renc

es in

the

follo

win

g pa

ram

eter

sw

ere

foun

d be

twee

n re

side

nts

at la

nd-a

ppli

cati

on s

ites

and

cont

rol s

ites

res

pira

tory

illn

ess

gas

troi

ntes

tina

lil

lnes

s o

r ge

nera

l sym

ptom

s d

isea

se

Dor

n et

al

1985

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

108

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

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al w

ork

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ompo

sed

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er b

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not

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file

s P

age

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ks a

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e le

ngth

s w

ord

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tyle

s a

nd o

ther

type

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ng-s

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fic fo

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ever

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grap

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erro

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ay h

ave

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iden

tally

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rted

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ase

use

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prin

t ver

sion

of t

his

publ

icat

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as th

e au

thor

itativ

e ve

rsio

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ibut

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wen

t tub

ercu

lin

and

sero

logi

cal

test

ing

Res

ults

wer

e co

mpa

red

wit

h re

side

nts

of f

arm

s th

at d

o no

tap

ply

bios

olid

s (n

=13

0)

occu

rren

ce in

dom

esti

c an

imal

s a

nd s

erol

ogic

alco

nver

sion

s to

23

viru

ses

and

the

freq

uenc

y of

asso

ciat

ed il

lnes

ses

No

conv

ersi

ons

from

pos

itive

to n

egat

ive

tine

test

res

ults

wer

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und

afte

rse

wag

e sl

udge

app

lica

tion

W

orke

rs in

Bio

soli

ds P

rodu

ctio

n an

dor

App

lica

tion

Ind

ustr

yC

ross

-sec

tion

alIn

terv

iew

s w

ith

empl

oyee

s (n

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load

ing

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adin

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pply

ing

Cla

ss B

bio

soli

ds a

nden

viro

nmen

tal

mon

itor

ing

incl

udin

g br

eath

ing-

zone

air

sam

ples

for

bac

teri

a e

ndot

oxin

s V

OC

san

d tr

ace

met

als

His

tory

of

gast

roin

test

inal

illn

ess

amon

g w

orke

rs

Ent

eric

bac

teri

a w

ere

dete

cted

in th

e ai

r an

d bu

lksa

mpl

es E

ndot

oxin

leve

ls a

t or

belo

w le

vels

fou

ndin

was

tew

ater

trea

tmen

t fac

ilit

ies

Var

ious

met

als

and

VO

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wer

e lo

w A

fter

this

stu

dy w

as is

sued

it

was

rep

orte

d th

at th

e bi

osol

ids

to w

hich

the

wor

kers

wer

e ex

pose

d di

d no

t mee

t Cla

ss B

requ

irem

ents

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ton

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ut 1

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reat

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nts

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esse

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d sy

mpt

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repo

rted

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wee

n19

65 a

nd 1

971

by c

omm

unit

y in

Tec

umse

h M

I(n

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889)

Com

mun

ity

was

div

ided

into

conc

entr

ic r

ings

rad

iati

ng o

ut in

mul

tipl

es o

f 60

0m

fro

m a

n ac

tiva

ted

sew

age

slud

ge tr

eatm

ent p

lant

Gre

ater

than

exp

ecte

d oc

curr

ence

of

resp

irat

ory

and

gast

roin

test

inal

illn

esse

s in

com

mun

ity

livi

ngw

ithi

n 60

0 m

of

the

plan

t L

imit

atio

ns in

inte

rpre

ting

the

resu

lts

wer

e id

enti

fied

by

the

inve

stig

ator

s as

con

foun

ding

by

a de

mog

raph

ical

lyhe

tero

gene

ous

popu

lati

on (

low

soc

ioec

onom

icpo

pula

tion

) la

ck o

f ex

posu

re a

nd m

eteo

rolo

gica

lda

ta a

nd r

elat

ivel

y lo

w v

olum

e of

the

expo

sure

sour

ce

Fan

nin

et a

l 19

80

Jaku

bow

ski

1986

Ret

rosp

ecti

veM

onit

orin

g of

mic

roor

gani

sms

in th

e ai

r up

win

dan

d do

wnw

ind

ofA

bsen

teei

sm a

t the

sch

ool d

ecre

ased

dur

ing

the

2 y

afte

r th

e pl

ant b

egan

ope

rati

ons

com

pare

d w

ith

Cam

ann

et a

l 19

80

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

109

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

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rese

ntat

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of t

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sed

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es c

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ook

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age

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e le

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s w

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tally

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rted

Ple

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use

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prin

t ver

sion

of t

his

publ

icat

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as th

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Stu

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ype

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nts

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luat

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indi

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a pl

ant i

n T

igar

d O

R a

nd c

ompa

riso

n of

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rat

es in

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hool

bef

ore

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atte

ndan

ce d

ata

coll

ecte

d ov

er 7

y b

efor

e th

e pl

ant

open

ed

Jaku

bow

ski

1986

Pro

spec

tive

Hea

lth

surv

ey o

f co

mm

unit

y (n

=4

300)

inS

chau

mbu

rg I

L b

etw

een

1974

and

197

6 w

hich

cove

red

a pe

riod

bef

ore

and

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r an

act

ivat

ed s

ewag

esl

udge

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tmen

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nt w

as o

pera

tion

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alte

sts

and

isol

atio

n of

pat

hoge

ns f

rom

cli

nica

lsp

ecim

ens

wer

e al

so p

erfo

rmed

on

a su

bset

of

the

com

mun

ity

(n=

226)

Sig

nifi

cant

(plt

001

) in

crea

ses

wer

e fo

und

in th

ere

port

ed in

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nce

of s

kin

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st p

ain

dia

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aw

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sea

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e po

pula

tion

livi

ng w

ithi

n 2

m o

f th

e pl

ant

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rrhe

a w

as th

e on

lysy

mpt

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or w

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ther

e w

ere

unif

orm

rep

orts

thro

ugho

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e re

port

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peri

od i

ncre

asin

g fr

om 4

1

befo

re th

e pl

ant o

pene

d to

76

a

fter

the

plan

t ope

ned

The

re w

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no in

crea

ses

in th

e is

olat

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ofP

seud

omon

as S

alm

onel

la o

r pa

rasi

tes

in f

ecal

sam

ples

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e pl

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d a

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sig

nifi

cant

dec

reas

e in

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teus

isol

atio

ns w

ere

obse

rved

dur

ing

the

oper

atio

nal

peri

od I

ncre

ases

in S

trep

toco

ccus

and

Sta

phyl

ococ

cus

isol

ates

in th

roat

sw

abs

wer

e ob

serv

ed a

fter

pla

ntop

enin

g b

ut r

egre

ssio

n an

alys

es f

ound

no

rela

tion

ship

wit

h ex

posu

re to

the

plan

t S

imil

arly

the

re w

ere

incr

ease

s in

vir

us is

olat

es in

fec

al s

ampl

es d

urin

g th

eop

erat

iona

l pe

riod

but

thos

e in

crea

ses

wer

e no

t fou

ndto

be

rela

ted

to th

e pl

ant

Ant

ibod

y te

sts

for

ente

ric

viru

ses

foun

d no

evi

denc

e of

incr

ease

d ex

posu

re fr

omth

e pl

ant

and

aero

sol m

onit

orin

g re

sult

s in

dica

ted

that

leve

ls

John

son

et a

l 19

80

Jaku

bow

ski

1986

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

110

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

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al w

ork

has

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ompo

sed

from

XM

L fil

es c

reat

ed f

rom

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orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

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inal

lin

e le

ngth

s w

ord

brea

ks h

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ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

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as th

e au

thor

itativ

e ve

rsio

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r attr

ibut

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of m

icro

orga

nism

s in

the

air

in th

e re

side

ntia

lar

eas

in th

e vi

cini

ty o

f th

e pl

ant w

ere

sim

ilar

toba

ckgr

ound

con

cent

rati

ons

Pro

spec

tive

Eig

ht-m

onth

hea

lth

surv

ey o

f a

popu

lati

on(n

=2

378)

livi

ng in

the

vici

nity

of

a pl

ant i

nS

koki

e I

L A

naly

ses

of b

lood

thr

oat

and

feca

lsp

ecim

ens

wer

e te

sted

in s

ubse

ts o

f th

epo

pula

tion

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robi

al a

eros

ol m

onit

orin

g an

dm

eteo

rolo

gica

l da

ta w

ere

also

col

lect

ed

Reg

ress

ion

anal

yses

per

form

ed b

etw

een

tota

lpa

rtic

le e

xpos

ure

indi

ces

and

self

-rep

orte

dill

ness

rat

es p

atho

geni

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cter

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olat

ion

rate

spr

eval

ence

rat

es o

f vi

rus

anti

body

and

vir

usan

tibod

y tit

ers

wer

e ne

gativ

e R

egre

ssio

nan

alys

es w

ere

also

neg

ativ

e w

hen

illne

ss r

ates

and

expo

sure

indi

ces

wer

e ru

n w

ith

refe

renc

e to

leng

th o

f re

side

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age

sm

okin

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rese

nce

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ung

chil

dren

chr

onic

res

pira

tory

dis

ease

and

chro

nic

gast

roin

test

inal

illn

ess

Nor

thro

p et

al

1980

Ja

kubo

wsk

i 19

86

Sew

age

Tre

atm

ent P

lant

Wor

kers

Cro

ss-s

ecti

onal

Hea

lth

surv

ey o

f w

orke

rs a

t a s

ewag

e tr

eatm

ent

plan

t in

Tor

onto

Can

ada

(n=

50)

Lun

g fu

ncti

onte

sts

and

anal

yses

of

PC

Bs

in b

lood

sam

ples

wer

e al

so c

ondu

cted

(T

he p

lant

rec

eive

dco

ntro

lled

dis

char

ges

of P

CB

s fr

om a

nel

ectr

ical

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ufac

turi

ng c

ompa

ny)

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mos

t com

mon

sym

ptom

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port

ed b

yw

orke

rs in

clud

ed c

ough

spu

tum

pro

duct

ion

whe

ezin

g s

ore

thro

at a

nd s

kin

com

plai

nts

Wor

kers

tend

ed to

hav

e sl

ight

ly r

educ

ed lu

ngfu

ncti

on S

erum

con

cent

rati

ons

of P

CB

s co

uld

not b

e re

late

d to

sym

ptom

s or

cli

nica

l fin

ding

s

Net

herc

ott a

nd H

olne

ss 1

988

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ectio

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aliv

a te

st w

as u

sed

to d

etec

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ibod

ies

tohe

patit

is A

vir

us (

anti-

HA

V)

in w

orke

rs a

tw

aste

wat

er p

lant

s se

rvin

g C

olum

bus

OH

(n=

163)

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ults

wer

e

For

ty-t

wo

was

tew

ater

wor

kers

and

17

cont

rol

wor

kers

test

ed p

ositi

vely

for

ant

i-H

AV

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erco

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llin

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nfou

ndin

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fect

s of

age

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race

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asso

ciat

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was

fou

nd b

etw

een

was

tew

ater

wor

k an

d an

incr

ease

d pr

eval

ence

of

anti-

HA

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prev

a

Tro

ut e

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2000

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

111

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

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ork

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inal

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er b

ook

not

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age

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ks a

re tr

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nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

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acc

iden

tally

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rted

Ple

ase

use

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prin

t ver

sion

of t

his

publ

icat

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as th

e au

thor

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rsio

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Stu

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nts

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luat

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indi

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ith

thos

e fr

om w

orke

rs n

ot e

xpos

edto

was

tew

ater

(n=

139)

le

nce

rati

o=1

3 9

5 c

onfi

denc

e in

terv

al 0

7 to

24)

In

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valu

atio

n of

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e n

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atis

tica

lly

sign

ific

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ccup

atio

nal

risk

fact

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as f

ound

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ross

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orke

rs (

n=34

) fr

om e

ight

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en c

ompl

eted

hea

lth

ques

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nair

esan

d un

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ent

spir

omet

ry a

nd a

irw

ay te

sts

Res

ults

wer

e co

mpa

red

wit

h th

ose

of n

onse

wag

ew

orke

rs (

n=35

)

Rep

orts

of

nasa

l irr

itat

ion

tire

dnes

s a

nd d

iarr

hea

wer

e si

gnif

ican

tly

high

er in

sew

age

wor

kers

com

pare

d w

ith

cont

rols

Air

way

res

pons

iven

ess

was

incr

ease

d am

ong

sew

age

wor

kers

but

ther

ew

ere

no d

iffe

renc

es in

spi

rom

etry

res

ults

The

auth

ors

sugg

este

d th

at th

e sy

mpt

oms

wer

e li

kely

caus

ed b

y en

doto

xin

whi

ch w

as d

etec

ted

betw

een

38

and

321

70ng

m3

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ande

r 19

99

Cro

ss-s

ecti

onal

Wor

kers

(n=

189)

fro

m 1

6 se

wag

e tr

eatm

ent

plan

ts in

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k w

ere

surv

eyed

for

wor

king

habi

ts l

ife

styl

e a

nd s

ympt

oms

of il

lnes

s R

esul

tsw

ere

com

pare

d w

ith

wor

kers

at a

wat

er tr

eatm

ent

plan

t (n=

82)

The

fre

quen

cy o

f he

adac

he d

izzi

ness

sor

e th

roat

sk

in ir

rita

tion

and

dia

rrhe

a w

as s

igni

fica

ntly

high

er a

mon

g th

e se

wag

e w

orke

rs

Sca

rlet

t-K

ranz

et a

l 19

87

Cro

ss-s

ectio

nal

Pat

ient

s (n

=5)

rep

airi

ng a

dec

ante

r fo

r se

wag

esl

udge

con

cent

ratio

n de

velo

ped

illne

sses

cons

iste

nt w

ith

Pont

iac

feve

r

Ser

olog

ical

con

firm

atio

n of

Pon

tiac

fev

er in

all

five

wor

kers

and

rec

over

y of

Leg

ione

lla

pneu

mop

hila

fro

m s

ewag

e sl

udge

Gre

gers

en e

t al

1999

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

112

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Cro

ss-s

ectio

nal

Was

tew

ater

wor

kers

(n=

359)

and

dri

nkin

g-w

ater

wor

kers

(n=

89)

wer

e ex

amin

ed f

or a

nti-

HA

V

Ant

i-H

AV

was

det

ecte

d in

28

4 o

f w

aste

wat

erw

orke

rs a

nd in

23

6 o

f dr

inki

ng-w

ater

wor

kers

A

fter

adj

ustm

ent f

or a

ge a

nd o

ther

var

iabl

es t

heod

ds r

atio

for

ant

i-H

AV

was

2 (

CI

1ndash3

8)

Add

itio

nal r

isk

fact

ors

incl

uded

yea

rs in

indu

stry

ne

ver

wea

ring

fac

e pr

otec

tion

and

ski

n co

ntac

t

Wel

don

et a

l 20

00

Cro

ss-s

ecti

onal

Stu

dy o

f em

ploy

ees

in w

ater

and

sew

age

com

pany

(n=

241)

E

xpos

ure

to r

aw s

ewag

e w

as a

ris

k fa

ctor

for

HA

Vin

fect

ion

(odd

s ra

tio

37

(CI

15

ndash94

) 6

0 o

fw

orke

rs r

epor

ting

exp

osur

e to

raw

sew

age

had

HA

V in

fect

ion

Bru

gha

et a

l 19

98

Cro

ss-s

ecti

onal

Uri

ne a

ssay

for

pes

tici

de a

mon

g w

aste

wat

er tr

eatm

ent

wor

kers

pro

cess

ing

effl

uent

fro

m p

esti

cide

pla

nt a

ndam

ong

com

pari

son

wor

kers

in w

ater

sys

tem

69

of e

xpos

ed w

orke

rs e

xcee

ded

urin

e cu

t-of

fva

lue

com

pare

d w

ith

10

in c

ompa

riso

n pl

ant

Shi

ft c

hang

es w

ere

cons

iste

nt w

ith

occu

pati

onal

expo

sure

Eli

a et

al

1983

Cro

ss-s

ecti

onal

Exa

min

atio

n of

sew

age

trea

tmen

t pla

nt w

orke

rs(n

=14

5) a

fter

hex

achl

oroc

yclo

-pen

tadi

ene

was

dum

ped

into

a m

unic

ipal

sew

age

syst

em

Exa

min

atio

n of

41

empl

oyee

s sh

owed

pro

tein

uria

and

incr

ease

d se

rum

lact

ic d

ehyd

ogen

ase

leve

ls 3

daf

ter

the

plan

t was

clo

sed

The

se f

indi

ngs

wer

e no

tfo

und

3 w

k la

ter

Mor

se e

t al

1979

Pro

spec

tive

Tw

elve

-mon

th s

tudy

of

infe

ctio

n ra

tes

in e

xper

ienc

edan

d in

expe

rien

ced

wor

kers

(n=

336)

exp

osed

tow

aste

wat

er a

nd n

onex

pose

d w

orke

rs in

Cin

cinn

ati

Chi

cago

and

Mem

phis

No

sign

ific

ant

diff

eren

ces

wer

e fo

und

in il

lnes

sra

tes

by w

orke

r ca

tego

ry o

r ci

ty i

n vi

rus

orba

cter

ial i

sola

tion

rat

es o

r in

ser

olog

ical

ana

lyse

sH

ighe

r ra

tes

of g

astr

oint

esti

nal

illn

ess

wer

e re

port

edby

inex

peri

ence

d w

orke

rs b

ut c

ould

not

be

rela

ted

to a

spe

cifi

c ag

ent o

r ex

posu

re

Cla

rk e

t al

1980

Ja

kubo

wsk

i 19

86

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

113

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Stu

dy T

ype

End

Poi

nts

Eva

luat

edF

indi

ngs

Ref

eren

ces

Sero

logi

cal a

naly

sis

for

rota

viru

s N

orw

alk

agen

t an

d P

roto

thec

a w

icke

rham

ii f

rom

seru

m a

rchi

ved

from

the

wor

ker

popu

lati

onab

ove

No

asso

ciat

ion

betw

een

was

tew

ater

exp

osur

ean

d an

tibo

dies

to e

ithe

r ro

tavi

rus

or P

roto

thec

aIn

expe

rien

ced

wor

kers

had

hig

her

leve

ls o

fan

tibo

dies

to N

orw

alk

agen

tE

valu

atio

n of

815

dea

th c

erti

fica

tes

from

form

er w

aste

wat

er w

orke

rs in

Chi

cago

D

eath

s fr

om le

ukem

ia (

p=0

04)

and

pneu

mon

ia(p

=0

02)

wer

e gr

eate

r th

an e

xpec

ted

Cro

ss-s

ecti

onal

Com

pari

son

of p

roto

zoan

par

asit

ic in

fect

ion

amon

g se

wer

wor

kers

(n=

126)

in F

ranc

eco

mpa

red

wit

h 36

3 fo

od h

andl

ers

(n=

363)

Rat

es o

f in

fect

ion

wer

e hi

gher

am

ong

sew

erw

orke

rs f

or a

ll 6

yr F

orei

gn tr

avel

was

cons

ider

ed b

ut n

o ot

her

poss

ible

dif

fere

nces

wer

e fo

und

amon

g ex

pose

d an

d co

mpa

riso

ngr

oups

Sch

loss

er e

t al

1999

Ret

rosp

ecti

veH

isto

rica

l coh

ort s

tudy

of

was

tew

ater

trea

tmen

t wor

kers

(n=

242)

and

com

pari

son

grou

p of

col

lege

mai

nten

ance

wor

kers

(n=

54)

follo

wed

for

12

mo

Sig

nifi

cant

ly h

ighe

r pr

eval

ence

of

gast

roen

teri

tis

and

gast

roin

test

inal

sym

ptom

s (p

lt0

05)

and

head

ache

s (p

lt0

05)

but n

ot re

spir

ator

ysy

mpt

oms

No

diff

eren

ce w

as f

ound

bet

wee

nhi

gh a

nd lo

w e

xpos

ure

cate

gori

es

Khu

der

et a

l 19

98

Cro

ss-s

ectio

nal

Hea

lth

surv

ey a

nd c

lini

cal t

ests

of w

orke

rs a

tsi

x se

wag

e tr

eatm

ent p

lant

s (n

=19

9) in

Sw

eden

com

pare

d w

ith

cont

rol w

orke

rs a

t adr

inki

ng w

ater

pla

nt (

n=41

)

Rep

orts

of

skin

dis

orde

rs d

iarr

hea

and

oth

erga

stro

inte

stin

al s

ympt

oms

wer

e si

gnif

ican

tly

grea

ter

amon

g th

e se

wag

e-tr

eatm

ent

wor

kers

No

diff

eren

ces

wer

e fo

und

in w

hite

-blo

od-c

ell

coun

tor

ser

um I

g co

ncen

trat

ions

bet

wee

n th

e gr

oups

ex

cept

for

sli

ghtl

y in

crea

sed

IgM

con

cent

rati

ons

amon

g

Lun

dhol

m a

nd R

ylan

der

1983

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

114

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

sew

age

wor

kers

The

mos

t lik

ely

caus

e of

sym

ptom

sw

as to

xins

fro

m g

ram

-neg

ativ

e ba

cter

ia

Cro

ss-s

ecti

onal

Wor

kers

in s

ewag

e tr

eatm

ent p

lant

(n=

30)

com

pare

d w

ith

age-

mat

ched

blo

od d

onor

sE

nvir

onm

enta

l m

easu

rem

ent

of d

ust a

nd a

irbo

rne

bact

eria

con

duct

ed E

leva

tion

s in

IgA

thr

ombo

cyte

sle

ukoc

ytes

end

otox

in a

ntib

odie

s c

-rea

ctiv

e pr

otei

nsco

nsid

ered

con

sist

ent w

ith

endo

toxi

n ex

posu

re

Ryl

ande

r et

al

1977

Com

post

Wor

kers

Cro

ss-s

ecti

onal

Hea

th c

ompl

aint

s an

d di

seas

es o

f co

mpo

st w

orke

rs(n

=58

) in

Ham

burg

Ger

man

y co

mpa

red

wit

hco

ntro

l sub

ject

s (n

=40

)

Sig

nifi

cant

ly m

ore

sym

ptom

s an

d di

seas

es o

f th

eai

rway

s (p

=0

003)

and

ski

n (p

=0

02)

wer

e re

port

edby

com

post

wor

kers

than

con

trol

s A

ntib

ody

conc

entr

atio

ns to

fun

gi a

nd a

ctin

omyc

etes

wer

esi

gnif

ican

tly

incr

ease

d in

com

post

wor

kers

Buumln

ger

et a

l 20

00

Pro

spec

tive

Infe

ctio

n ra

tes

amon

g co

mpo

st w

orke

rs in

Cam

den

NJ

Phi

lade

lphi

a P

A B

elts

vill

e M

D a

ndW

ashi

ngto

n D

C w

ith

high

exp

osur

e (n

=98

) an

din

term

edia

te e

xpos

ure

(n=

157)

and

wor

kers

not

invo

lved

in c

ompo

stin

g (n

=13

3) S

tudy

per

iod

was

betw

een

1979

and

198

1

Eye

and

ski

n ir

rita

tion

was

rep

orte

d m

ore

freq

uent

lyam

ong

com

post

-exp

osed

gro

ups

Asp

ergi

llus

fum

igat

us w

as d

etec

ted

in n

asal

and

thro

at s

wab

s(7

0 in

hig

h-ex

posu

re g

roup

20

in in

term

edia

te-

expo

sure

gro

up a

nd 5

in

low

-exp

osur

e gr

oup)

but

ther

e w

as n

o co

nsis

tent

incr

ease

in a

ntib

odie

s to

the

fung

al s

pore

s T

here

wer

e no

dif

fere

nces

in le

vels

of

anti

bodi

es to

Leg

ione

lla

pneu

mop

hila

bet

wee

nex

posu

re g

roup

s a

nd n

o an

tibo

dies

to H

isto

plas

ma

caps

ulat

um w

ere

dete

cted

Com

post

wor

kers

had

grea

ter

IgG

ant

ibod

y le

vels

aga

inst

com

post

-der

ived

endo

toxi

n e

leva

ted

C3

and

hem

olyt

ic c

ompl

emen

tle

vels

and

hig

her

whi

te-

Cla

rk e

t al

1984

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

115

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Stu

dy T

ype

End

Poi

nts

Eva

luat

edF

indi

ngs

Ref

eren

ces

bloo

d-ce

ll a

nd e

osin

ophi

lic c

ount

s I

n pu

lmon

ary

func

tion

test

s v

ital f

orce

d ca

paci

ty w

as g

reat

erat

the

end

of th

e w

eek

than

at t

he b

egin

ning

of

the

wee

k fo

r co

mpo

st w

orke

rs

Abb

revi

atio

ns C

I c

onfi

denc

e in

terv

al P

CB

s p

olyc

hlor

inat

ed b

iphe

nyls

VO

Cs

vol

atil

e or

gani

c co

mpo

unds

ppb

par

ts p

er b

illi

on m

met

er n

g n

anog

ram

HA

V

hepa

titi

s A

vir

us I

g im

mun

oglo

buli

n

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

116

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

bull gation conducted before current regulatory requirements for biosolidswere initiated demonstrates the possibility of chemical contaminationfrom biosolids No other studies of farm or nonfarm biosolids users werefound

bull Populations near agricultural application sites One study of apopulation near a biosolids land-application site was found (Dorn et al1985) That study reported no differences in symptoms or serologicalconversion between farm residents living near the application site and acomparison group

bull Workers in biosolids production andor application industry Onestudy by the National Institute for Occupational Safety and Health(NIOSH) reported a history of gastrointestinal illness in workers handlingClass B biosolids (Burton and Trout 1999) Environmental assessmentfound potential worker exposure to enteric bacteria After the study wasissued Lodor (2001) reported that the biosolids to which the workerswere exposed did not meet Class B requirements NIOSH (2002)subsequently released a guidance document for controlling potential risksto workers exposed to Class B biosolids that supercedes its earlier HazardID document on Class B biosolids

bull Populations near sewage treatment plants The committee evaluatedfour studies of populations living near sewage treatment plants Thesestudies cover a wide spectrum of outcomes and exposures and include oneto a few studies of any particular area Increases in gastrointestinal andrespiratory illnesses (Fannin et al 1980) an increase in diarrhea (Camannet al 1980) and decrease in school absenteeism (Camann et al 1980)were reported However these studies are not sufficient to evaluate thesafety of populations near sewage treatment plants

bull Sewage treatment plant workers Fourteen studies of sewage treatmentplant workers were evaluated These studies reported both increases(Brugha et al 1998 Weldon et al 2000) and no increases (Trout et al2000) in hepatitis A infection increased complaints of nasal irritationtiredness and diarrhea which were considered compatible with exposureto endotoxin (Rylander et al 1977) increased prevalence ofgastroenteritis (Khuder et al 1998) a confirmed outbreak of Pontiac fever(Gregersen et al 1999) evidence of pesticide absorption (Elia et al1983) no differences in illnesses rates nor isolation of virus or bacteria(Clark et al 1984) increased rates of protozoan infection (Scholsser et al1999) and increased rates of reports of skin disorders diarrhea andgastrointestinal symptoms (Lundholm and Rylander 1983) These studiesare sufficient to suggest transmission of specific infectious diseases tosewage treatment plant workers (eg Pontiac Fever) However no firmconclusions can be drawn at this time

bull Compost workers Studies of compost workers have reported significantincreases in diseases of the airways and skin and evidence of increased

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exposure to fungi and actinomycetes (Buumlnger et al 2000) and eye andskin irritation and fungal colonization but no serological evidence ofinfection (Clark et al 1984) These two studies provide suggestiveevidence of colonization of compost workers with fungi

Observed Health Outcomes

bull Toxic exposures Two studies (Baker et al 1980 Morse et al 1979)documented the potential for industrial chemicals to be present inwastewater Sewage workers can be exposed as can those who usebiosolids for agriculture or other land-application purposes Morse et al(1979) investigated occupational exposure resulting from a one-timecontamination of the wastewater and Baker et al (1980) studiedoccupational and residential exposure resulting from an ongoingcontamination of wastewater These two studies demonstrate that workersand community residents can be exposed to chemical hazards that enterinto the municipal waste stream

The epidemiological literature on exposure to toxic substances inbiosolids provides no information by which to gauge two issues The firstissue concerns the adequacy of routine monitoring of wastewater in orderto capture common toxicants and toxicants that might be idiosyncratic tothe industrial processes in a particular locale Although wastewater isperiodically examined for chemical contamination the number ofchemicals sought is much less compared with the number of chemicalsused commercially Second the periodicity of testing and the periodicityof discharge will determine the probability of identification of ahazardous chemical in a sample of effluent

bull Viral infection The potential for viral infection of wastewater workerswas documented in several studies (Brugha et al 1998 Weldon et al2000) and not in others (Clark et al 1980 Northrop et al 1980) Onestudy documented the absence of serological evidence of viral infectionamong populations near application sites (Dorn et al 1985) No studyexamined viral infection among workers in biosolids production orapplication sites

The epidemiological literature provides no evidence for or against thepotential for biosolids to serve as a vehicle for viral infection Theprobability that biosolids are a potential vector for infection might berevealed by other lines of research such as environmental viral studies

bull Bacterial and protozoan infection Some studies have documentedcomplaints of gastrointestinal illness related to sewage sludge (Fannin etal 1980 Johnson et al 1980 Burton and Trout 1999) and others have not(Dorn et al 1985) Similarly some studies have detected enteric bacteriain air and

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bulk samples (Burton and Trout 1999) and others have not (Johnson et al1980) One study found evidence of protozoan infection among sewerworkers (Schlosser et al 1999)

For bacterial and protozoan infection there is neither evidence ofinfection nor evidence of no infection Evidence of viable organisms inbiosolids would strengthen the biological plausibility of a causalassociation as would demonstration of the potential for exposure duringspecific aspects of production and application of biosolids

bull Irritation and allergic reaction Several studies reported allergy orirritation among sewer workers (Rylander 1999) and workers in compostproduction (Clark et al 1984 Buumlnger et al 2000) The role of endotoxinin these observations is strengthened by demonstration of endotoxincontent of biosolids but is weakened by lack of evidence showing arelationship between level of exposure and effect

Assessment of Causality

Assessment of causality requires judgment of epidemiological and otherinformation Conclusions that an association is causal rest on demonstration ofsuch factors as consistency of findings in independent studies strength ofassociation temporal sequence and biological plausibility (demonstration ofdose-response relationships) (Bradford-Hill 1966) There is a small body ofepidemiological literature on the potential adverse health effects of biosolidsThe literature is even more sparse considering the varying populations that arepotentially exposed to biosolids via wastewater treatment biosolids productionoccupational exposure during application and community exposure

For some exposures such as chemical exposure it is fairly clear thatchemical contamination of sewage with industrial chemicals can result inproduct contamination leading to exposure of workers and communityresidents It is unclear whether the system for preventing chemicalcontamination of sewage and monitoring sewage is sufficient to ensureprotection from chemical exposures

Although there is evidence of infection of sewage workers it is unclearbased on design criteria for production of biosolids or based on sampling fordetection of viable organisms whether viral bacterial or protozoal infection ofworkers or community residents exposed to biosolids is plausible There is arelative absence of evidence documenting infection and limited evidencedocumenting the lack of infection from biosolids A similar assessment can bemade for the evidence of a causal relationship of symptoms of irritation andallergy and exposure to endotoxins

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Some have contended that there is evidence of lack of health hazard fromoccupational exposure in wastewater treatment plants and that by extrapolationrisk from biosolids must be negligible This reasoning is problematic for severalreasons First as described earlier in this chapter the knowledge base regardingwastewater treatment workers is thin and contradictory Second the exposurecharacteristics will be quite different in the wastewater treatment industrycompared with biosolids land-application For example potential exposures toairborne contaminants from wet sewage sludge are quite different from thosefrom dried biosolids Third the routes of exposure may be different betweenpopulations exposed to raw sewage sludge compared with those exposed tobiosolids Fourth the populations exposed to biosolids may not be equivalent tothe occupational population exposed to sewage sludge Farm families andcommunity residents will include subpopulations unlikely to be found in theworkplace such as children and individuals with respiratory diseases Thuslack of compelling evidence of adverse health effects among wastewatertreatment workers should not be used to infer that there will be a lack of adversehealth effects from exposure to biosolids

There are two types of health studies that will reduce uncertainty regardinghealth effects of biosolids exposuremdashresponse studies and preplanned studiesResponse studies are initiated rapidly on notification that there has been eitheran unusual exposure or occurrence of disease among workers or communityresidents exposed to biosolids Such studies are intended to assess and attemptto relate measures of exposure with measures of disease Response studiesshould be conducted in a short time frame (weeks to months) Whether responsestudies are conducted by state or federal agencies or academia on behalf ofEPA a priority setting mechanism must be established so that limited resourcesare used to maximize the probability that the response studies will effectivelycontribute to the sparse information on the health consequences of exposure ofworkers andor residents to biosolids during production and manufacture

Preplanned studies on the other hand are conducted to test a specifichypothesis The hypothesis might be generated by researchers who compete forresearch funding or more specific questions may be formed by EPA or otheragencies Preplanned studies must be well designed and conducted to reduceuncertainty concerning issues of importance For example a preplannedepidemiological study must be sufficiently large characterize exposure includean adequate interval between exposure and observation to allow for occurrenceof disease if it were to occur measure confounders and be able to delineateadverse outcomes and evidence of their occurrence

There are two types of preplanned studiesmdashexposure assessment andcomplete epidemiological studies In exposure assessment studies the goal is

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to define the distribution and determinants of exposure to an agent or chemicalof interest This information may then be used in formal risk assessments

The second type of preplanned study is the complete epidemiologicalstudy The goal of this study is to assess the association of the occurrence anddistribution of disease with measurement of prior exposure (provided through aconcurrent or prior exposure assessment) The purpose of preplanned studies isto determine if exposure is related to increased occurrence of disease or itscorollary

In contrast with response studies preplanned studies are more expensivebecause they are larger require more effort in planning and involve moreextensive data analysis and more effort in assessment of exposureConsequently more effort will be expended in setting priorities in preplannedstudies Priorities should include probability of the study reducing uncertaintyseriousness of the disease outcome incidences of the disease outcome a priorilevel of uncertainty and importance of the results in protecting against adversehealth consequences

It is also important to recognize that worker populations and communitiesare not homogenous in their susceptibility to disease or subsequent adverseconsequences Thus in response and preplanned studies it is important toinclude all or a sample of the potentially susceptible subpopulations Examplesof susceptible subpopulations include children the elderly pregnant womenand individuals with chronic disease

In addition stakeholders should be involved in review of the designconduct and interpretation of studies Stakeholders may include representativesof workers and management community representatives health care providersand victims of disease

FINDINGS AND RECOMMENDATIONS

The committee concludes that because of the lack of epidemiological studyand the need to address the publicrsquos concerns about potential adverse healtheffects EPA should conduct studies that examine exposure and potential healthrisks to worker and community populations Studies of wastewater treatmentworkers should not be used as substitutes for studies of actual biosolidsexposure While routine human health surveillance of all populations exposedto biosolids is impractical the committee recommends that EPA promote andsupport a research effort to reduce uncertainty about the possible healthconsequences of exposure to biosolids Stakeholders should be involved inreview of the design conduct and interpretation of studies The committeerecommends the following types of study

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Response Studies

bull Studies in response to unusual exposure and unusual occurrence ofdisease On occasion unplanned events occur that can provideinformation on the agents of disease An example might be an outbreak ora symptom of disease following a known exposure or an unusualexposure scenario In both instances exposure and health outcomesshould be determined

Preplanned Studies

bull Biosolids exposure-assessment studies Such studies should characterizethe exposures of workers such as biosolids appliers and farmers and thegeneral public who come into contact with constituents of biosolids eitherdirectly or indirectly The studies would require identification ofmicroorganisms and chemicals to be measured selection of measurementmethods for field samples and collection of adequate samples inappropriate scenarios A possible exposure-assessment study would be tomeasure endotoxin exposure of workers at biosolids production andapplication sites and of communities nearby

bull Complete epidemiological studies of routine biosolids use These studiesshould be conducted to provide evidence of a causal association or a lackthereof between biosolids exposure and adverse human health effectsThey should include an assessment of the occurrence of disease and anassessment or measurement of potential exposures An example of alongitudinal epidemiological study would be an evaluation of healtheffects in a cohort of biosolids appliers these workers should becharacterized by duration and level of exposure with appropriate follow-up

REFERENCES

Baker Jr EL PJLandrigan CJGlueck MMZack Jr JALiddle VWBurse WJHousworthand LLNeedham 1980 Metabolic consequences of exposure to polychlorinatedbiphenyls (PCB) in sewage sludge Am J Epidemiol 112(4)553ndash563

Bradford-Hill A 1966 The environment and disease Association or causation Proc Royal SocMed 58295ndash300

Brugha R JHeptonstall PFarrington SAndren KPerry and JParry 1998 Risk of hepatits Ainfection in sewage workers Occup Environ Med 55(8)567ndash569

Buumlnger J MAntlauf-Lammers TGSchulz GAWestphal MMMuumlller P Ruhnau andEHallier 2000 Health complaints and immunological markers

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

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has

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sed

from

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ook

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igin

al ty

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tting

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s P

age

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ks a

re tr

ue to

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inal

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e le

ngth

s w

ord

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ks h

eadi

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tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

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hic

erro

rs m

ay h

ave

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tally

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rted

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itativ

e ve

rsio

n fo

r attr

ibut

ion

of exposure to bioaerosols among biowaste collectors and compost workers OccupEnviron Med 57(7)458ndash464

Burton NC and DTrout 1999 NIOSH Health Hazard Evaluation Report BioSolids LandApplication Process LeSourdsville Ohio HETA 98ndash0118ndash2748 US Department ofHealth and Human Services Public Health Service Centers for Disease Control andPrevention National Institute for Occupational Safety and Health Cincinnati OH

Camann DE HJHarding and DEJohnson 1980 Wastewater aerosol and school attendancemonitoring at an advanced wastewater treatment facility Durham Plant Tigard OregonPp 160ndash179 in Wastewater Aerosols and Disease Proceedings of A SymposiumSeptember 19ndash21 1979 HRPahren and W Jakubowski eds EPA-6009ndash80ndash028 NTISPB81ndash169864 Health Effects Research Laboratory Office of Research and DevelopmentUS Environmental Protection Agency Cincinnati OH

Clark CS HSBjornson JSchwartz-Fulton JWHolland and PSGartside 1984 Biologicalhealth risks associated with the composting of wastewater treatment plant sludge J WaterPoll Control Fed 56(12)1269ndash1276

Clark CS GLVan Meer CCLinnemann ABBjornson PSGartside GM Schiff SETrimbleDAlexander EJCleary and JPPhair 1980 Health effects of occupational exposure towastewater Pp 239ndash264 in Wastewater Aerosols and Disease Proceedings of ASymposium September 19ndash21 1979 HRPahren and WJakubowski eds EPA-6009ndash80ndash028 NTIS PB81ndash169864 Health Effects Research Laboratory Office of Research andDevelopment US Environmental Protection Agency Cincinnati OH

Dorn CR CSReddy DNLamphere JVGaeuman and RLanese 1985 Municipal sewagesludge application on Ohio farms Health effects Environ Res 38(2)332ndash359

Elia VJ CSClark VAMajeti PSGartside TMacDonald NRichdale CR Meyer GLVanMeer and KHunninen 1983 Hazardous chemical exposure at a municipal wastewatertreatment plant Environ Res 32(2)360ndash371

Fannin KF KWCochran DELamphiear and ASMonto 1980 Acute illness differences withregard to distance from the Tecumseh Michigan Wastewater Treatment Plant Pp 117ndash135 in Wastewater Aerosols and Disease Proceedings of A Symposium September 19ndash211979 HRPahren and WJakubowski eds EPA-6009ndash80ndash028 NTIS PB81ndash169864Health Effects Research Laboratory Office of Research and Development USEnvironmental Protection Agency Cincinnati OH

Gregersen P KGrunnet SAUldum BHAndersen and HMadsen 1999 Pontiac fever at asewage treatment plant in the food industry Scand J Work Environ Health 25(3)291ndash295

Jakubowski W 1986 US EPA-sponsored epidemiological studies of health effects associated withthe treatment and disposal of wastewater and sewage sludge Pp 140ndash153 inEpidemiological Studies of Risks Associated with the Agricultural Use of Sewage SludgeKnowledge and Needs JCBlock AHHavelaar and P LrsquoHermite eds New York NYElsevier Applied Science Publishers

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from

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inal

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igin

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tting

file

s P

age

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ks a

re tr

ue to

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e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

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erro

rs m

ay h

ave

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tally

inse

rted

Ple

ase

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sion

of t

his

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icat

ion

as th

e au

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itativ

e ve

rsio

n fo

r attr

ibut

ion

Johnson DE DECamann JWRegister RJPrevost JBTillery REThomas JMTaylor andJMHosenfeld 1980 Health effects from wastewater aerosols at a new activated sludgeplant John Egan Plant Schaumburg Illinois Pp 136ndash 159 in Wastewater Aerosols andDisease Proceedings of A Symposium September 19ndash21 1979 HRPahren andWJakubowski eds EPA-6009ndash80ndash028 NTIS PB81ndash169864 Health Effects ResearchLaboratory Office of Research and Development US Environmental Protection AgencyCincinnati OH

Khuder SA TArthur MSBisesi and EASchaub 1998 Prevalence of infectious diseases andassociated symptoms in wastewater treatment workers Am J Ind Med 33(6)571ndash577

Lodor ML 2001 NIOSH reports omits significant details in LeSourdsville case BiosolidsTechnical Bulletin 7(4)11ndash13

Lundholm M and RRylander 1983 Work related symptoms among sewage workers Br J IndMed 40(3)325ndash329

Morse DL JRKominsky CLWisseman III and PJLandrigan 1979 Occupational exposure tohexachlorocyclopentadiene How safe is sewage JAMA 241(20)2177ndash2179

Nethercott JR and DLHolness 1988 Health status of a group of sewage sludge treatmentworkers in Toronto Canada Am Ind Hyg Assoc J 49(7)346ndash350

NIOSH (National Institute for Occupational Safety and Health) 2002 Guidance for ControllingPotential Risks to Workers Exposed to Class B Biosolids DHHS (NIOSH) 2002ndash149National Institute for Occupational Safety and Health Centers for Disease Control andPrevention Public Health Service US Department of Health and Human ServicesPreprint June 12 2002

Northrop R BCarnow RWadden SRosenberg ANeal LSheaff JHolden S Meyer andPScheff 1980 Health effects of aerosols emitted from an activated sludge plant Pp 180ndash227 in Wastewater Aerosols and Disease Proceedings of A Symposium September 19ndash211979 HRPahren and WJakubowski eds EPA-6009ndash80ndash028 NTIS PB81ndash169864Health Effects Research Laboratory Office of Research and Development USEnvironmental Protection Agency Cincinnati OH

Rylander R 1999 Health effects among workers in sewage treatment plants Occup Environ Med56(5)354ndash357

Rylander R KAndersson LBelin GBerglund RBergstrom LHanson M Lundholm andIMattsby 1977 Studies on humans exposed to airborne sewage sludge Schweiz MedWochenschr 107(6)182ndash184

Scarlett-Kranz JM JGBabish DStrickland and DJLisk 1987 Health among municipal sewageand water treatment workers Toxicol Ind Health 3(3)311ndash 319

Schlosser O DGrall and MNLaurenceau 1999 Intestinal parasite carriage in workers exposedto sewage Eur J Epidemiol 15(3)261ndash265

Trout D CMueller LVenczel and AKrake 2000 Evaluation of occupational transmission ofhepatitis A virus among wastewater workers J Occup Environ Med 42(1)83ndash87

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Weldon M MJVanEgdom KAHendricks GRegner BPBell and LMSehulster 2000Prevalence of antibody to hepatitis A virus in drinking water workers and wastewaterworkers in Texas from 1996 to 1997 J Occup Environ Med 42(8)821ndash826

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4

Advances in Risk Assessment Since theEstablishment of the Part 503 Rule

The committeersquos review of the risk assessment used to support the Part503 rule was carried out in the context of current and emerging practice in riskassessment The committee determined that its review of the risk assessmentshould communicate the committeersquos interpretation of how the risk-assessmentprocess has evolved from the time the Part 503 rule was issued until present Ofparticular interest to the committee were documents from EPA and the NationalResearch Council (NRC) that propose and encourage methods that differsubstantially from the methods used in the Part 503 risk assessment Thischapter provides a foundation and context for the following chapters

This chapter first describes new approaches and considerations in riskassessment since the Part 503 rule (Standards for Use or Disposal of SewageSludge) was established in 1993 (40 CFR Part 503) It focuses on the changingpriorities of cancer versus noncancer end points acute versus chronic endpoints probabilistic risk-assessment approaches and the need to addressaggregate exposures and cumulative risk A brief description is then given ofthe changes in risk-assessment approaches of EPA over this period

THE RISK-ASSESSMENT PROCESS

Risk assessment is a process for identifying potential adverseconsequences along with their severity and likelihood In contrast to other tools

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used for environmental evaluation and policy the principal objective of the riskassessment and risk management approach is not to eliminate all risk but toquantify the risk and provide risk managers with tools to balance the level ofrisk against the cost of risk reduction against competing risks or against risksthat are generally accepted as trivial or acceptable Controlling the exposure ofhuman populations to environmental contaminants in biosolids using a risk-based approach requires a definition of both an appropriate metric for assessingthe impacts of contaminants on human health and a defensible process forassigning value to the predicted impacts The end product of a risk-basedapproach to environmental management is either to identify an acceptable levelof exposure or to prescribe the technical controls or political process needed toattain acceptable risk Intervention can be achieved through technical orpolitical controls

Components of the Risk-Analysis Process

The NRC (1982 1994) has divided and continues to divide the practice ofrisk analysis into two substantially different processesmdashrisk assessment andrisk management Along with these processes are concurrent efforts tocommunicate and evaluate risk (NRC 1989 1996) This section explores theevolution of the risk-assessment process over the last decade by considering thecomponent steps in the process

Risk assessment is the process of selecting and quantifying the adverseconsequences that result from an action such as application of biosolids tosoils or from inaction A risk assessment begins with efforts to identify thepotential hazards associated with a chemical or microbial agent and its use oroccurrence Hazard identification addresses the potential for harm but not thelikelihood of harm Risk characterization establishes the significance of anidentified hazard by quantifying the likelihood and severity of exposurescenarios linked to that hazard As applied to toxic agents risk characterizationhas five principal elements (1) quantification of sources and environmentalconcentrations in exposure media (2) quantification of exposure to the targetpopulation and distribution of the dose among the population (3)characterization of a dose-response function for all potential toxic agents thathave been identified (4) estimates of the number of people affected andseverity of consequences expected within the population at risk and (5) anassessment of the magnitude and sources of uncertainty that limit the precisionof the estimate of consequences

Risk management is the process of weighing policy alternatives andselecting the appropriate societal or institutional response Risk management is

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used to integrate the results of a risk characterization with social economic andpolitical valuation to reach a decision The goal of the risk-management processis to establish the significance of the estimated risk compare the costs ofreducing this risk with the benefits gained compare the estimated risks with thesocietal benefits derived from incurring the risk and carry out the political andinstitutional process of reducing risk

Linking the risk-assessment and risk-management processes are theconcurrent efforts to evaluate and communicate risk Risk evaluation is theprocess by which the risk-characterization and risk-management processes arereconciled with individual and societal valuations of risk (NRC 1996) A keystep in this link is effective risk communication According to the NRC (1989)risk communication has become more difficult in recent decades and commonmisconceptions often hamper communication efforts In considering theseissues the NRC (1989) emphasizes that solving the problems of riskcommunication is as much about improving procedures as improving thecontent of risk messages

Figure 4ndash1 provides a view of how the risk-analysis process might proceedfor assessing the health impacts of pollutants in biosolids Each of the majorsteps in this process involves one or more actions that are listed to the right ofeach major step

Confronting Uncertainty and Variability

An important and often ignored final step in the risk characterizationprocess is the characterization of uncertainties Important sources of uncertaintyand variability in risk assessments involve the data and models used Withincomplete data and models used to characterize contaminant transportrepresenting heterogeneous geographic and climate regions the variability anduncertainty associated with the resulting risk estimates are large

In evaluations of uncertainty in risk assessment Morgan et al (1990) andFinkel (1990) distinguish among parameter uncertainty model uncertaintydecision-rule uncertainty and natural variability in any of the parameters andcall for separate treatment of the different types of uncertainty Probabilisticmethods such as Monte Carlo analysis are available to evaluate uncertainty inparameters According to Finkel (1990) model uncertainty derives from anumber of actions including the use of simplifications that might excluderelevant variables from the analysis the use of surrogate variables that mightnot be appropriate for the variable of interest the appearance of abnormalconditions that might occur in nature but that might not be appropriate in themodel and the use of incorrect model forms Morgan et al (1990) noted that

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FIG

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relatively little research has been done on uncertainty or disagreementabout what form of model to use Decision-rule uncertainty applies to riskmanagement and arises whenever ambiguity or controversy exists aboutquantifying or comparing social objectives According to Finkel (1990 p 16)ldquoto take any actions using the outputs of a risk assessment including thedecision not to take action one must be prepared to make a series of potentiallycontroversial value judgmentsrdquo

An important source of uncertainty in risk characterization is thedevelopment and application of dose-response models Among the many issuesthat complicate the process of establishing a dose-response function is thevariation in human susceptibility In large heterogeneous populations there arelarge variations in susceptibility to toxic effects Those variations are due in partto variations in genetic predisposition to certain disease states variations in ageand large variations in physical stresses and other chemical or non-chemicalexposures that might be extant in the system of interest

NEW APPROACHES AND CONSIDERATIONS IN RISKASSESSMENT

This section reviews new approaches to risk assessment that weredeveloped since the Part 503 rule was issued A summary of key documentsfrom the NRC the PresidentialCongressional Commission on Risk Assessmentand Risk Management and EPA are provided Then consideration is given tohow those documents have altered the standard practice in each of the key stepsof the risk-assessment process

Recent Reports Define New Directions in Risk Assessment

Among the reports that have had particular impact are two reports issuedby the NRC The first report titled Science and Judgment in Risk Assessmentprovided an update on the process of risk assessment and management (NRC1994) This report made seventy-five specific recommendations but among itsoverarching recommendations are those to address explicitly uncertainty andvariability in risk assessment to address multimedia exposures and cumulativeintake through multiple exposure pathways to and foster more interactionamong risk assessors and risk managers The second report titledUnderstanding Risk Informing Decisions in a Democratic Society (NRC 1996)used several case studies to evaluate the emerging trends in risk-assessmentmethodology

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The PresidentialCongressional Commission on Risk Assessment and RiskManagement was created through the 1990 Clean Air Act amendments to makerecommendations for improving the risk-assessment and risk-managementprocess In 1997 the commission issued Framework for Environmental HealthRisk Management The report emphasizes how to present a risk assessment andhow to work with community concerns in an iterative fashion It identifies aclear need to modify the traditional approaches used to assess and reduce risksTraditional approaches rely on a chemical-by-chemical medium-by-mediumrisk-by-risk strategy The report states the need to focus less attention onrefining assumption-laden mathematical estimates of the small risks associatedwith exposures to specific chemicals and the need to focus instead on theoverall goal of reducing risk and improving health status There is strongemphasis on stakeholder participation Stakeholders are groups who arepotentially affected by the risk groups who will manage the risk and groupswho will be affected by efforts to manage the source of the risk Involvingstakeholders throughout the risk-assessment process provides opportunities togather information and to bridge gaps in understanding language values andperspectives

Over the last decade EPA issued a number of reports that are having animpact on the framework and process of regulatory risk assessment Ofparticular note are the 1992 Habicht memo which provides guidance to EPAmanagers on risk characterization (Habicht 1992) a journal report onbenchmark dose (Barnes et al 1995) which provides guidance for a moreharmonized approach for addressing cancer and noncancer health end pointsand the proposed guidelines for carcinogen risk assessment (EPA 1996a) TheHabicht memo emphasizes the need to avoid point estimates of risk and toprovide instead details on the scientific basis of decisions including clearstatement of assumptions and uncertainties Barnes et al (1995) recommend theuse of the benchmark-dose approach as an alternative to using the no-observed-adverse-effect level EPArsquos proposed guidelines for carcinogen risk assessmentput more emphasis on ldquomargin of exposurerdquo (relative to a benchmark dose)weight of evidence and the use of uncertainty factors in the riskcharacterization process Also of note is EPArsquos (1997a) Exposure FactorsHandbook which provides a large compendium of information on humanactivities that relate to exposuremdashincluding time-activity data exposureduration consumption of homegrown food and water ingestion

In addition there is an ongoing effort to address aggregate exposures to thesame substances from multiple sources and pathways and cumulative exposuresand risk from mixtures The 1996 Food Quality Protection Act (FQPA)explicitly calls for addressing aggregate exposure and cumulative risk in settingstandards for pesticide residues in food

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From a risk assessment perspective this report will clearly establish thatbiosolids are a complex mixture of chemical and biological agents the exactcomposition of which can change from time to time and place to placeMoreover it will never be possible to account for all the components of themixture although the stable components are well characterized As discussed indetail in various sections of this report considerable effort has been devoted toan enumeration of the hazardous constituents of biosolids During the course ofits study the committee found that it remains necessary to conduct riskassessments on biosolids based on their component parts

Figure 4ndash2 provides a time line showing when a number of significant risk-guidance documents have been issued relative to the year when the Part 503rule was issued

Advances in Hazard Identification

Since EPA issued cancer and mutagenicity risk-assessment guidelines in1986 (EPA 1986ac) the types and reliability of methods used to identifypotential hazard have advanced In the 1986 guidelines the stated goal of ahazard assessment was to provide a review of the relevant biological andchemical information on an agent that might pose cancer or other healthhazards At that time the recommended elements of the hazard identificationincluded (1) a summary of an agentrsquos physical-chemical properties and routesand patterns of exposure and (2) a review of toxic effects structure-activityindicators of toxicity metabolic and pharmacokinetic properties short-termanimal and cell tests long-term animal tests and human studies Theseelements have remained the core components of hazard identification but thearsenal of methods the reliability of techniques and the relative emphasis onthe various hazard identification elements have changed over the past decade Inparticular risk assessors can now make use of better markers of genetic damage(toxicogenomics) for rapid assessment improved structure-activityrelationships (SAR) and improved quantitative structure-activity relationships(QSAR) However to date these emerging methods have seen only limited usein regulatory risk assessment Health-effects research has focused more on earlyindicators of outcome making it possible to shorten the time between exposureand observation of an effect Use of measures of exposure as hazard indicators(eg Hertwich et al 2001) has increased and more-sophisticated measures ofhazard such as the human toxicity potential have been developed Humantoxicity potential includes emissions exposure potential and toxic hazardindicators in a single measure of potential harm It has been used as acumulative-exposure screening tool for multiple chemical agents

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FIG

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E 4

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Public-health and environmental concerns about biosolids foster a need forhazard assessments that can address multiple and complex issues Among theseissues are health hazards from chemical mixtures and pathogens as well asconcerns about specific categories of chemical hazard such as metals persistentorganic pollutants (POPs) and high-production-volume chemicals (HPVs)Recent advances in hazard assessment provide EPA with better tools for thoseissues Community issues are not adequately addressed in the current risk-assessment paradigm (eg property intrusions odor and truck traffic) Otherissues have been addressed in EPA programs but have not been explicitlyaddressed in the risk-management goals of the biosolids program Thoseinclude potential health effects from added diesel exhaust and potentialenvironmental effects from added nitrogen burdens runoff damage toendangered species habitat and conversion of inorganic mercury to organicmercury in situ and in water bodies following runoff

Advances in the Dose-Response Characterization Process

A number of important changes have been proposed and in some casesapplied to dose-response characterization over the last decade In 1993 theNRC considered the scientific basis inference assumptions regulatory usesand research needs in risk assessment and focused on two dose-response issuesmdashthe use of maximum tolerated dose in animal bioassays and the use of two-stage models of carcinogenesis (NRC 1993) The report presented options forrevising those default procedures Recent EPA documents (EPA 1996a 2001a)proposed that dose-response characterization be handled differently from thatproposed in the 1986 risk-assessment guidelines (EPA 1986a) According to the1986 guidelines risk for carcinogens is modeled using potencymdashthe increase ofrisk per unit increase of dose or exposure Risk for noncarcinogens is addressedusing a hazard indexmdashthe ratio of the predicted dose to the reference doseMore recently efforts have been made to harmonize those two approaches byusing a margin of exposure (MOE) to characterize risk for both carcinogens andnoncarcinogens MOE is the ratio of a dose derived from a tumor bioassayepidemiologic study or biologic marker study to an actual or projected humanexposure

Changes in Dose-Response Methods

Several proposals within and outside EPA have been made to modify thestandard approach for building dose-response models on the basis of animal orhuman data The most important and comprehensive proposal is EPArsquos

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1996 proposed revisions to its carcinogen risk-assessment guidelines (EPA1996a) These guidelines which are still undergoing review and revision withinEPA propose a different weight-of-evidence classification and the option ofusing an MOE in place of potency to estimate risk Risk-assessment literaturehas provided proposals for the use of time-to-tumor models (Krewski et al1983) Bayesian methods for constructing and revising dose-response models(Taylor et al 1993 Evans et al 1994 Wilson 2001) and meta-analysis

EPArsquos Proposed 1996 Carcinogen Risk-Assessment Guidelines

In 1996 EPA issued its proposed Guidelines for Carcinogen RiskAssessment (EPA 1996a) for a 120-day public review and comment periodEPA issued the guidelines as a replacement for the 1986 Guidelines forCarcinogen Risk Assessment (EPA 1986a) The revised guidelines were issuedin part to address changes in the understanding of the variety of ways in whichcarcinogens can operate For example because many laboratories now use testprotocols aimed at mode of action the 1996 proposed guidelines provide aframework that allows for incorporation of all relevant biological informationand flexibility to consider future scientific advances

In contrast to the single default dose-response relationship (the linearizedmultistage model for extrapolating risk from upper-bound confidence intervals)used in the 1986 cancer guidelines the 1996 guidelines provide several optionsfor constructing the dose-response relationship Biologically basedextrapolation that is extrapolation from animals to humans based on a similarunderlying mechanism of action is the preferred approach for quantifying riskHowever because data for the parameters used in such models are not likely tobe available for most chemicals the 1996 guidelines allow for alternativequantitative methods including several default approaches In the defaultapproaches dose-response assessment is a two-step process In the first stepresponse data are modeled in the range of observation in the second step adetermination is made of the point of departure (benchmark) or the range ofextrapolation below the range of observation In addition to modeling tumordata the new guidelines call for the use and modeling of other kinds ofresponses if they are considered measures of carcinogenic risk Three defaultapproachesmdashlinear nonlinear or bothmdashare provided Curve fitting in theobserved range provides the effective dose corresponding to the lower 95limit on a dose associated with a 10 response (LED10) The LED10 is thenused as a point of departure for extrapolation to the origin as the linear defaultor for an MOE as the nonlinear default The LED10 is the standard point ofdeparture but other departure points can be used when the data justify it

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Other modifications of interest in the 1996 guidelines include the following

bull Emphasis is placed on all biological information rather than only tumorfindings in the hazard-assessment phase of risk assessment

bull Mode of action is emphasized to reduce the uncertainty in describing thelikelihood of harm and in determining the dose-response approaches

bull A weight-of-evidence narrative replaces the current alphanumericclassification categories (A B1 B2 C D E) from the 1986 cancerguidelines The narrative summarizes the key evidence describes theagentrsquos mode of action characterizes the conditions of hazard expressionand recommends appropriate dose-response approaches The overallconclusion on the likelihood of human carcinogenicity is given by routeof exposure Only three descriptors for classifying human carcinogenicpotential are now availablemdashknownlikely cannot be determined and notlikely

bull In contrast to the 1986 guidelines that provide very little guidance for riskcharacterization the 1996 guidelines provide direction on how the overallconclusion and the confidence of risk are presented for the risk managerand call for assumptions and uncertainties to be clearly explained

Time-to-Tumor Models

Because dose-response functions for many chemical substances arederived from lifetime animal-feeding studies results apply to lifetime risk ofcancer The most common dose-response model derived from suchtoxicological experiments describes the lifetime change in cancer incidencewith dose However the stage theory of cancer and other diseases emphasizesthat many harmful exposures can be more accurately characterized as reducingthe time to tumor induction rather than increasing the lifetime risk of tumor(Armitage and Doll 1954) In a time-to-tumor dose-response model importantinformation is disclosed by the time it takes for a fraction of the test subjects toget tumors (Krewski et al 1983) Some animal bioassay data indicate whenindividual bioassay animals died before scheduled terminal sacrifice andwhether they died with or without tumors In some human populations time totumor or other disease is also available Use of time-to-tumor data in theanalysis of the tumor dose-response relationship provides a credible estimate ofthe potency of the carcinogen by incorporating considerable information Thesemodels are not common but have much potential when data are substantial

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Use of Subjective Statistics Bayesian Methods

Bayesian analysis is an important tool now widely used in many domainsincluding some parts of risk analysis (Taylor et al 1993 Evans et al 1994) Itprovides the foundation for the technical field of decision analysis Bayesianapproaches have begun to be applied to assessments of exposure for humanhealth and environmental risks In 2000 Resources for the Future (RFF) inconjunction with EPA and other organizations held a workshop to discuss waysin which Bayesian approaches could be useful in improving techniques forestimating exposure-response functions Participants in the workshop agreedthat wider use of Bayesian approaches can improve human health risk-assessment practices (Wilson 2001) The areas judged to have the mostsignificant opportunities include estimating exposure-response functionsinferring causality especially when interpreting results of epidemiologicalstudies and performing complex exposure assessments

Use of Meta-Analysis in Place of Single-Species Data Sets

In the evaluation of chemical compounds for carcinogenic risk regulatoryagencies have traditionally fit a low-dose linear dose-response model to datafrom rodent bioassays Recently there is much interest in incorporatingadditional scientific information on the properties of the chemical underinvestigation into the risk-assessment process including biological mechanismsof cancer induction However few attempts have been made to investigate theoverall relationship between the shape of dose-response curves and mutagenicity

Assessment of Mixtures

In 1986 EPA issued risk-assessment guidelines for chemical mixtures(EPA 1986b) This framework described three approaches to conduct aquantitative risk assessment for the potential health effects associated withexposure to chemical mixtures First when data are available on the healthimpacts of the mixture of concern or similar mixtures these data should be usedin formulating the risk models When data are not available on the actualmixture or similar mixture of concern data from risk assessments of individualcomponents are then used to estimate the risk of the mixture of concern byapplying a dose-additivity model (second approach) for systemic toxicants and

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a response-additivity model (third approach) for carcinogens Both of thesemodels assume that no interaction occurs among chemicals The two mostaccepted dose-additivity models are the hazard-index (HI) model and thetoxicity-equivalency-factor (TEF) model The response-additivity model is usedprimarily in cancer risk assessment of chemical mixtures it is assumed that thecomponents in the mixture act independently on the same target site but bydifferent mechanisms of action thus the toxicological responses to eachcomponent in the mixture are summed

A significant advance in chemical-mixture risk assessment was the newlydeveloped interaction-based method in which Mumtaz and Durkin (1992) usedbinary interaction data to modify the dose-additive HI Recently EPA (2000a)issued a revised guidance document for chemical mixtures as a supplement tothe original guidelines of 1986 The document Supplementary Guidance forConducting Health Risk Assessments for Chemical Mixtures provides details onthe nature of mixtures and the procedures to use for data analyses It alsodescribes recent scientific advances in the area of chemical-mixture riskassessment including methods for using whole-mixture data on atoxicologically similar mixture methods for incorporating information ontoxicological interactions into an HI (modified from the original methoddeveloped by Mumtaz and Durkin [1992]) procedures for including carcinogeninteractions in mixture risk characterization and generalized procedures forassessing mixtures of similar chemicals

The incompleteness of the classic risk-assessment process as applied tobiosolids can be illustrated by reference to the EPA guidance document (EPA2000a) which details EPArsquos current thinking on the mixture issue A complexmixture is defined as ldquoa mixture containing so many components that anyestimation of its toxicity based on its componentsrsquo toxicities contains too muchuncertainty and error to be useful The chemical composition may vary overtime or with different conditions under which the mixture is produced Complexmixture components may be generated simultaneously as by-products from asingle source or process intentionally produced as a commercial product ormay coexist because of disposal practices Risk assessments of complexmixtures are preferably based on toxicity and exposure data on the complexmixturerdquo (EPA 2000a) Chapter 3 shows that health risk data on the completemixture are insufficient in the case of biosolids to provide the basis for a riskassessment Hence assessors are dependent on a component-based assessmentstrategy that while not containing ldquotoo much uncertainty and error to beusefulrdquo will be incomplete as a basis for defining a strictly prospective strategyfor risk management (EPA 2000a)

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Advances in the Exposure Characterization Process

There have been a number of important changes in the exposurecharacterization process over the past decade Among the changes of note areincreasing focus on indoor and residential environments methods formonitoring biological agents in exposure media (air water and soil) amovement away from simple bounding estimates to probabilistic assessmentsthat include explicit treatment of uncertainty and variability and the use ofmultimedia and multiple-pathway exposure assessments In the sections belowthe committee highlights the changes in exposure assessment methods that haveparticular relevance to biosolids risk assessments A review and evaluation ofspecific exposure pathways in the Part 503 rule risk assessment are provided inChapter 5

Ten years ago it was common to conduct an exposure assessment usingsimple models that define a maximum exposed individual (MEI) The MEI wasone who obtained all of his or her air water andor food from an areacontaminated by the pollutant of interest over a lifetime The implicit andunquantified overestimate of exposure in the MEI as well as the failure of theMEI to capture all exposure pathways led to a search for alternative schemesAt first there was an effort to define a highly exposed individual (HEI) assomeone who had a plausibly high exposure but less exposure than the MEIHowever the HEI was found to have many of the same limitations as the MEICurrent practice is to use a reasonable maximum exposure (RME) receptorEPA (1989) specifies that calculation of the RME requires a combination ofaverage and upper-bound values for various exposure parameters so that thefinal exposure estimate will represent an upper bound exposure that couldreasonably be expected to occur This is commonly interpreted to be a 90th to95th percentile of exposures for each pathway Due to its inconsistentcombination of upper percentile and mean values the RME approach can bearbitrary and fail to fully account for population exposure variabilityNevertheless the use of RME in place of HEI has fostered the increasing use ofprobabilistic methods in exposure assessments (EPA 2001b) In its recentassessment of exposures to dioxins in biosolids EPA partially makes use of aprobabilistic risk-assessment approach (EPA 2001c)

Increased Focus on Indoor and Residential Environments

One theme that is clear in the literature on exposure assessment is theimportance of the indoor environment and residential factors in understand

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ing human exposure to many agents Indoor and residential scenarios receivedlittle attention in the Part 503 rule risk assessment but those issues havereceived much greater attention in risk-assessment practice over the last decade

Assessments of the human health impact of airborne pollutants revealedthe importance of cumulative exposure to microenvironments such as indoorair and of household sources such as consumer products combustionappliances and tracked-in soil Efforts to better understand urban air pollutantssuch as particulate matter revealed the importance of increased indoorconcentrations of certain pollutants (Melia et al 1978 Dockery and Spengler1981 Spengler et al 1983) Subsequent studies most notably EPArsquos TotalExposure Assessment Methodology (TEAM) studies demonstrated that for avariety of contaminants residential indoor air is often a more significant sourceof exposure than outdoor air (Pellizzari et al 1986 Thomas et al 1993 Wallace1993)

Methods for Monitoring Biological Agents in Exposure Media

Although the issue of exposure to and risk from pathogens is addressed inChapter 6 it is of note here that methods available for monitoring exposure topathogens have improved greatly in the last decade Traditional detection ofmicroorganisms is performed using microscopy culture biochemistry orimmunoassay Microscopy is used to detect total microbial populations in agiven sample without regard to the physiological state of the organism bothviable and nonviable organisms can be detected Culture-based assay is limitedto detection of those organisms that will proliferate under the growth conditionsof the analysis design Biochemical and immunological-based analyses haveimproved the identification and enumeration of specific microbial contaminantsin environmental samples Improved detection and identification ofmicroorganisms have been achieved using advanced biotechnology-basedmethodologies including polymerase chain reaction (PCR) amplificationmicrochips molecular beacons electrochemiluminescence biosensors massspectrometry and flow cytometry

Explicit Treatment of Uncertainty and Variability

Estimating potential human exposures and source-to-dose relationships forharmful substances in biosolids involves the use of models and large amounts ofdata Because these data and models must be used to predict individualbehaviors engineered system performance contaminant transport humancontact and uptake and dose among large and often heterogeneous

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populations variability and uncertainty associated with these predictions arelarge

Over the last decade explicit assessment of sensitivity and uncertainty hasbecome common practice in many risk assessments This practice has beendriven in large part by the ready availability of software for uncertainty andsensitivity analysis improvements in computers that make it possible to runlarge numbers of repeated simulations and the availability of Monte Carloguidance from EPA (1997b) Also supporting this process is the wideravailability of summary statistics for exposure factors available in referencessuch as the EPA (1997a) Exposure Factors Handbook

One of the key issues in uncertainty analysis that has been addressed overthe last decade is how to distinguish between the relative contribution of trueuncertainty and that of interindividual variability (heterogeneity) to characterizethe predicted population risk (Bogen and Spear 1987 NRC 1994) Uncertaintyor model-specification error (eg statistical estimation error) can be modeledusing a random variable but the characteristics of this variable are oftensubjective In contrast variability refers to quantities that are distributedempirically within a defined population Such factors as food ingestion ratesexposure duration and expected lifetime are considered as variable but notuncertain The recognition of the difference between uncertainty and variabilityhas resulted in efforts to carry out assessments in which both uncertainty andvariability are characterized in the final results

The Habicht memo (1992) seems to have encouraged the growth in effortsto address uncertainty The recent Exposure Factors Handbook (EPA 1997a)the Monte Carlo guidance document (EPA 1997b) and the recent report onpolicy for use of probabilistic risk assessment (EPA 1997c) reveal that EPA hasand will continue to support and encourage more explicit treatment ofuncertainty and variability In its 1997 Monte Carlo guidelines and itsSuperfund guidance for conducting probabilistic risk assessment EPAidentified a tiered scheme for updating and calibrating a model as more databecome available (EPA 1997b 2001b) As a first step in this scheme thevariance of all input values should be clearly stated and the impact of thesevariances on the final estimates of risk should be assessed using sensitivityanalysis Here it helps to provide a clear summary and justification of theassumptions used for each aspect of a model In addition it should be statedwhether these assumptions are likely to result in representative values orconservative (upper bound) estimates The next step in this scheme is the use ofvariance propagation methods (including but not necessarily limited to MonteCarlo methods) to map how the overall precision of risk estimates is tied to thevariability and uncertainty associated with model choice inputs and scenarios

The risk assessment for the Part 503 rule does not provide a clear analysisof uncertainties and their potential impacts on the assessment of risks A

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quantitative analysis would allow identification of critical parameters that havea strong influence on the outcome of the calculations of risk However thelimits of time and resources at EPA mean that choices must be made whenplanning whether and how to update risk assessments and collect site-specificdata in support of the risk assessment calculations In making revisions to thebiosolids risk assessment EPA must strike a balance between expendingresources to carry out site-specific data collection and expending resources tomodel and assess risk using existing information

Multimedia and Multiple-Pathway Exposure Assessments

Efforts to assess human exposure to contaminants from multipleenvironmental media have been evolving over the past several decadesKnowledge of potential environmental pathways is an important component ofa health risk assessment for biosolids The need to assess human exposure toglobal fallout in the 1950s resulted in the development of a framework thatincluded transport of contaminants through air soil surface water vegetationand food chains More recently reported concentrations of semivolatile organiccompounds and mercury species in water vegetation soil and food productshave increased interest in more accurate characterizations of chemical transporton a local regional and global scale In response to the need for bettercharacterization a number of multimedia transport and transformation modelsfor organic chemicals and metal species have appeared Multimedia models arealso being developed for pathogens Over the past decade or so relativelydetailed single-domain transport and transformation models have beendeveloped to model aspects of chemical transport and transformation within asingle medium or domain (eg groundwater models vadose zone modelssurface-water mixing models and air-dispersion and transformation models)

Multimedia multipathway assessments have fostered increasing interestabout indirect exposure pathways But only limited efforts have been made todevelop source-to-dose relationships using multimedia models Moreover thesecomplex source-to-dose models are difficult to validate The increasingsophistication of mass-transfer models has as yet had almost no impact onhuman exposure models None of the exposure models available to dateprovides an integrated simulation of major transport processes and indoor andoutdoor relationships for toxic substances in air water food and soil

The Food Quality Protection Act (FQPA) of 1996 draws attention to theneed for methods to assess aggregate intake of agents with similar target organs

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Biological Markers

Outside of occupational settings or specific research studies most currentexposure-sampling strategies do not rely on biological markers Although thereare reasonable biomarker methods for several metals (eg mercury arseniccadmium chromium) and some organic compounds the lack of reliable andnonintrusive biomarkers continues to limit their widespread use in exposuretracking studies For example the Centers for Disease Control and Prevention(CDC) is exploring biomarkers for classes of organophosphate (OP) pesticidesIn some occupational settings biological markers (eg for lead) are part of thesurveillance process It is feasible that a set of biomarkers could be createdusing less invasive methods (eg urine saliva and hair sampling) Urinarybiomarkers have worked well for some metals tobacco smoke and some otherpollutants As new biomarkers are developed and existing ones improvedemerging sampling strategies will rely more on them It is conceivable that inthe future EPA will be able to evaluate more DNA adducts possibly even afterexposure of embedded personal DNA worn by individuals as a monitor Formany contaminants of concern in biosolids biomarker approaches may be bothfeasible and informative However for the near future it is not likely thatbiomarkers will be of great value for monitoring exposures near biosolids-application sites

Challenges to the Risk-Characterization Process for Biosolids

The emphasis here is on how the process of risk characterization ischanging and how those changes impact the Part 503 rule Particular challengesto the risk-characterization process are to better link risk assessment to riskmanagement consider risk perception and risk valuation more explicitly andprovide better risk communication between risk assessors and affectedpopulations

To examine the Part 503 rule risk assessment in the context of the evolvingrisk-assessment paradigm EPA must consider the objectives of the Part 503rule risk assessment Was it to convince the community that it is safe Was it tojustify what is being done or what has been decided Was it to organizeinformation on exposures and health effects to communicate what is known andwhat the information gaps and key uncertainties are

One key risk characterization and management issue that emerged duringthe committee discussions was whether quality-of-life issues that have thepotential to affect health such as odors should be considered a factor in

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setting standards for land application of biosolids In particular couldminimizing odors be an effective way to manage some potential risks

Acceptance of a risk assessment by regulators and community groups oftenrequires surveillance and monitoring to ensure that the assumptions used in therisk assessment are in place Many of the chemical substances in municipalwaste streams are also in biosolids The chemicals in municipal solid-wastelandfills are monitored Should the same chemicals be monitored followingbiosolids application Answers to these questions help to put the riskassessment in both a scientific and political context That is once the objectivesof the risk assessment are established what and whose decisions are beinginformed by the assessment and the level of scientific confidence needed can beidentified

Characterizing Exposures to Children as a Subpopulation

Organizations such as EPA and the National Institutes for Health aregiving special consideration to childrenrsquos risks from exposure to environmentalcontaminants In 1996 EPArsquos Office of the Administrator issuedEnvironmental Health Threats to Children (EPA 1996c) and set an agenda thatcalled for consideration of childrenrsquos risks in all EPA actions The report alsoemphasized the need for more research to support childrenrsquos risk assessmentsChildren are considered a special subpopulation because their health risks candiffer from those of adults because of their immature physiology metabolismand differing levels of exposure due to factors such as greater food consumptionper unit of body weight and outdoor play activities

Differing levels of exposure for children are typically considered in riskassessments but the underlying toxicity database often does not specificallyaddress effects on children Such limitations in toxicity data are typicallyaddressed by application of uncertainty factors to protect susceptiblepopulations such as children Additional research would allow an assessment ofthe adequacy of such uncertainty factors

Participation of the Affected Populations

Local opposition to land application of biosolids appears to be growing inpart because regulators such as EPA have failed to systematically addressconcerns and experiences of residents near land-application sites Because noprocess is in place to register complaints EPA might be unaware of complaintslodged with a local or state agency Public meetings held by the com

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mittee have identified residents near land-application sites and biosolidsappliers who believe that they have suffered health impacts and believe thatthey have been excluded from having input in the risk-assessment processHealth complaints include irritation of the eyes nose and throat headachesnausea cough chest tightness congestion shortness of breath drowsinessskin lesions and mood disorders (Schiffman et al 2000 Shields1) Thecommittee was not charged with the task of evaluating the legitimacy of thecomplaints nor of determining whether application of sewage biosolids isrelated to the complaints However it notes that the primary concerns ofneighbors to land-application sites and the alleged health impacts associatedwith land application of biosolids have not been addressed in the riskassessments upon which the Part 503 rule is based

A critical aspect of the risk-assessment process is ensuring that thoseassessing risks are asking the right questions Potentially affected people oftenhave knowledge to contribute to the accurate characterization of exposures andto the assessment of risks When such knowledge is not tapped the outcome ofthe process can be flawed rejected by stakeholders or both Tapping localknowledge is necessary but not sufficient to characterize risks Some risks suchas secondary exposures or effects with long periods of latency might not beapparent to those exposed

The risk assessment in support of the Part 503 rule was the product ofagency and academic experts including individuals with long-term associationswith land applications and awareness of community concerns As requiredunder federal law EPA took public comment on the proposed regulationsNevertheless there was no evidence of efforts to engage people living adjacentto sites where biosolids are being or could be applied at the level recommendedby the PresidentialCongressional Commission on Risk Assessment and RiskManagement (1997) EPA guidance such as the supplement to Risk AssessmentGuidance for Superfund Part A (EPA 1999a) provides information to improvecommunity involvement in the Superfund risk-assessment process Specificallythis document identifies where community input can augment and improveEPArsquos estimates of exposure and risk and illustrates why communityinvolvement is valuable during the human health risk-assessment process

1HShields Citizens for a Future New Hampshire and the New Hampshire SierraClub Sludge Victims May 2001 Update Materials provided to the committee on June 42001

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Link Between Risk Assessment and Management of Land-Application Sites

Risk assessments are conducted with the assumption that specificmanagement practices are in place and remain in force If these practices are notfollowed the estimated risks can differ from those estimated under the assumedmanagement practices The risk assessment for the Part 503 rule was conductedwith the assumption that specific management practices are followed Forexample complete incorporation of biosolids into the soil is assumed inassessing runoff impacts For many sites however surface application topastures is normal practice and is allowed under the Part 503 rule Surfaceapplication provides the potential for erosion and off-site movement ofbiosolids and their constituents in a form much different from that assumed inthe risk assessment

The risk assessment for the Part 503 rule included the assumption thatspecific management practices are followed However because the rule doesnot explicitly require some of these practices it is difficult to confirm the extentto which site operators employ these management practices Some are measuresthat may be useful in minimizing risks however most are not requirementsunder the Part 503 rule

It should be recognized that even in cases in which specific managementpractices are clearly delineated and required under regulations there can becases in which management practices are not followed through oversightnegligence or willful noncompliance Efforts to make risk assessment morerealistic are challenged by the issue of dealing with the likelihood ofnoncompliance For example risks of home-use pesticides are assessedassuming that label directions are followed yet experience shows that asignificant number of users disregard such directions In the case of landapplication of biosolids concerns have been raised about the ability of EPA toenforce the Part 503 rule (EPA 2000b) When there are such alleged violationsas applying biosolids within buffer zones and grazing of livestock on land lessthan 30 days after Class B biosolids were applied any risk assessment thatignores the likelihood of those violations will not be applicable where thoseconditions exist No information is available on the frequency and severity ofviolations of management requirements Moreover the committee is not awareof any risk assessment that was carried out under the assumption that one ormore violations had occurred An assessment of the risks both with and withoutthe specified management practices would indicate the significance ofnoncompliance This would provide information to be used in risk-managementdecision-making Without a system that provides for registration investigationenforcement and documentation of complaints concerning management

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practices EPA will not be able to compile relevant data on the level ofcompliance with biosolids management requirements in the Part 503 rule

Odors present a challenge to risk assessors and managers Until recentlyodors were assumed to be an aesthetic issue Odor control however is animportant focus of recommendations for good practice (NBP 2001) andSchiffman et al (2000) have suggested that odors can affect health Odors anddisease vectors as health issues are clearly within the scope of EPA Less clearis whether EPA may address quality-of-life issues such as enjoyment ofproperty where odors or flies might be objectionable but not an unacceptablehealth risk

CHANGES IN RISK-ASSESSMENT APPROACHES IN EPAOFFICES

A number of EPA offices and programs are involved in developing risk-assessment protocols for chemical releases to ambient air indoor air surfacewater soil and groundwater The methods developed in these programs and theevolution of risk-assessment methods within these offices and programs overthe past 10 years provide benchmarks against which the relevance andreliability of the Part 503 rule risk assessments can be evaluated The committeerecognizes that other government agencies such as the CDC the USDepartment of Agriculture and the National Institute of Environmental HealthSciences have also been involved in research of risk-assessment methods andin developing risk-assessment protocols In some cases those agencies have hada direct interest in biosolids risk Nevertheless the committee believes that it isbeyond the scope of this report to explore the evolution of the risk-assessmentprocess in all US government agencies Moreover because EPA has leadresponsibility for biosolids risk and works closely with other agencies on issuesof risk assessment the committee decided to focus on the offices of EPA in itsreview of risk-assessment methods in the US government

Office of Research and Development (ORD)

EPArsquos ORD is the principal scientific and research arm of EPA Itconducts research and fosters the use of science and technology in fulfillingEPArsquos mission ORDrsquos two major programs involved in developing guidanceon risk assessment are the National Center for Environmental Assessment andthe National Exposure Research Laboratory A brief description of some

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of the major risk-assessment developments in each of these programs isprovided below

National Center for Environmental Assessment (NCEA)

NCEA serves as the national resource center for the overall process ofhuman health and ecological risk assessments It develops methods that reduceuncertainties in risk assessments (eg dose-response models and exposuremodels) conducts assessment of contaminants and sites of nationalsignificance and provides guidance and support to risk assessors Two majorprogram areas with important developments since the risk assessments wereconducted for the Part 503 rule are exposure assessment and cancer assessment

Exposure Assessment

In 1992 EPA promulgated a new set of exposure-assessment guidelines toreplace the 1986 version (EPA 1992a) The new guidelines explicitly considerthe need to estimate the distribution of exposures among individuals andpopulations and discuss the need to incorporate uncertainty and variabilityanalysis into exposure assessments The guidelines discuss the roles of bothanalytic measurement and mathematical modeling in estimating concentrationsand durations of exposure They do not recommend specific models but suggestthat models match the objectives of the particular exposure assessment beingconducted and that they have the accuracy needed to achieve those objectivesThey also call for detailed explication of the choices and assumptions that oftenmust be made when faced with incomplete data and insufficient resources

In 1997 NCEA published a support document to the guidelines called theExposure Factors Handbook (EPA 1997a) It contains a summary of humanbehaviors and characteristics that affect exposure to environmentalcontaminants and recommends values to use for these factors A new exposurefactors handbook dealing specifically with children is in development EPAgives special consideration to children because they can be more heavilyexposed to environmental contaminants than adults EPA released an externalreview draft of the handbook in June 2000 (EPA 2000c)

NCEA has also developed a guidance document on how to conduct dermalexposure assessments (EPA 1992b) The dermal route of exposure is notunderstood as well as the other major routes of exposure (ingestion andinhalation) NCEArsquos guidelines discuss the principles of dermal absorption

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from exposures to water soil and vapor media and presents methods forapplying those principles to human exposure assessment The guidelines weredeveloped primarily for evaluations of waste-disposal sites or contaminatedsoils but are applicable to land-applied biosolids The Office of Solid Waste andEmergency Response has also developed guidance for dermal risk assessment(EPA 2001a)

Guidance is also being developed for approaches to modeling health risksfrom indirect exposures to environmental contaminants For exampleMethodology for Assessing Health Risks Associated with Multiple Pathways ofExposure to Combustor Emissions (EPA 1998b) presents procedures forestimating exposures resulting from atmospheric pollutants emitted fromstationary combustors transferred through the atmosphere and deposited onenvironmental media and biota It discusses ways to estimate indirect exposuresthat could result from uptake and transfer from atmospheric agents through theterrestrial or aquatic food chains This example also illustrates the need forconducting multimedia and multiple-pathway exposure assessments

Cancer Risk Assessment

In 1996 NCEA proposed a revision to the 1986 EPA Guidelines forCarcinogen Risk Assessment to reflect new developments in understandingcarcinogenesis (EPA 1996a) Revisions have been made since that proposaland work on the guidelines is still in progress (EPA 1999b) The proposedrevisions include placing greater emphasis on analyzing all the biologicalinformation on an agent rather than analyzing only the tumor dataunderstanding an agentrsquos mode of action taking a weight-of-evidence approachto drawing conclusions about hazard and providing guidance on assessing risksto children When finalized the guidelines will provide an analytical frameworkthat will allow the incorporation of all relevant biological informationrecognize a variety of situations regarding cancer hazard and be flexibleenough to allow consideration of future scientific advances

National Exposure Research Laboratory (NERL)

NERL is EPArsquos resource for guidance on exposure assessment for allenvironmental stressors (eg chemicals biological agents and radiation)NERL conducts research on stressor sources pollutant transporttransformation and exposure and source-to-receptor predictive exposuremodels NERL is also involved in the development of innovative exposure-assessment technologies

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National Exposure Surveys

One of NERLrsquos major efforts is to address the need to reduce uncertaintyand variability in exposure assessments and the need to develop realisticexposure scenarios and assumptions A key determinant of exposure variabilityis human activity Between October 1992 and September 1994 NERLconducted the National Human Activity Pattern Survey (NHAPS) to collectdata on activity patterns of subjects over a 24-hour period The survey wasintended to provide comprehensive exposure information over broadgeographical and temporal scales that can be used for detailed exposure studiestargeted to specific populations in the United States Detailed tables of thesurvey results have been compiled (EPA 1996d) and some of the data wereincorporated into the Exposure Factors Handbook (EPA 1997a)

NHAPS provides a broad description of individual activities for distinctcombinations of location and time (macroactivity [eg amount of time spent inan enclosed vehicle]) For specific risk assessments activity patterns can beanalyzed in even greater detail using microactivity models which can be usedto describe specific contacts with exposure media (eg frequency of a childrsquoshand contact with soil and mouth) Exposures from residential environmentshave been given greater attention in recent years

Another survey that was undertaken is the National Human ExposureAssessment Survey (NHEXAS) This survey was designed to evaluatecomprehensive human exposure to multiple chemicals on a community andregional scale The first phase of the survey involved measuring concentrationsof chemicals in various exposure media (eg air food drinking water soil anddust) and in biological samples (eg blood and urine) and administeringquestionnaires to identify possible sources of exposure to chemicals Thesample collection and laboratory analyses were completed in 1998 andstatistical analyses of the data are being performed As the database isdeveloped it will be possible to use the data as a baseline to determine whetherspecific populations are exposed to increased levels of environmentalcontaminants

Pharmacokinetic Models and Biomarker Data

NERLrsquos Exposure Methods and Monitoring Branch develops indicators ofhuman exposure to environmental stressors One set of indicators that providesa direct measure of exposure is biomarker data sets Biomarkers are indicatorsspecific to a contaminant of variation in cellular or biochemical components orprocesses structure or function that are measurable in biological systems orsamples When used with pharmacokinetic data and informa

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tion on the interval between exposure and collection of the biomarkerinformation biomarker data can be used to reduce uncertainties about exposure

The study of pharmacokinetics provides an understanding of a chemicalrsquosabsorption distribution metabolism and excretion that occurs between the timea chemical enters the body and when it leaves Pharmacokinetic models are amathematical representation of those processes and can be used to describe thequantitative differences between an exposure dose a delivered dose and whenpossible a biologically active dose at the target organ EPArsquos strategic plan forevaluating data from NHEXAS (EPA 2000d) discusses the need to considerpharmacokinetic models and parameters in evaluating the time course andassociations between exposure and dose

Office of Air and Radiation (OAR)

EPArsquos OAR is responsible for national programs technical policies andregulations for controlling air pollution and radiation exposure Currently thereare OAR programs to address pollution prevention indoor and outdoor airquality industrial air pollution pollution from vehicles and engines radon acidrain stratospheric ozone depletion and radiation protection Of particularinterest for considering applications of risk-assessment policy are the RadiationProtection Division Indoor Air Quality Programs and the Office of Air QualityPlanning and Standards within OAR

Radiation Protection Division

The Radiation Protection Programs within the Radiation ProtectionDivision provide the methods and scientific basis for EPArsquos radiation exposuredose and risk assessments These assessments in turn support the developmentof EPA policy guidance and rule-makings concerning radiation protection andrisk management Among other functions the Radiation Protection Programdevelops radionuclide fate and transport models dose and risk models and doseand risk coefficients

Indoor Air-Quality Programs

Because of the importance of understanding the sources and pathways ofexposure in indoor environments EPA has established and promoted indoor air-quality programs over the past decade These programs deal with indoor

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exposures to contaminants originating from both outdoor and indoor sourcesAmong the sources of indoor pollution addressed by EPA are combustionsources such as oil gas kerosene coal and wood-combustion and tobaccoproducts building materials and furnishings such as wet or damp carpet andcabinetry or furniture made of certain pressed-wood products householdcleaning and maintenance products central heating and cooling systems andhumidification devices and outdoor sources such as radon pesticides andoutdoor air pollution Of particular interest to the issue of biosolids riskassessment is the potential for indoor exposures to pathogens

Office of Air Quality Planning and Standards (OAQPS)

EPArsquos OAQPS directs national efforts to meet air-quality goalsparticularly for smog air toxics carbon monoxide lead particulate matter (sootand dust) sulfur dioxide and nitrogen dioxide OAQPS is responsible forimplementing major provisions of the Clean Air Act including those related tovisibility permitting and emissions standards for a wide variety of industrialfacilities Of particular interest in risk assessment is the OAQPS effort todevelop methods to assess human exposure and health risks for particulatematter (PM) and multimedia pollutants released in urban air sheds As part ofthat effort OAQPS has formulated advanced and novel methods for addressingmultimedia pollutants Those methods are being incorporated into the OAQPStotal risk integrated model (TRIM) TRIM provides a multimedia fate analysisand multipathway exposure assessment for toxic air pollutants and aerosols(PM)

OAQPS is also working on the National Air Toxics Assessment (NATA)a program to assess the cumulative exposures of the US population to toxic airpollutants through a combination of monitoring and models

The OAQPS effort to assess PM exposure has particular relevance tobiosolids risk PM exposure from biosolids application is raised as a concern oflocal communities and some public-health officials From biosolids-applicationsites PM is produced by numerous sources including diesel emissions trafficand dust suspensions A related issue is raftingmdashpathogens catching a ride ondust particles Whether and how allergen proteins are transported from site toreceptor is still poorly understood

Office of Solid Waste and Emergency Response (OSWER)

OSWER provides policy guidance and direction for EPArsquos solid-wasteand emergency-response programs Within OSWER the Office of Solid

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Waste (OSW) develops guidelines for the land disposal of municipal andhazardous waste and the Office of Underground Storage Tanks (OUST)develops guidance for limiting the risks from leaks of underground storagetanks OSWER provides technical assistance to all levels of government toestablish safe practices in waste management OSWER is also home to theSuperfund program which addresses health concerns of communities withabandoned and active hazardous waste sites and accidental oil and chemicalreleases Superfund also encourages innovative technologies to addresscontaminated soil and groundwater

Office of Solid Waste (OSW)

OSW is responsible for setting limits on the concentrations of chemicalsthat can be placed in municipal landfills Limits are set through a risk-assessment process that identifies and evaluates multiple exposure pathwaysOSW has identified a number of potential exposure pathways linked to landfillsand uses multimedia risk assessments to link human exposure and health risk tochemicals in the landfill waste The assessment is a forward-calculating analysisthat evaluates the risks of multiple exposure pathways to human and ecologicalreceptors One of the pathways that the OSW landfill risk assessments addressesis the advection of chemicals out of the landfill due to forced convection thatresults from methane and carbon dioxide generation in the waste pile

Office of Underground Storage Tanks (OUST)

OUST was created in 1985 to carry out a congressional mandate todevelop and implement a regulatory program for underground storage tank(UST) systems OUST works with EPA regional offices and state and localUST programs to promote the use of risk-based decision-making In OUSTrisk-based decision-making (RBDM) is a process by which decisions are madeabout contaminated sites using a site-specific assessment of the risk each siteposes to human health and the environment In cooperation with the AmericanSociety for Testing and Materials (ASTM) OUST is evaluating whether itsRBDM programs are achieving their stated agency management goals

Office of Emergency and Remedial Response (OERR)

The EPA Superfund program is administered by the OERR After a

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hazardous waste site is listed on the National Priorities List risk assessment hasan important role in the characterization and cleanup of Superfund sites OERRprovides general tools and specific tools to assist in the major steps of the risk-assessment process In 1989 Risk Assessment Guidance for Superfund (RAGS)Part A was issued (EPA 1989) This document provides recommendedalgorithms and data for calculating potential exposures to chemicalcontaminants found at Superfund sites In contrast to the OUST risk methodsRAGS are more generic in providing uniform national risk-assessment defaultsAdditional RAGS documents were issued in 1991 in Part B (EPA 1991b)which provides guidance on using EPA toxicity values and exposureinformation to derive risk-based preliminary remediation goals and Part C(EPA 1991c) which provides guidance on the human health risk evaluations ofremedial alternatives In 1998 OERR issued Part D (EPA 1998c) and in 1999it issued a supplement to Part A (EPA 1999a) This document is of interest tobiosolids risk assessors because the supplement provides information toimprove community involvement in the Superfund risk-assessment processSpecifically the supplement suggests ways for Superfund staff and communitymembers to work together during the early stages of Superfund cleanupidentifies where community input can augment and improve EPArsquos estimates ofexposure and risk recommends questions that the site team should ask thecommunity and illustrates why community involvement is valuable during thehuman health risk assessment at Superfund sites A review draft of Part Eprovides dermal risk assessment guidance (EPA 2001a) OERR has alsodeveloped probabilistic risk assessment guidance for Superfund (EPA 2001b)

Office of Water (OW)

EPArsquos OW is responsible for all national water-quality activities includingthe regulation of surface water and groundwater supplies to protect humanhealth and the environment OW is responsible for implementing the CleanWater Act Safe Drinking Water Act and portions of other environmental lawsand treaties that apply to water quality Several organizations make up the OWincluding the Office of Wetlands Oceans and Watersheds the Office ofScience and Technology the Office of Wastewater Management (whichoversees EPArsquos biosolids program) and the Office of Ground Water andDrinking Water

A major task of OW is to set drinking-water standards Risk assessmentprovides a key input to this process Since 1986 OW has more than tripled thenumber of contaminants for which it has published drinking-water stan

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dards bringing the total to 94 A current challenge for OW in its effort tominimize health risks from water supplies is to find the appropriate balancebetween the risks from naturally occurring microbial pathogens and thechemical by-products of disinfection processes used to remove the pathogens Itis important to provide protection from these microbial pathogens whileensuring decreasing health risks to the population from disinfection by-products

As part of its effort to protect watersheds OW has established the totalmaximum daily load (TMDL) program A TMDL is a calculation of themaximum amount of a pollutant that a body of water can receive and still meetstate water-quality requirements TMDLs are determined in part by consideringmultiple sources of pollutants (from point nonpoint and background sourcesincluding atmospheric deposition) seasonal variations and margins of safetyThe calculations of these programs provide benchmarks for the continuingevaluation of biosolids standards

Office of Prevention Pesticides and Toxic Substances(OPPTS)

EPArsquos OPPTS develops national strategies for toxic substance control andpromotes pollution prevention and the publicrsquos right to know about chemicalrisks OPPTS has an important role in protecting public health and theenvironment from potential risk from toxic chemicals and pesticides OPPTS isdealing with issues such as endocrine disruptors and lead poisoning prevention

Within OPPTS the Office of Pesticide Programs (OPP) regulates the useof all pesticides in the United States and establishes maximum concentrationsfor pesticide residues in food As part of this effort OPP is expanding access toinformation on risk-assessment and risk-management actions to help to increasetransparency of decision-making and facilitate consultation with the public andaffected stakeholders OPP has a mandate under the FQPA of 1996 to addressaggregate exposure and cumulative risk from multiple sources of pesticideexposure To address that issue OPP developed a framework for conductingcumulative risk assessments for organophosphates and other pesticides thathave a common mechanism of toxicity (that act in the same way in the body)Through its cumulative risk-assessment framework OPP will be able toconsider whether the risks posed by a group of pesticides that act the same wayin the body meet the FQPA safety standard of ldquoreasonable certainty of noharmrdquo As part of that framework OPP is developing new methods to assesscumulative risk to assess residential exposure and to aggregate exposures fromall nonoccupational sources

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FINDINGS AND RECOMMENDATIONS

The Part 503 rule risk assessments were carried out more than a decadeago In this chapter the committee considered the likely impact of changes inrisk-assessment practice in general and in various EPA offices in particular onthe risk-assessment process for biosolids The committee found that thedevelopment of methods in the broader academic community and the evolutionof risk-assessment methods within various EPA offices and programs provideimportant benchmarks for the committeersquos assessment of the relevance andreliability of the Part 503 rule risk assessments Of particular note are updates tothe risk-assessment framework recommended by the NRC the PresidentialCongressional Commission on Risk Assessment and various EPA offices

The risk-assessment methods and policies practiced and advocated at EPAhave changed significantly although not at the pace recommended by the NRCand the risk commission As a result the Part 503 rule which has not beenmodified to account for any new methods and policies is now inconsistent withcurrent NRC recommendations and EPA policies within various officesParticularly relevant examples of the inconsistency are the absence ofstakeholder participation and the lack of explicit treatment of uncertainty andvariability

Recommendation Because of the significant changes in risk-assessmentmethods and policies over the last decade EPA should revise and update thePart 503 rule risk assessments Important developments include recognition ofthe need to include stakeholders throughout the risk-assessment processimprovements in measuring and predicting adverse health effects advances inmeasuring and predicting exposure explicit treatment of uncertainty andvariability and improvements in describing and communicating risk EPA should consider how the updated risk assessments would change the risk-management process A similar approach can be taken with the issue ofbiological agent risks

In recent years health-effects research has made use of large-scale studiesof human health end points at multiple sites Health-effects research has alsofocused on early indicators of outcome making it possible to shorten the timebetween the exposure and the observation of an effect In addition more use hasbeen made of meta-analysis better modeling of dose-response relationshipsand more sophisticated regression models These improvements make possiblemore site-specific assessments of the impacts of biosolids land-applicationpractices

Managing exposure of human populations to environmental contaminantsusing a risk-based approach requires an accurate metric for the impacts of

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contaminants on human health and a reliable process for monitoring andrecording the exposures within populations assumed to be at risk Over the pastdecade the practitioners of exposure assessment have made importantimprovements in methods to measure and model source-to-dose relationshipsThese improvements have been made through greater use of time-activitysurveys personal monitors and biomarkers of exposure and they have made itpossible to confirm some of the exposures predicted in risk assessments

Recommendation Many of the measures of risk used in developing thePart 503 rule guidelines cannot be monitored Because of that inability tomonitor the committee acknowledges that EPA must perform theoretical riskassessments Nevertheless there is a continuing need to provide some measuresof performance that can be monitored (eg concentrations of selectedchemicals in exposure media such as indoor air house dust or tap water ofresidences near land-application sites and exposure biomarkers in the blood or urine of nearby residents) Recent improvements in health surveillance andexposure monitoring provide new opportunities for EPA to develop moreexplicit and measurable metrics of performance for biosolids land-applicationpractices

Advancements in monitoring health outcomes and exposure have resultedin improvements in the description and communication of risk In particularimproved exposure assessments have led to better exposure classification inhealth-effects studies Better descriptions of risk are available using benchmarkdose and margin of exposure to communicate hazard and risk in place of risk ofdeath hazard quotients or exposure-potency product relationships There havealso been improved methods for prioritizing compounds using measures of risk

Recommendation In making revisions to the Part 503 rule riskassessment EPA must strike a balance between expending resources to carryout site-specific data collection and expending resources to model and assessrisk using existing information In light of improvements in exposure and healthmonitoring the committee encourages EPA to consider options carefully forcollecting new data in support of risk-assessment assumptions before resortingto another risk assessment that relies only on existing data models and defaultassumptions Among the data that would be of value are data on proximity of receptors to land-application sites surveys of activities that could increasedirect and indirect exposures and samples of biosolids air vegetation runoffgroundwater and soil in environments surrounding land-application sites Inaddition EPA should conduct site-specific surveys of performance (egmonitor the extent to which rates and depth of application are consistent withrisk-assessment assumptions) and scientifically relevant studies of health complaints

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Risk assessments make use of a number of assumptions to define chemicalloading in biosolids that pose no undue risk to surrounding populations Implicitin this process is the premise that these assumptions and the associateddemographic and operational conditions will persist However there are noguidelines to ensure that these conditions persist

Recommendation Because there are no guidelines to ensure thatconditions assumed in the risk assessment actually transpire the committeerecommends that the Part 503 rule provide guidance for periodic reassessmentsthat will be used to ensure that the demographic and operational conditions ofbiosolids land application are consistent with the assumptions of the applicablerisk assessment

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Armitage P and RDoll 1954 The age distribution of cancer and a multistage theory ofcarcinogenesis Br J Cancer 8(March)1ndash12

Barnes DG GPDaston JSEvans AMJarabek RJKavlock CAKimmel CPark andHLSpitzer 1995 Benchmark Dose Workshop Criteria for use of a benchmark dose toestimate a reference dose Regul Toxicol Pharmacol 21(2)296ndash306

Bogen KT and RCSpear 1987 Integrating uncertainty and interindividual variability inenvironmental risk assessment Risk Anal 7(4)427ndash436

Dockery DW and JDSpengler 1981 Indoor-outdoor relationships of respirable sulfates andparticles Atmos Environ 15(3)335ndash343

EPA (US Environmental Protection Agency) 1986a The Risk Assessment Guidelines of 1986EPA6008ndash87045 Office of Health and Environmental Assessment US EnvironmentalProtection Agency Washington DC August 1986

EPA (US Environmental Protection Agency) 1986b Guidelines for the Health Risk Assessment ofChemical Mixtures EPA630R-98002 Risk Assessment Forum US EnvironmentalProtection Agency Washington DC Fed Regist 51(185)34014ndash34025 (September 241986) [Online] Available httpwwwepagovncearafrafguidhtm [December 27 2001]

EPA (US Environmental Protection Agency) 1986c Guidelines for Mutagenicity RiskAssessment EPA630R-98003 Office of Research and Development USEnvironmental Protection Agency Washington DC September 1986

EPA (US Environmental Protection Agency) 1989 Risk Assessment Guidance for SuperfundVol 1 Human Health Evaluation Manual (Part A) Interim Final EPA5401ndash89002Office of Emergency and Remedial Response US Environmental Protection AgencyWashington DC December 1989

EPA (US Environmental Protection Agency) 1991a Part V Guidelines for DevelopmentalToxicity Risk Assessment Notice EPA600R91001 Fed Regist

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tting

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age

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e le

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ord

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tyle

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type

setti

ng-s

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rmat

ting

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can

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ay h

ave

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rted

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the

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sion

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icat

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e au

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e ve

rsio

n fo

r attr

ibut

ion

56(234)63798ndash63826 (December 5 1991)EPA (US Environmental Protection Agency) 1991b Risk Assessment Guidance for Superfund

Vol 1 Human Health Evaluation Manual (Part B Development of Risk-BasedPreliminary Remediation Goals) Interim EPA540R-92003 Office of Emergency andRemedial Response US Environmental Protection Agency Washington DC December1991

EPA (US Environmental Protection Agency) 1991c Risk Assessment Guidance for SuperfundVol 1 Human Health Evaluation Maual (Part C Risk Evaluation of RemedialAlternatives) Interim EPA540R-92004 Office of Emergency and Remedial ResponseUS Environmental Protection Agency Washington DC December 1991

EPA (US Environmental Protection Agency) 1992a Guidelines for Exposure AssessmentEPA600Z-92001 National Center for Environmental Assessment Office of Researchand Development US Environmental Protection Agency Washington DC Fed Regist57(May 29)22888ndash22938 [Online] Available httpwwwepagovnceawww1exposurehtm [August 1 2001]

EPA (US Environmental Protection Agency) 1992b Dermal Exposure Assessment Principles andApplications Interim Report EPA6008ndash91011B Office of Research and DevelopmentUS Environmental Protection Agency Washington DC [Online] Available httpwwwepagovnceadermalhtm [August 10 2001]

EPA (US Environmental Protection Agency) 1996a Proposed Guidelines for Carcinogen RiskAssessment EPA600P-92003C Fed Regist 61(79)17960ndash18011 (April 23 1996)[Online] Available httpwwwepagovnceawww1rafcra_prophtm [August 1 2001]

EPA (US Environmental Protection Agency) 1996b Guidelines for Reproductive Toxicity RiskAssessment EPA630R-96009 Office of Research and Development USEnvironmental Protection Agency Washington DC October 1996

EPA (US Environmental Protection Agency) 1996c Environmental Health Threats to ChildrenEPA175-F-96ndash001 Office of the Administrator US Environmental Protection AgencySeptember 1996 [Online] Available httpwwwepagovepadocschildhtm [August 12001]

EPA (US Environmental Protection Agency) 1996d Descriptive Statistics Tables from a DetailedAnalysis of the National Human Activity Pattern Survey (NHAPS) Data EPA600R-96148 Report prepared by AMTsang and NEKlepeis Lockhead MartinEnvironmental Service Company Las Vegas NV for National Exposure ResearchLaboratory Office of Research and Development US Environmental Protection AgencyLas Vegas NV July 1996

EPA (US Environmental Protection Agency) 1997a Exposure Factors Handbook Vol I II IIIEPA600P-95002Fa-c National Center for Environmental Assessment Office ofResearch and Development US Environmental Protection Agency [Online] Availablehttpwwwepagovnceaexposfachtm [July 31 2001]

EPA (US Environmental Protection Agency) 1997b Guiding Principles for Monte

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es c

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ed f

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er b

ook

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heor

igin

al ty

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tting

file

s P

age

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ks a

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ue to

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orig

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lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

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ther

type

setti

ng-s

peci

fic fo

rmat

ting

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ever

can

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tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

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inse

rted

Ple

ase

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the

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sion

of t

his

publ

icat

ion

as th

e au

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itativ

e ve

rsio

n fo

r attr

ibut

ion

Carlo Analysis EPA630R-97001 March 1997 National Center for EnvironmentalAssessment Office of Research and Development US Environmental ProtectionAgency [Online] Available httpwwwepagovnceamonteabshtm [April 2 2001]

EPA (US Environmental Protection Agency) 1997c Policy for Use of Probabilitistic Analysis inRisk Assessment at the US Environmental Protection Agency May 15 1997 NationalCenter for Environmental Assessment Office of Research and Development USEnvironmental Protection Agency [Online] Available httpwwwepagovnceamcpolicyhtm [April 2 2001]

EPA (US Environmental Protection Agency) 1998a Guidelines for Neurotoxicity AssessmentEPA630R-95001F Risk Assessment Forum US Environmental Protection AgencyWashington DC April 1998

EPA (US Environmental Protection Agency) 1998b Methodology for Assessing Health RisksAssociated with Multiple Pathways of Exposure to Combustor Emissions EPA 600R-98137 National Center for Environmental Assessment Office of Research andDevelopment US Environmental Protection Agency Cincinnati OH [Online]Available httpwwwepagovnceawww1combusthtm [December 26 2001]

EPA (US Environmental Protection Agency) 1998c Risk Assessment Guidance for SuperfundVolume I Human Health Evaluation Manual (Part D Standardized Planning Reportingand Review of Superfund Risk Assessments) Interim OSWER 92857ndash01D Office ofEmergency and Remedial Response US Environmental Protection Agency WashingtonDC

EPA (US Environmental Protection Agency) 1999a Risk Assessment Guidance for SuperfundVol 1 Human Health Evaluation Manual Supplement to Part A Community Involvementin Superfund Risk Assessments EPA 540-R-98ndash042 Office of Solid Waste andEmergency Response US Environmental Protection Agency Washington DC March1999 [Online] Available httpwwwepagovsuperfundprogramsriskragsaci-rahtm[December 26 2001]

EPA (US Environmental Protection Agency) 1999b Guidelines for Carcinogen Risk AssessmentNCEA-F-0644 Review Draft July 1999 National Center for Environmental AssessmentRisk Assessment Forum US Environmental Protection Agency Washington DC[Online] Available httpwwwepagovncearafcrasabhtm [September 13 2001]

EPA (US Environmental Protection Agency) 2000a Supplementary Guidance for ConductingHealth Risk Assessment of Chemical Mixtures EPA630R-00002 National Center forEnvironmental Assessment Office of Research and Development US EnvironmentalProtection Agency Washington DC August 2000 [Online] Available httpwwwepagovnceawww1rafchem_mixhtm [December 26 2001]

EPA (US Environmental Protection Agency) 2000b Water Biosolids Management andEnforcement Audit Report No 2000-P-10 Office of Inspector General March 20 2000[Online] Available httpwwwepagovoigearthauditlist30000P0010pdf [December20 2001]

EPA (US Environmental Protection Agency) 2000c Child-Specific Exposure

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ibut

ion

Factors Handbook (External Review Draft) NCEA-W-0853 National Center forEnvironmental Assessment Office of Research and Development US EnvironmentalProtection Agency Washington DC June 2000 [Online] Available httpwwwepagovnceawww1csefh2htm [December 26 2001]

EPA (US Environmental Protection Agency) 2000d Strategic Plan for the Analysis of theNational Human Exposure Assessment Survey (NHEXAS) Pilot Study Data EPA600R-00049 National Exposure Research Laboratory and National Center for EnvironmentalAssessment Office of Research and Development US Environmental ProtectionAgency Washington DC November 2000 [Online] Available httpwwwepagovNERLresearchnhexasstrategypdf [August 6 2001]

EPA (US Environmental Protection Agency) 2001a Risk Assessment Guidance for SuperfundVol 1 Human Health Evaluation Manual (Part E Supplemental Guidance for DermalRisk Assessment) Interim Review Draft EPA540R99005 OSWER 92857ndash02EPPB99ndash963312 Office of Emergency and Remedial Response US EnvironmentalProtection Agency Washington DC September 2001 [Online] Available httpwwwepagovsuperfundprogramsriskragseintroductionpdf [March 12 2002]

EPA (US Environmental Protection Agency) 2001b Risk Assessment Guidance for SuperfundVol 3- Part A Process for Conducting Probabilistic Risk Assessment EPA 530-R-02ndash002 PB2002 963302 Office of Emergency and Remedial Response US EnvironmentalProtection Agency Washington DC December 2001 [Online] Available httpwwwepagovoerrpagesuperfundprogramsriskrags3apdfcontprefpdf [May 21 2002]

EPA (US Environmental Protection Agency) 2001c Exposure Analysis for DioxinsDibenzofurans and CoPlanar Polychlorinated Biphenyls in Sewage Sludge TechnicalBackground Document Draft EPA Contract No 68-W6ndash0053 RTI 7600-OP3040Prepared by Center for Environmental Analysis Research Triangle Institute ResearchTriangle Park NC for the Office of Water US Environmental Protection AgencyWashington DC November 30 2001 [Online] Available httpwwwepagovwatersciencebiosolidsriskasdraftpdf [February 26 2002]

Evans JS JDGraham GMGray and RLSielken Jr 1994 A distributional approach tocharacterizing low-dose cancer risk Risk Anal 14(1)25ndash34

Finkel AM 1990 Confronting Uncertainty in Risk Management A Guide for Decision-MakersWashington DC Center for Risk Management Resources for the Future

Habicht HF 1992 Guidance on Risk Characterization for Risk Managers and Risk Assessors EPAMemorandum from EPA Deputy Administrator FHenry Habict III to AssistantAdministrators and Regional Adminstrators (Publish as pages 351ndash374 in Science andJudgment in Risk Assessment 1994 Washington DC National Academy Press)

Hertwich EG SFMateles WSPease and TEMcKone 2001 Human toxicity potentials for life-cycle analysis and toxics release inventory risk screening Environ Toxicol Chem 20(4)928ndash939

ADVANCES IN RISK ASSESSMENT SINCE THE ESTABLISHMENT OF THE PART503 RULE

161

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t th

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rigin

al w

ork

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ompo

sed

from

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es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

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icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Krewski D KSCrump JFarmer DWGaylor RHowe CPortier DSalsburg RLSielken andJVan Ryzin 1983 A comparison of statistical methods for low dose extrapolationutilizing time-to-tumor data Fundam Appl Toxicol 3(3)140ndash160

Melia RJW CDVFlorey SCDarby EDPalmes and BDGoldstein 1978 Differences in NO2levels in kitchens with gas or electric cookers Atmos Environ 12(6ndash7)1379ndash1381

Morgan GM MHenrion and MSmall 1990 Uncertainty A Guide to Dealing with Uncertaintyon Quantitative Risk and Policy Analysis Cambridge UK Cambridge University Press

Mumtaz MM and PRDurkin 1992 A weight-of-evidence approach for assessing interactions inchemical mixtures Toxicol Ind Health 8(6)377ndash406

NBP (National Biosolids Partnership) 2001 Manual of Good Practice for Biosolids Interim FinalDraft March 13 2001 [Online] Available httpbiosolids policynetproactivenewsroomreleasevtmlid=20961 [January 18 2002]

NRC (National Research Council) 1982 Risk and Decision Making Perspectives and ResearchWashington DC National Academy Press

NRC (National Research Council) 1989 Improving Risk Communication Washington DCNational Academy Press

NRC (National Research Council) 1993 Issues in Risk Assessment Washington DC NationalAcademy Press

NRC (National Research Council) 1994 Science and Judgement in Risk Assessment WashingtonDC National Academy Press

NRC (National Research Council) 1996 Understanding Risk Informing Decisions in a DemocraticSociety Washington DC National Academy Press

Pellizzari ED TDHartwell RLPerritt CMSparacino LSSheldon HSZelon RWWhitmoreJJBreen and LAWallace 1986 Comparison of indoor and outdoor residential levels ofvolatile organic chemicals in five US geographic areas Environ Int 12(6)619ndash623

PresidentialCongressional Commission on Risk Assessment and Risk Management 1997Framework for Environmental Health Risk Management Final Report Vol 1Washington DC The Commission

Schiffman SS JMWalker PDalton TSLorig JHRaymer DShusterman and CMWilliams2000 Potential health effects of odor from animal operations wastewater treatment andrecycling of byproducts J Agromed 7(1)7ndash81

Spengler JD CPDuffy RLetz TWTibbets and BGFerris Jr 1983 Nitrogen dioxide insideand outside 137 homes and implications for ambient air quality standards and healtheffects research Environ Sci Technol 17(3)164ndash168

Taylor AC JSEvans and TEMcKone 1993 The value of animal test information inenvironmental control decisions Risk Anal 13(4)403ndash412

Thomas KW EDPellizzari CAClayton RLPerritt RNDietz RWGoodrich WCNelsonand LAWallace 1993 Temporal variability of benzene exposures for residents in severalNew Jersey homes with attached garages or tobacco smoke J Expo Anal EnvironEpidemiol 3(1)49ndash73

ADVANCES IN RISK ASSESSMENT SINCE THE ESTABLISHMENT OF THE PART503 RULE

162

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ork

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ompo

sed

from

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es c

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ed f

rom

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inal

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er b

ook

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heor

igin

al ty

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tting

file

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age

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ks a

re tr

ue to

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inal

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e le

ngth

s w

ord

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ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

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erro

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ay h

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tally

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rted

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sion

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his

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icat

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as th

e au

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itativ

e ve

rsio

n fo

r attr

ibut

ion

Wallace LA 1993 A decade of studies of human exposure What have we learned Risk Anal 13(2)135ndash139

Wilson JD 2001 Advanced Methods for Dose-Response Assessment Bayesian Approaches FinalReport based on a workshop held September 18ndash20 2000 Discussion Paper 01ndash15Resources for the Future Washington DC

ADVANCES IN RISK ASSESSMENT SINCE THE ESTABLISHMENT OF THE PART503 RULE

163

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tting

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tyle

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nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

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ed a

nd s

ome

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grap

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erro

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ay h

ave

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tally

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rted

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ibut

ion

5

Evaluation of EPArsquos Approach to Setting ChemicalStandards

The US Environmental Protection Agency used risk-assessment methodsto set biosolids chemical standards (termed ldquopollutant limitsrdquo under the Part 503rule) to be protective of human health and the environment Risk-basedstandards are generally maximum levels that should not be exceeded Risksexperienced by a typical receptor population are likely to be lower and in mostcases much lower than target risk levels used to derive risk-based standardsHowever the protectiveness of the risk-based standards is dependent on thedata and methods used to establish the standards as well as on compliance withspecified conditions of use

The risk-assessment methods for establishing the Part 503 rule weredeveloped in the mid-1980s Since that time EPA has refined risk-assessmentmethods and approaches and has issued a number of guidance documents tosupport standardized approaches to risk assessment (see Chapter 4) In thischapter the methods used for the Part 503 rule risk assessments are reevaluatedin light of the current practice of risk assessment Specific assumptions made inthe risk assessments are also reevaluated on the basis of available scientificinformation

Risk assessments typically include four steps hazard identificationexposure assessment toxicity (dose-response) assessment and riskcharacterization (NRC 1994) Elements of all four steps are considered in thefollowing sections The first section considers the hazard-identificationapproach used to select chemicals for inclusion in the risk assessment (EPA1985 1992ab) Subsequent sections address general issues for exposureassessment and risk

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 164

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ng-s

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rmat

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ome

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ibut

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characterization These sections are followed by a discussion of issues relevantto specific inorganic and organic chemicals including toxicity assessment

HAZARD ASSESSMENT AND CHEMICAL SELECTION

To date EPA has conducted two rounds of assessments to identifychemicals to regulate in the Part 503 rule Round 1 was conducted to identify aninitial set of chemical pollutants to regulate and Round 2 was conducted toidentify additional pollutants for regulation Standards for the Round 2pollutants have not been established but EPA is considering regulation ofdioxins (a category of compounds that has 29 specific congeners ofpolychlorinated dibenzo-p-dioxins polychlorinated dibenzofurans and coplanarpolychlorinated biphenyls) for land application Therefore although evaluationof EPArsquos dioxin risk assessments for biosolids is outside the scope of thecommitteersquos charge the committee believes that evaluating the selection ofdioxins for regulation is within the charge

Round 1 Pollutant Selection

EPA used a two-stage process to select its initial set of contaminants toregulate under the Part 503 rule First a list of chemicals was subjected to ahazard screening Second chemicals found to represent a potentially significantrisk were subject to formal risk assessment

In 1984 using available data on effects in humans plants domesticanimals wildlife and aquatic organisms and frequency of chemical occurrencein biosolids EPA identified 200 potential chemicals of concern in biosolids Apanel of scientific experts selected 50 chemicals of potential concern forevaluation by EPA A screening process was then used to select 22 pollutantsfor potential regulation (Table 5ndash1) The process involved developingenvironmental profiles for each pollutant for which data were readily availableon toxicity occurrence fate and pathway-specific hazards When relevantaggregate cancer risks from exposure via several pathways were assessed Risksposed by some of the pathways subsequently analyzed in the risk assessmentwere not used in the screening process (pathways 11ndash14 see Table 5ndash4 insummary of exposure pathways)

To determine whether a full risk assessment was warranted for a particularchemical via a specific exposure pathway a hazard index was calculated foreach contaminant and pathway that had sufficient data (EPA 1985) This indexis the ratio of the estimated concentration of the pollutant in the envi

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 165

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ng-s

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fic fo

rmat

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ome

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TABLE 5ndash1 Pollutants Selected for Potential Regulation

Inorganic Chemicals Organic ChemicalsArsenic Aldrin and dieldrinCadmium Benzo[a]pyreneChromium ChlordaneCopper DDT DDD DDELead HeptachlorMercury HexachlorobenzeneMolybdenum HexachlorobutadieneNickel LindaneSelenium N-NitrosodimethylamineZinc Polychlorinated biphenyls

ToxapheneTrichloroethylene

Abbreviations DDT 111-trichloro-22-bis(p-chlorophenyl)ethane DDE 11-dichloro-22-bis(p-chlorophenyl)ethylene DDD 11-dichloro-22-bis(p-chlorophenyl)-ethaneSource EPA 1992a

ronment (soil plant or animal tissue water or air) to the establishedhuman health or other regulatory criteria (eg acceptable daily intake fornoncarcinogens or a cancer risk-specific intake) The calculated soilconcentrations were based on ldquotypicalrdquo and ldquoworstrdquo concentrations of thecontaminant found in biosolids and were evaluated at application rates of 5 and50 metric tons per hectare (mtha) and a cumulative application of 500 mthabased on the assumption of 5 mtha per year for 100 years Data onconcentrations of pollutants in sewage sludge were obtained primarily fromsurvey data collected in a 40-city study (EPA 1982) Median values were usedto represent typical concentrations and the 95th percentile was used torepresent the worst-case concentrations It is not clear how calculations ontypical concentrations and low application rates were used in the screeningprocess because the hazard index was reportedly derived using worst-caseconditions

After the screening process pollutants with a hazard index equal to orgreater than 1 were evaluated further The hazard index for each of thesepollutants was adjusted so that it reflected the hazard attributable only to

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 166

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ng-s

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rmat

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ever

can

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ome

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biosolids for the specific pathway of exposure being evaluated This adjustmentwas done by excluding background exposure to the pollutant from sources otherthan biosolids When adjusted values exceeded 1 the pollutant was evaluatedfor that particular pathway in a detailed risk assessment Thus backgroundexposure was eliminated and only pollutants for which the hazard index wasgreater than 1 for the increment contributed by biosolids were subjected tofurther analysis through risk assessment This analysis assessed exposure viaeach pathway to each chemical For human-health-related pathways thisprocedure resulted in the elimination of fluoride and lindane from considerationin several pathways

After the proposed Part 503 rule was issued in 1989 EPA completed aNational Sewage Sludge Survey (NSSS) (EPA 1990) The NSSS collected dataon more than 400 pollutants from approximately 180 sewage treatment plantsthroughout the country to produce national estimates of concentrations ofpollutants in sewage sludge Using the NSSS data and information from the riskassessments EPA conducted a further screening analysis to eliminate fromregulation any pollutant that was not present at concentrations deemed to pose asignificant public health or environmental risk On the basis of this screeninganalysis the 12 organic chemicals were exempted leaving only inorganicchemicals for regulation by the Part 503 rule The following criteria forexempting organic pollutants were used

1 The pollutant has been banned from use has restricted use or is nolonger manufactured for use in the United States

2 The pollutant has a low frequency of detection in sewage sludge(less than 5) based on data from the NSSS

3 The concentration of the pollutant in sewage sludge is already lowenough that the estimated annual loading to cropland soil wouldresult in an annual pollutant-loading rate within allowable risk-based levels

Aldrin and dieldrin chlordane 111-trichloro-22-bis(p-chlorophenyl)ethane 11-dichloro-22-bis(p-chlorophenyl)ethylene 11-dichloro-22-bis(p-chlorophenyl)ethane (DDT DDE DDD) heptachlor lindane N-nitrosodimethylamine polychlorinated biphenyls (PCBs) and toxaphene wereeliminated on the basis of criterion 1 All the organics except aldrin anddieldrin bis(2-ethylhexyl)phthalate and PCBs met criterion 2 On the basis ofagricultural application assumptions all the organics except benzo[a]pyrenehexachlorobenzene N-nitrosodimethylamine and PCBs met criterion 3 Underdifferent application scenarios some of these same organics might not meetcriterion

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 167

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ng-s

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ome

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3 For example EPA (1992b) noted that under scenarios for applications toforests and public contact sites toxaphene and the organics eliminated under theagricultural scenario do not meet criterion 3

Round 2 Pollutant Selection

Subsequent to the promulgation of biosolids regulations in 1993 anotherevaluation was conducted to develop a list of Round 2 pollutants to consider forregulation (EPA 1996a) As with the Round 1 pollutants EPA conducted apreliminary hazard identification followed by a risk assessment for thosecontaminants and pathways identified as potential hazards In this evaluationdegradation products of organic contaminants were assumed to be nontoxicThe list of 411 pollutants analyzed in the NSSS (EPA 1990) was the startingpoint of the Round 2 assessments Pollutants were eliminated fromconsideration if they were not detected (254 pollutants) or were detected in lessthan 10 of sewage sludge (69 pollutants) Pollutants present in more than 10of sewage sludge but with insufficient toxicity data were also eliminated fromRound 2 consideration (see Table 5ndash2) Some of these chemicals lack toxicityvalues due to a relative lack of toxicity Several pollutants were grouped intoclasses of congeners (eg PCBs chlorinated dioxins and furans)

The screening process identified 30 pollutants that had a frequency ofdetection of 10 or greater in the NSSS and that had data on human health andor ecological toxicity (Table 5ndash3) Asbestos which was not analyzed in theNSSS was added as another potential candidate for regulation because it istoxic persistent and can be in biosolids These 31 pollutants were subject tofurther analysis in a comprehensive hazard identification study The study useda mix of conservative and average value assumptions similar to those used inthe Round 1 risk assessments The aggregate exposure through more than onepathway was not assessed Analysis of a particular pathway of exposure forcertain candidate chemicals was not conducted when EPA determined thatchemical-specific data were insufficient for that pathway The result of theevaluation was that only dioxins furans and coplanar PCBs (considered as agroup) were subject to further risk assessment (EPA 1996a) That riskassessment led to a proposed standard in December 1999 (EPA 1999a) EPAsponsored a peer review of that risk assessment and proposed standard (Versar2000) On the basis of review comments and the agencyrsquos reassessment ofdioxin risks EPA decided to revise the risk assessment A peer-review draftwas released November 30 2001 (EPA 2001a) and a notice of data availabilitywas subsequently issued for public comment on June 12 2002 (EPA 2002)

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 168

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setti

ng-s

peci

fic fo

rmat

ting

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ever

can

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ed a

nd s

ome

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grap

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erro

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TABLE 5ndash2 Chemicals Eliminated from Consideration in the Round 2 AssessmentsBecause of Lack of Toxicity DataCalcium MagnesiumDecane n- Octacosane n-Dodecane n- SodiumEicosane n- Tetracosane n-Hexacosane n- Tetradecane n-Hexadecane n- Triacontane n-Hexanoic acid YttriumIron

Source EPA 1996a

Limitations of the Assessment and Selection Process

Survey Data

Accurate data on pollutant concentrations in biosolids are crucial to theselection of chemicals to regulate under the Part 503 rule Many of the decisionsmade in the chemical selection process were based on concentration data fromthe NSSS (EPA 1990) The NSSS was an ambitious undertaking and providesthe most comprehensive data on the content of sewage sludge in the UnitedStates to date However the survey was conducted over a decade ago and thereis a need to conduct a new survey to characterize the concentrations anddistribution of chemicals now present in biosolids For example state surveydata presented in Chapter 2 show that concentrations of some of the regulatedinorganic elements have generally decreased over the past decade Furthermorethe accuracy of the NSSS data was called into question by an earlier NRCcommittee that was asked to evaluate the use of biosolids on croplands (NRC1996) That committee found inconsistencies in the surveyrsquos sampling analysesand data-reporting methods that undermined the reliability of the dataTherefore it recommended that another comprehensive survey be conducted torectify the NSSSrsquos sampling and analytical limitations To date no such surveyhas been done

Some chemicals that were undetected because of analytical problems ordetection limits that exceeded risk-based concentrations were likely eliminatedmistakenly Each of the chemicals in the NSSS was assigned a ldquodetectionlimitrdquo which was equivalent to the minimum concentration of pollutant thatcould be quantitated (EPA 1990) The detection limits are difficult to discern

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 169

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ng-s

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fic fo

rmat

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TABLE 5ndash3 Candidate Pollutants for Round 2 Regulationsa

Acetic acid (24-dichlorophenoxy) Methylene chlorideAluminumb NitrateAntimony NitriteAsbestosc PentachloronitrobenzeneBarium PhenolBeryllium Polychlorinated biphenyls-coplanarBis(2-ethylhexyl)phthalate Propanone 2-Boron Propionic acid 2-(245-trichlorophenoxy)Butanone 2- SilverCarbon disulfide ThalliumCresol p- TinCyanides (soluble salts and complexes) TitaniumDioxins and dibenzofurans TolueneEndosulfan-II Trichlorophenoxyacetic acid 245-Fluoride VanadiumManganese

aPollutants detected at a frequency of at least 10 with human health andor ecological toxicity dataavailablebAluminum does not have human health or ecological toxicity data available but is included becauseof its potential for phytotoxicitycAsbestos was not tested in the NSSS but is toxic persistent and can be in sewage sludgeSource EPA 1996a

from the NSSS data and actual detection limits for a given chemicalvaried over a wide range of concentrations among samples (Figures 5ndash1through 5ndash4) Data presented in the technical support document for the Round 2assessment (EPA 1996a) indicated that some detection limits exceeded severalhundred parts per million for some of the organic chemicals At the request ofthe committee detection limits of NSSS samples for eight chemicals four ofwhich were not detected in the NSSS (ideno[123-cd]pyrene N-nitrosodimethylamine pentachlorophenol and toxaphene) were provided byEPA (Charles White EPA personal communication February 2001) Beforeconducting a risk assessment the adequacy of the available chemicalconcentration data to support the risk assessment is typically evaluated (EPA1991) It is

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FIGURE 5ndash1 Detected concentrations ( ) and detection limits (times) fornondetects (as a function of solids content of sewage sludge) compared withsiol screening levels (A ingestion and dermal B inhalation) forhexachlorobenzene and mercury Source NSSS data from EPA 1990

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FIGURE 5ndash2 Detected concentrations ( ) and detection limits (times) fornondetects (as a function of solids content of sewage sludge) compared withsoil screening levels (A ingestion and dermal) for indeno(123-cd)pyrene andPCB-1254 Source NSSS data from EPA 1990

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FIGURE 5ndash3 Detected concentrations ( ) and detection limits (times) fornondetects (as a function of solids content of sewage sludge) compared withsoil screening levels (A ingestion and dermal) for toxaphene andpentachlorophenol Source NSSS data from EPA 1990

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FIGURE 5ndash4 Detected concentrations ( ) and detection limits (times) fornondetects (as a function of solids content of sewage sludge) compared withthe soil screening levels for dieldrin and the EPA Region 9 preliminaryremediation goal (A ingestion and dermal) and for N-nitrosodimethylamine(B ingestion) (EPA 2002b) Note The PRG for N-nitrosodimethylamine isapproximately 1 microgkg and could not be shown grapically on the figureSource NSSS data from EPA 1990

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current risk-assessment practice to evaluate the adequacy of analyticaldetection limits by comparing them with conservative risk-based screeningconcentrations (RBCs) For example EPA (2001b) has developed soilscreening levels (SSLs) which are based either on incidental ingestion of anddermal contact with soil or on inhalation of vapors or resuspended soilparticulates Figures 5ndash1 through 5ndash4 show chemical concentrations anddetection limits for selected chemicals in sewage sludge as a function of thepercent solids in the sample (elevated detection limits were sometimesassociated with low percent solids) These values compared with the SSLs1

show that for some of those chemicals most sample detection limits exceed thelowest SSL Thus the NSSS failed to achieve sufficient detection for four of theeight chemicals selected as examples to determine whether they were presentat concentrations requiring further evaluation in a risk assessment

Data regarding detection frequency were used to make critical decisions inRounds 1 and 2 For example chemicals were eliminated from consideration inRound 1 if they were detected at a frequency of less than 5 in the NSSS (EPA1992a) and in Round 2 if detected at a frequency of less than 10 (EPA 1996a)On a national scale a 10 elimination criterion might seem reasonablehowever because of the local use of most biosolids that criterion couldoverlook potentially significant site-specific risk

NSSS data were also used in calculating the hazard screening indexes thatdetermined whether a chemical would be evaluated in a risk assessment Forexample some organic chemicals were excluded from regulation because theirconcentrations in biosolids were already low enough and their estimated annualloading to cropland soil would result in an annual pollutant loading rate withinallowable risk-based levels EPA compared the annual pollutant loading rate(APLR) of a specific chemical based on its 99th percentile concentration in theNSSS with the annual pollutant loading concentrations calculated by the Part503 exposure assessment If the 99th percentile concentration of a pollutantresulted in an APLR less than the loading rate calculated through the risk-basedexposure assessment EPA did not regulate the pollutant However as noted bythe 1996 NRC committee the 99th percentile concentrations of four pollutants(PCBs benzo[a]pyrene hexachlorobenzene and N-nitrosodimethylamine)resulted in calculated APLRs higher than those calculated by the exposureassessment (NRC 1996) The four compounds were eliminated from regulationbecause they were either no longer manufactured

1When an SSL was unavailable the EPA Region 9 preliminary remediation goal wasused

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(PCBs and N-nitrosodimethylamine) or had a low frequency of detection in theNSSS (benzo[a]pyrene and hexachlorobenzene) If these pollutants are presentin biosolids at concentrations approaching the 99th percentile they can posemore of a risk than would be considered acceptable in the exposure assessment

Additional Chemicals of Potential Concern

A number of contaminants not included in the NSSS have since beenidentified as biosolids pollutants Some of these chemicals enter wastewaterfrom industrial releases but analyses for them are not routinely conductedwhereas other chemicals entering wastewater primarily from domestic releasesare not typically included in environmental analyses which usually focus onindustrial chemicals found at hazardous waste sites

Some categories of chemicals such as pharmaceuticals personal-careproducts and chemicals added to condition and dewater sewage sludge that areespecially likely to be present in domestic sewage remain unstudied inbiosolids Only a few studies have been conducted on the wide variety ofodorants present in sewage sludge New data described below and otherconsiderations demonstrate the need for a new hazard assessment of biosolids toexpand the suite of chemicals evaluated Some categories of pollutants inaddition to those mentioned above that should be considered in futureassessment are discussed later in this chapter in the section Organic Chemicals

The Toxics Release Inventory which tracks the release of over 600pollutants that are discharged by businesses meeting certain thresholdsdocuments that pollutants continue to be released to sewer systems fromindustrial and commercial sources Although data on a core set of chemicalstracked consistently between 1988 and 1999 show that transfers to publiclyowned treatment works (POTWs) substantially decreased (for example transferof metals decreased by 65) trend data between 1995 and 1999 indicate atransfer increase for all tracked chemicals of about 76 to POTWs withgreater increases for tracked metals2 (EPA 2001c) Over the same periodwastewater flows into sewage treatment plants and sewage sludge volumesincreased approximately 85 (calculated based on data in Appendix A of EPA[1999b])

2Transfers of tracked TRI metals increased 31 during this four-year period It shouldbe noted that the tracked metals are not the same as the inorganic chemicals regulatedunder the Part 503 rule

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This suggests that overall industrial discharges to POTWs are increasing at asimilar rate as sewage sludge volumes

Under the Clean Water Act EPA is required to review the regulations inPart 503 at least every 2 years to identify additional toxic pollutants andpromulgate regulations for such pollutants (33 USC Section 1345(d)(2)(C)) Anew hazard assessment should include review of new studies from the UnitedStates Canada Europe and elsewhere to identify additional pollutants to beevaluated In addition to evaluating more industrially used chemicalsconsideration must be given to identifying and characterizing nonindustrialchemicals that are released into sewer systems (eg pharmaceuticals andpersonal-care products) or added to wastewaters during treatment processes(eg dewatering agents)

Data Gaps

Some pollutants and exposure pathways were eliminated in the screeningprocesses and risk assessments when chemical-specific data were insufficient toperform pathway-specific calculations or when toxicity data were insufficientfor a given pollutant For example a plant uptake factor for lindane was notavailable so no assessments were conducted for any pathway that relied on thatfactor Thus the potential risks from lindane via those particular pathways werenot assessed The technical support documents for EPArsquos Round 1 and Round 2assessments do not provide a list of data gaps nor do they specify the chemicalsand pathways that were eliminated from consideration because of data gapsThe lack of that information makes it impossible to identify the implications ofthe data gaps Lack of information does not equate to lack of risk Thereforedata gaps should not be used as a criterion for eliminating chemicals fromconsideration but should be used to identify important areas for future research

In conclusion new studies of the contaminant concentrations in biosolidsshould include evaluation of pollutants such as surfactants flame retardantsand pharmaceuticals not included in previous surveys Biosolids should bemonitored periodically as new pollutants are identified and analytical methodsimproved As analytical methods are identified risk-based screeningconcentrations should be used to ensure that detection limits are adequate tosupport risk assessment Use of a lower frequency of detection to eliminatecontaminants from regulation should be considered Data gaps that result in theinability to assess risks need to be identified so that research can be conductedto fill those gaps

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EXPOSURE ASSESSMENT

As described in Chapter 4 exposure assessment is the identification andquantification of potential exposures For exposure to chemicals to occur acomplete exposure pathway must exist A complete pathway requires thefollowing elements (EPA 1989)

bull A source and mechanism for release of chemicalsbull A transport or retention mediumbull A point of potential human contact (exposure point) with the affected

mediumbull An exposure route at the exposure point

These elements are typically identified in a conceptual site model If anyone of these elements is missing the pathway is not considered complete Forexample if human activity patterns and the location of human populationsrelative to the location of an affected medium prevent human contact then thatexposure pathway is not complete One of the primary differences between thePart 503 rule risk assessment and current risk-assessment practice is that thePart 503 rule risk assessment derived separate risk-based levels for eachindividual exposure pathway evaluated whereas current practice is to performaggregate risk assessments in which risk-based standards are derived afteraggregation of exposures by all pathways to which a single individual is likelyto be exposed

EPA has used a conceptual site model in a new analysis of risks associatedwith dioxins in biosolids (EPA 2001a) The conceptual site model used by EPAfor agricultural application is shown in Figure 5ndash5 A number of importantassumptions that may be questioned are embedded in such a model (eg thenotion of the buffer zone) However this figure provides an example of how aconceptual site model illustrates the mechanisms by which contaminants inbiosolids are transported from the site of application to a point of contact with ahuman receptor For each category of receptor identified exposures from allidentified pathways are summed to provide an estimate of total exposures

This section reviews the approach used by EPA to select exposurepathways for the Round 1 Part 503 rule risk assessment describes current EPAexposure-assessment procedures (focusing on multipathway risk assessment)and then attempts to assess the implications of the differences in current versushistorical approaches The final section reviews and compares the historical andcurrent exposure assumptions for pathway-specific parameters and examinesmethodological issues for derivation of some chemical-specific parameters

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Summary of Approach Used to Select Exposure Pathways

The Part 503 risk assessment evaluated 14 exposure pathways 9 of whichincluded human pathways (Table 5ndash4) The human exposure pathways considerdirect ingestion of biosolids by a child ingestion of produce grown on biosolids-amended soil by either a home gardener or consumers buying the produce instores ingestion of animal products derived from livestock exposed via food orsoil ingestion inhalation by a farmer of dust or inhalation of vapors containingchemicals released from biosolids-amended soils and ingestion of fish andwater affected by release of chemicals from amended soils Although thesepathways may include the primary exposure pathways for a resident nearbiosolids-amended fields EPA did not identify a single common receptor andcalculate exposures in such a way that exposure via multiple pathways could beadded The conservatism in the exposure assumptions varies widely in the Part503 rule risk assessment The variability in the conservatism of the assumptionsfor the various pathways results in the highest risks being associated with thepathway with the most conservative assumptionsmdashthat is the child ingestingundiluted biosolidsmdashrather than the pathways most likely to contribute toexposures A more robust assessment of potential exposures to contaminants inbiosolids would be provided by an aggregate assessment of total exposuresfrom all pathways that a single receptor is likely to encounter Although it islikely that one or two pathways will be the dominant contributors to exposurefor any one chemical the dominant pathways may vary with chemicals and arenot always correctly predicted before conducting the risk assessment

Description of Conceptual Model and Exposure ScenarioApproach

For each biosolids-application scenario being evaluated a conceptualmodel should be developed to describe the scenarios under which exposurescould occur Agricultural forestry and land-reclamation applications may allresult in somewhat different conceptual models A conceptual site model shouldidentify the biosolids source (eg biosolids tilled into soil or applied to thesurface for agricultural soils) the pathways by which biosolids constituents maybe released and transported and the nature of human contacts with theconstituents The limitations of the assessment should be clearly articulated(eg whether exposures are evaluated only after land application) and anyexclusion of exposures associated with processing and transporting biosolidsshould be reported

The conceptual site model developed for the risk assessment for dioxins inbiosolids (EPA 2001a) provides an illustration of this approach for the

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agricultural application scenario Although some of the assumptions of thesite model are open to question the model is clearly laid out The dioxin riskassessment examines exposures of two primary kinds of human receptors afarm family living adjacent to and downhill from the land-application site (in anarea termed a buffer) and a recreational fisher catching fish from a streamdownhill from the land-application site For the farm family aggregateexposures by the following pathways are assessed

bull Incidental ingestion of soil in the bufferbull Ingestion of above- and below-ground produce grown on croplandbull Ingestion of beef and dairy products from a pasturebull Ingestion of home-produced poultry and eggs from the bufferbull Inhalation of ambient air (particulates and vapor)bull Ingestion of motherrsquos milk by an infant

Only chronic exposures to dioxins are evaluated and one pathway(groundwater ingestion) considered in setting the Part 503 standards isexcluded The inclusion of some pathways and exclusion of others in thisfocused risk assessment reflects both assumptions about the exposure such asthe absence of a farm pond used for fishing and the expected behavior of thechemicals being evaluated Dioxins dibenzofurans and coplanar PCBs arepersistent lipophilic chemicals that are expected to partition into meat eggs andmilk but are not expected to leach to groundwater Similarly the focus onchronic exposures is appropriate for persistent chemicals present in biosolids inlow concentrations

In developing a conceptual site model that could form the foundation for amultipathway risk assessment for a great variety of chemicals it is necessary tothink more broadly about the exposure pathways and exposure durations to beevaluated Consequently groundwater ingestion and short-term exposures tovolatile chemicals should be included in a biosolids risk assessment Similarlydifferent application practices such as forestry land reclamation or directapplication of biosolids to home gardens by consumers would require separateconceptual site models

Evaluation of Exposure Models and Parameters

Estimation of potential exposures to chemicals for the purpose of derivingrisk-based concentrations requires theoretical calculations based onunderstanding how people come into contact with chemicals in environmentalmedia and how chemicals move among various environmental media Thesecalculations include assumptions for many parameters beginning with fate and

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transport models for predicting chemical concentrations in the exposure mediaSome of the assumptions for each of the pathways evaluated in the Part 503 rulerisk assessment are presented in Table 5ndash5 Working backward from landapplication of biosolids it is necessary to predict chemical concentrations insoil in plants grown in the soil in livestock grazed in the fields or fed foragefrom the fields and in other media identified in the various exposure pathwaysOnce chemical concentrations in the exposure media are estimated assumptionsmust be made about the values of other parameters that control the degree ofexposure to the media Some of these parameters are specific to the exposurepathway being evaluated For example to evaluate incidental ingestion ofchemicals in soil an assumption must be made about the amount of soil aperson will ingest Other parameters are chemical specific such as the relativebioavailability of a chemical in soil

In addition several management requirements in the Part 503 rule couldaffect predicted chemical concentrations in exposure media The riskassessments assume compliance with those requirements Managementrequirements and compliance with them are discussed in more detail inChapter 2 The committee found that EPA does not have an adequate programfor ensuring compliance with those requirements Some of the criticalmanagement practices and assumptions are discussed in Box 5ndash1

As discussed in Chapter 4 there have been several important advances inrisk assessment since the Part 503 rule was promulgated One of the mostsignificant advances in exposure assessment has been the development ofprobabilistic risk assessment methods that provide a quantitative description ofvariability and uncertainties in exposure estimates (EPA 2001d) EPArsquos mostrecent risk assessment for dioxins in biosolids (EPA 2001a) includes bothdeterministic and probabilistic risk assessments In the following sections themethods and assumptions used to identify exposure parameters in the Part 503rule risk assessment are reviewed in light of those advances The assumptionsmake use of scientific data and knowledge but policy decisions are inherent inmaking choices about what estimates to use While general issues related toexposure parameters are addressed specific values are not recommendedbecause such values must be identified in the context of the risk assessmentbeing conducted Similarly no recommendation is made regarding usingdeterministic or probabilistic approaches because the relative utility of theseapproaches varies (EPA 2001d)

HEI Receptor Versus RME Receptor

One of the most critical policy decisions in conducting the biosolids riskassessments was the decision to use the highly exposed individual (HEI) as the

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 183

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BOX 5ndash1 MANAGEMENT PRACTICES AND ASSUMPTIONS

Management Practices

bull Biosolids shall not be applied to land if it is likely to adversely affect athreatened or endangered species or its designated critical habitat

bull Biosolids cannot be applied to flooded frozen or snow-covered land insuch a way that bulk biosolids enter a wetland or other waters of theUnited States unless allowed in a permit The implementation of thisrequirement is unclear

bull A 10-meter setback from watercourses is required for biosolids notmeeting Class A and vector attraction reduction requirements andpollutant-concentration limits

bull Regulations require that bulk biosolids be applied to agricultural fieldsforests and public contact sites at a rate equal to or less than thenitrogen-based agronomic rate This requirement also applies toreclamation sites unless otherwise approved by the permit authority Itis not applicable to bagged products or bulk application of Class Abiosolids meeting pollutant-concentration limits

Management Assumptions

bull EPA (1992a) states that surface application is normally limited toslopes of 6 or less to reduce surface runoff That is not arequirement and how or whether that slope limitation was used in thebiosolids risk assessments is unclear

bull Field storage of biosolids at the site of land application is a commonpractice that is allowed under the Part 503 rules Recognizing thepotential for stockpiling and field storage to cause problems includingodors EPA developed nonregulatory guidance (EPA 2000a) The Part503 risk assessments and rules do not address stockpiling

bull Tile drains (drainage pipes installed at shallow depths in agriculturalfields) are common in some portions of the United States Designed todry out soils these drains provide conduits for the rapid movement ofcontaminants from land-applied biosolids into surface waters The Part503 risk assessments and rules did not consider the potential for thistype of exposure

bull Different methods of biosolids application are not addressed and mayhave different implications for risks particularly those associated withairborne emissions

receptor of concern (EPA 1992a) The HEI is an individual who remainsfor an extended period at or adjacent to the site where maximum exposureoccurs Current practice is to use a reasonable maximum exposure (RME)receptor EPA (1989) specifies that calculation of the RME in a deterministicrisk assessment requires a combination of average and upper-bound values forvari

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ous exposure parameters so that the final exposure estimate will be an upper-bound exposure with a reasonable expectation of occurrence This calculation iscommonly interpreted to be a 90th to 95th percentile of exposures for eachpathway For some exposure pathways the use of more than one or two upper-bound exposure parameters might result in exposure estimates with noreasonable expectation of occurrence Thus the impact of multiple conservativeassumptions must be evaluated carefully For probabilistic risk assessmentrisks corresponding to the 90th to 999th percentiles of the risk distribution areconsidered plausible high-end risks for selection of the RME (EPA 2001d)However EPA notes that very high percentiles may be numerically unstableand should only be used if reproducible

The goal of the Part 503 rule is to establish pollutant limits that areprotective of reasonably anticipated adverse effects But this standard should beapplied to all settings to all biosolids and to all land-application practices thatare reasonably anticipated to occur That goal necessitates assessing risks underthe most sensitive exposure setting that is likely to occur For example a farmfamily living near a land-application site may produce much of their own foodand have exposures via multiple pathways In addition parameters that arelinked should be identified and those links should be maintained throughout therisk assessment For example in the revised risk assessment for dioxins inbiosolids (EPA 2001a) dioxin and PCB congener data were linked withinsamples and those links were maintained throughout the probabilistic riskassessment

Determination of Chemical Concentrations in Exposure Media

Most of the exposure pathways evaluated by EPA require that chemicalconcentrations be estimated in one or more exposure media The exposuremedia for which concentrations were estimated in the Part 503 rule riskassessment are soil plants livestock airborne dust vapors surface water fishand groundwater Estimates of chemical concentrations in those media arebased on a number of assumptions such as assumptions about chemical fateand transport This section reviews one of the more important assumptionsabout chemical fate (mass balance and distribution of contaminants) andevaluates EPArsquos approach to estimating concentrations in environmental mediaSpecial emphasis is given to the determination of soil and plant concentrationsThis section is followed by a brief assessment of assumptions about humanintake parameters

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Mass Balance and Distribution of Contaminants

For pathways involving exposure via surface water air or groundwater(Pathways 12ndash14 Table 5ndash5) losses of pollutant mass from soil due topartitioning to other media are assumed by EPA For example pollutant masslosses from soil are assumed to occur to surface water through erosion to airthrough volatilization and to groundwater through leaching For organicchemicals it is assumed that degradation occurs and that degradation productsare nontoxic an assumption that is not universally true In assessing risk viathese pathways the assumption is made that pollutant mass is conserved Thusfor example the amount of a pollutant in sediment eroded from a site isadjusted to account for the amount that is predicted to be removed because ofleaching degradation and volatilization Many of these estimates are based onmodels that make a number of assumptions on scant data resulting in a highdegree of uncertainty For example data on partition coefficients for specificchemicals were based on a single study of only one type of biosolids (seediscussion below)

Soil Concentrations

Most of EPArsquos exposure pathways begin with estimated soilconcentrations resulting from the mixing of biosolids into soil the exceptionsbeing Pathway 3 (inadvertent direct ingestion of biosolids) and Pathway 5(biosolids applied to pastures and not mixed with soil) Consequently theaccuracy of the exposure assessment is highly dependent on the accuracy of thepredicted soil concentrations These predictions are based on assumptionsregarding the incorporation of biosolids into soil and the depth of theincorporation chemical retention in soils and the frequency duration andloading rates of application

Incorporation In exposure scenarios in which biosolids are incorporatedinto soil EPArsquos risk assessment assumed a tillage depth of 15 centimeters (cm)The revised dioxin risk assessment assumes 20 cm (EPA 2001a) However 10cm has been proposed as a more realistic figure when biosolids are incorporatedby disking rather than plowing (Versar Inc 2000) and for home gardens handtillage could be shallower than 15 cm Surface application withoutincorporation is typical in some scenarios such as pasture-land application orconservation tillage

Retention Inorganic chemicals in biosolids were assumed to stay in soilfor all pathways except Pathways 12ndash14 where a mass-balance approach was

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used to predict soil concentrations Retention or release of metals and organiccontaminants in soils is highly dependent on the characteristics of thecontaminants the mineralogical composition of the biosolids and the soil towhich it is applied and the pH wetting and drying and ionic strength of thesoil solution

Soils that are sandy and that contain low amounts of clay and organicmatter (eg those in the Atlantic Coastal Plain Region) will have less capacityto retain metals and organic chemicals than those that have high amounts ofclay and organic matter The latter soils are often accompanied by metal oxidecoatings electrostatically bound to the clay minerals and organic matterenhancing the soilrsquos ability to retain contaminants In higher clay and organic-matter soils metals and organic chemicals can be strongly bound and resistantto release into groundwaters Organic matter is especially important in theretention of organic contaminants

In many instances an ldquoagingrdquo effect is observed with metals oxyanionsand organic chemicals in soilsmdashthat is the longer the time of contact betweenthe contaminant and the soil the more sequestered the contaminant It is welldocumented that with many organic chemicals the release of the chemical andits bioavailability is greatly diminished as time in soil increases (Alexander2000 Pignatello 1999 Young et al 2001) The aging effect with organicchemicals has been largely ascribed to interparticle diffusion into the organicmatter of the soil The aging effect has also been observed with such metals ascadmium zinc cobalt and nickel (Barrow 1998 McLaren et al 1998 Scheckelet al 2000) This effect has been attributed to diffusion into the inorganiccomponents of the soils inner-sphere complex interactions and surfaceprecipitation It should not be assumed that the aging effect precludes release ofchemicals from soil For example certain metals including cadmiummolybdenum and zinc show continued availability for plant uptake frombiosolids-amended sites despite aging (McBride et al 1997 McGrath et al2000 Broos et al 2001)

The aging effect must be considered when predicting the fate ofcontaminants in biosolids in soils and waters Traditionally partitioncoefficients (Kps) are based on a 24-h reaction time however if the rates ofretention and release are slow and a residence time effect is pronounced the Kpvalues can be greatly underestimated when a 24-h reaction time is assumed inthe calculation Consequently the mobility of the contaminant would beoverpredicted

Application Rates and Duration The Part 503 rule addresses severalapplication scenarios including agricultural use silvicultural use and landreclamation Different biosolids-application techniques are used in thesescenarios and can affect the resulting contaminant concentrations in soils Forexample the rate of application at reclamation sites is usually much higher

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 189

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TABLE 5ndash6 Estimated Biosolids Application Rates for Different Scenarios

Scenario Number ofObservations

MeanApplicationRate (metrictonshay ofDW)

StandardDeviation

75thPercentile(metrictons hayof DW)

Agricultural 87 68 105 16Forest 2 26 26 34Public contact 11 19 122 125Reclamation 7 74 148 101

Abbreviation DW dry weightSource EPA 1992b

than that at agricultural sites although reclamation applications typicallyinvolve one-time or limited-time applications rather than repeated applicationsEstimates of application rates were based on data from the NSSS (EPA 1990)and are presented in Table 5ndash6 The number of applications before regulatorycumulative pollutant loading rates are reached at these application rates isapproximately 13 32 55 and 100 years for reclamation public contact forestand agricultural uses respectively (EPA 1992a) EPA based its chemicalstandards on the scenario of biosolids application to agricultural land for 100years which was considered applicable to the other types of land applicationsthat would not occur as routinely or for as long a duration

Plant Concentrations

Plant uptake of metals from biosolids-amended soils is another importantfactor in several of the exposure pathways To determine plant uptake EPA(1992a) derived plant uptake coefficients (UCs) for each pollutant A UC is theuptake-response slope of a pollutant in plant tissue for each food group and isestimated by the increase in pollutant in plant tissue for each kilogram ofpollutant added to the soil from biosolids Five main steps were used to estimateUCs (1) the primary literature was reviewed and evaluated (2) the relevantdata were compiled in a database (3) the uptake slope for each study wascalculated by linear regression of the concentration of the pollutant in planttissue against the application rate of the pollutant (4) the plants were placed incategories (eg leafy vegetables and garden fruits) and (5) the uptake slope ofeach plant group was calculated for each pollutant by using the geometric meanof the uptake slopes from relevant studies

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 190

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The likely concentrations of the pollutant in food groups were thencalculated for the risk assessment by using information on the amount of soilcontamination and the UC Data for those calculations were derived from threecategories of studies (1) field studies of biosolids (2) non-field studies ofbiosolids (greenhouse or potted) or field studies with biosolids spiked withadditional metals and (3) studies of metal salts metal-contaminated soils ormine tailings Obviously the first category of studies was the most relevant tothe risk assessments Studies have unequivocally demonstrated that greenhouseor potted plants and added inorganic metal salts do not mimic the characteristicsof metals within biosolids Such studies are irrelevant to real land application ofbiosolids For the metals regulated on the basis of human health the UCs werebased on field studies for cadmium field and nonfield studies for selenium andmercury and primarily studies of metal salts metal-contaminated soils or minetailings for arsenic

Factors affecting the estimates of UCs and limitations in the UCs selecteddue to the variation in bioavailability of metals to plants in different situationsare discussed below

Plant Response to Metals Some field-plot experiments with biosolidsshow that plant concentrations of some metals do not increase with high rates ofbiosolids application (Corey et al 1987 Mahler et al 1987 Chancy and Ryan1994) EPA (1992a 1995) attributes that observation to the binding of metalsby biosolids and uses it to support the concept of a plateau response in plantuptake (The rate of pollutant uptake by plants in the biosolids-soil mixturedecreases with increasing biosolids loadings because adsorptive materials inthe biosolids become as important as or more important than the adsorptivematerials initially in the soil) One of the main limitations of the availabledatabase is that the data are insufficient to separately characterize the changes inuptake with the metal concentration at a constant biosolids loading rate ascompared with the changes in uptake with increasing biosolids loadingAccurate prediction of plant concentrations requires both characterizations

EPA used a linear-response rather than a plateau-response assumption forthe low biosolids loading linear portion of the uptake curve in its riskassessments because it was a conservative approach and assumed that the linearresponse would overestimate pollutant uptake by plants EPArsquos assertion thatmetals bind to biosolids and are thus less available for plant uptake should bevalidated using the latest direct molecular scale techniques That assumptiondoes not consider the extent to which the proposed binding is reversible (Bell etal 1991) If soil conditions and land use change such as the soil acidifyingwhen organic matter decays uptake could increase (Heckman et al 1987Mulchi et al 1987ab Bell et al 1988 Adamu et al 1989 Chaney

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1990) although this was not the case for cadmium uptake by lettuce after 13ndash15 years in one experiment (Brown et al 1998) Other researchers believe thatthe plateau effect could be due to plant physiological factors rather thanattenuation due to biosolids chemistry (Hamon et al 1999) If that is the casethe conservatism of the linear assumption will depend on the metalconcentration at the plateau as compared with the concentration used in thebiosolids standards For example Sloan et al (1997) show some evidence ofcurve linearity in uptake of cadmium by lettuce above about 8 mgkg ofcadmium in soil

EPA pointed out that the linear approach underestimates the UC at lowconcentrations As the metal concentrations in biosolids have been reduced andresult in low-end concentrations in soil EPArsquos approach may underestimateuptake Thus any further risk assessment should focus on plant uptake over thelikely loading rates and range of soil concentrations resulting from biosolidsapplications in practice In addition other explanations for a plateau effectshould be investigated For example higher rates of biosolids application mighthave other effects such as increasing soil pH or enhancing plant growth whichresults in the ldquogrowth dilutionrdquo effect on metal concentrations

Many studies on plant uptake of metals have been published since the riskassessments were conducted for the Part 503 rule Some of the most relevantstudies to review are those of Sauerbeck and Luumlbben (1991) McGrath et al(2000) Chang et al (1997) Logan et al (1997) Sloan et al (1997) Brown etal (1996 1998) and Chaudri et al (2001)

Older data on trace elements in soils and plants must be carefullyevaluated as most of those data were derived using analytical methods that hadhigher detection limits than those that are characteristic of methods used todayError in crop analyses of low-concentration cadmium mercury and lead is welldocumented (Tahvonen 1996) Those errors may be associated with the highvalues observed in crops grown on some control plots used for UC calculationsin the EPA database Erroneously high values for controls have the effect ofdecreasing the slope of the UC Real UCs may be higher if accuratemeasurements on control plots are used (McBride 1998)

Finally the observed concentration in plant materials used as foodincluding both above-and below-ground produce is assumed in the abovestudies to be derived from actual uptake into the tissues However dust and soilparticles can be deposited on plant surfaces by wind harvesting and soilldquosplashrdquo after rain In the case of metals especially those that are relativelyinsoluble in soil these particles may become included in the plant tissue (Preeret al 1984) This ldquoentrapmentrdquo can be a substantial proportion of theconcentration of leafy or root vegetables (eg up to 5 of dry weight of leafygreens may be soil particles) (Cary et al 1994) Although these particles maynot be

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 192

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strictly taken up into the tissues they strongly adhere and are not efficientlywashed off during food preparation Consequently the metals in soil embeddedin plant tissue will be included in estimated plant metal concentrations

Exposure to Plants In the database used by EPA (1992ab) to deriveUCs some experiments have concentrations measured in the topsoil of eachexperimental rate whereas others were not measured and only the loading ofmetal added to the soil was recorded EPA used metal loading rates to calculateplant uptake of metals for all studies necessitating conversion to loadings forthose with concentrations given by multiplying the concentration by the weightof topsoil The studies that gave loading rates rather than soil concentrationshave several problems associated with their use First loading assumes that allthe metals remain on the plot for the duration of the experiment Thatassumption ignores two factors leaching losses (McBride et al 1997 1999Barbarick et al 1998 Richards et al 1998) and physical movement of soillaterally due to cultivation Both factors have the effect of decreasing the actualconcentrations of metals that plants are exposed to and make the plant uptakeslopes less steep Only those studies in the database for which actual soilconcentrations were recorded avoid this underestimation Second in the mainlyshort-term experiments that constitute the majority of the evidence plant rootsrespond to the concentration of metals in their environment and not to loadingrates That factor is important for assessing exposure For example in the short-term studies typical of the experiments used for the risk assessment if biosolidswere surface applied and not incorporated into the soil the roots might not havebeen exposed to the full metal concentration Alternatively if the biosolids wereploughed deeper than the assumed 15 cm crop roots would be exposed to asmaller concentration than anticipated

Soil concentrations of metals are therefore better estimates of exposure toplants than loading rates However several additional factors must be taken intoconsideration when using soil concentrations or loadings The rate at whichmetal concentrations in experimental field plots decrease due to cultivation anddispersion is proportional to the plot size the repetition of application thenumber of cultivations and the amount of control soil surrounding each plotand the difference in concentration (Sibbesen and Andersen 1985 Sibbesen etal 1985 Sibbesen 1986 McGrath and Lane 1989 Berti and Jacobs 1998 Sloanet al 1998) If a metal is added once or only on a few occasions theconcentration within the original treated area declines particularly rapidly withincreasing number of cultivations on small experimental plots (McGrath andLane 1989 Berti and Jacobs 1998) Decreasing metal concentrations in soilshave the effect of making the dose-response curve for plant uptake steeper asillustrated in Figure 5ndash6 The data in Table 5ndash7 show

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 193

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FIGURE 5ndash6 Effect of dilution of soil zinc concentration by cultivation Datafrom Table 5ndash7

that 5050 mixing of a biosolids-treated soil results in a plant uptake slopethat is twice that when cultivation effects are ignored

Another effect of mixing due to cultivation is the increase in metalconcentrations in nearby control plots That effect might be another explanationfor the unusually high concentrations of metals in plants from some of thecontrol treatments in the database Lack of proper controls may have madesome of the reported UC curves shallower and underestimated the real UCvalues (McBride 1998) This may not be as important in the few experimentsthat used large treatment plots (eg 30times73 meter plots used by Sloan et al[1998])

Calculations Two basic methods were used for calculating plant uptakeslopes

1 For studies in which one metal application rate and one plant tissueconcentration were given the following algorithm was used

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 194

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TABLE 5ndash7 Effect of Soil Mixing on Actual Soil Concentrations Due to Cultivationof Field Experimental Plots

Biosolids rate 1 Biosolids rate 2Metal in plant (mgkg of dry weight) 44 56Soil (mgkg) calculated from the loadinga 75 300Soil (mgkg) actualb 575 170

aLoadings 150 and 600 kgha both divided by 2 to account for mixing to 15 cm in soil of 133density (EPA 1992a) UC=12(300`75)=005bLoadings assumed to be 5050 mixed with surrounding control soil with 40 mgkg backgroundconcentration so actual concentrations (75+40)2=575 and (300+ 40)2=170 UC=12(170`575)=011

2 For studies in which multiple application rates and tissueconcentrations were given the slope was determined by least-squares linear regression

The first method is not an accurate method of measuring an uptake slopeas a full response curve is not used The second method also has problems Forexample using data on cadmium in spinach EPA fitted a linear function forfive data points The ldquobest-fitrdquo line for those data points resulted in an interceptfor cadmium at nearly 10 mgkg in spinach The control (no biosolids added)was in fact only 5 mgkg The effect of that difference is to make the UC slope040 (less steep than if the four data points had been treated separately in thesame way as the single-point UC calculations) resulting in UCs of 175 175075 and 045

EPA grouped crop species into seven categories and used the geometricmean of all available UC data on metals from field experiments for each ofthose crop groups There are a number of reasons why the geometric mean maynot be the appropriate statistic to use to represent these data In many cases anarithmetic mean will best approximate exposure for use in risk assessment EPAshould reexamine the statistic used to represent the UC after considering therisk assessment goals (ie identifying a reasonable maximum exposure [RME])and the causes of variation in the data set The number of data points used byEPA to determine the geometric mean UC value varies significantly for eachpollutant with only four points available for arsenic and 167 available forcadmium Data included a range of study conditions including varied pHObviously if the data set is very small the causes of variation will be difficultto elucidate However for the large data sets such as the one for cadmium amore sophisticated evaluation of the causes of variation should

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 195

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be possible and should be used to derive the most appropriate statistic for therisk assessment

Within a category such as leafy vegetables results were not weightedaccording to the fraction of diet Thus for example cadmium uptake into leafyvegetables constitutes a major component of the potential dietary dose ofcadmium Data on crucifers compose a high proportion of the available data yetmost diets contain a lower fraction of crucifers than lettuce The UC forcadmium into crucifers is generally much lower than the UC for lettuce Thustaking the geometric mean of available data gives greater weight to the lower-UC crucifers than lettuce Weighting the UCs by the fraction of diet would givea more representative UC for dietary exposures

Environmental and Crop Considerations A variety of environmentalfactors affect contaminant bioavailability including soil organic matterbuffering capacity oxide content pH temperature and rainfall In additiondifferent crops and even different cultivars of the same crop type vary greatly intheir tendency to take up pollutants from the soil That variation highlights theimportance of considering regional variations in environmental conditions andcrop types when assessing plant uptake assumptions for national applications

EPA recognized that soil pH has a significant influence the uptake ofmetal cations generally being higher at lower pH and the uptake of such anionsas arsenate and molybdate being higher at higher pH EPA also indicated thatthe data set considered included studies with pH as low as 45 However pHdifferences between untreated controls and biosolids-treated plots might also beanother contributory reason for the apparent plateau effect in the relationshipbetween loading and crop uptake Compared with control soil pH biosolids soilpH frequently increases after initial application of biosolids especially whenlime is part of the treatment process However that effect does not persist andpH can fall by 1ndash15 units because of leaching of cations and the mineralizationof the added organic matter (Chaney et al 1977) In the database the durationof many of the experiments is restricted to a few years after biosolids areapplied and that might also underestimate the UC slopes for many metals

EPA stated that agricultural biosolids-applied soils rarely have a pH below55 That is true but taking the median calculated UC from the data collectedtends to have the effect of biasing the effective UC to the near-neutral pH range(Stern 1993) Because the risk assessment does not take into account pH andinstead sets allowable loading for all soils this approach relies on the practiceof maintaining pH at near neutral values for crop production reasons

Cadmium zinc and chloride in soil have important effects on crop uptakeand consequences for human or animal nutrition (Chaney et al 1998 Reevesand Chaney 2001) Zinc in soil has a competitive effect on cadmium uptake

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 196

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by crops thus reducing cadmium uptake whereas chloride ions (present insaline soils or derived from irrigation water) preferentially increase cadmiummobility and crop uptake compared with zinc (McLaughlin et al 1994 Chaneyet al 1998) In earlier experiments that were used in the original risk assessmentdatabase zinc was of course present when cadmium uptake was studied

Livestock Concentrations

EPA used assumptions about transfer of pollutants from biosolids tolivestock and resulting human exposures to contaminants in meat organ meatpoultry dairy products and eggs in its screening process for identifyingpollutants to regulate and in its risk assessments for Pathways 4 and 5 (humanconsumption of animal products affected by chemicals taken up into foragefrom biosolids or by direct ingestion of biosolids) It is not clear why these twopathways were not combined to estimate chemical concentrations in livestockbecause of both soil ingestion and plant ingestion A much more appropriateintegrated approach was used by EPA in the revised risk assessment for dioxinsin biosolids (EPA 2001a) and in the dioxin reassessment (EPA 2000b) Thisapproach developed by Fries and Paustenbach (1990) involves the predictionof chemical concentrations in livestock based on the proportions of soil grassand feed in dry-matter intake

In the initial screening process to select contaminants for detailed riskassessment biosolids intake by livestock was assumed to be 5 of diet(presumably dry matter) even though intake could be 10 from a combinationof adherence to forage crops and direct ingestion of treated soil (EPA 1985) Inthe pathway-specific risk assessments used to develop the Part 503 rule EPA(1992a) assumed that 15 of a grazing animalrsquos diet is biosolids That valuewas based on the assumption that biosolids are applied to pasture once every 3years and that biosolids intake is 25 of diet in the year of application and 1in the other 2 years

Assumptions about pollutant intake due to biosolids should be based onestimated pollutant concentrations in soil pollutant uptake into crops soilintake by livestock and the relative bioavailability of the pollutant in soilrelative to the bioavailability in forage The proportion of biosolids in ingestedsoil is variable depending on the type and form of biosolids applicationclimate grazing habits percent of time spent in pasture percent of diet obtainedfrom pasture season and management conditions Soil ingestion by cattlefeeding on pasture can range from 1 to 18 of the diet depending on thegrowing season and climate (Fries 1995) and sheep might ingest as much as30 depending on the seasonal supply of grass and grazing management

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 197

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(Thornton and Abrahams 1983) On average soil is estimated to comprise about6 of the total dry matter intake of most grazing stock (Fries 1995 Wild et al1994) In risk-assessment documents EPA (1998 2000b 2001a) assumed thatsoil ingested by cattle averages 4 of diet dry matter and soil ingested by dairycattle averages 2ndash3 of diet because dairy cows spend less time in pasture Foruptake of pollutants from soil into animal tissue a relative bioavailability factoris needed to adjust for differences in the relative bioavailability of a chemical insoil as compared with that in forage In 1998 EPA suggested using a defaultassumption of 1 (no difference in bioavailability) in the absence of morespecific supporting data In risk assessments for dioxins (EPA 2000b 2001a)default values of less than 1 were used (eg 065 for the relative bioavailabilityof dioxins in soil to cattle) In the Part 503 rule risk assessment bioavailabilitywas calculated as the geometric mean of values obtained from researchliterature The appropriate statistic to use should be selected in the context ofcharacterizing RME exposures

In addition to direct ingestion of biosolids applied to soil biosolids sprayedonto forage adhere to plant surfaces It is important that pollutants in biosolidssprayed onto and adhering to crops be included in the forage chemicalconcentrations

Air Concentrations

Exposure to biosolids pollutants in air is considered in Pathway 11(airborne dusts) and Pathway 13 (volatilization from soil) Critical parametersthat influence air concentrations of pollutants such as wind velocity andtemperature should be reconsidered EPA (1992a) used a ldquotypicalrdquo windspeedof 45 ms in its risk assessments but data from the National Oceanic andAtmospheric Administration (NOAA 2000a) show that at 115 of 275 locationsin the United States for which long-term data are collected average annualwindspeeds exceed 45 ms For air temperature EPA used a national annualaverage of 15degC but average daily temperatures are higher than that forapproximately one-third of the United States (NOAA 2000b) The revised riskassessment for dioxins in biosolids (EPA 2001a) addressed regional differencesby relying on a database that divides the country into 41 distinct regions on thebasis of climate and other factors Meteorological data from each region wereused in the risk assessment to predict a distribution of annual average airconcentrations Whether average values are appropriate in assessing risks issubject to question however the use of regional data as part of a probabilisticassessment is a useful approach

Biosolids are generally spread during the growing season and not underwinter conditions Therefore warmer temperatures and higher rates of volatil

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 198

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ization would be expected at the time biosolids are applied This issue will beparticularly important in the valuation of short-term exposures For theseexposures risks posed under high-wind and high-temperature conditions shouldbe assessed

Surface-Water Concentrations

Calculations of the concentration of contaminants in surface water rest onseveral assumptions including watershed ratio contaminant load fromsediments and dilution EPArsquos risk assessment for Pathway 12 (human drinkingwater and ingesting fish from surface water contaminated by biosolids) assumedthat the biosolids-amended area is 1074 ha which is based on data from theNSSS (90th percentile for the size of agricultural areas used by publicly ownedtreatment works) The water body for which risks were assessed was assumedto have a watershed of 440300 ha (mean watershed size for the United States)an area greater than the size of Rhode Island and representing a fifth- to sixth-order stream Only 024 of the watershed is thus assumed to receive biosolidsEPA (1998) protocol suggested that the impacts on farm ponds be assessedbecause the farm family might be exposed through fishing and swimming Inthe EPA (2001a) reassessment of risks for dioxins in biosolids a much smallerthird-order stream was assumed and chemicals were assumed to enter thestream via wet and dry deposition from air and via runoff and erosion from thelocal (farm with agricultural fields and a buffer zone) and regional watershedsIt is not clear however what proportion of the watershed was assumed toreceive biosolids

In the original assessment of exposures from surface water EPA assumedthat the entire watershed is agricultural and that soil loss is the same throughoutthe watershed It is also assumed that all pollutants in the receiving stream arefrom biosolids and that no other pollutants enter the stream For a watershed aslarge as that postulated significant portions are likely to be forested areas thathave lower erosion rates than agricultural areas and other areas will be pavedincreasing storm runoff and erosion Thus a higher proportion of the sedimentin receiving water would be from agricultural areas including those amendedwith biosolids For a large watershed other sources of pollutants would beexpected

The Part 503 rule risk assessment used an average soil loss estimated fromagricultural lands of 85 metric tons (mt)ha-y This rate appears to be low asthe average annual soil loss has been measured to be 357plusmn564 kgsquaremeters and loss of 85 mtha-year was below the 50th percentile for measuredrates (Risse et al 1993) Sand was used as a worst-case soil type in the Part 503risk assessment Although sand would be a worst case for leaching it

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 199

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would not necessarily be that for erosion (Brady and Weil 1999) Also noconsideration was given to heavy rainfall events Many of these issues could beappropriately addressed by using a probabilistic surface-water model

In estimating the amount of pollutant available via surface water the totalconcentration in biosolids is reduced by estimating the fractions lost throughleaching volatilization and degradation (see earlier discussion of massbalance) The eroded material thus adjusted is assumed to be biosolids dilutedwith soil because of tilling into the top 15 cm of soil For surface applicationsuch as that on pastures or in conservation tillage scenarios that assumptionwould not be valid In the draft revaluation of dioxins in biosolids EPA (2001a)assumed that over time biosolids are mixed with the top 2 cm of soil inpastures however it is not clear whether or how this assumption wasincorporated into the runoff and erosion model

Groundwater Concentrations

Prediction of groundwater concentrations that might result from biosolidsapplication requires modeling and making assumptions about criticalparameters such as the partition coefficient leaching and dilution andattenuation Partition coefficients are used in the Part 503 rule risk assessmentto estimate the proportion of a contaminant that dissolves and is thus leachablePartition coefficient values for the regulated contaminants were taken from thework of Gerritse et al (1982) who studied only one type of biosolids andseveral soil types Recent studies suggest that processing methods for biosolidshave an influence on metal mobilities (Richards et al 1997 2000) as does pHand soil type A single partition coefficient based on a single type of aerobicallydigested biosolids and on a sandy loam soil of pH 8 was used for eachcontaminant in the risk assessment Some contaminants such as cadmiumshow much greater movement at lower pH and in sands Thus the partitioncoefficients used by EPA are not necessarily representative of the range ofconditions that exist in the United States

Leaching calculations are based on a model of contaminant movementthrough soil However there are several limitations of the model usedincluding failure to account for rapid transport through preferential flow pathsand for facilitated transport of contaminants in association with organicconstituents (McCarthy and Zachara 1989) For a number of inorganic andorganic contaminants evidence indicates that leaching might be greatestimmediately after application (Beck et al 1996 Richards et al 2000) Moreaccurate modeling is needed to estimate rates of leaching Soil-screeningguidance (EPA 1996b) pertaining to groundwater impacts from leachingsuggests a dilution

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and attenuation factor (DAF) of 1 or 20 in initial screening evaluations EPAnoted that those values can be used at sites with shallow water tables fracturedmedia or karst topography However in the Part 503 rule risk assessmentmuch higher dilution factors appear to have been used In the example given byEPA a DAF of 152 was used in evaluating arsenic in groundwater

Groundwater conditions vary greatly throughout the United States For thePart 503 rule to be applicable nationwide reasonable worst-case scenarios suchas areas with karst or gravel conditions need to be evaluated Groundwater wasnot evaluated in the reassessment of dioxins in biosolids (EPA 2001a) becausedioxins are unlikely to leach to groundwater to an appreciable degree howeverthe regional climate and soils database developed for that risk assessment couldbe adapted to support a more robust groundwater model

Human Intake Parameters

Assumptions regarding the intake behavior and characteristics of thehuman receptor should be updated using the most recent EPA (1997) guidanceon exposure factors (see Chapter 4 for more details) as well as newly publishedstudies One broad issue for both deterministic and probabilistic risk assessmentapplies to many of the intake parameters This issue is the reliability ofidentified distributions and upper percentile values for many intake parametersestimated from short-term studies with observations occurring over a period ofdays (EPA 1997) Upper percentiles identified in such studies are values forshort-term intakes only It is not appropriate to apply these values to representvariability in chronic intakes without assessing the potential for bias due toshort survey periods (Wallace et al 1994 Buck et al 1997) A number offactors contribute to overestimation bias in the upper percentiles of suchdistributions (Chaisson et al 1999) The various approaches proposed to correctthese biases (Wallace et al 1994 Buck et al 1997 Chaisson et al 1999) shouldbe considered prior to using biased distributions or upper percentile values inrisk assessments If the biases cannot be corrected use of extreme upperpercentile values should be avoided and the impact of the biases should beexamined in an uncertainty assessment This issue is an important considerationin assessing intakes of soil food and water The potential impacts are describedin greater detail below for soil ingestion The uncertainty and variabilityassociated with many of these parameters might be characterized by usingprobabilistic risk-assessment approaches (Stern 1993)

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Some important parameters and special considerations that should be givento biosolids exposures are duration of exposure bioavailability soil ingestiondietary intake of vegetables and animal products water consumption inhalationrate and body weight

Duration of Exposure Default assumptions about length of residence arebased on data on the amount of time people reside in one home Data on lengthof residence in one location vary among different populations Farm residentshave an average residence time nearly four times that of other households(Israeli and Nelson 1992) In performing a risk assessment pertaining to landapplication of biosolids the human receptor for many of the exposure pathwaysis a farm family member Residence times also vary regionally the northeasternregion having residence times nearly twice those in the western United States(Israeli and Nelson 1992)

Bioavailability The relative bioavailability of individual chemicals tohuman receptors can vary with exposure medium and should be accounted forin risk assessments if sufficient supporting data are available (EPA 1989) Soil-ingested chemicals typically are less bioavailable than soluble forms ofdrinking-water-ingested chemicals (NEPI 2000ab) Even for a given exposuremedium such as soil many factors can affect relative bioavailability includingthe characteristics of the biosolids matrix and the form of the contaminant (egmetal salt and organic complex) The contaminantrsquos form and relativebioavailability can change over time and with environmental conditions ThePart 503 rule risk assessment did not make adjustments to reflect differences inthe relative bioavailability of chemicals in different exposure media There is noEPA guidance regarding relative bioavailability but the default assumption istypically 10 The reassessment of dioxins in biosolids (EPA 2001a) is silent onthis issue

Soil Ingestion Incidental soil ingestion by children and adults is assumedto occur primarily from adherence of fine soil particles to hands or objects thatare subsequently placed in the mouth (EPA 1997) In the Part 503 rule riskassessment soil ingestion was considered only for children who were assumedto ingest 200 mgday of pure biosolids for 5 years It was calculated as the mostlimiting pathway for four of the regulated contaminants This pathway shouldbe revised to use estimated soil concentrations rather than biosolidsconcentrations and should use the same exposure duration as other exposurepathways Estimates of soil intakes should include intakes by teenagers andadults and particularly for home gardeners and farm family members whoseingestion of soil might be relatively high

The assumption that children ingest 200 mg of soil per day is consistentwith current EPA guidance that describes this value as a conservative estimateof the mean (EPA 1997) More recent studies suggest that this value might

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exceed a 95th percentile for long-term average daily exposure (Stanek andCalabrese 2000 Stanek et al 2001) Reported upper percentiles in soil-ingestion studies typically represent the upper percentiles among theobservations reported for all subjects during a short study period (eg among64 children observed for 7 days) Estimates of true average 95th percentile soilingestion over longer periods might be much lower (Table 5ndash8) It is criticalthat new more reliable information on the distributions of soil ingestion beconsidered in new risk assessments

Pica behavior for soil was considered in the screening process to selectchemicals for regulation but the child with pica was not used as a receptor inthe risk assessments There is no evidence that geophagia occurs routinely inchildren over long periods however many children might occasionally ingest1ndash10 g or more of soil (EPA 1997) This finding suggests that consideration ofpica behavior is most important when assessing acute exposures (EPA 1997)

The average amount of soil ingested by adults was estimated to be 10 mgday (Stanek et al 1997) EPA recommended that 50 mgday be used as aldquoreasonable central estimate of adult soil ingestionrdquo (EPA 1997) however theestimate was based on an earlier study by Calabrese et al (1990) and did notinclude this grouprsquos more recent analysis (Stanek et al 1997) Given the highdegree of uncertainty in soil-ingestion data EPA should make further researchon soil ingestion among children and adults a high priority Probabilisticassessments might also be useful for characterizing uncertainty and variabilityof this parameter

Dietary Intake of Vegetables The risk assessment of vegetable intakeevaluated risks based on an average nonmetropolitan diet around 1980 (USDA1982) A limitation of the 3-day food-consumption survey in this study is that 3days is insufficient to ascertain typical dietary intake (Anderson 1986) and islikely to overestimate long-term average upper-percentile intake Vegetableconsumption varies greatly and surveys suggest that vegetable intake has beenincreasing in the general population (EPA 1997) Biosolids exposure of thevegetarian home gardener would be a reasonable maximum exposure Dataused by EPA in its risk assessment for developing the biosolids standards showthat farm households on average consume 25 times more vegetables than thenonmetropolitan population (EPA 1997) Consumption also varies within aparticular population Unfortunately no data could be found that addressvegetarians who would be expected to have high rates of intake Considerationshould also be given to regional differences in production and assessment of thefraction of homegrown and nonhomegrown crops that are grown on biosolids-amended soils for the RME receptor

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TABLE 5ndash8 Estimates of True Average 95th Percentile Soil Ingestion for ChildrenOver Various Time Periods

95th Percentile Soil Ingestion Per Day (mg)Time (days) Anacondaa Amherstb

1 141 2107 133 17730 112 13590 108 127365 106 124

aStudy of 64 children aged 1ndash4 years residing in Anaconda MT mean soil ingestion =31 mgdaybStudy of 64 children aged 1ndash4 years residing in Amherst MA mean soil ingestion= 57 mgdaySource Data from Stanek and Calabrese 2000

Dietary Intake of Animal Products The risk assessment of animal-product intake (not including poultry or eggs) is based on an averagenonmetropolitan diet from around 1980 (USDA 1982) and is limited by itsshort-term surveys that do not adequately predict long-term average upper-percentile intake Consumption of animal products varies greatly An RMEreceptor would be represented by a livestock farm family consuming home-raised products (meat poultry and dairy) Data show that those householdsconsume far more animal products than the average nonmetropolitan consumerFarm resident mean meat intake is approximately four times that ofnonmetropolitan residents and mean dairy intake is approximately nine timesgreater for farm residents (EPA 1997) Consideration should be given to theassumptions made for the RME receptor about the fraction of the animalproducts coming from animals exposed to biosolids

Water Consumption Water-consumption rates should reflect more recentstudies and account for variations in expected activity and climate The studythat forms the basis for EPArsquos default water-ingestion rates was conducted over20 years ago Consequently the distribution of tap-water-ingestion rates used inthe model does not reflect expected reductions in tap-water ingestion because ofincreases in consumption of soft drinks and bottled water An analysis based ona 1994ndash1996 food consumption survey suggested as much as a 30 drop inmean tap-water consumption during the last two decades (EPA 2000c) Inaddition the tap-water-intake data reported by Ershow and Cantor (1989) werecollected for only a 3-day period therefore the extrapolation to chronic intakeis uncertain particularly for the upper percentiles (EPA 1997)

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Inhalation Rate Assumptions about inhalation rates should be based onthe specific RME receptor and likely activities by the receptor during exposureAssessment of acute exposures should reflect the higher inhalation rates thatmay be sustained for shorter periods whereas assessment of chronic exposuresshould reflect the variation in average population breathing rates over longerperiods Age-related variations in inhalation rate should also be part of theevaluation

DERIVATION OF RISK-BASED STANDARDS

The risk assessment conducted to support the Part 503 rule was designed tosupport the development of risk-based standardsmdashthat is to identifyconcentrations of specific chemicals in biosolids that could be applied to land inthe manner specified by the rule without posing unacceptable risks Four typesof standards were developed (1) cumulative pollutant loading rates (2) annualpollutant loading rates (3) pollutant concentration limits and (4) ceilingpollutant concentration limits A deterministic approach was used to calculatethe various standards (see Table 5ndash9) for the nine regulated metals EPAidentified an allowable dose for each chemical as a starting point and then usedpathway-specific algorithms that incorporate a number of exposure parameters(discussed previously in this chapter) to calculate the biosolids standards Theexposure pathway with the lowest pollutant limit was considered the ldquolimitingrdquopathway and this lowest value was used to establish the cumulative pollutantloading rates annual pollutant loading rates and pollutant concentration limitsThe ceiling concentration limits were set at either the 99th percentile levelfound in the NSSS or the risk-based number whichever was greater The majoraspects of the process are discussed below

Toxicity Assessment

The starting point of EPArsquos calculations was to identify a chemical dosethat is not expected to cause unacceptable adverse effects in humans For mostof the chemicals the starting point was an EPA-established measure of eithertoxicity (reference dose [RfD] or reference concentration [RfC]) orcarcinogenicity (cancer potency value [q1]) For two chemicals copper andzinc a recommended daily allowance (RDA) was the starting point This wasdone for copper because EPA has not established toxicity or carcinogenicityvalues for it An RfD is available for zinc but that value was consideredinsufficient to meet daily nutritional requirements so the higher RDA value

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TABLE 5ndash9 Pollutant Concentration Limits and Loading Rates for Land Applicationin the United States Dry Weight BasisContaminant Ceiling

ConcentrationLimit (mgkg)

CumulativePollutantLoadingRate Limit(kgha)

PollutantConcentrationLimit (mgkg)

AnnualPollutantLoadingRate (kgha-yr)

Arsenic 75 41 41 20Cadmium 85 39 39 19Copper 4300 1500 1500 75Lead 840 300 300 15Mercury 57 17 17 085Molybdenuma 75 mdash mdash mdashNickel 420 420 420 21Selenium 100 100 100 50Zinc 7500 2800 2800 140

aStandards for molybdenum were dropped from the original regulation Currently only a ceilingconcentration limit is available for molybdenum and a decision about establishing new pollutantlimits for this metal has not been madeSource 40 CFR Part 503

was used (EPA 1992a) None of the regulated contaminants were assessedas carcinogens

All the starting points are based on chronic exposure scenarios EPA riskassessments typically focus on chronic exposures because long-term exposureis generally a more sensitive end point than acute or short-term exposures (Theuse of chronic toxicity data will yield a lower or more protective standard) EPAperiodically reviews the literature and updates the dose-response assessmentsfor individual chemicals Thus any reassessment of risks associated with landapplication of biosolids should include verification that the most recent toxicityvalues are used Consideration should also be given to evaluating risks fromshort-term episodic exposures which may be important for volatile chemicals

Calculations

In deriving the risk-based standards a number of calculations andalgorithms were used to determine the concentration of a specific chemical thatcan be present in biosolids and not result in exceedance of the acceptable doseBecause EPArsquos acceptable doses include consideration of chemical

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ion

exposures to the evaluated inorganic contaminants from all sources the firststep was to determine the dose of the chemical from biosolids alone bysubtracting total background in take (TBI) of a chemical from the EPA-established acceptable dose The adjusted health parameter was then used inalgorithms specific to each exposure pathway The algorithms incorporatedpathway-specific information and assumptions regarding chemical intake suchas plant uptake of the pollutant to derive a pollutant limit In most casescalculation of the pollutant limit involved two or more algorithms

Target Risks

Selection of target risks is a policy decision made by EPA For carcinogensin biosolids EPA used a target incremental cancer risk of 1 in 10000 (1 times10`4)the high end of the 1times10`6 to 1times10`4 risk used by EPA in establishing variousregulations For noncancer health effects a hazard index of 1 (the ratio of thepredicted exposure either to the threshold dose for toxicity or to the predictedcancer risk) was used It was beyond the committeersquos charge to assess theadequacy of target risks used to derive risk-based standards however actualrisks might be substantially less than the target risks because in many cases theconcentrations of the regulated contaminants in biosolids are generally less thanthe regulatory limits

In developing the Part 503 rule EPA sought to develop one standard foreach chemical that would be protective in all circumstances that could bereasonably anticipated to occur Thus a standard derived for use nationwidemust provide adequate protection for all reasonably anticipated environmentalconditions biosolids types and application practices anywhere that biosolidsapplication might occur This goal necessitates assessing risks for exposureconditions that might occur anywhere in the United States

The Part 503 rule standards were derived to be protective for landapplication in accordance with the regulations Exposures that might occur dueto failure to comply with the regulations were not considered during thedevelopment of the biosolids standards An assessment of risks associated withnoncompliance is an enforcement issue and is not related to a determination ofthe adequacy of the methods used to derive risk-based standardsNoncompliance associated with risk assessment is thus beyond the scope of thisreport

INORGANIC CHEMICALS

In light of the advances made in risk-assessment methods discussed inChapter 4 and the need to update many of the exposure parameters used in

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 207

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rom

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inal

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ook

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igin

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tting

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ks a

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ue to

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inal

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ord

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nd o

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type

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ng-s

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rs m

ay h

ave

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iden

tally

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rted

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ase

use

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t ver

sion

of t

his

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icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

the risk assessment process the existing biosolids standards for inorganicchemicals clearly need to be reevaluated As noted in Chapter 2 averageconcentrations of some regulated inorganics in biosolids decreased substantiallythroughout the 1980s and early 1990s and have stabilized since that time (seeTables 2ndash23 and 2ndash24) Recent survey data from Pennsylvania that includes95th percentile values as well as median values suggest that in Pennsylvaniaand perhaps in other states pollutant limits will only rarely be exceeded formost inorganics (Table 5ndash10)

In order to assess the potential impacts of reevaluating the standards it isinstructive to compare the pollutant limits for biosolids with current risk-basedsoil screening levels (SSLs) for residential scenarios Such a comparison ispredicated on the assumption that inorganic chemical concentrations in soil towhich biosolids are added will never exceed the pollutant limits EPA (1995)has projected that at such time as the cumulative loading rate (kgha) has beenachieved the risk-based limit of acceptable soil concentration (mgkg) will alsohave been reached and would be 50 of the cumulative loading rate plus theinitial background concentration of the pollutant As can be seen fromTable 5ndash11 most of the pollutant limits are lower (ie more conservative) thanthe EPA residential SSLs based only on dermal and direct ingestion pathways

A limitation of such a comparison is that the residential SSLs are based onexposures via a limited number of exposure pathways including soil ingestiondermal contact with soil and inhalation of resuspended particulates The SSLsmay not be adequately protective for chemicals for which other exposurepathways may be especially important This limitation is of particular concernfor cadmium due to potential uptake into plants and for mercury due to thepotential for mercury entering surface water via runoff from soil to be convertedto methylmercury and bioaccumulated in aquatic organisms For this reasonTable 5ndash11 also shows risk-based screening levels developed by the British(UK Environment Agency 2002) that include consideration of home gardenexposure The importance of differing assumptions in assessing risk is pointedout by comparing the UK and EPA values (columns 2 and 3) which for someelements are significantly different The potential impact of including the plantuptake pathway on risk-based soil concentrations for some pollutants (egcadmium) is demonstrated by comparing the values in columns 3 and 4 ofTable 5ndash11

In addition to SSLs based on exposure pathways involving direct contactwith chemicals EPA has also devised soil SSLs for the protection ofgroundwater (EPA 2001b) A comparison of selected pollutant concentrationlimits

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 208

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ompo

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age

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ks a

re tr

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ks h

eadi

ng s

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type

setti

ng-s

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fic fo

rmat

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ome

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grap

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ay h

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tally

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rted

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itativ

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rsio

n fo

r attr

ibut

ion

TABLE 5ndash10 Median and 95th Percentile Trace Element Concentrations inPennsylvania Sewage Sludge Produced in 1996 and 1997 Compared with LimitsContained in the Part 503 RuleTrace Element Concentration in Sewage Sludge (mg

kg)Pollutant ConcentrationLimit (mgkg)

Median 95th PercentileArsenic 360 187 41a

Cadmium 226 739 39a

Chromium 351 314 1200bc

Copper 511 1382 1500c

Mercury 154 601 17a

Molybdenum 818 360 18bd

Nickel 226 845 420c

Lead 649 202 300a

Selenium 428 847 100a

Zinc 705 1985 2800c

aBased on risks for child eating biosolidsbThe current Part 503 rule does not include chromium and there is no cumulative pollutant loadinglimit or pollutant concentration limit for molybdenum The values given in this table were includedin the original Part 503 rulecBased on plant phytotoxicitydBased on animal eating feedSource Adapted from Stehouwer et al 2000

in biosolids with US background soil concentrations and soil screeninglevels for groundwater are presented in Table 5ndash12

A comparison of the biosolids pollutant limits with risk-based SSLssuggests that the pollutant standards are adequately protective for someexposure pathways (ie soilbiosolids ingestion) but may need to bereevaluated for others (ie ingestion of homegrown produce grown onbiosolids-amended soil) In this section two factors that are important forassessing human exposure to inorganic compounds and their toxicitymdashbioavailability to human receptors and metal speciationmdashare discussed Otherfactorsmdashplant uptake of metals and bioavailability of metals to plantsmdashwereaddressed earlier in the section on exposure parameters The general discussionis followed by a description of issues specific to several of the regulated metals

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 209

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t th

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of t

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rsio

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r attr

ibut

ion

TA

BL

E 5

ndash11

Pol

luta

nt C

once

ntra

tion

Lim

its

in S

ewag

e S

ludg

e C

ompa

red

wit

h R

isk-

Bas

ed S

oil C

once

ntra

tion

s (I

tali

c nu

mbe

rs r

epre

sent

ris

k-ba

sed

soil

conc

entr

atio

ns b

elow

the

Par

t 503

rul

e po

llut

ant c

once

ntra

tion

lim

its

)T

race

Ele

men

tP

art 5

03 P

ollu

tant

Con

cent

rati

on L

imita

(mg

kgD

W)

EP

A R

esid

enti

al S

SL

s(i

nges

tion

and

der

mal

) (m

gkg

DW

)

UK

Res

iden

tial S

GV

s(i

nges

tion

) w

itho

ut p

lant

upta

keb

(mg

kg D

W)

UK

Res

iden

tial S

GV

s(i

nges

tion

) w

ith

plan

tup

take

c (m

gkg

DW

)A

rsen

ic41

04

(40)

d20

20C

adm

ium

3970

301

(pH

6)

2 (p

H 7

)8

(pH

8)

Chr

omiu

mN

Ae

230

120

000f

200g

130g

Lea

d30

040

045

045

0M

ercu

ry17

231

0h15

8N

icke

l42

01

600

7550

Sel

eniu

m10

039

026

035

a Pol

luta

nt c

once

ntra

tion

lim

its

for

bios

olid

s ba

sed

on h

uman

hea

lth

risk

s e

xcep

t for

nic

kel (

plan

t phy

toto

xici

ty)

b Hou

se o

r ap

artm

ent w

ith

no p

riva

te g

arde

n ar

ea

c Hou

se w

ith

a ga

rden

wit

h th

e po

ssib

ilit

y of

inge

stio

n of

hom

egro

wn

vege

tabl

es

d Ars

enic

SSL

is 0

4 m

gkg

bas

ed o

n a

1 in

10

000

00 c

ance

r ri

sk V

alue

of

40 in

par

enth

eses

ref

lect

s th

e ca

ncer

ris

k of

1 in

10

000

used

for

the

Part

503

rul

ee C

hrom

ium

was

del

eted

fro

m th

e Pa

rt 5

03 r

ule

beca

use

of a

cou

rt s

uit

f Chr

omiu

m S

SL a

ssum

es th

at a

ll ch

rom

ium

is C

r(V

I) V

alue

for

Cr(

III)

is 1

200

00

g The

UK

SG

V f

or c

hrom

ium

ass

umes

that

all

chro

miu

m is

CR

(VI)

h M

ercu

ry S

SL is

bas

ed o

n th

e re

fere

nce

dose

for

mer

curi

c ch

lori

de S

SL f

or in

hala

tion

is 1

0 m

gkg

A

bbre

viat

ions

DW

dry

wei

ght

NA

not

app

lica

ble

SG

V s

oil g

uide

line

val

ue S

SL s

oil s

cree

ning

leve

l U

K U

nite

d K

ingd

om

Sour

ces

40

CFR

Par

t 503

EPA

200

1b U

K E

nvir

onm

ent A

genc

y 20

02

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 210

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TA

BL

E 5

ndash12

Pol

luta

nt C

once

ntra

tion

Lim

its

in B

ioso

lids

Com

pare

d w

ith

Bac

kgro

und

Con

cent

rati

ons

and

Soi

l Scr

eeni

ng L

evel

s fo

r G

roun

dwat

er

Bac

kgro

und

Con

cent

rati

onsb

SS

L f

or G

roun

dwat

erc

Tra

ce E

lem

ents

Par

t 503

Pol

luta

ntC

once

ntra

tion

Lim

it (

mg

kg D

W)a

Ari

thm

etic

mea

n (m

gkg

)G

eom

etri

cm

ean

(mg

kg)

Geo

met

ric

stan

dard

devi

atio

n (m

gkg

)

Ran

ge (

mg

kg)

DA

F=

20 (

mg

kg)

DA

F=

1 (m

gkg

)

Ars

enic

417

25

22

23lt

01ndash

9729

1C

adm

ium

390

02ndash1

67d

017

52

70N

D-1

1d8

04

Chr

omiu

mN

Ae

5437

237

1ndash2

000

38f

2f

Lea

d30

019

161

86lt

10ndash7

00-g

-g

Mer

cury

170

090

058

252

lt0

01ndash4

62

01

Nic

kel

420

1913

231

lt5ndash

700

130

7S

elen

ium

100

039

026

246

lt0

1ndash4

35

03

a CFR

40

Part

503

Pol

luta

nt c

once

ntra

tion

lim

its

for

bios

olid

s ba

sed

on h

uman

hea

lth

risk

s e

xcep

t for

nic

kel (

plan

t phy

toto

xici

ty)

b Dat

a fo

r U

S s

oils

Sha

ckle

tte

et a

l 19

84

c EPA

200

1b

d Ran

ge o

f m

eans

rep

orte

d in

Dra

gun

and

Cha

isso

n (1

991)

for

var

ious

sta

tes

and

soil

type

s S

ingl

e U

S m

ean

not r

epor

ted

e Chr

omiu

m w

as d

elet

ed f

rom

the

Part

503

rul

e be

caus

e of

a c

ourt

sui

tf S

SL f

or to

tal C

r an

d C

r(V

I) T

his

path

way

is n

ot o

f co

ncer

n fo

r C

r(II

I)

g A s

cree

ning

leve

l of

400

mg

kg h

as b

een

set f

or le

ad

Abb

revi

atio

ns D

AF

dil

utio

n at

tenu

atio

n fa

ctor

NA

not

app

lica

b le

ND

not

det

ecte

d S

SL s

oil s

cree

ning

leve

l

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 211

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Bioavailability to Humans

The term ldquobioavailabilityrdquo may have different meanings in differentcontexts In the context of human exposures to chemicals in environmentalmedia bioavailability is the degree to which a chemical present in anenvironmental medium is capable of being absorbed into the systemiccirculation Bioavailability depends on the release of the chemical from themedium and the absorption efficiency of the released chemical Oral toxicityassessments of metals are often based on studies in which a metal salt isdissolved in water or mixed with food If the toxicity factors (reference dosesand cancer slope factors) used in risk assessments in soil or other heterogeneousexposure media are based on studies using soluble forms of the metals theimpacts of soil exposures could be overestimated

Reduced absorption of metals from biosolids-amended soils ingested byhuman receptors might be due to sorption and precipitation reactions of themetals with soil components such as metal oxides and humic substances anddue to the presence of metals in compounds with limited water solubility (Rubyet al 1999) For example it is well established that metals such as cobaltmanganese nickel and zinc can form metal hydroxide surface precipitates onmetal oxides clay minerals and soils The formation of these surfaceprecipitates significantly reduces the release of the metal even when strongacids and complexing organic ligands are used as dissolution agents(Scheidegger et al 1997 1998 Ford et al 1999 Scheckel et al 2000) Arseniclead mercury and nickel also occur in soils in compounds exhibiting a widerange of water solubility Thus metal dissolution from ingested soil could belimited during movement through the gastrointestinal tract Accordinglyabsorption will be reduced as the major mode of absorption of many metals ispassage of dissolved metal species across the small intestine epithelium(Whitehead et al 1996)

Risk-assessment guidance from EPA (1989) acknowledges the need tomake adjustments in exposure assessments to account for differences in relativebioavailability between the exposure medium in toxicity studies and theexposure medium in risk assessments These adjustments for reducedbioavailability of chemicals from such media as soils are typically termedrelative absorption factors (RAF) RAFs typically take the form of a fractionaladjustment in the exposure algorithms used to estimate intake or dose

In the Part 503 risk assessment EPA considered making such adjustmentsfor relative bioavailability (using the term rdquorelative effectivenessldquo) butconcluded that available data were inadequate to support default adjustments forthe metals being evaluated During the past decade substantial research bettercharacterizing the occurrence of reduced metal bioavailability in soils has been

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 212

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as th

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thor

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r attr

ibut

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published (NEPI 2000a) Reduced metal bioavailability in biosolids-amendedsoils is very likely and several laboratories have active research programs onthe use of biosolids amendments as a method of reducing metal bioavailabilityin contaminated soils (Basta and Sloan 1999 Henry and Brown 1997)

Metal Speciation and Availability

The lack of direct information on the speciation of metals and metalloids inbiosolids and soil-biosolids mixtures complicates attempts to assess bothtoxicity and bioavailability of these chemicals Although a great deal ofinformation on metal contents of biosolids and soils exists the total content isnot indicative of the forms or species of the metals For several of the regulatedmetals toxicity varies with different forms of the metal and it is important todistinguish differences in the nature of toxicity from differences in solubilityand bioavailability of different metal forms

Mercury may be present in three forms with varying toxicity (ieelemental mercury inorganic mercury compounds and methylmercury) Theexposure routes of concern are different for the different mercury formsInhalation is the primary route of exposure to elemental mercury released fromsoil and ingestion is the exposure route of concern for inorganic andmethylmercury Consequently for evaluation in risk assessment the forms ofmercury in soil and other exposure media must be known or assumptions mustbe made regarding the forms present Arsenic compounds also exhibit markedvariation in toxicity The organic forms are practically nontoxic and inorganicforms are quite toxic Typically only inorganic arsenic compounds are assumedto be present in soil but for the reasons described below that assumption mightnot apply to biosolids In contrast the toxicity of inorganic cadmium and leadcompounds expected to be present in biosolids does not vary althoughsolubility and bioavailability can be highly variable

Most bioavailability studies of metals in soil have relied on animal speciesthat have anatomical and physiological characteristics different from humansOnly a few studies have assessed metal absorption from ingested soil byhumans The relative bioavailability of metals in soil is dependent on speciationof the metal size distribution of soil particles and composition of the soil

Chemical extractions (eg sequential extractions) can provide someinformation on the extraction ease such as readily exchangeable or occludedfrom various phases but the order of extractions and extractants that are usedcan create artifacts Such extractions also do not mimic dissolution rates likelyto occur in the human gastrointestinal tract Sequential extractions do notprovide direct speciation analyses For example many metals can exist as inor

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 213

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t th

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s ne

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ganic and organic species and in multiple oxidation states and can be associatedwith multiple solid phases (eg metal oxides phyllosilicates and humicsubstances) Metals primarily form strong inner-sphere chemical bonds withmetal oxides clay minerals and humic substances that substantially restricttheir mobility in natural environments Moreover with time metals canundergo transformations with soils that often render them less prone toleaching In laboratory experiments such metals as nickel and zinc can formsurface precipitates on soils aluminum oxides and clay minerals that transformover time to more stable mixed metal hydroxide phyllosilicate phases Somefraction of the metals is sequestered even with treatment with acids and organicligands such as ethylenediaminetetraacetate (Scheidegger et al 1997 1998Ford et al 1999 Roberts et al 1999 Scheckel et al 2000 Scheckel and Sparks2001) Furthermore metal speciation and thus bioavailability is not static inthe natural environment Changes may result from weathering reactions andmicrobiological activity in soils (Hooda and Alloway 1994 Sadovnikova et al1996 Basta and Sloan 1999 Kamaludeen et al 2001)

The speciation of metals and metalloids in biosolids and biosolids-amended soils is critical in determining the mobility and bioavailability of thetoxic metals (Ruby et al 1999) In the last decade important advances haveoccurred in the use of in situ molecular-scale techniques that can provide directinformation on chemical speciation of metals and metalloids in model systemssuch as metal oxides and clay minerals and in soils One major innovation hasbeen the use of synchrotron-based spectroscopies such as x-ray absorption fine-structure spectroscopy (XAFS) to determine oxidative states and local chemicalenvironment of metals and metalloids at natural particle interfaces Thus metalspecies in heterogeneous materials can be determined in the presence of waterwithout having to dry the sample and subject it to desiccation Numerousstudies have appeared in the scientific literature on the application of XAFS andother in situ spectroscopic techniques to speciate metals in natural systemsRecent changes are the use of micro-focused XAFS and micro-x-rayfluorescence spectroscopy to speciate and map metal distributions in soils(Manceau et al 2000 Roberts 2001) With these techniques an area of squaremicrons can be chemically mapped and the chemical associations of variousmetals can be determined certain spots can be zoomed in on and via XAFSdata analyses the species of the metals at different locations can be determinedIn addition the quantitative associations of the metals with various componentsof the solid can be determined (eg metal oxides clays and humic substances)Scientists have applied micro-XAFS and micro-x-ray absorption near-edgestructure (XANES) to phosphorus and arsenic speciation in poultry-litter andpoultry-litter amended soils (Arai and Sparks 2001 Peak et al 2001) bothextremely heterogeneous

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materials Biosolids-applied soils will also be heterogeneous in regard to thedistribution of biosolids-borne metals Application of such techniques tobiosolids would allow for direct speciation of the metals and metalloids and abetter understanding of the mechanisms affecting bioavailability

Regulated Metals and Metalloids

The inorganic chemicals regulated on the basis of human health(specifically risks to children from direct ingestion of biosolids) are arseniccadmium lead mercury and selenium Specific issues to consider in updatingthe risk assessments for the first four of these metals are described below

Arsenic

The primary issue related to arsenic is EPArsquos treatment of arsenic in soil asnoncarcinogenic in the Part 503 rule risk assessment However ingestion ofinorganic arsenic in drinking water is an established cause of skin cancer andrecent studies strengthen the evidence that arsenic can also cause cancers of thelung and urinary bladder (NRC 1999 2001) In the Part 503 rule riskassessment EPA justified using the arsenic reference dose on the grounds thatthere was no evidence that soil arsenic is carcinogenic Although that assertionis true there is no evidence that arsenic absorbed into the body from ingestedsoil and arsenic absorbed from drinking water behave any differentlyConsequently current EPA risk-assessment practice is to treat inorganic arsenicin all media as potentially carcinogenic

However if arsenic is treated as a carcinogen it will be necessary toconfirm that it is present in biosolids as inorganic arsenic rather than organicforms that are much less toxic and noncarcinogenic As with many toxic metalsand metalloids the speciation of arsenic in biosolids is not well characterizedAlthough organic arsenicals are generally not present in soils in measurablequantities the extent of their presence in biosolids is not known Thus theforms of arsenic present in biosolids should be assessed and only the fractionthat is inorganic should be regulated

Total arsenic in soils has been reported to range from 01 to 97 ppm withan arithmetic mean concentration of 72 ppm and a geometic mean of 52 ppmfor surface soils in the United States (Shacklette and Boerngen 1984)Gustavsson et al (2001) reported that US soils have a mean arsenicconcentration of 557 ppm and 25th and 75th percentile concentrations of 421ppm and 706 ppm respectively Arsenic occurs in two major oxidative states

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arsenous acid (AsIII) and arsenic acid (AsV) AsIII is primarily present in anoxicenvironments and AsV is found in oxic soils Both arsenic species occurprimarily as oxyanions in the natural environment and strongly complex withmetal oxides such as aluminum and iron oxides as inner-sphere productsThese oxides and particularly manganese oxides can affect oxidation of AsIII

to AsV which reduces the toxicity of arsenic Arsenic can also occur as sulfideminerals such as arsenopyrite (FeAsS) and enargite (Cu3AsS4) at mining sites

There is reason to suspect that some of the arsenic in biosolids is in organicforms however no studies testing this hypothesis were found Ingestedinorganic arsenic is methylated and excreted primarily as monomethylarsonicacid (MMA) and dimethylarsinic acid (DMA) (NRC 2001) Farmer andJohnson (1990) examined the speciation of arsenic in urine excreted by workersexposed to inorganic arsenic compounds and found 1ndash6 AsV 11ndash14 AsIII14ndash18 MMA and 63ndash70 DMA Most dietary arsenic is organic arsenic andmany of these organic forms are excreted unchanged in the urine Thus mostarsenic from domestic sources in wastewater may be organic Under certainenvironmental conditions however organic arsenic has the potential tomineralize The possibility that biosolids-borne arsenic can be transformed fromorganic to inorganic forms should be evaluated The greater water solubility oforganic arsenic compounds makes it unlikely that these compounds willpreferentially segregate to biosolids and makes it difficult to predict thepredominant speciation of arsenic in biosolids

Studies of the relative bioavailability of soil arsenic have been limitedprimarily to soils from mining and smelting sites and from arsenic pesticidemanufacturing or application (NEPI 2000a Kelley et al 2002) Those studiesyielded relative bioavailability estimates of soil arsenic of 10 to 50 ascompared with bioavailability of soluble arsenic forms It might not be practicalto determine the relative bioavailability of arsenic in biosolids in animalexperiments because of the low arsenic concentrations typically present inbiosolids However in vitro approaches are available that may be used toestimate relative bioavailability of arsenic in biosolids Ruby et al (1999) notedthat the particle-size distribution and the chemical composition of the arsenicspecies greatly affect bioavailability Dissolution rates (and bioavailability)increase as particle size decreases In vivo and in vitro studies show that for aconstant particle size soil-arsenic phases such as arsenic sulfides and arsenicfound in slag have a lower bioavailability than iron manganese and lead-arsenic oxides (Ruby et al 1999) Bioavailability data also suggest thatbioavailable arsenic from soil occurs primarily from dissolution of surface-bound arsenic fractions or the exterior part of individual arsenic-containinggrains rather than from complete dissolution of discrete arsenic mineral phases(Ruby et al 1999)

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Cadmium

The most limiting exposure pathway for cadmium in the Part 503 rule riskassessment was exposure to a child from direct ingestion of biosolids To deriveconcentration limits for cadmium in biosolids EPA used the oral RfD andconsidered only a childhood exposure rate However the oral RfD is based on alifetime accumulation of cadmium in the kidney to the point where the toxicitythreshold which is associated with toxicity to the kidney cortex is reachedConsequently it is more appropriate to average child and adult exposure ratesover the course of a lifetime Children are expected to ingest greater quantitiesof soil per unit of body weight than adults but do so over a shorter period Thusa safe average daily dose will typically be an average of the child daily dose for6 years and an adult dose for 24 years or more

Conducting a multiplepathway risk assessment that aggregates exposuresfrom all pathways is particularly important for cadmium Because plants take upcadmium more efficiently than most other metals dietary cadmium is likely tobe an important exposure pathway in a revised risk assessment

A number of dietary factors are known to affect cadmium toxicity mostnotably dietary deficiencies in iron calcium and zinc may be associated withincreased cadmium body burden and toxicity (ATSDR 1999) There have alsobeen studies demonstrating a protective effect of zinc at overtly toxic doses ofcadmium (ATSDR 1999) More recent studies suggest that even when dietarycadmium intakes are only slightly increased increased zinc intake may limitincreases in cadmium body burden (Vahter et al 1996 Reeves and Chaney2001) Thus it may be useful to consider predicted dietary zinc intake whenevaluating predicted dietary intake of cadmium

Lead

The bioavailability of lead in biosolids-amended soils is an importantfactor in assessing lead exposures Absorption of lead in the gastrointestinaltract varies with age diet nutritional status and the chemical species andparticle size of lead that is ingested (Ruby et al 1999) Adults absorb 7ndash15 oflead ingested by dietary means and dietary absorption by infants and childrenranges from 40 to 53 (Ziegler et al 1978) In the Part 503 rule riskassessment EPA used a version of the integrated exposure uptake biokinetic(IEUBK) model to assess lead exposures of children EPA revised that model in1994 The Part 503 rule limit for lead was also set more restrictively than theIEUBK-based value for policy reasons

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The revised model includes a default assumption that children absorb 30of lead from soil as compared with 50 of lead from diet and drinking waterRecent reviews have summarized studies of soil lead from many kinds of sitesand show that soil lead bioavailability ranges from near zero to somewhathigher than the EPA default value of 30 (NEPI 2000a Ruby et al 1999) Thegreat variability in soil lead bioavailability reflects the great variation insolubility of different lead compounds For example soil lead from mine siteswith sulfidic ores exhibits low bioavailability and soil lead from mine siteswith carbonate ores exhibits much more bioavailability

Dissolution rate-controlling processes are important in determining orallead bioavailability because lead must dissolve in the gastrointestinal tract tobecome bioaccessible (Ruby et al 1992) Less-soluble lead minerals such aslead in calcium phosphates dissolve by surface-reaction controlled kineticsThe bioavailability of metals that dissolve via a transport-controlled mechanismis dependent on the mixing that occurs in the gastrointestinal tract anddissolution via surface-controlled phenomena is sensitive to transit times (Rubyet al 1999)

A number of studies have been conducted on the bioavailability of lead inbiosolids to livestock A study at the University of Maryland (1980) used 033 and 10 sewage-sludge compost in diet that had lead at 215 mgg of dryweight for 180 days No significant change occurred in the indicator tissue leadconcentrations despite the finding that fecal analyses show that the animalsingested greatly increased amounts of lead In similar studies Keinholz et al(1979) found that tissue lead was significantly increased by ingesting 12sewage sludge containing lead at 780 mgg These studies are suggestive of lowbioavailability but do not provide quantitative information that can be used in arisk assessment

Mercury

The speciation of mercury in land-applied biosolids is a critical factor inassessing its fate and transport EPA assumed that mercury in soil from landapplication of biosolids was similar in toxicity and bioavailability to mercuricchloride a highly water-soluble form of inorganic mercury Howevermethylmercury has been shown to be present in biosolids-amended soils(Cappon 1981 1984 Carpi et al 1997)

The formation of methylmercury is much greater in aquatic systems owingto biomagnification in aquatic food chains For this reason the potentialtransport from application sites to surface water is of greater concern formercury than for other metals Several studies have also reported emission of

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mercury vapors from biosolids Sunlight and heat can cause reduction of HgII toelemental mercury (Hg0) and volatilization from surface soils (Carpi andLindberg 1997 1998 Carpi et al 1997) That was observed when biosolidswere applied to a soil in which the vegetative cover had been removed and thebiosolids were incorporated in the soils to a small depth (Carpi and Lindberg1997 Carpi et al 1997) Methylmercury was also shown to be emitted to theatmosphere (Carpi et al 1997)

Other Regulated Inorganic Chemicals

Copper molybdenum nickel selenium and zinc are also regulated underthe Part 503 rule These metals are much less toxic when ingested as comparedwith the four metals described above suggesting that it is appropriate that theyare regulated on the basis of ecological or plant effects Standards for coppernickel and zinc were based on effects on plants the standard for selenium isbased on human health and the standard for molybdenum is a non-risk-basedceiling limit Nickel is the most toxic to humans when inhaled so it is importantthat inhalation of resuspended particulates be considered in any risk assessmentfor this metal

ORGANIC CHEMICALS

Biosolids are likely to include many categories of chemicals that differfrom the categories of chemicals of concern in industrial discharges Although itis impossible to identify all of these pollutants it is important that EPAcontinually think about the types of chemicals released into wastewaters andadded during wastewater and sewage-sludge treatment processes as part of itsprocess for updating the Part 503 rule Because some organic chemicals such asorganochlorines are persistent in the environment consideration should begiven to their tendency for trophic transfer and biomagnification which is alongstanding public-health concern (Svensson et al 1991) Particular attentionshould also be paid to chemicals that are lipophilic or that have lipophilicmetabolites or degradation products because those chemicals are more likely topartition to sewage sludge Consideration should also be given to toxic endpoints that might not have been evaluated adequately in the earlier assessment(eg potential interactions of chemicals with the endocrine system) (Colborn etal 1993 Safe 2000)

As discussed previously in the section Hazard Assessment and ChemicalSelection all organic chemicals considered by EPA were originally exempted

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from regulation In 1999 EPA proposed to add dioxins (a category ofcompounds that includes 29 specific congeners of polychlorinated dibenzo-p-dioxins polychlorinated dibenzofurans and coplanar polychlorinated biphenyls[PCBs]) to the regulation in response to its Round 2 assessment of additionalchemicals to regulate under the Part 503 rule No standard for dioxins has yetbeen finalized This section reviews some of the important considerations thatshould be given to dioxins and other organic chemicals and provides examplesof some of the types of chemical categories EPA should be assessing in thefuture

Environmental Fate and Transport

A variety of factors jointly determine which organic pollutants willpartition from wastewater to sewage sludge and how human receptors mightcome into contact with these chemicals in biosolids These factors includetreatment processes for wastewaters and sewage sludge the concentration of thepollutant in the wastewater and biosolids the method of biosolids applicationthe physicochemical properties of the chemical and environmental conditionsSome factors that are particularly important for organic pollutants are theirpersistence in the environment their potential for transport from soil to otherenvironmental media and their potential for uptake into plant and animal foods

Degradation rates vary among chemicals their half-lives ranging fromdays to years For individual chemicals degradation rates may also vary withenvironmental conditions and measures of persistence may be substantiallyaffected by the experimental design and analytical capabilities (Beck et al1996) It is also noteworthy that degradation of parent compound may not leadto loss of toxic potential if persistent toxic breakdown products are formed Thebreakdown of DDT (111-trichloro-22-bis(p-chlorophenyl)-ethane) to DDE(11-dichloro-22-bis(p-chlorophenyl)ethylene) and DDD (11-dichloro-22-bis(p-chlorophenyl)ethane) is an example of this phenomenon

Decreases in organic contaminant concentrations in biosolids-amendedsoils is usually not a linear function of time (Beck et al 1996) Chlorobenzeneconcentrations initially decline rapidly from biosolids-amended soil but about10 of the residues become recalcitrant and remain in soil up to 30 years afterapplication (Wang et al 1995) Reports of persistence of polyaromatichydrocarbons (PAHs) in biosolids-amended soil vary widely In a review of theavailable literature Beck et al (1996) found one study reporting a decline intotal soil PAHs of 80ndash100 20 years after biosolids application and anotherreporting 60 of benzo[a]pyrene (a persistent PAH) remaining 30 years after

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25 biosolids applications to a sandy loam soil In a study of biosolids-associateddi-(2-ethylhexyl)phthalate in a laboratory microcosm approximately halfremained after 1 year (Madsen et al 1999) A study of flocculent polymers usedas dewatering agents in wastewater treatment processes reported that thepolymer is partially degradable under both aerobic and anaerobic conditions(Chang et al 2001) however no data were available on the persistence of thesecompounds in environmental media

Half-lives for organic contaminants are also influenced by sewage sludge-treatment processes For example the half-life of linear alkylbenzene sulfonatescan be over a year under anaerobic conditions but they degrade with half-livesof 7ndash30 days under aerobic conditions (Cavalli and Valtorta 1999 Scott andJones 2000) Climatic conditions especially temperature and rainfall alsoinfluence degradation volatilization and leaching rates for organic chemicals inmixtures of biosolids and soil

Contaminants in biosolids are typically most available to plants andpotentially to animals immediately after application and before degradation mayhave reduced concentrations For both organic and inorganic contaminants inbiosolids the greatest potential for leaching which may also be related tobioavailability appears to occur immediately after application (Marcomini et al1988 Beck et al 1996) Sorption of organic contaminants from biosolids to soilparticles is another important determinant of mobility and availability Soilcomposition and moisture interact to influence sorption capacity for organiccontaminants (Chiou and Shoup 1985) In moist soils organic matter is thedominant constituent to which sorption occurs In dry soils where wateroccupies little of clay particle surfaces clay can absorb large amounts oforganic contaminants However the ability of a soil to sorb organiccontaminants generally increases with organic matter content Sorbed organiccontaminants may degrade by chemical biochemical or photochemicalreactions Desorption may occur from solid-to-solid solid-to-liquid or solid-to-gas phases

Mobilization into air may be an important route for transport of organiccontaminants to plants The rate of degradation and bioavailability of organiccontaminants in soils decreases with time (Alexander 2000) Sequestration intothe solid phase or nanopores of soil may explain this phenomenon Thissequestration should be considered when evaluating data on total chemicalconcentration in soil and may be addressed by studies of relative bioavailability

The relative importance of specific routes of exposure will vary with theorganic contaminant of concern climate and soil type For example volatilechemicals will be released from soil to air and hydrophobic persistent organicsare more likely to be retained in soil

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Dioxin and Dioxin-like Chemicals

The dioxins category includes seven chlorinated dibenzo-p-dioxins(CDDs) 10 chlorinated dibenzofurans (CDFs) and 12 coplanar PCB congenersThese compounds share common modes of toxic action and are considered agroup for risk assessment (Van den Berg et al 1998) Although the toxicity ofthese chemicals varies up to 5 orders of magnitude 2378-tetrachlorodibenzo-p-dioxin (TCDD) is the most potent All the dioxins bind and activate the arylhydrocarbon receptor (AhR) The AhR is a ligand-activated transcription factorthat participates in regulating a battery of genes (Gu et al 2000) A change inexpression of AhR-regulated genes is the current explanation for much of thetoxicity of TCDD and dioxin-like compounds The CDDs CDFs and PCBs thatactivate the AhR are approximate stereoisomers of TCDD Because thestereoisomers of TCDD are all less potent than TCDD each is assigned apotency relative to TCDD for AhR activation (Van den Berg et al 1998) Theassigned potency is referred to as a toxic equivalency factor (TEF) Bydefinition the TEF for TCDD is 1 Multiplying the concentrations of eachCDD CDF or dioxin-like PCB in biosolids by their TEFs and summing theproducts yields the toxic equivalents (TEQs) in that material

EPA (1999a) has proposed application of TEQs in biosolids for settingregulatory standards The validity of this approach is supported by reviews ofrecent literature that consider tissue concentrations (Van den Berg et al 1998Gu et al 2000) There is at least one major limitation to application of the TEQconcept to estimating risks of dioxins in biosolids-amended soil Bioavailabilityof all CDDs CDFs and PCBs that contribute to TEQs is not equivalent (Jonesand Sewart 1997) A particular chlorination pattern distinguishes each of over400 potential CDD (75) CDF (135) and PCB (209) congeners Extent andpattern of chlorination markedly influences hydrophobicity and hence thetendency for sorption to and desorption from organic matter in a biosolids-amended soil Biodegradation rates water solubility (an inverse function ofhydrophobicity) and volatility generally decrease with an increase inchlorination for aromatic hydrocarbons Theoretically each CDD CDF andPCB congener processes a specific half-life and bioavailability in a biosolids-amended soil Complete characterization requires data on each congenerBecause of the impracticality of that requirement environmental chemistry datafor the most toxic congener (TCCD) typically provide the basis for riskassessment

EPA (1999a) has proposed a TEQ limit of 300 parts per trillion (ppt) inbiosolids applied to land which is well above the means of 32 or 48 pptdetected in recent biosolids surveys (Alvarado et al 2001 EPA 2002a) In the

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Alvarado survey 14 of 201 biosolids samples contained dioxin TEQs greaterthan 60 ppt Thirteen of those samples were in the range of 62ndash256 ppt and onesample contained dioxins at 3590 ppt The one unusually high dioxin level hasbeen verified by two laboratories the source of the dioxin has been identifiedthe sewage sludge is being land filled and investigation into the high dioxinlevel continues (RDominak AMSA Co-chair Biosolids ManagementCommittee personal communication with GKester Wisconsin Department ofNatural Resources May 24 2002)

Eljarrat et al (1997) reported that soil concentrations of CDDs CDFs anddioxin-like PCBs in biosolids-amended soil were 12 to 116 times greater thanthose in control soils one year after application of biosolids containing 56ndash260ppt TEQs Biosolids were applied in four consecutive years at rates thatexceeded the nitrogen-based Spanish annual application recommendations foragriculture (5ndash10 tonha) by 4- to 15-fold In soils with low initial TEQs (03ppt) concentrations remained suitable for agriculture In soil with high initialTEQs (31 ppt) concentrations increased to levels (86 picograms [pg]g TEQ)that would trigger German crop restrictions Molina et al (2000) concluded thatCDD and CDF concentrations in biosolids-amended soils are directly related toloading 1 year after application

Both atmospheric transport and biosolids application contribute to totalTEQ loading in agricultural soils (Jones and Sewart 1997) Atmosphericloading was more significant in urban sites than in rural sites The half-life ofCDDs and CDFs in soils is generally accepted to be about 10 years (Jones andSewart 1997) Therefore the history of contamination and atmospheric loadingin addition to biosolids application are worthy of consideration in siteevaluation For example assuming (1) biosolids with dioxins at 300 ppt (2) abiosolids application rate of 10000 kgha (3) biosolids incorporation into 15cm of soil (4) soil mass of 1200 kgm3 and (5) a dioxin half-life of 10 yearswith exponential decay rough estimates of dioxin concentrations are 165 ppt inagricultural soil after a single application and 1257 ppt after annualapplications for 10 consecutive years For biosolids containing dioxins at 50ppt the corresponding concentrations are 028 and 210 ppt

EPA (2001a) released a peer-review draft of a revised risk assessment fordioxins in biosolids that reflects responses to comments on the earlier riskassessment supporting the proposed TEQ limit of 300 ppt The revised riskassessment uses data from a recent biosolids survey and both deterministic andprobabilistic approaches to estimate dioxin concentrations in soil and otherexposure media near land-application sites Risks were evaluated for a farmfamily residing in an area receiving runoff from cropland and for a recreationalfisher For the farm family risk results were presented for specific pathways(soil ingestion air inhalation produce ingestion ingestion of poultry

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eggs beef and milk and breast-milk ingestion for an infant) and for totalmultiple-pathway risks Beef and milk ingestion were the primary contributorsto risks for both adults and children The risk results did not change whensurvey samples exceeding 300 ppt TEQ (the proposed standard) were excludedfrom the database because of low frequency of occurrence of increasedconcentrations A notice of data availability on EPArsquos revised risk assessmentwas released for public comment on June 12 2002 (EPA 2002a)

Other Organic Chemicals

Data regarding the occurrence of organic chemicals in biosolids is neededfor additional chemical categories and they should be given consideration infuture risk assessments Among these are flame retardants (eg brominateddiphenyl ethers) surfactants chlorinated paraffins nitro and polycyclic muskspharmaceuticals odorants and chemicals used to treat sewage sludge (egdewatering agents) Evaluation of these types of chemicals in risk assessmentwill depend on the characteristics of the compound their occurrence inbiosolids and the availability of toxicity data In this section brominateddiphenyl ethers are used as an example to illustrate a specific class of chemicalsidentified as a potential hazard in biosolids Other categories of compounds arereviewed briefly special consideration is given to pharmaceuticals and odorants

Brominated Diphenyl Ethers

Brominated diphenyl ethers (BDEs) are flame retardants used in thefurniture electrical and computer component and housing industries Onlypenta- octa- and deca-BDEs are of commercial interest (WHO 1994) Thecomposition and production estimates in 1994 for these BDEs are presented inTable 5ndash13 Environmental concerns about BDEs have arisen because theyhave been detected in various environmental media are highly persistent in theenvironment and bioaccumulate in aquatic food webs (de Boer et al 1998Hale et al 2001)

BDE formulations differ in their toxicological properties (WHO 1994)The acute toxicity of the deca- octa- and penta-BDEs is low There are noapparent adverse effects in rats fed deca-BDE at 50 gkg for 13 weeks Thatresponse is largely explained by very low absorption of deca-BDE across thegastrointestinal tract (about 03) There is evidence of toxic effects fromexposure to the less highly brominated BDE formulations For example rats

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TABLE 5ndash13 Composition and Approximate Annual Use of Brominated DiphenylEster FormulationsPreparation Composition Annual Worldwide Production (ton)Deca-BDE 97ndash98 deca-BDE

03ndash3 nona-BDE30000

Octa-BDE 43ndash44 hepta-BDE31ndash35 octa-BDE10ndash12 hexa-BDE9ndash11 nona-BDE0ndash1 deca-BDE

6000

Penta-BDE 50ndash62 penta-BDE24ndash38 tetra-BDE4ndash8 hexa-BDE0ndash1 tri-BDE

4000

Source Data from WHO 1994

fed a diet containing octa-BDE at 1 or 10 gkg for 13 weeks had reducedbody weight at both doses and decreased red-blood-cell count at the high doseAn increase in liver weight and no changes in body weight or blood-cell countswere found in rats fed a diet containing octa-BDE at 01 gkg for 13 weeks Ratsfed penta-BDE at 01 or 1 gkg for 4 weeks had increased liver weight without achange in body weight Histopathology analyses indicate that higher doses ofocta- and penta-BDE alter liver and thyroid tissue

More recent work focused on actions of BDEs on liver enzymes andthyroid hormones in rats Octa- and penta-BDE formulations increased theactivities of hepatic enzymes that metabolize thyroid hormone whereas deca-BDE did not (Zhou et al 2001) These increased enzyme activities wereassociated with reduced serum concentrations of thyroxin Because thyroid-stimulating hormone was not altered by BDEs increased elimination by theliver rather than decreased secretion by the thyroid appeared to explain thereduced serum thyroxin The potential for BDE metabolites to interact withtransthyretin (a protein that carries thyroxin in blood) was demonstrated byMeerts et al (2001) Three hydroxylated BDEs effectively displaced thyroxinfrom this protein Eriksson et al (2001) reported neurotoxic actions of a tetra-BDE and a penta-BDE congener in mice Neonatal exposure to both congenersaltered spontaneous behavior and the penta-BDE reduced memory

Despite the evidence of the toxic potential of BDEs a review of the abovestudies and other toxicological studies estimated that current human

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dietary intakes of BDEs were a million times lower than the lowest-observed-adverse-effect levels in animal studies (Darnerud et al 2001) Concentrations ofBDEs in human breast milk and fish have increased over time BDEconcentrations in breast milk from Swedish women have been reported toincrease exponentially over the past 25 years as commercial use of thesechemicals has increased (Hooper and McDonald 2000) Preliminary dataindicated that concentrations in milk from North American women were 10- to40-fold higher than those from Swedish women (Betts 2001) Noreacuten andMeironyteacute (2000) reported that BDEs in the breast milk of Swedish womenranged from 007 to 048 ngg of lipid between 1972 and 1980 and from 072 to401 ngg of lipid between 1984 and 1997

Few data are available on concentrations of BDEs in biosolids One studyreported that the sum of penta- and deca-brominated BDEs in biosolids rangedfrom 1 to 7 ppm in the United States (Hale et al 2001) The extent to whichBDEs in biosolids are related to current human body burdens is unclear

Surfactants

Surfactants used in laundry detergents and other cleaning products enterwastewater in large quantities from domestic and commercial wastewatersources Linear alkylbenzene sulfonates (LAS) alkyl phenol ethoxylates (APE)and alcohol ethoxylates (AE) are high-production surfactants that haverespective US annual consumptions of 415 322 and 208 million kg in 1990(McAvoy et al 1998) Standards for LAS and APE established in someEuropean countries are largely based on ecotoxicological impacts and nothuman health (Cavalli and Valtorta 1999) Use of nonylphenol-basedsurfactants is banned in Switzerland

Studies of LAS dominate the literature on degradation of surfactants Thetype of sewage-sludge treatment will have a strong impact on the presence ofsurfactants LAS for example is readily degraded in an aerobic environmentbut not in an anaerobic environment (Scott and Jones 2000) The half-life ofLAS in aerobic soils is 7ndash30 days (Cavalli and Valtorta 1999 Scott and Jones2000) and over a year under anaerobic conditions (Cavalli and Valtorta 1999)Soil concentrations of LAS immediately after biosolids applications range from05 to 664 ppm (Scott and Jones 2000) Differences in amounts of aerobic andanaerobic treatment before application might at least partially explain this widerange A 2-year feeding and reproduction study in rats with a LAS preparation(hydrocarbon-chain-length distribution of 10 to 14 carbons) revealed little or notoxicity (Buehler et al 1971) Rats fed LAS at a concentration of 5 gkg gainedbody weight and consumed food at the same

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rate as controls Hematology and visceral organ histology were normal OralLAS dosing of rhesus monkeys also indicated very low toxicity (Heywood et al1978) Some studies reported that these anionic surfactants are rapidly degradedin soils and risk assessments suggested that they pose little threat to the foodchain (de Wolf and Feijtel 1998 Jensen 1999)

Talmage (1994) reviewed the biodegradation and toxicology of thenonionic surfactant AEs and APEs Most AEs are mixtures of 8 to 18 carbonlinear primary alcohols but linear secondary and branched AEs are also usedAbout 90 of AEs undergoing activated sewage-sludge treatment degradeindicating rapid aerobic metabolism Feeding rats a medium-chain-length AEfor 2 years at 10 gkg reduced food consumption and body-weight gain butthese effects were not seen at 1 gkg A dose-dependent increase in myocarditiswas the only effect observed Direct attachment of a branched alkyl chain(usually 9 carbons) and ester linkage of a polyethoxy chain (4ndash40 carbons) tophenol yields APEs Although activated sewage-sludge treatment removes up to97 of APEs substantial adsorption to sewage sludge occurs APEconcentrations of tens to hundreds parts per million occur in sewage sludgeThe concentrations of potentially toxic metabolites especially nonylphenolrange from an approximate equivalent to the parent compound to several timeshigher Survival and growth of rats fed a long polyethoxy chain (40 carbons)APE at 14 gkg for 2 years were the same as those of controls No pathologicallesions were associated with treatment Reduced body weight and enlargedlivers occurred in rats fed a short polyethoxy chain (4 carbons) APE at 1 gkgday At lower doses (30 and 140 mgkgday) no growth reduction or evidenceof histopathological changes were found after 2 years of feeding APEs degradeto nonylphenols and octylphenols in aerobic environments and that increasestoxicity of the material up to 10-fold (Scott and Jones 2000) For example themono- and di-ethoxylates degrade to 4-nonylphenol Studies from the UnitedStates (LaGuardia et al 2001) and Switzerland (Giger et al 1984) detectednonylphenol polyethoxylates in sewage sludge A nonylphenol concentration of47 ppm was reported in soil soon after biosolids application (Scott and Jones2000) Concentrations of nonylphenols in anaerobically digested sewage sludgemay be as high as 4000 mgkg (Bennie 1999) They may be rapidly degraded insoil limiting the potential transfer into the food chain but there are few field-based data Although recent evidence suggests that nonylphenols spiked intouncontaminated biosolids are degraded over several months a significantportion of the nonylphenols in aged biosolids is recalcitrant to biologicaltransformation (Topp and Starratt 2000) In addition to persistence in the soilthe sorption of nonylphenol onto organic matter may give rise to the facilitatedtransport of these compounds into groundwater (Nelson et al 1998)Nonylphenol and other alkylphenolics activity as endocrine disruptors is ofsome concern The

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risk from environmental exposure is most clear for fish in surface watersreceiving wastewater treatment plant (WWTP) effluents (Jobling et al 1996)

Chlorinated Paraffins

Chlorinated paraffins or polychlorinated n-alkanes (PCAs) are used asadditives in lubricants plastics flame retardants paints sealants and cuttingand lubricating oils These chemicals are actively produced in large tonnagesand have numerous uses and sources When dissolved in a polymer theyprobably leak slowly into the environment and almost half of the oils used inmanufacturing might enter wastewater streams (Alcock et al 1999) Thereforeindustrial effluents are much more likely sources of chlorinated paraffins inbiosolids than in domestic wastewater

High doses of chlorinated paraffins (100ndash1000 mgkgday for 14 days)increased liver size and peroxisomal enzyme activity in rats and mice (Wyatt etal 1993) They also reduced plasma thyroid hormone concentrations in rats atthe highest dose in that study Chlorinated paraffins induced liver and thyroidtumors in rats and mice and are probable human carcinogens (NTP 1986)These materials deserve attention in future analytical work on biosolids

Nitro and Polycyclic Musks

Nitro and polycyclic musks are fragrances in a variety of personal-careproducts including shampoos soaps detergents perfumes and skin lotionsFeeding mice musk xylol at 15 gkg for 80 weeks increased liver tumorincidence (Maekawa et al 1990) Although sewage treatment markedly reducesnitro musk concentrations in wastewater amino metabolites that are more toxicthan parent compounds occurred in effluents at 1ndash250 ppt (Daughton andTernes 1999) Herren and Berset (2000) reported concentrations of nitro muskstheir amino metabolites and polycyclic musks in sewage sludge from 12 SwissWWTPs Nitro-musk concentrations in sewage sludge ranged from less than 01to 7 ppb dry weight Amino metabolites ranged from less than 01 to 49 ppb dryweight Much higher concentrations of polycyclic musks in sewage sludgeoccurred at up to 12 ppm dry weight for galaxolide and 4 ppm dry weight fortonalide Those concentrations can be explained by the phase out of nitro musksand the increased production of polycyclic musks (reviewed in Daughton andTernes 1999) and slow rates of degradation One estimate of half-life forpolycyclic musks in soils is 180 days (Balk and Ford 1999) Future riskassessment on biosolids should consider polycyclic musks

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Pharmaceuticals

Since the early 1980s there have been increasingly frequent reports ofpharmaceuticals detected in wastewater treatment effluent or surface water intrace concentrations (typically in nanograms per liter) (Daughton and Ternes1999 Ayscough et al 2000) These reports have become more frequent asanalytical techniques have improved to enable identification of very lowconcentrations of these chemicals in complex mixtures Many of thesechemicals are produced in very high volumes and they or their metabolites areadded directly to wastewater after use Most of the concern regarding thepotential effects of these chemicals particularly the potential endocrine-disrupting effects of hormones has been for the impact on aquatic receptorsThe majority of drugs are water soluble and metabolism after ingestiongenerally increases the solubility further Consequently most drugs and theirmetabolites are unlikely to be present in significant quantities in biosolidsNevertheless more lipophilic compounds will have a greater tendency topartition to biosolids

Since 1969 the National Environmental Policy Act has required theassessment of risk to the environment from use of drugs Environmentalassessments are part of the registration procedure for new humanpharmaceuticals (PDA 1985 Eirkson 1987) The procedure in place since 1995calls for estimation of an expected introductory concentration (EIC) based ondividing the expected annual production volume by the number of liters ofwastewater entering publicly owned treatment works per year (US Center forDrug Evaluation and Research 1995) When the predicted EIC in wastewatereffluent is less than 1 mgliter a detailed environmental assessment is notneeded

Active pharmaceutical compounds and a wide variety of metabolites enterwastewater after personal use at home and work (Ayscough et al 2000) Asomewhat different spectrum of chemicals will enter wastewater after use inhospitals and medical centers The parent compounds may also be disposed ofdirectly to wastewater These chemicals may be further degraded orbiodegraded in wastewater and during treatment at wastewater treatment plantsAnalytical methods to characterize the resulting complex mixtures of chemicalsare useful for research but are not currently adequate for routine screening(Daughton and Ternes 1999) Standard reference materials are often not readilyavailable and many of these substances are not included in environmentallyoriented mass spectral libraries

The efficiency of removal of drugs in wastewater treatment plants hasmainly been determined by measuring influent and effluent concentrationsRemoval efficiency varies greatly among different pharmaceuticals and variesover time at any single treatment plant (Daughton and Ternes 1999) Removalof a drug could reflect either degradation and biodegradation or sequestration

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in biosolids no data on drug concentrations in sewage sludge or biosolids wereidentified for this review Partition coefficients between organic matter andwater vary up to 500-fold for different drugs (Tolls 2001) Since thousands ofdrugs are approved for use any attempt to determine whether drugs areroutinely present in biosolids would require a carefully focused approachperhaps looking for the highest volume drugs that have lipophilic properties andare not predominantly metabolized to water-soluble forms

Toxicity studies have been conducted for most drugs but the results ofsuch studies are often not reported in the peer-reviewed literature If drugs aredetected in biosolids approaches for evaluating potential adverse health effectswill need to be considered Typically effects of toxicity would be limited todoses exceeding the therapeutic doses However therapeutic dose effects in anon-target population might be considered adverse effects Therefore health-based screening could rely on toxicity values that are a specific fraction oftherapeutic dose levels

In summary pharmaceuticals and personal care products are produced inhigh volumes and they and their metabolites are excreted directly towastewater where they have been detected in very low (generally nanogramsper liter) concentrations The potential for most of these chemicals to partitionto biosolids is limited by their generally high water solubility however somedrugs may be sufficiently lipophilic to partition preferentially to biosolids Atpresent there is not adequate evidence that pharmaceuticals are likely to occurin biosolids at concentrations sufficient to warrant their inclusion in a biosolidsrisk assessment however EPA should continue to monitor research in this area

Volatile Emissions and Odorants

The chemical selection process used for the Part 503 rule risk assessmentincluded consideration of volatile organic chemicals (VOCs) that are prioritypollutants These VOCs are generally limited to chlorinated and aromaticvolatiles which might be present in biosolids as a result of industrial or otherdischarges to sewer systems Because the majority of these VOCs will bereleased to the air during wastewater processing VOCs were ruled out aschemicals of concern for land application of biosolids

Sewage sludge also emits many VOCs not included in the EPA prioritypollutant list These VOCs include sulfur and nitrogen-containing chemicalsthat are strong odorants as well as acids aldehydes and ketones that are alsoodorants A review by Gostelow et al (2001) provides an overview of odorantgeneration during wastewater treatment and describes measurement methodsMany of these chemicals are generated during the biodegradation of waste-

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 230

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water and sewage-sludge components and the protein breakdown contributes tothe generation of sulfur and nitrogen-containing compounds (Gostelow et al2001) Sufonates from detergents are additional sources of sulfur and urine andamino acids contribute to formation of nitrogen-containing compoundsCarbohydrate fermentation during anaerobic sewage sludge treatmentcontributes to the formation of volatile fatty acids aldehydes alcohols andketones

The mixture of odorants in biosolids will differ from that in sewage sludgeand the relative concentrations will differ between the two mixtures forodorants present in both Table 5ndash14 lists odorants associated with wastewatertreatment their characteristic odors and their odor thresholds As noted in thetable many of these odorants have been detected in biosolids

Although hydrogen disulfide is the predominant odorant associated withwastewater treatment it is less of a factor in the odors of biosolids (Striebig1999) In an unpublished laboratory study the predominant odorants varieddepending on treatment methods used to reduce pathogens in the biosolidsOverall odor increased with lime treatment and increasing temperature (Striebig1999) Additional studies are needed to provide a more robust database ofodorants released from biosolids Potential risks associated with odorantscannot be properly assessed until such a database is developed

Noxious odors are one of the primary causes of complaints from the publicabout land application of biosolids Odor perception consists of two stepsphysiological reception and psychological interpretation (Gostelow et al 2001)Although odorants may cause toxic effects perception of an odor as noxious isnot directly linked to toxicity Perception of sewage odors as unpleasant mightbe due to an association with decaying material that needs to be avoided Asnoted by Schiffman et al (2000) foul environmental odors frequently engenderconcerns for safety Odor perception has been shown to affect mood in eludinglevels of tension depression anger fatigue and confusion (Schiffman et al1995) Mood impairments and stress can potentially lead to physiological andbiochemical changes with subsequent health consequences (Shusterman et al1991 Cohen and Herbert 1986) In addition conditioned responses (behavioraland physiological) can be developed to odors perceived to be associated withhealth symptoms (Bolla-Wilson et al 1988 Shusterman et al 1988)

Odors associated with biosolids are due to complex mixtures of odorouschemicals that vary greatly in toxicity and in odor thresholds The olfactorysystem processes stimuli from the chemicals in these mixtures perceiving oneoverall odor There are two primary approaches to measuring odors analyticalmeasurements of individual odorants in a mixture and sensory studies in whichhuman subjects provide subjective evaluations of odors (reviewed in Gostelowet al 2001) Fully characterizing an odor requires the use of both

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 231

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approaches Although analytical measurements allow for identification ofthe chemicals present sensory studies may provide assessments of the intensitycharacter and hedonic tone (pleasantness or unpleasantness) of an odorAnalytical measurements are crucial for an assessment of the potential toxicityof odorous chemicals because toxicity thresholds often do not correlate withodor thresholds

In assessing odorants it is important to distinguish between symptoms orhealth complaints due to odor perception and irritant effects and other forms oftoxicity Participants at a workshop held at Duke University in 1998 defined aset of odor levels to clarify the intensities associated with potential healthimpacts (Schiffman et al 2000) (see Table 5ndash15) These levels begin with odordetection and progress through odor intolerance (defined as physical symptomsoccurring at a nonirritant concentration) irritant effects and chronic and acutetoxicity

Identification of these levels does not imply that consistent increases inconcentrations trigger each level of response For example some odorantsmight have minimal irritant effects but produce chronic or acute toxicity Strongodorants might be detected at concentrations far less than those that causetoxicity whereas weak odorants might cause toxicity at concentrations close toodor detection thresholds Table 5ndash16 provides a comparison of odor thresholdsand thresholds for toxicity of odorants detected in biosolids Toxicity thresholdvalues for airborne chemicals are derived by a variety of organizations EPAand the Agency for Toxic Substances and Disease Registry are the primarysources of toxicity values for evaluating effects of chronic exposure EPA isalso overseeing the development of acute exposure guideline levels (AEGLs) toevaluate acute exposures of the general public and the National Institute forOccupational Safety Health the American Conference of GovernmentalIndustrial Hygienists and the Occupational Safety and Health Administrationderive acute exposure guidelines for occupational exposures The divergence ofodor threshold and toxicity is illustrated by comparing values for hydrogensulfide and carbon disulfide The odor thresholds for the two chemicals aresimilar but the reference concentrations suggest that the chronic toxicity ofhydrogen sulfide is more than 100 times greater than that of carbon disulfide

As can be seen in Table 5ndash16 toxicity values are available for only a smallnumber of odorants found in biosolids Evaluation of risks of exposure toodorants will depend on the availability of appropriate toxicity values for thesechemicals Appropriate toxicity values will need to be based on the likelyexposure duration (short-term vs chronic) Consequently initial efforts toevaluate the potential hazards of odorants identified in biosolids should focuson dose-response assessment for exposure durations likely to occur in the

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 235

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TABLE 5ndash15 Perception of Odors and Health Complaints

Level Description1 Odor detection The level of odor that can first be

differentiated from ambient air2 Odor recognition The level of odor at which the odor

quality can be characterized (eg thelevel at which a person can detect that anodor is apple or manure)

3 Odor annoyance The level at which a person is annoyed byan odor but does not show or perceive aphysical reactionNote Health symptoms are not expectedat these first three levels unless the odoroccurs with a copollutant such as dust asin Paradigm 3 or the level of annoyance isintense or prolonged

4 Odor intolerance (causing somaticsymptoms)

The level at which an individual mayshow or perceive physical (somatic)symptoms to an odorNote This level corresponds to Paradigm2 in which the odor induces symptomseven thought the odorant concentration islower than that known to cause irritation

5 Perceived irritant The level at which a person reportsirritation or physical symptoms as a resultof stimulation of nerve endings in therespiratory tract

6 Somatic irritant The level at which an odorant (not anodor) results in a negative physicalreaction regardless of an individualrsquospredisposition This can occur when anodorous compound (eg chlorine)damages tissueNote Perceived and somatic irritationcorrespond to Paradigm 1

7 Chronic toxicity The level at which an odorant can resultin long-term health impact

8 Acute toxicity The level at which an immediate toxicimpact is experienced (eg a single eventmay evoke an acute health impact)Note In the case of chronic or acutetoxicity the compound should not beconsidered an odorant but rather acompound with toxic effects that happensto have an odor

Source Schiffman et al 2000 Reprinted with permission from Journal of Agromedicine copyright2000 Haworth Press Inc

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 236

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exposed populations Because many of these chemicals are structurallysimilar quantitative structure activity analysis (QSAR) might be a useful tool toaugment the limited toxicity database In conclusion a wide variety of odorantsare present in wastewater effluents and the chemical compositions andconcentrations of odorants in biosolids vary with the treatment processes aswell as the origin of the effluents Inhalation is the only exposure pathway ofconcern for VOCs and both acute and chronic exposures should be consideredAdditional studies are needed to identify odorants typically released frombiosolids and to determine the range of likely air concentrations near biosolids-application sites Acute and chronic toxicity values (air concentrationsdetermined to be safe for specified kinds of exposures) should be developed forthe predominant odorants and a hazard analysis should be conducted todetermine whether air concentrations generated near application sites are highenough to warrant more detailed risk assessment for this category of chemicalsResearch is also needed on the impacts of odors Particular attention should bepaid to the degree to which effective biosolids treatment reduces odorantconcentrations and impacts

FINDINGS AND RECOMMENDATIONS

In responding to the committeersquos charge to evaluate the technical basis ofthe biosolids chemical standards it is important to distinguish between theappropriate risk-assessment methods at the time the standards were developedversus the most appropriate methods now The committee did not attempt todetermine whether the methods used at that time were appropriate and thecommitteersquos findings and recommendations should not be construed as eithercriticism or approval of the standards when issued Instead the findings andrecommendations focus on how current risk-assessment practices and currentknowledge regarding chemicals in biosolids can be used to update andstrengthen the scientific credibility of EPArsquos chemical standards

In light of the advances made in risk-assessment methods and the need toupdate many of the exposure parameters used in the risk assessment processthe existing biosolids standards for inorganic pollutants clearly need to bereevaluated A comparison of the pollutant limits with risk-based soil screeninglevels suggests that the pollutant standards are adequately protective for someexposure pathways (ie soilbiosolids ingestion) but may need to bereevaluated for others (ie ingestion of homegrown produce grown onbiosolids-amended soil groundwater) Reevaluating the standards is not thesame as saying that the standards should be lower In fact some standardsmight increase after a reevaluation A lower standard for a particular pollutantalso would not necessarily indicate the presence of a health risk The risk

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would depend on the actual concentrations of the pollutant in biosolids to whichpeople were exposed Nonetheless the current limits cannot with confidence bestated to be adequately protective for all of the regulated pollutantsAdditionally limitations in the chemical selection process apply to inorganic aswell as organic pollutants

Recommendation A revised multipathway risk assessment should beperformed for the currently regulated pollutants with particular attention paidto arsenic and to indirect exposure pathways for cadmium and mercury Inaddition new survey data should be used to identify any additional inorganic ororganic pollutants that might need to be included in a risk assessment

The science and body of knowledge underlying the practice of riskassessment have evolved substantially since the risk assessment supporting thePart 503 rule was conducted Consequently different approaches andsupporting data would be used if the Part 503 rule risk assessment wereconducted again today or in the future One important development has been therecognition of the importance of engaging stakeholders in the risk-assessmentprocess to help characterize potential exposures Stakeholders are groupspotentially affected by the risk risk managers and groups affected by efforts tomanage the source of the risk Involving stakeholders throughout the risk-assessment process provides opportunities to bridge gaps in understandinglanguage values and perspectives and to address concerns of affectedcommunities

Recommendation Risk-based standards for land application of biosolidsshould be reevaluated on a regular basis to take into account new informationregarding the identity and properties of chemicals present in these mixtures andcurrent approaches to evaluating the risks of exposure to such mixturesStakeholders should be included in the process particularly in the developmentof the exposure assessments

The chemical selection process used to identify chemicals of concern forthe risk assessment is now outdated Data from the NSSS that was used in theselection process are over a decade old and there is a need to characterize theconcentrations and distribution of chemicals now present in biosolidsAdditional chemicals not included in the NSSS analyses have now beenidentified as new concerns Analytical methods have improved since the NSSSwas conducted

Recommendation The committee endorses the recommendation of theprevious NRC committee (NRC 1996) that a new national survey of chemicalsin biosolids be conducted It recognises that more recent survey data areavailable through many state programs and recommends that EPA considerthose databases in the course of designing a

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 239

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new national survey Other elements that should be included in a new surveyare the following evaluation of the adequacy of analytical methods anddetection limits to support risk assessment consideration of categories ofchemicals of current concern that were not previously evaluated (eg odorantssurfactants and pharmaceutical) and assessment of the possible presence ofmultiple species of mercury arsenic and other metals that have different toxicend points

EPArsquos decision to eliminate all chemicals detected at less than 5 or 10frequency in the NSSS is unjustified Data gaps may now be filled for toxicityand fate and transport characteristics that were previously used to eliminatechemicals from the risk assessment In addition uncertainties associated withthe chemical selection process have not been adequately evaluated

Recommendation Selected persistent bioaccumulative and highly toxicchemicals should be retained in the risk assessment even if they are detectedrelatively infrequently or if some chemical-specific fate and transportparameters are missing An uncertainty assessment should be performed toevaluate the significance of eliminating chemicals from the risk assessmentbecause of lack of toxicity data or other parameters

The Part 503 rule risk assessment focused on agricultural land-applicationscenarios Conceptual site models documenting the exposure pathways judgedto be major and minor are not available for the scenarios evaluatedConsequently it is difficult to determine whether all relevant pathways wereidentified Although the pathways evaluated are likely to be the major exposurepathways for chronic exposures in agricultural scenarios there might bedifferences in the significance of pathways for short-term exposures and fordifferent scenarios

Recommendation A new risk assessment should include separateexposure scenarios that represent substantial differences in exposure potential(eg land reclamation and forestry applications) For each scenario aconceptual site model approach should be used to identify major and minorexposure pathways and routes of exposure Risks from short-term episodicexposures should also be evaluated for volatile chemicals such as odorants

The degree of realism varies by exposure pathway The pathways were notevaluated in a consistent manner (ie it is not apparent that exposure estimateswere comparably conservative for all pathways) Exposures also were not addedfor multiple pathways affecting a single receptor For the indirect pathways theuse of multiple highly conservative assumptions could result in unrealisticoverestimates of risk However because of the diversity

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 240

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of exposed populations environmental conditions and agricultural practices inthe United States exposure analyses based on a nationwide range of exposuresmight not be adequately protective for all cases

Recommendation A comparable reasonable maximum exposure (RME)should be evaluated for each exposure pathway in each exposure scenario andwhere the same receptor is likely to be exposed to more than one pathwayexposures should be added across pathways Such considerations areapplicable for both deterministic and probabilistic exposure assessmentapproaches Multiple highly conservative assumptions should be avoided however care should be taken to ensure that the risks are assessed for the high-end population and that the most sensitive conditions for biosolids applicationare considered For example for the groundwater infiltration pathway ifbiosolids application is likely to occur in areas of sandy soil or karsttopography with shallow groundwater those conditions should be used in therisk assessment

As described above and in Chapter 4 new scientific data are now availablethat could be used to support alternative assumptions for many of the exposureparameters used in the risk assessment Comprehensive reviews and updatedrecommendations for many parameters have been compiled in several EPAguidance documents Fate and transport models used to estimate exposure pointconcentrations for many pathways have also been updated

Recommendation The most recent EPA reviews and new studies reportedin the literature should be used to identify updated assumptions for exposureparameters for use in risk assessment Updated fate and transport modelsshould be used to estimate exposure point concentrations For each exposurepathway fate and transport models and exposure parameter assumptionsshould be selected so that pathway exposures reflect the RME

Biosolids are likely to include many categories of chemicals that differfrom the categories of chemicals of concern in industrial discharges Although itis impossible to identify all of these pollutants it is important that EPAcontinually think about the types of chemicals released into wastewaters andadded during wastewater and sewage-sludge treatment processes as part of itsprocess for updating the Part 503 rule EPA eliminated certain chemicals ofconcern from further assessment when there was an absence of data on fatetransport and toxicity New data on some of these chemicals might now beavailable for determining whether risk assessments for those chemicals areneeded Because some organic chemicals such as organochlorines arepersistent in the environment consideration should be given to their tendencyfor trophic transfer and biomagnification EPA has already undertaken such anevaluation for dioxins Consideration should also be given to toxic end points

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 241

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that might not have been evaluated adequately in the earlier assessment (egpotential interactions of chemicals with the endocrine system) Two categoriesof chemicals deserving special attention are pharmaceuticals and odorantsConsidering the amounts discharged to sewage systems the presence ofpharmaceuticals in biosolids has not been adequately investigated For odorantsthe need for further evaluation is driven by the high level of public concern aswell as very limited characterization of the odorants present in biosolids andtheir toxicity

Recommendation In addition to the recommendation above for a newbiosolids survey and chemical selection process it is recommended that aresearch program be developed for pharmaceuticals and other chemicals likelyto be present in biosolids that are not currently included in routine monitoringprograms This includes chemicals eliminated from Round 1 and Round 2evaluations because of data gaps The research program should have the goalof identifying additional chemicals that should be included in routine biosolidssurveys and in future risk assessments For odorants research in needed toidentify the odorants present in various kinds of biosolids For odorantscommonly present in biosolids EPA should move aggressively to develop acutetoxicity values for use in assessing the risks posed by these chemicals andshould support research on the interaction between these chemicals and pathogens in causing human disease

REFERENCES

ACGIH (American Conference of Governmental Industrial Hygienists) 2001a Documentation ofthe Threshold Limit Values for Chemical Substances 7th Ed ACGIH Cincinnati OH

ACGIH (American Conference of Governmental Industrial Hygienists) 2001b Documentation ofthe Physical Agents Threshold Limit Values 7th Ed ACGIH Cincinnati OH

ACGIH (American Conference of Governmental Industrial Hygienists) 2001c Documentation ofthe Threshold Limit Values and Biological Exposure Indices 7th Ed ACGIH CincinnatiOH

Adamu CA PFBell CMulchi and RChaney 1989 Residual metal concentrations in soils andleaf accumulations in tobacco a decade following farmland application of municipalsludge Environ Pollut 56(2)113ndash126

Alcock RE ASweetman and KCJones 1999 Assessment of organic contaminant fate inwastewater treatment plants I Selected compounds and physicochemical propertiesChemosphere 38(10)2247ndash2262

Alexander M 2000 Aging bioavailability and overestimation of risk from environmentalpollutants Environ Sci Technol 34(20)4259ndash4265

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 242

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has

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ompo

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from

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ed f

rom

the

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inal

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er b

ook

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heor

igin

al ty

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tting

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s P

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ue to

the

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inal

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e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

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tally

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rted

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ase

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of t

his

publ

icat

ion

as th

e au

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itativ

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n fo

r attr

ibut

ion

Alvarado MJ SArmstrong and ECrouch 2001 The AMSA 20002001 Survey of Dioxin-LikeCompounds in Biosolids Statistical Analyses Prepared for Association of MetropolitanSewage Agencies (AMSA) by Cambridge Environmental Inc Cambridge MA October30 2001 [Online] Available httpwwwamsa-cleanwaterorgadvocacydioxinfinal_reportpdf [May 17 2002]

Amoore JH and EHautala 1983 Odor as an aid to chemical safety odor thresholds comparedwith threshold limit values and volatilities for 214 industrial chemicals in air and waterdilution J Appl Toxicol 3(6)272ndash290

Anderson SA 1986 Guidelines for Use of Dietary Intake Data Bethesda MD life SciencesResearch Office Federation of American Societies for Experimental Biology 89ppArai Y and DLSparks 2001 Microscale Arsenic (AS) Chemical Speciation in Poultry Litter

Presentation at Soil Science of America Annual Meeting Charlotte NC Oct 21ndash25 2001[Online] Available httpagudeledusoilchempublicationshtml [April 17 2002]

ATSDR (Agency for Toxic Substances and Disease Registry) 1999 Toxicological Profile forCadmium (Update) US Dept of Health and Human Services Public Health ServiceAgency for Toxic Substances and Disease Registry Atlanta GA

Ayscough NJ JFawell GFranklin and WYoung 2000 Review of Human Pharmaceuticals inthe Environment RampD Tech Report P390 WRc Report No EA4761 WRc-NSF LtdBuckinghamshire Bristol Environment Agency

Balk F and RAFord 1999 Environmental risk assessment for the polycyclic musks AHTN andHHCB in the EU I Fate and exposure assessment Toxicol Lett 111(1ndash2)57ndash59

Barbarick KA JAIppolito and DGWestfall 1998 Extractable trace elements in the soil profileafter years of biosolids application J Environ Qualit 27(4)801ndash805

Barrow NJ 1998 Effects of time and temperature on the sorption of cadmium zinc cobalt andnickel by soil Aust J Soil Res 36(6)941ndash950

Basta NT and JJSloan 1999 Bioavailability of heavy metals in strongly acidic soils treated withexceptional quality biosolids J Environ Qual 28(2)633ndash638

Beck AJ DLJohnson and KCJones 1996 The form and bioavailability of nonionic organicchemicals in sewage sludge-amended agricultural soils Sci Total Environ 185(1ndash3)125ndash149

Bell PF CAAdamu CLMulchi MMcIntosh and RLChaney 1988 Residual effects of landapplied municipal sludge on tobacco 1 Effects on heavy metal concentrations in soils andplants Tob Sci 3246ndash51

Bell PF BRJames and RLChaney 1991 Heavy metal extractability in longterm sewage sludgeand metal salt-amended soils J Environ Qual 20481ndash486

Bennie DT 1999 Review of the environmental occurrence of alkylphenols and alkylphenolethoxylates Water Qual Res J Can 34(1)79ndash122

Berti WR and LWJacobs 1998 Distribution of trace elements in soil from repeated sewagesludge applications J Environ Qual 27(6)1280ndash1286

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 243

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can

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n fo

r attr

ibut

ion

Betts K 2001 Mounting concern over brominated flame retardants Environmental Science andTechnology Online Science News June 1 2001 Available httpwwwacsorg [March 12002]

Bolla-Wilson K RJWilson and MLBleecker 1988 Conditioning of physical symptoms afterneurotoxic exposure J Occup Med 30(9)684ndash686

Brady NC and RRWeil 1999 The Nature and Properties of Soils 12th Ed Upper Saddle RiverNJ Prentice Hall

Broos K FDegryse and ESmolders 2001 Cadmium and Zinc Availability and Toxicity toSymbiotic Nitrogen Fixation in Soils Contaminated by Various Sources GP100Presentation at the 6th International Conference on the Biogeochemistry of TraceElements Guelph Ontario Canada July 29-August 2 2001 [Online] Available httpwwwuoguelphca~gparkinICOBTEICOBTEprogrampdf [February 25 2002]

Brown SL RLChaney JSAngle and JARyan 1998 The phytoavailability of cadmium tolettuce in long-term biosolids-amended soils J Environ Qual 27(5)1071ndash1078

Brown SL RLChaney CALloyd JSAngle and JARyan 1996 Relative uptake by gardenvegetables and fruits grown on long-term biosolids-amended soils Environ Sci Technol30(12)3508ndash3511

Buck RJ KAHammerstrom and PBRyan 1997 Bias in population estimates of long-termexposure from short-term measurements of individual exposure Risk Anal 17(4)455ndash466

Buehler EV EANewmann and WRKing 1971 Two-year feeding and reproduction study inrats with linear alkylbenzene sulfonate (LAS) Toxicol Appl Pharmacol 18(1)83ndash91

Calabrese EJ EJStanek CEGilbert and RMBarnes 1990 Preliminary adult soil ingestionestimates results of a pilot study Regul Toxicol Pharmacol 12(1)88ndash95

Cappon CJ 1981 Mercury and selenium content and chemical form in vegetable crops grown onsludge-amended soil Arch Environ Contam Toxicol 10(6)673ndash689

Cappon CJ 1984 Content and chemical form of mercury and selenium in soil sludge andfertilizer materials Water Air Soil Pollut 2295ndash104

Carpi A and SELindberg 1997 Sunlight-mediated emission of elemental mercury from soilamended with municipal sewage sludge Environ Sci Technol 31(7)2085ndash2091

Carpi A and SELindberg 1998 Application of a Teflon dynamic flux chamber for quantifyingsoil mercury flux tests and results over background soil Atmos Environ 32(5)873ndash882

Carpi A SELindberg EMPrestbo and NSBloom 1997 Methyl mercury contamination andemission to the atmosphere from soil amended with municipal sewage sludge J EnvironQual 26(NovDec)1650ndash1654

Cary EE DLGrunes SLDallyn GAPearson NHPeck and RSHulme 1994 Plant Fe Aland Cr concentration in vegetables as influenced by soil inclusion J Food Qual 17467ndash476

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 244

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setti

ng-s

peci

fic fo

rmat

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how

ever

can

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ay h

ave

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as th

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e ve

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n fo

r attr

ibut

ion

Cavalli L and LValtorta 1999 Surfactants in sludge-amended soil Tenside Surf Det 36(1)22ndash28

Chaisson CF RLSielken Jr and DKWaylett 1999 Overestimation bias and other pitfallsassociated with the estimated 999th percentile in acute dietary exposure assessmentsRegul Toxicol Pharmacol 29(2 Pt 1)102ndash127

Chaney RL 1990 Twenty years of land application research BioCycle 31 (9)54ndash59Chaney RL and JARyan 1994 Risk Based Standards for Arsenic Lead and Cadmium in Urban

Soils Summary of Information and Methods Developed to Estimate Standards for Cd Pdand As in Urban Soils Frankfurt DECHEMA

Chaney RL SLBrown and JSAngle 1998 Soil-root interface ecoystem health and humanfood-chain protection Pp 279ndash311 in Soil Chemistry and Ecosystem Health PMHuangDCAdriano TJLogan and RTCheckai eds Madison WI Soil Science Society ofAmerica

Chaney RL SBHornick and PWSimon 1977 Heavy metal relationships during land utilizationof sewage sludge in the Northeast Pp 283ndash314 in Land as a Waste ManagementAlternative Proceedings of the 1976 Cornell Agricultural Waste Management ConferenceRCLoehr ed Ann Arbor MI Ann Arbor Science Pub

Chang AC HNHyun and ALPage 1997 Cadmium uptake for Swiss chard grown oncomposed sewage sludge treated field plots plateau or time bomb J Environ Qual 26(1)11ndash19

Chang LL DLRaudenbush and SKDentel 2001 Aerobic and anaerobic biodegradability of aflocculant polymer Water Sci Technol 44(2ndash3)461ndash468

Chaudri AM CMAllain SHBadawy MLAdams SPMcGrath and BJChambers 2001Cadmium content of wheat grain from a long-term field experiment with sewage sludge JEnviron Qual 30(5)1575ndash1580

Chiou CT and TDShoup 1985 Soil sorption of organic vapors and effects of humidity onsorptive mechanism and capacity Environ Sci Technol 19(12)1196ndash1200

Cohen S and TBHerbert 1996 Health psychology psychological factors and physical diseasefrom the perspective of human psychoneuroimmunology Annu Rev Psychol 47113ndash142

Colborn T FSvom Saal and AMSoto 1993 Developmental effects of endocrine-disruptingchemicals in wildlife and humans Environ Health Perspect 101(5)378ndash384

Corey RB LDKing CLue-Hing DSFanning JJStreet and JMWalker 1987 Effects ofsludge properties on accumulation of trace elements by crops Pp 25ndash 51 in LandApplication of Sludge Food Chain Implications ALPage TJ Logan and JARyan edsChelsea MI Lewis

Darnerud PO GSEriksen TJohannesson PBLarsen and MViluksela 2001 Polybrominateddiphenyl ethers occurrence dietary exposure and toxicology Environ Health Perspect109(Suppl 1)49ndash68

Daughton CG and TATernes 1999 Pharmaceuticals and personal care products in theenvironment agents of subtle change [Review] Environ Health Perspect 107(Suppl6)907ndash938

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 245

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has

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ng-s

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rmat

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can

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tain

ed a

nd s

ome

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erro

rs m

ay h

ave

been

acc

iden

tally

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rted

Ple

ase

use

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sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

de Boer J PGWester HJKlamer WELewis and JPBoon 1998 Do flame retardants threatenocean life Nature 394(6688)28ndash29

de Wolf W and TFeijtel 1998 Terrestrial risk assessment for linear alkyl benzene sulfonate(LAS) in sludge-amended soils Chemosphere 36(6)1319ndash1343

Dragun J and ADChiasson 1991 Elements in North American Soils Hazardous MaterialsControl Resources Institute Greenbelt MD

Eirkson C 1987 Environmental Assessment Technical Assistance Handbook FDACFSAN-8730 PB87ndash175345 Washington DC Food and Drug Administration

Eljarrat E JCaixach and JRivera 1997 Effects of sewage sludges contaminated withpolychlorinated benzo-p-dioxins dibenzofurans and biphenyls on agricultural soilsEnviron Sci Technol 31(10)2765ndash2771

EPA (US Environmental Protection Agency) 1982 Fate of Priority Pollutants in Publicly OwnedTreatment Works Vol 1 Final Report EPA4401ndash82303 Effluent Guidelines DivisionWater and Waste Management US Environmental Protection Agency Washington DCSeptember

EPA (US Environmental Protection Agency) 1985 Summary of Environmental Profiles andHazard Indices for Constituents of Municipal Sludge Methods and Results EPA 822S-85ndash001 NTIS PB95ndash156436 Office of Water Regulations and Standards WastewaterCriteria Branch US Environmental Protection Agency Washington DC July

EPA (US Environmental Protection Agency) 1989 Risk Assessment Guidance for SuperfundVol 1 Human Health Evaluation Manual (Part A) Interim Final EPA5401ndash89002Office of Emergency and Remedial Response US Environmental Protection AgencyWashington DC December 1989

EPA (US Environmental Protection Agency) 1990 National sewage sludge survey availability ofinformation and data and anticipated impacts on proposed regulations Fed Regist 55(218)47210ndash47283 (November 9 1990)

EPA (US Environmental Protection Agency) 1991 Guidance for Data Useability in RiskAssessment (Part A) Final EPA540R-92003 Office of Research and DevelopmentUS Environmental Protection Agency Washington DC December 1991

EPA (US Environmental Protection Agency) 1992a Technical Support Document for LandApplication of Sewage Sludge Vol I EPA 822R-93ndash001A Prepared for Office of WaterUS Environmental Protection Agency Washington DC by Eastern Research GroupLexington MA November 1992

EPA (US Environmental Protection Agency) 1992b Technical Support Document for LandApplication of Sewage Sludge Vol II Appendices EPA 822R-93ndash 001b Prepared forOffice of Water US Environmental Protection Agency Washington DC by EasternResearch Group Lexington MA November 1992

EPA (US Environmental Protection Agency) 1995 A Guide to the Biosolids Risk Assessmentsfor the EPA Part 503 Rule EPA 832-B-93ndash005 Office of Wastewater Management USEnvironmental Protection Agency Washington DC September 1995

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 246

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t th

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ion

of t

he o

rigin

al w

ork

has

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ompo

sed

from

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reat

ed f

rom

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orig

inal

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ook

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igin

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tting

file

s P

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brea

ks a

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ue to

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inal

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ks h

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tyle

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ng-s

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rmat

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tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

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iden

tally

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rted

Ple

ase

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t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

EPA (US Environmental Protection Agency) 1996a Technical Support Document for the RoundTwo Sewage Sludge Pollutants EPA-822-R-96ndash003 Office of Water Office of Scienceand Technology Health and Ecological Criteria Division US Environmental ProtectionAgency Washington DC August 1996

EPA (US Environmental Protection Agency) 1996b Soil Screening Guidance TechnicalBackground Document EPA540R-95128 PB96ndash963502 Office of Emergency andRemedial Response US Environmental Protection Agency Washington DC May 1996

EPA (US Environmental Protection Agency) 1997 Exposure Factors Handbook Vol I II IIIEPA600P-95002Fa-c National Center for Environmental Assessment Office ofResearch and Development US Environmental Protection Agency [Online] Availablehttpwwwepagovnceaexposfachtm [July 31 2001]

EPA (US Environmental Protection Agency) 1998 Human Health Risk Assessment Protocol forHazardous Waste Combustion Facilities Vol 1 Peer Review Draft EPA530-D-98ndash001AOffice of Solid Waste and Emergency Response Washington DC July 1998 [Online]Available httpwwwepagovepaoswerhazwastecombustriskvolhtmvolume1[February 14 2002]

EPA (US Environmental Protection Agency) 1999a Standards for the use or disposal of sewagesludge Proposed rule Fed Regist 64(246)72045ndash72062 (December 23 1999)

EPA (US Environmental Protection Agency) 1999b Biosolids Generation Use and Disposal inthe United States EPA530-R-99ndash009 Municipal and Industrial Solid Waste DivisionOffice of Solid Waste US Environmental Protection Agency Washington DCSeptember 1999

EPA (US Environmental Protection Agency) 2000a Guide to Field Storage of BiosolidsEPA832-B-00ndash007 Office of Wastewater Management US Environmental ProtectionAgency Washington DC July 2000

EPA (US Environmental Protection Agency) 2000b Exposure and Human Health Reassessmentof 2378-Tetrachlorodibenzo-p-Dioxin (TCDD) and Related Compounds EPA600P-00001 National Center for Environmental Assessment Office of Research andDevelopment Washington DC [Online] Available httpwwwepagovNCEApdfsdioxinindexhtm [February 26 2002]

EPA (US Environmental Protection Agency) 2000c Estimated Per Capita Water Ingestion in theUnited States Based on Data Collected by the United States Department of Agriculturersquos1994ndash96 Continuing Survey of Food Intakes by Individuals EPA-822-R-00ndash008 Officeof Water US Environmental Protection Agency Washington DC April 2000 [Online]Available httpwwwepagovwatersciencedrinkingpercapita [February 26 2002]

EPA (US Environmental Protection Agency) 2001a Exposure Analysis for DioxinsDibenzofurans and CoPlanar Polychlorinated Biphenyls in Sewage Sludge RTI ProjectNo 92U-7600OP3040 Prepared by Center for Environmental Analysis ResearchTriangle Institute Research Triangle Park NC for Office of Water US EnvironmentalProtection Agency Washington DC November 30

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 247

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t th

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rmat

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ed a

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ome

typo

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rs m

ay h

ave

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tally

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of t

his

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icat

ion

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e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

2001 [Online] Available httpwwwepagovwatersciencebiosolidsriskasdraftpdf[February 26 2002]

EPA (US Environmental Protection Agency) 2001b Supplemental Guidance for Developing SoilScreening Levels for Superfund Sites Peer Review Draft OSWER 93554ndash24 Office ofEmergency and Remedial Response US Environmental Protection Agency WashingtonDC March 2001

EPA (US Environmental Protection Agency) 2001c 1999 Public Data Release Report ToxicRelease Inventory (TRI) Program EPA 260R-01001 US Environmental ProtectionAgency [Online] Available httpwwwepagovtriintertridatatri99indexhtm [May 212002]

EPA (US Environmental Protection Agency) 2001d Risk Assessment Guidance for SuperfundVol 3- Part A Process for Conducting Probabilistic Risk Assessment EPA 530-R-02ndash002 PB2002 963302 Office of Emergency and Remedial Response US EnvironmentalProtection Agency Washington DC December 2001 [Online] Available httpwwwepagovoerrpagesuperfundprogramsriskrags3apdfcontprefpdf [May 21 2002]

EPA (US Environmental Protection Agency) 2002a Standards for the Use or Disposal of SewageSludge Notice Fed Regist 67(113)40554ndash40576 June 12 2002

EPA (US Environmental Protection Agency) 2002b PRG Tables Preliminary Remediation GoalsSolid and Hazardous Waste Programs Region 9 US Environmental Protection Agency[Online] Available httpwwwepagovRegion9wastesfundprgs1_01htm [May 212002]

EPA (US Environmental Protection Agency) 2002c Integrated Risk Information System (IRIS)[Online] Available httpwwwepagoviris [February 26 2002]

Eriksson P EJakobsson and AFredriksson 2001 Brominated flame retardants A novel class ofdevelopmental neurotoxicants in our environment Environ Health Perspect 109(9)903ndash908

Ershow AG and KPCantor 1989 Total Water and Tapwater Intake in the United StatesPopulation-Based Estimates of Quantities and Sources Bethesda MD Life SciencesResearch Office Federation of American Societies for Experimental Biology

Farmer JG and LRJohnson 1990 Assessment of occupational exposure to inorganic arsenicbased on urinary concentrations and speciation of arsenic Br J Ind Med 47(5)342ndash348

FDA (Food and Drug Administration) 1985 FDA Final rule for compliance with NEPA Policyand Procedures Fed Regist 50FR 16636 21CFR 25 (April 26 1985)

Ford RG ACScheinost KGScheckel and DLSparks 1999 The link between clay mineralweathering and the stabilization of Ni surface precipitates Environ Sci Technol 33(18)3140ndash3144

Fries GF 1995 Transport of organic environmental contaminants to animal products RevEnviron Contam Toxicol 14171ndash109

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 248

Abou

t th

is P

DF

file

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s ne

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igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

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es c

reat

ed f

rom

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inal

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ook

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heor

igin

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tting

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brea

ks a

re tr

ue to

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orig

inal

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e le

ngth

s w

ord

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ks h

eadi

ng s

tyle

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nd o

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type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

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t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Fries GF and DJPaustenbach 1990 Evaluation of potential transmission 2378-tetrachlorodibenzo-p-dioxin-contaminated incinerator emissions to humans via food JToxicol Environ Health 29(1)1ndash43

Gerritse RG RVriesema JWDalenberg and HPDe Roos 1982 Effect of sewage sludge ontrace element mobility in soils J Environ Qual 11 (3)359ndash364

Giger W PHBrunner and CSchaffner 1984 4-nonylphenol in sewage sludge Accumulation oftoxic metabolites from nonionic surfactants Science 225(4662)623ndash625

Gostelow P SAParsons and RMStuetz 2001 Odour measurements for sewage treatmentworks Wat Res 35(3)579ndash597

Gu YZ JBHogenesch and CABradfield 2000 The PAS superfamily Sensors ofenvironmental and developmental signals Annu Rev Pharmacol Toxicol 40519ndash561

Gustavsson NBBolviken DBSmith and RCSeverson 2001 Geochemical Landscapes of theConterminous United States-New Map Presentations for 22 Elements US GeologicalSurvey Professional Paper 1648 Denver CO US Dept of the Interior US GeologicalSurvey [Online] Available httpgeologycrusgsgovpubppaperspl648 [March 8 2002]

Hale RC MJLaGuardia EPHarvey MOGaylor TMMainor and WHDuff 2001 Flameretardants Persistent pollutants in land-applied sludges Nature 412(6843)140ndash141

Hamon RE PEHolm SELorenz SPMcGrath and THChristensen 1999 Metal uptake byplants from sludge-amended soil Caution is required in the plateau interpretation PlantSoil 216(12)53ndash64

Heckman JR JSAngle and RLChaney 1987 Residual effects of sewage sludge on soybean 1Accumulation of heavy metals J Environ Qual 16(2)113ndash117

Henry C and SBrown 1997 Restoring superfund site with biosolids and fly ash BioCycle 3879ndash80

Herren D and JDBerset 2000 Nitro musks nitro mush amino metabolites and polycyclic musksin sewage sludges Quantitative determination by HRGC-iontrap-MSMS and massspectral characterization of the amino metabolites Chemosphere 40(5)565ndash574

Heywood R RWJames and RJSortwell 1978 Toxicology studies of linear alkylbenzenesulphonate (LAS) in rhesus monkeys I Simultaneous oral and subcutaneousadministration for 28 days Toxicology 11(3)245ndash250

Hooda PS and BJAlloway 1994 The plant avaqilability and DTPA extractability of trace metalsin sludge-amended soils Sci Total Environ 149(1ndash2)39ndash51

Hooper K and TAMcDonald 2000 The PBDEs An emerging environmental challenge andanother reason for breast-milk monitoring programs [Review] Environ Health Perspect108(5)387ndash392

Israeli M and CBNelson 1992 Distribution and expected time of residence for US householdsRisk Anal 12(1)65ndash72

Jensen J 1999 Fate and effects of linear alkylbenzene sulponates (LAS) in the terrestrialenvironment Sci Total Environ 226(2ndash3)93ndash111

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 249

Abou

t th

is P

DF

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s ne

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rese

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ion

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ork

has

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rec

ompo

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reat

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ook

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igin

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tting

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s P

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ks a

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ue to

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orig

inal

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ngth

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ng-s

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rmat

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ever

can

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tain

ed a

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ome

typo

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rs m

ay h

ave

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acc

iden

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Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Jobling S DSheahan JAOsborne PMatthiessen and JPSumpter 1996 Inhibition of testiculargrowth in rainbow trout (Oncorhynchus mykiss) exposed to estrogenic alkylphenolicchemicals Environ Toxicol Chem 15(2)194ndash202

Jones KC and APSewart 1997 Dioxins and furans in sewage sludges A review of theiroccurrence and sources in sludge and of their environmental fate behavior andsignificance in sludge-amended agricultural systems Crit Rev Environ Sci Technol 27(1)1ndash86

Kamaludeen SPB RNaidu MMegharaj ALJuhasz and GMerrinston 2001 Do MicrobialManganese Oxides Aid Chromium (III) Oxidation in Long-term Tannery WasteContaminated Soils GP208 Presentation at the 6th International Conference on theBiogeochemistry of Trace Elements Guelph Ontario Canada July 29-August 2 2001[Online] Available httpwwwuoguelphca~gparkinICOBTEICOBTEprogrampdf[February 25 2002]

Keinholtz EW GMWard DEJohnson JBaxter GBraude and GStern 1979 MetropolitanDenver sewage sludge fed to feedlot steers J Anim Sci 48(4)735ndash741

Kelley M SBrauning RSchoof and MRuby 2002 Assessing Oral Bioavailability of Metals inSoil Columbus OH Battelle Press 136 pp

LaGuardia MJ RCHale EHarvey and TMMainor 2001 Alkylphenol ethoxylate degradationproducts in land-applied sewage sludge (biosolids) Environ Sci Techol 35(24)4798ndash4804

Logan TJ BJLindsay LEGoins and JARyan 1997 Assessment of sludge metalbioavailability to crops Sludge rate response J Environ Qual 26(2)534ndash 550

Madsen PL JBThyme KHenriksen PMoldrup and PRoslev 1999 Kinetics of di-(2-ethylhexyl) phthalate mineralization in sludge-amended soil Environ Sci Technol 33(15)2601ndash2606

Maekawa A YMatsushima HOnodera MShibutani HOgasawara YKodama YKurokawaand YHayashi 1990 Long-term toxicitycarcinogenicity of musk xylol in B6C3F1 miceFood Chem Toxicol 28(8)581ndash586

Mahler RJ JARyan and TReed 1987 Cadmium sulfate application to sludge-amended soils IEffect on yield and cadmium availability to plants Sci Total Environ 67(2ndash3)117ndash132

Manceau A BLanson and GMLamble 2000 Quantitative Zn speciation in smelter-contaminated soils by EXAFS spectroscopy Am J Sci 300(4)289ndash343

Marcomini A PDCapel WGiger and HHaeni 1988 Residues of detergent-derived organicpollutants and polychlorinated biphenyls in sludge-amended soil Naturwiss 75(9)460ndash462

McAvoy DC SDDyer NJFendinger WSEckhoff DLLawrence and WM Begley 1998Removal of alcohol ethoxylates alkyl ethoxylate sulfates and linear alkylbenzenesulfonates in wastewater treatment Environ Toxicol Chem 17(9)1705ndash1711

McBride MB 1998 Growing food crops on sludge-amended soils Problems with the USEnvironmental Protection Agency method of estimating toxic metal transfer EnvironToxicol Chem 17(11)2274ndash2281

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 250

Abou

t th

is P

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s ne

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igita

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rese

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ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

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L fil

es c

reat

ed f

rom

the

orig

inal

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er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

McBride MB BKRichards TSteenhuis JJRusso and SSauve 1997 Mobility and solubility oftoxic metals and nutrients in soil fifteen years after sludge application Soil Sci 162(7)487ndash500

McBride MB BKRichards TSteenhuis and GSpiers 1999 Long term leaching of traceelements in a heavily sludge-amended silty clay loam soil Soil Sci 164(9)613ndash623

McCarthy JF and JMZachara 1989 Subsurface transport of contaminants Environ SciTechnol 23(5)496ndash503

McGrath SP and PWLane 1989 An explanation for the apparent losses of metals in a long-termfield experiment with sewage sludge Environ Pollut 60(3ndash4)235ndash 256

McGrath SP FJZhao SJDunham ARCrosland and KColeman 2000 Long-term changes inthe extractability and bioavailability of zinc and cadmium after sludge application JEnviron Qual 29(3)875ndash883

McLaren RG CABackes AWRate and RSSwift 1998 Cadmium and cobalt desorptionkinetics from soil clays Effect of sorption period Soil Sci Soc Am J 62(2)332ndash337

McLaughlin MJ LTPalmer KGTiller TABeech and MKSmart 1994 Increased soil salinitycauses elevated cadmium concentration in field-grown potato tubers J Environ Qualit 23(5)1013ndash1018

Meerts IA RJLetcher SHoving GMarsh ABergman JGLemmen Bvan der Burg andABrouwer 2001 In vitro estrogenicity of polybrominated diphenyl ethers hydroxylatedPDBEs and polybrominated bisphenol A compounds Environ Health Perspect 109(4)399ndash407

Molina L JDiaz-Ferrero MColl RMarti FBroto-Puig LCornellas and MC Rodriguez-Larena 2000 Study of evolution of PCDDF in sewage sludge-amended soils for landrestoration purposes Chemosphere 40(9ndash11)1173ndash1178

Mulchi CL PFBell CAdamu and RChaney 1987a Long term availability of metals in sludgeamended acid soils J Plant Nutr 10(9116)1149ndash1161

Mulchi CL PFBell CAdamu and JRHeckman 1987b Bioavailability of heavy metals insludge-amended soils ten years after treatment Recent Adv Phytochem 21235ndash259

Nelson SD JLetey WJFarmer CFWilliams and MBen-Hur 1998 Facilitated transport ofnapropamide by dissolved organic matter in sewage sludge-amended soil J EnvironQual 27(5)1194ndash1200

NEPI (National Environmental Policy Institute) 2000a Assessing the Bioavailability of Metals inSoil for Use in Human Health Risk Assessments Bioavailability Policy Project Phase IIMetals Task Force Report Summer 2000 Washington DC National EnvironmentalPolicy Institute [Online] Available httpwwwnepiorgpubshtmBioavail [January 252002]

NEPI (National Environmental Policy Institute) 2000b Assessing the Bioavailability of OrganicChemicals in Soil for Use in Human Health Risk Assessments Bioavailability PolicyProject Phase II Organic Task Force Report Fall 2000 Washington DC NationalEnvironmental Policy Institute [Online] Available httpwwwnepiorgpubshtmBioavail [April 16 2002]

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 251

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t th

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ompo

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inal

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igin

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eadi

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tyle

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nd o

ther

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ng-s

peci

fic fo

rmat

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ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

NOAA (National Oceanic and Atmospheric Administration) 2000a Wind-Average Speed NationalClimatic Data Center National Oceanic and Atmospheric Administration [Online]Available httplwfncdcnoaagovoaclimateonlineccdavgwindhtml [December 192001]

NOAA (National Oceanic and Atmospheric Administration) 2000b Normal Daily MeanTemperature National Climatic Data Center National Oceanic and AtmosphericAdministration [Online] Available httplwfncdcnoaagovoaclimateonlineccdmeantemphtml [December 19 2001]

Noreacuten K and DMeironyteacute 2000 Certain organochlorine and organobromine contaminants inSwedish human milk in perspective of past 20ndash30 years Chemosphere 40(9ndash11)1111ndash1123

NRC (National Research Council) 1994 Science and Judgment in Risk Assessment WashingtonDC National Academy Press

NRC (National Research Council) 1996 Use of Reclaimed Water and Sludge in Food CropProduction Washington DC National Academy Press

NRC (National Research Council) 1999 Arsenic in Drinking Water Washington DC NationalAcademy Press

NRC (National Research Council) 2001 Arsenic in Drinking Water 2001 Update WashingtonDC National Academy Press

NTP (National Toxicology Program) 1986 NTP Technical Report on the Toxicology andCarcinogenesis Studies of Chlorinated Paraffins (C12 60 chlorine) (CAS No 63449ndash39ndash8) in F344N Rats and B6C3F1 Mice (Gavage Studies) NTP TR 308 NIH Pub No 86ndash2564 National Toxicology Program Public Health Service Research Triangle Park NCMay 1986

Peak JD TJSims and DLSparks 2001 Direct Determination of Phosphate Species in Alum-amended Poultry Litter Presentation at Soil Science of America Annual MeetingCharlotte NC Oct 21ndash25 2001 [Online] Available httpagudeledusoilchempublicationshtml [April 17 2002]

Pignatello JJ 1999 The measurement and interpretation of sorption and desorption rates fororganic compounds in soil media Pp 1ndash73 in Advances in Agronomy Vol 69DLSparks ed San Diego CA Academic Press

Preer JR JOAkintoye and MLMartin 1984 Metals in downtown Washington DC gardensBiol Trace Elem Res 6(1)79ndash91

Reeves PG and RLChaney 2001 Mineral status of female rats affects the absorption and organdistribution of dietary cadmium derived from edible sunflower kernels (Helianthus annuusL) Environ Res 85(3)215ndash225

Richards BK JPPeverly TSSteenhuis and BNLiebowitz 1997 Effect of processing mode ontrace elements in dewatered sludge products J Environ Qual 26(3)782ndash788

Richards BK TSSteenhuis JHPeverly and MBMcBride 1998 Metal mobility at an oldheavily loaded sludge application site Environ Pollut 99(3)365ndash377

Richards BK TSSteenhuis JHPeverly and MBMcBride 2000 Effect of sludge-processingmode soil texture and soil pH on metal mobility in undisturbed soil columns underaccelerated loading Environ Pollut 109(2)327ndash346

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 252

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tting

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ks a

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inal

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tyle

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ther

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setti

ng-s

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fic fo

rmat

ting

how

ever

can

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ere

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ed a

nd s

ome

typo

grap

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erro

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tally

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rted

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sion

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his

publ

icat

ion

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e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Risse LM MANearing ADNicks and JMLaflen 1993 Error assessment in the Universal SoilLoss Equation Soil Sci Soc Am J 57(3)825ndash833

Roberts DR 2001 Speciation and Sorption Mechanisms of Metals in Soils Using Bulk and Micro-Focused and Microscopic Techniques PhD Thesis University of Delaware

Roberts DR AMScheidegger and DLSparks 1999 Kinetics of mixed Ni-Al precipitateformation on a soil clay fraction Environ Sci Technol 33(21)3749ndash 3754

Ruby MV ADavis JHKempton JWDrexler and PDBergstrom 1992 Lead bioavailabilityDissolution kinetics under simulated gastric conditions Environ Sci Technol 26(6)1242ndash1248

Ruby MV RSchoof WBrattin MGoldade GPost MHarnois DEMosby SWCasteelWBerti MCarpenter DEdwards DCragin and WChappel 1999 Advances inevaluating the oral bioavailability of inorganics in soil for use in human health riskassessment Environ Sci Technol 33(21)3697ndash3705

Ruth JH 1986 Odor thresholds and irritation levels of several chemical substances A review AmInd Hyg Assoc J 47(3)A142ndash151

Sadovnikova L EOtabbong OIakimenko INilsson JPersson and DOrlov 1996 Dynamictransformation of sewage sludge and farmyard manure components 2 Copper lead andcadmium forms in incubated soils Agric Ecosyst Environ 58(2ndash3)127ndash132

Safe SH 2000 Endocrine disruptors and human healthmdashis there a problem An update EnvironHealth Perspect 108(6)487ndash493

Sauerbeck D and SLuumlbben 1991 Auswirkungen von Siedlungsabfaumlllen auf BoumldenBodenorganismen und Pflanzen Berichte aus der Okologischen Forschung 6 JuumllichForschungszentrum Juumllich

Scheckel KG and DLSparks 2001 Dissolution kinetics of nickel surface precipitates on mineralclay and oxide surfaces Soil Sci Soc Am J 65(3)685ndash694

Scheckel KG ACScheinost RGFord and DLSparks 2000 Stability of layered Ni hydroxidesurface precipitatesmdasha dissolution kinetics study Geochim Cosmochim Acta 64(16)2727ndash2735

Scheidegger AM GMLamble and DLSparks 1997 Spectroscopic evidence for the formationof mixed-cation hydroxide phases upon metal sorption on clays and aluminum oxides JColloid Interf Sci 186(1)118ndash128

Scheidegger AM DGStrawn GMLamble and DLSparks 1998 The kinetics of mixed Ni-AlHydroxide formation on clay and aluminum oxide minerals A time-resolved XAFS studyGeochim Cosmochim Acta 62(13)2233ndash2245

Schiffman SS EAMiller MSSuggs and BGGraham 1995 The effect of environmental odorsemanating from commercial swine operations on the mood of nearby residents Brain ResBull 37(4)369ndash375

Schiffman SS JMWalker PDalton TSLorig JHRaymer DShusterman and CMWilliams2000 Potential health effects of odor from animal operations wastewater treatment andrecycling of byproducts J Agromed 7(1)7ndash81

Scott MJ and MNJones 2000 The biodegradation of surfactants in the environment BiochemBiophys Acta 1508(1ndash2)235ndash251

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 253

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ng-s

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ever

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ed a

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ome

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ibut

ion

Shacklette HT and JGBoerngen 1984 Element Concentrations in Soils and Other SurficialMaterials of the Conterminous United States An Account of the Concentrations of 50Chemical Elements in Samples of Soils and Other Regoliths US Geological SurveyProfessional Paper No 1270 Washington DC US Government Pringting Office 105 pp

Shusterman D JBalmes and JCone 1988 Behavioral sensitization to irritantsodorants afteracute overexposures J Occup Med 30(7)565ndash567

Shusterman D JLipscomb RNeutra and KSatin 1991 Symptom prevalence and odor-worryinteraction near hazardous waste sites Environ Health Perspect 9425ndash30

Sibbesen E 1986 Soil movement in long term field experiments Plant Soil 91(1)73ndash85Sibbesen E CEAndersen SAndersen and MFlensted-Jensen 1985 Soil movement in long-term

field experiments as a result of cultivations I A model for approximating soil movementin one horizontal dimension by repeated tillage Exp Agric 21(2)101ndash107

Sibbesen E and CEAndersen 1985 Soil movement in long term field experiments as a result ofcultivations II How to estimate the two dimensional movement of substancesaccumulating in the soil Exp Agric 21(2)107ndash117

Sloan JJ RHDowdy and MSDolan 1997 Long-term effects of biosolids applications on heavymetal bioavailability in agricultural soils J Environ Qual 26(JulyAug)966ndash974

Sloan JJ RHDowdy and MSDolan 1998 Recovery of biosolids-applied heavy metals sixteenyears after application J Environ Qual 27(NovDec)1312ndash1317

Stanek III EJ and EJCalabrese 2000 Daily soil ingestion estimates for children at a superfundsite Risk Anal 20(5)627ndash635

Stanek III EJ EJCalabrese and MZorn 2001 Biasing factors for simple soil ingestion estimatesin mass balance studies of soil ingestion Hum Ecol Risk Assess 7(2)329ndash355

Stanek III EJ EJCalabrese RBurnes and PPekow 1997 Soil ingestion in adults-results of asecond pilot study Ecotoxicol Environ Saf 36(3)249ndash257

Stehouwer RC AMWolf and WTDoty 2000 Chemical monitoring of sewage sludge inPennsylvania Variability and application uncertainty J Environ Qual 291686ndash1695

Stern AH 1993 Monte Carlo analysis of the US EPA model of human exposure to cadmium insewage sludge through consumption of garden crops J Exp Anal Environ Epidemiol 3(4)449ndash469

Striebig B 1999 Quantifying the Emission Rate of Ammonia and Trimethyl Amine FromBiosolids for Bioset Inc Draft Final Report Bioset Inc Houston TX November 301999

Svensson BG ANilsson MHansson CRappe BAkesson and SSkerfving 1991 Exposure todioxins and dibenzofurans through the consumption of fish N Engl J Med 324(1)8ndash12

Tahvonen R 1996 Contents of lead and cadmium in foods and diets Food Rev Int 12(1)1ndash70

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 254

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inal

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tting

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ks a

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ks h

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tyle

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nd o

ther

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ng-s

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fic fo

rmat

ting

how

ever

can

not b

ere

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ed a

nd s

ome

typo

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erro

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ay h

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rted

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e au

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itativ

e ve

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n fo

r attr

ibut

ion

Talmage SS 1994 Environmental and Human Safety of Major Surfactants Alcohol Ethoxylatesand Alkyphenol Ethoxylates Boca Raton Lewis 374 pp

Thornton I and PAbrahams 1983 Soil ingestion-a major pathway of heavy metals into livestockgrazing contaminated land Sci Total Environ 28287ndash294

Tolls J 2001 Sorption of veterinary pharmaceuticals in soils A review Environ Sci Technol 35(17)3397ndash3406

Topp E and AStarratt 2000 Rapid mineralization of the endocrine-disrupting chemical 4-nonylphenol in soil Environ Toxicol Chem 19(2)313ndash318

UK Environment Agency 2002 Soil Guideline Values for Chromium Contamination RampDPublication SGV 4 UK Department for Environment Food and Rural Affairs TheEnvironmental Agency Bristol

University of Maryland 1980 Feasibility of Using Sewage Sludge for Plant and AnimalProduction Final Report 1978ndash1979 University of Maryland College Park MD 222pp

US Center for Drug Evaluation and Research 1995 Guidance for Industry for the Submission ofAn Environmental Assessment in Human Drug Applications and Supplements CMC 6Rockville MD US Center for Drug Evaluation and Research

USDA (US Department of Agriculture) 1982 Food Consumption Households in the UnitedStates Season and Year 1977ndash78 Nationwide Food Consumption Survey 1977ndash78 ReportNo H-6 (as cited in EPA 1992)

Vahter M MBerglund BNermell and AAkesson 1996 Bioavailability of cadmium fromshellfish and mixed diet in women Toxicol Appl Pharmacol 136(2)332ndash341

Van den Berg M LBirnbaum ATBosveld BBrunstrom PCook MFeeley JP GiesyAHanberg RHasegawa SWKennedy TKubiak JCLarsen FXvan LeeuwenAKLiem CNolt REPeterson LPoellinger SSafe DSchrenk DTillitt MTysklindMYounes FWaern and TZacharewski 1998 Toxic equivalency factors for PCBsPCDDs PCDFs for humans and wildlife Environ Health Perspect 106(12)775ndash792

Versar 2000 Peer Review of Risk Analysis for the Round Two Biosolids Pollutants SummaryReport Prepared for US Environmental Protection Agency Office of Water Office ofScience and Technology Health and Ecological Criteria Division Washington DC byVersar Inc Springfield VA June 2000

Wallace LA NDuan and RZiegenfus 1994 Can long-term exposure distributions be predictedfrom short-term measurements Risk Anal 14(1)75ndash85

Wang MJ SPMcGrath and KCJones 1995 Chlorobenzenes in field soil with a history ofmultiple sewage sludge applications Environ Sci Technol 29(2)356ndash362

WEFASCE (Water Environmental Federation and American Society of Civil Engineers) 1995Odor Control in Wastewater Treatment Plants WEF Manual of Practice No 22Alexandria VA Water Environment Federation

Whitehead MW RPThompson and JJPowell 1996 Regulation of metal absorption in thegastrointestinal tract Gut 39(5)625ndash628

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 255

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rmat

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ever

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WHO (World Health Organization) 1994 Brominated Diphenyl Ethers Environmental HealthCriteria 162 Geneva World Health Organization

Wild SR MLBerrow and KCJones 1994 The persistence of polynuclear aromatichydrocarbons (PAHs) in sewage sludge amended agricultural soils Environ Pollut 72(2)141ndash158

Wyatt I CTCourts and CRElcombe 1993 The effect of chlorinated paraffins on hepaticenzymes and thyroid hormones Toxicology 77(1ndash2)81ndash90

Young S ATye and NCrout 2001 Rates of Metal Ion Fixation in Soils Determined by IsotopicDilution S0202 Presentation at the 6th International Conference on the Biogeochemistryof Trace Elements Guelph Ontario Canada July 29-August 2 2001 [Online] Availablehttpwwwuoguelphca~gparkinICOBTEICOBTEprogrampdf [February 25 2002]

Zhou T DGRoss MJDeVito and KMCrofton 2001 Effects of short-term in vivo exposure topolybrominated diphenyl ethers on thyroid hormones and hepatic enzyme activities inweanling rats Toxicol Sci 61(1)76ndash82

Ziegler EE BBEdwards RLJensen KRMahaffey and SJFomon 1978 Absorption andretention of lead by infants Pediatr Res 12(1)29ndash34

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 256

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6

Evaluation of EPArsquos Approach to Setting PathogenStandards

Treatment of domestic sewage sludge is required to minimize the risk ofadverse health effects from pathogens in biosolids applied to land In 1993EPA published regulations establishing the processes and conditions it deemednecessary to minimize these risks Unlike the chemical standards the pathogenregulations are not risk-based standards but are operational standards intendedto reduce the presence of pathogens to concentrations that are not expected tocause adverse health effects The standards include treatment requirements siterestrictions and monitoring requirements

This chapter reviews the pathogen standards for land-applied biosolids inlight of current knowledge of the potential pathogens in biosolids how humansmight be exposed to those pathogens and factors that affect exposure(environmental fate regional variations and host factors) It also reviewsapproaches for conducting microbial risk assessments and discusses how thoseapproaches might be used to improve EPArsquos pathogens standards for biosolidsThis chapter does not review health effects studies (see Chapter 3)

PATHOGEN STANDARDS

EPA established two categories of biosolids Class A biosolids whichhave no detectable concentrations of pathogens and Class B biosolids whichhave detectable concentrations of pathogens With the goal of providing

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 257

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equivalent levels of public-health protection from pathogen exposure EPAapplied different use restrictions to each biosolids category

Class B Requirements

A combination of treatment and site restrictions for Class B biosolids areintended to result in a reduction of pathogenic and indicator microorganisms(certain species of organisms believed to indicate the presence of a larger set ofpathogens) to undetectable concentrations prior to public contact (Southworth2001) Bulk biosolids applied to land must meet both treatment and userequirements (40 CFR 50315[a]) EPA (1993) recognizes that thoserequirements do not necessarily consider risks to workers applying the biosolidsat a site

Treatment Requirements

Class B biosolids must be treated to meet one of three criteria a fecalcoliform count of less than 2times106gram (g) of dry solids at the time of disposaltreatment by a process to significantly reduce pathogens (PSRP) or treatmentby a process that is equivalent to a PSRP In the 1993 regulations fiveprocesses were listed as PSRPs (and thus sufficient to meet the Class Btreatment requirements)

1 Aerobic digestion at defined time and temperature combinations2 Air drying for 3 months with at least 2 months at average ambient

daily temperatures above freezing3 Anaerobic digestion under defined time and temperature conditions4 Composting under defined time and temperature conditions5 Lime stabilization so that the pH is greater than 12 after 2 h of

contact

These PSRPs were selected because they result in fecal-coliformconcentrations of less than 2times106g of dry solids and they reduce Salmonellaand enteric virus concentrations by a factor of 10 (EPA 1999)

The third treatment criterion requires that the permit authority approve theprocesses being used as equivalent to a PSRP In practice permit authoritieshave relied on the recommendations of the EPA Pathogen EquivalencyCommittee (PEC) (Cook and Hanlon 1993) when determining whether aparticular treatment system should be designated PSRP As of October 1999PEC had recommended that two additional processes be designated PSRPs

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 258

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Site Restrictions

The site restrictions for Class B biosolids (listed in Box 6ndash1) weredeveloped on the basis of the time attenuation required to reduce the levels ofpathogens (bacteria viruses and helminths) to below detectable concentrationsat the time of public exposure (equivalent to those achieved by Class Abiosolids) (Southworth 2001) The use restrictions correspond to importantexposure pathways (Table 6ndash1)

Several potential exposure routes do not appear to have been consideredwhen those use restrictions were developed For example inhalation of dustwas presumed to occur only on-site and controlling access to the site wasintended to prevent such inhalation The potential for off-site exposure to wind-blown dust and aerosols does not appear to have been considered Nor was thepotential transport of pathogens in runoff from the site to neighboring propertiesconsidered

In addition regulations require that public access to the site be restrictedfor either 30 days or 1 year depending on the probability of public exposureThis restriction is vague however and has been interpreted by some stateagencies as a requirement for posting warnings but not necessarily providingaccess barriers In other contexts such as municipal solid-waste landfills EPAhas been more specific about access controls ldquoOwners or operators [oflandfills] must control public accesshellipby using artificial barriers naturalbarriers or both as appropriate to protect human health and the environmentrdquo(40 CFR 25825) Furthermore there is no requirement that on-sitemeasurements be taken to confirm that the treatment and site restrictions forClass B biosolids result in pathogens concentrations below detection

Class A Requirements

For biosolids to be categorized as Class A with respect to pathogens theymust meet one of six criteria

1 Time and temperature requirements based on percentage of solidsin the material

2 pH adjustment accompanied by high temperature and solids drying3 Monitoring of enteric viruses and helminths after a treatment

process to ensure below-detection concentrations4 Monitoring of enteric viruses and helminths in the biosolids at the

time they are distributed or applied to land5 Treatment by a process for the further reduction of pathogens

(PFRP)

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 259

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BOX 6ndash1 SITE RESTRICTIONS FOR CLASS B BIOSOLIDS

bull Food crops with harvested parts that touch the biosolidssoil mixtureand are totally above the land surface shall not be harvested for 14months after application of biosolids

bull Food crops with harvested parts below the surface of the land shall notbe harvested for 20 months after application of biosolids when thebiosolids remain on the land surface for four months or longer prior toincorporation into the soil

bull Food crops with harvested parts below the surface of the land shall notbe harvested for 38 months after application of biosolids when thebiosolids remain on the land surface for less than four months prior toincorporation into the soil

bull Food crops feed crops and fiber crops shall not be harvested for 30days after application of biosolids

bull Animals shall not be grazed on the land for 30 days after application ofbiosolids

bull Turf grown on land where biosolids is applied shall not be harvested forone year after application of the biosolids when the harvested turf isplaced on either land with a high potential for public exposure or alawn unless otherwise specified by the permitting authority

bull Public access to land with a high potential for public exposure shall berestricted for one year after application of biosolids

bull Public access to land with a low potential for public exposure shall berestricted for 30 days after application of biosolids

Source Adapted from 40 CFR 50332(b)(5)

6 Treatment in a process deemed equivalent to a PFRP There areseven processes that are designated PFRPs for Class A biosolids(a) composting with minimum time and temperature conditions (b)heat drying with specified temperature and moisture conditions (c)high-temperature heat treatment (no moisture content condition)(d) thermophilic aerobic digestion at specified time andtemperature (e) beta irradiation at specified dosage (f) gammairradiation at specified dosage and (g) pasteurization As withClass B biosolids PEC has the authority to recommend to permitauthorities that additional processes be designated PFRP As ofOctober 1999 nine additional processes were granted PFRP statusby PEC (EPA 1999)

The goal of the treatment processes to achieve Class A biosolids is toreduce pathogen densities to below the following detection limits for theseorganisms less than 3 most probable number (MPN) per 4 g of total solids forSalmonella sp less than 1 plaque-forming unit (PFU) per 4 g of total solids

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 260

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TABLE 6ndash1 Pathways of Exposure and Applicable Use Restrictions (Class BBiosolids Only)Pathways Part 503 Required Use RestrictionHandling soil from fields wherebiosolids have been applied

No public accessa to application until atleast 1 year after Class B biosolidsapplication

Handling soil or food from homegardens where biosolids have beenapplied

Class B biosolids may not be applied onhome gardens

Inhaling dustb No public access to application sitesuntil at least 1 year after Class Bbiosolids application

Walking through fields where biosolidshave been appliedb

No public access to fields until at least 1year after Class B biosolids application

Consuming crops from fields on whichbiosolids have been applied

Site restrictions that prevent theharvesting of crops until environmentalattenuation has taken place

Consuming milk or animal productsfrom animals grazing on fields wherebiosolids have been applied

No animal grazing for 30 days afterClass B biosolids have been applied

Ingesting surface water contaminatedby runoff from fields where biosolidshave been applied

Class B biosolids may not be appliedwithin 10 meters of any waters toprevent runoff from biosolids-amendedland

Ingesting inadequately cooked fishfrom water contaminated by runofffrom fields where biosolids have beenapplied affecting the surface water

Class B biosolids may not be appliedwith 10 meters of any waters preventrunoff from biosolids-amended land

Contact with vectors that have been incontact with biosolids

All land-applied biosolids must meetone of the vector-attraction-reductionoptions

aPublic-access restrictions do not apply to farm workers If there is low probability of publicexposure to an application site the public-access restrictions apply for only 30 days Howeverapplication sites that are likely to be accessed by the public such as ballfields are subject to 1-yearpublic-access restrictionsbAgricultural land is private property and not considered to have a high potential for public accessNonetheless public-access restrictions are appliedSource Adapted from EPA 1999

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for enteric viruses and less than 1 viable ova per 4 g of total solids forhelminths When the Part 503 regulations were developed Class A certificationwas generally based on the presence of either Salmonella or fecal coliforms(indicator bacteria) (Southworth 2001) because only a few laboratories werecapable of conducting virus and helminth analyses and more time was requiredfor these analyses (2ndash4 weeks) Since then the number of laboratories capableof such analyses has increased dramatically and analysis time has decreased

Class A pathogens requirements must be met before or at the same timethat vector-attraction reduction requirements are met For any criteria themicrobial agents are measured when the biosolids are used disposed of orprepared for distribution At that time Class A biosolids must meet one of tworequirements either the density of fecal coliforms is less than 1000 MPN pergram of total solids or the density of Salmonella sp is less than 3 MPN per 4 gof total solids

EPArsquos Approach to Assessing Microbial Risks

The Part 503 standards for pathogens were not developed using a risk-based framework nor were they intended to be In 1989 the Cooperative StateResearch Service Technical Committee W-170 (1989) reviewed the proposedPart 503 standards and stated rdquoThere is some concern regarding EPArsquostreatment of pathogens While it was stated that the state of the art was such thata risk assessment for pathogens was not possible we feel that this point wasglossed over rather quickly and needs greater justificationrdquo The W-170committee also noted that EPA was developing risk-based criteria for exposureto viruses in drinking water at the time of the proposed Part 503 standards

A few years before the Part 503 rule was proposed EPA stated thefollowing (Venosa 1985) on the use of PSRPs for the operative Part 257 sewagesludge regulations

For a sludge treatment process to qualify as a lsquoprocess to significantly reducepathogensrsquo (PSRP) it must produce a pathogen reduction equivalent to thatobtained by a good anaerobic digestion The logic of the definition rests on theobservation that agricultural use of anaerobically digested sludge as a fertilizerhas been practiced for many years with no evidence that the practice hascaused human illness provided that the digestion is adequate Since thesefarming operations were on land with limited access and clearly defined usethis same restriction was applied to the use of PSRP sludge Unfortu

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nately this definition is not based on sound scientific information related to thesurvival and transport of pathogens in sludge amended soils Further thepaucity of documented health problems associated with the land application ofsludge may reflect the lack of sufficiently sensitive epidemiological tools todetect small scale incidents of disease

The committee notes however that the lack of such studies does notsuggest that there is a risk from pathogens

The lack of a risk-assessment approach means that there is no explicitdelineation of acceptable risk concentrations for Class A or Class B biosolids inthe Part 503 rule Before promulgation of the regulations EPA fundeddevelopment of preliminary risk assessments for exposure to parasites (EPA1991a) bacteria (EPA 1991b) and viruses (EPA 1992) in biosolids Howeverit is not clear to what extent these preliminary assessments were used in thedevelopment or revision of the Part 503 rule The exposure assessments wouldbe useful for more substantial risk-assessment development

Although a risk-based approach might have been problematic when thePart 503 rule was proposed it is clearly an appropriate approach to use atpresent A risk-based approach to assessing pathogens in biosolids offersseveral distinct advantages over the present framework First a risk-basedapproach would help to address the lack of sufficient epidemiological study ofmicrobial risk from biosolids exposure See Chapter 3 for discussion of the needfor more epidemiological investigation

Second as noted by Venosa (1985) the fundamental basis of biosolidsregulations with respect to protection against pathogens rests on the assertionthat historically agricultural use of anaerobically digested biosolids on fields(with protection from public access) results in no discernable human healtheffects In promulgating the Part 503 rule for pathogens EPA made a judgmentthat the treatment and disposal practices for Class A and Class B biosolidsprovided public-health protection equal to that of the traditional use ofanaerobically digested biosolids That judgment was in effect an implicit riskassessment If EPA performed an explicit risk assessment the levels of public-health protection for Class A and Class B biosolids could be more consistentlycompared

Third EPA explicitly excluded risk to on-site workers from itsconsideration of appropriate levels of treatment This exclusion might beparticularly important for Class B biosolids which have less stringent treatmentbefore land application In addition EPA did not consider the potential forairborne and waterborne release and dispersal of microorganisms for off-siteexposure (although it did consider the potential for on-site exposure tomicroorgan

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 263

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isms) The use of a risk-assessment approach can allow a systematicconsideration of these pathways

Fourth the basis for the EPA definitions of Class A biosolids relies on anumeric fecal coliform or Salmonella standard and a below-detection standardfor viruses and helminths in a defined amount of biosolids (criteria 3 and 4)EPA reasoned that the combination of Class B treatment requirements and site-management restrictions resulted in an acceptable level of public-healthprotection The use of below-detection criteria in some defined amount ofbiosolids originates from the use of a particular sample size in analysis (forlogistical reasons) The absence of microorganisms in a small amount ofmaterial does not ensure that microorganisms are absent in a larger sample fromthe same source In addition as has been suggested in the case of re-use ofwastewater for agricultural purposes a below-detection standard might beunnecessarily stringent (Blumenthal et al 2000) A risk-assessment approachcan establish numerical limits to achieve a defined level of human health risk

Evaluation of Operational Standards

Techniques for Reducing Pathogens

As discussed above and in Chapter 2 techniques that combine physicalchemical and biological processes are used to optimize pathogen reduction inbiosolids Two of the physical factors for reduction are heating and cavitation Itis difficult to examine the impact of only one physical factor such astemperature on reduction Some studies have isolated temperature effects onAscaris egg inactivation Table 6ndash2 gives predicted detention times forcomplete (100) inactivation of Ascaris eggs at different temperatures (Mbela1988) At 52degC complete inactivation of the eggs requires approximately 20days Inactivation with thermophilic alkaline processes and composting ofbiosolids requires approximately 3 to 5 days Inactivation will also be affectedby other factors such as ammonia organic constituents dissolved solids andhydroxide anions (Evans and Puskas 1986 Reimers et al 1986a)

Cavitation processes are also used to inactivate resistant microorganismsCavitation is a term for processes that impart high mechanical energy to a fluidresulting in local transient microzones of high temperature and pressure Full-scale installation of such systems has not been done However cavitationprocesses such as ultrasound or pulse power have inactivated protozoanoocysts and assisted in enhancing anaerobic digestion processes (Reimers et al1985 Arrowood 1995 Patel 1996)

Chemical disinfection of biosolids has been used for over 50 years Thechemicals are classified on the basis of the mode of disinfection and stabiliza

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TABLE 6ndash2 Detention Times for Complete Inactivation of Ascaris Eggs in Aerobicand Anaerobic Digestion Processes

Detention TimeTemperature(degC) Aerobic Digestion Anaerobic Digestion25 130 d 74 d35 90 d 53 d45 50 d 30 d55 10 d 9 d57 2 d 4 d58 lt1 h 3 d59 lt1 h 12 h60 lt1 h lt1 h70 lt1 h lt1 h

Source Mbela 1988 Reprinted with permission from the author

tion (see Table 6ndash3) At present only alkaline stabilization is used on alarge-scale basis Alkaline stabilization agents include lime cement kiln dustPortland cement and alkaline fly ash (C-fly ash) Alkaline stabilizationprocesses produce Class B biosolids To yield Class A biosolids increasedtemperatures or ammonia are necessary to inactivate highly resistant virusesprotozoan spores and helminth eggs Alkaline processes coupled with increasedtemperature yield a stable Class A product within 3 days By increasing thetemperature to 50degC the effectiveness of ammonia and noncharged ammonia isincreased by 5-fold and 10-fold respectively (Bujoczek 2001) Yang (1996)confirmed this interrelationship (Table 6ndash4) As the solids content of thebiosolids increases the effectiveness of the alkaline disinfection increases(Yang 1996) Acid trimming enhances the exothermic reaction because theacids generally release 10 times more heat than pulverized quicklime

Biological processing has been effective in the digesting composting andstorage of biosolids In these processes there is mechanical or autothermalheating Biocidal inactivation has been observed in lagoon storage Anaerobicbiosolids required 40 less inactivation time than aerobic biosolids althoughabove 50ndash55degC thermal inactivation is predominant Furthermore as the solidscontent of anaerobic biosolids increases the inactivation rates increase Anincrease in solids from 4 to 24 resulted in a 5-fold increase in parasite andbacteria die-off and a 25-fold increase in virus die-off Soils tend to reduce therate of die-off of parasites and viruses by 3 to 5 times in nontreated

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TABLE 6ndash3 Chemicals Used for Disinfecting Biosolids

Alkaline Agents Acid TrimmingAgents

ORP ControllingAgents

NonchargedDisinfectants

LimeCement kiln dust

Sulfuric acidNitric acid

OzonePeroxide

Ammonia (alkalinetreatment)

Portland cementalkaline Fly ash

Phosphoric acidsulfamic acid

Amines (alkalinetreatment andcomposting)

SilicatesSpent bauxitehydroxide anions

Organic acidsaldehydes andketones (anaerobicdigestion andcomposting)Nitrous acid (acidictreatment)

Abbreviation ORP oxidation reduction potentialSource Reimers et al 1999 Reprinted with permission from the author

or lagoon-stored biosolids (Reimers et al 2001) The impacts of pathogeninactivation factors on biosolids processing are shown in Table 6ndash5

Reliability of Processes

In assessing the risk associated with biosolids management the reliabilityof the treatment processes is important to consider because adverse effectsmight result from a single exposure to an infectious agent Reliability may bedefined as the frequency (or probability) at which a certain concentration orlower of a pathogen is attained in the effluent of a process To assess the riskdistribution from pathogen disinfection processes data collection is required

As an example Figure 6ndash1 presents the probability distribution for virusand helminth counts in raw sewage sludge at the Metropolitan WaterReclamation District of Greater Chicago (Lue-Hing et al 1998) The treatmentsequence included anaerobic digestion dewatering and long-term lagoonstorage All treated virus samples were below detection The data are plottedusing a Kaplan-Meir approach to impute values for the below-detectionsamples For example in the finished solids 95 of the time the helminthconcentrations were below 005 organisms per 4 g of solids

In setting standards both the typical (eg mean) performance and theproportion of time that a specific numerical level is exceeded are appropriate

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 266

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TABLE 6ndash4 Relationship Between Ammonia Concentration and Temperature inAscaris Inactivation

Ammonia Dosage for Ascaris Inactivation (days)Temperature 01 10 4025degC 180 10 lt135degC 10 3 lt152degC lt1 lt1 lt1

Source Data from Yang 1996

metrics to be considered For example EPA-recommended water-qualitycriteria for micoorganisms in recreational waters are specified according togeometric mean levels (over 7 d) and not-to-exceed levels No such metricshave been established for pathogens in biosolids

Reliability of Use Controls

For Class B biosolids use requirements (described earlier in Box 6ndash1) arerelied on as impediments to exposure at least for the general public Theresulting risk reductions can be assessed if the pathogen die-off rates are knownand if the degree to which the use controls prevent exposure are knownUnfortunately the reliability of these controls has not been studied on asystematic basis

PATHOGENS IN BIOSOLIDS

Four major types of human pathogens can be found in biosolids bacteriaviruses protozoa and helminths EPA reviewed a broad spectrum of theseagents in establishing its biosolids standards Some of the principal pathogensconsidered by EPA are listed in Box 6ndash2 Since the development of the Part 503rule many new pathogens have been recognized and the importance of othershas increased A selection of these pathogens are discussed below It must benoted that despite the ability to isolate pathogens from raw sewage sludge andpartially and fully treated biosolids the mere isolation of pathogens does not inand of itself indicate that a risk exists There are no scientifically documentedoutbreaks or excess illnesses that have occurred from microorganisms in treatedbiosolids As will be discussed in detail later risk is a function of the level ofexposure not simply the occurrence of an organism per se

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 267

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TA

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r P

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in B

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Bio

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Proc

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Irra

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Con

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Des

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nts

Com

post

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-+

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+-

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tion

-+

+-

+-

Aer

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dig

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on-

++

--

-L

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++

-+

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++

--

+A

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n-

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+-

+Ir

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+

the

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EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 268

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FIGURE 6ndash1 Virus and helminths in raw and treated sludge at theMetropolitan Water Reclamation District of Greater Chicago Source Lue-Hing et al 1998

Viral Pathogens

More than 140 enteric viruses can be transmitted by biosolids Thecaliciviruses adenoviruses hepatitis A and E viruses astroviruses androtaviruses are of particular concern These viruses are discussed below but itmust be emphasized that there are other viruses of potential health concern inbiosolids

Caliciviruses

Caliciviruses infect both humans and animals but no evidence suggeststhat they infect across species Human caliciviruses have been divided into twogeneramdashthe Norwalk viruses and the Sapporo viruses (Green et al 2000)These viruses are believed to be a major cause of viral gastroenteritis (Deneenet al 2000 Monroe et al 2000) and are common causes of foodborne andwaterborne disease Little is known about the occurrence and environmentalfate of these viruses because they cannot be grown in cell culture Methodsusing polymerase chain reaction (PCR) are available for their detection inenvironmental samples but a viability assay is not available (Huang et al

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 269

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BOX 6ndash2 PRINCIPAL PATHOGENS OF CONCERN INDOMESTIC SEWAGE AND SEWAGE SLUDGE CONSIDERED

IN ESTABLISHING THE PART 503 RULE

Bacteria Protozoa Salmonella sp CryptosporidiumShigella sp Entamoeba histolyticaYersinia sp Vibrio cholerae Giardia lambliaCampylobacter jejuni Balantidium coliEscherichia coli Toxoplasma gondii Enteric Viruses Helminth Worms Hepatitis A virus Ascaris lumbricoidesAdenovirus Ascaris suumNorwalk virus Trichuris trichiruaCaliciviruses Toxocara canisRotaviruses Taenia saginataEnteroviruses Taenia solium-Polioviruses-Coxsackieviruses-Echoviruses

Necator americanusHymenolepis nana

ReovirusesAstroviruses Source Adapted from EPA 1999

2000) Feline caliciviruses (FCV) and a primate calicivirus (PAN-1) can begrown in cell culture and have been used as models for human calicivirussurvival and removal by water-treatment processes (Dawson et al 1993)

Adenoviruses

Adenoviruses are one of the most common and persistent viruses detectedin wastewater (Enriquez et al 1995) They are heat resistant Entericadenoviruses have been detected in Class B biosolids (Sabalos 1998) andadenovirus type 40 has been detected in anaerobically digested biosolids Someadenoviruses cause primarily respiratory diseases and others appear to be onlyenteric pathogens They are a common cause of diarrhea and respiratoryinfections in children In immunosuppressed cancer patients entericadenoviruses cause serious infections resulting in case fatalities of up to 50(Gerba et al 1996) Adenoviruses have been transmitted by recreational anddrinking waters (Kukkula et al 1997 Papapetropoulou and Vantarakis 1998)

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Hepatitis A and E Viruses

These viruses are now classified as two distinct groups of picornavirusesHepatitis E has caused major waterborne-disease outbreaks in developingcountries but is not believed to be a serious problem in the United States It hasbeen reported to grow in cell culture (Wei et al 2000) Hepatitis A has longbeen known to be transmitted by food and water but no work has been done onits occurrence in biosolids Cell-culture methods are available for its growth inthe laboratory and detection in the environment It is very stable at hightemperatures (Croci et al 1999) and has prolonged survival in the environment(Enriquez et al 1995)

Astroviruses and Rotaviruses

Astroviruses are a cause of gastroenteritis primarily in children and havebeen associated with foodborne and waterborne outbreaks They have beendetected in water wastewater and more recently in biosolids (Chapron et al2000) Rotaviruses are a leading cause of gastroenteritis in children and a majorcause of hospitalization of children in the United States (Gerba et al 1996)Rotaviruses are responsible for waterborne and foodborne outbreaks in theUnited States They have been detected in wastewater but few data areavailable on their occurrence in biosolids Rotaviruses are the only double-stranded RNA viruses transmitted through water to humans Both astrovirusesand rotaviruses can be grown in cell culture

Bacterial Pathogens

Escherichia coli 0157H7

Several types of E coli are pathogenic to human Enterohaemorrhagic E coli of the serotype 0157H7 has been of the greatest concern in the UnitedStates Exposure to contaminated drinking water recreational water and foodhas resulted in numerous outbreaks of diarrhea and in some cases mortality inyoung children because of hemolytic uremic syndrome Exposure to bothhuman and animal wastes have been associated with outbreaks (Rice 1999)Many of the outbreaks have resulted in some mortality E coli 0157H7 occursin domestic wastewater and has been detected in biosolids (Lytle et al 1999)Because E coli is common in biosolids and has the potential for regrowth(Pepper et al 1993) it is important to assess its survival in biosolids A quan

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titative risk-assessment model is available to assess the risk of infection fromexposure to this pathogen (Haas et al 2000)

Listeria montocytogenes

L montocytogenes is primarily a foodborne pathogen that causes aninvasive disease in immunocompromised people It has a predilection forpregnant women and has potentially lethal consequences for the fetus and thenewborn Animals are also infected by the organism Transmission of theorganism has been linked to the use of biosolids on agricultural land potentiallycontaminating crops and domestic animals L montocytogenes has beendetected frequently in sewage sludge and in inactivated and anaerobicallydigested biosolids (Watkins and Sleath 1981 De Luca et al 1998) For thatreason De Luca et al (1998) suggested that biosolids not be applied tovegetable crops Crop contamination was observed in Iraq where sewage-sludgecake was applied (Al-Ghazali and Al-Azawi 1990) A risk-assessment model isavailable to evaluate the health risks associated with L montocytogenes incontaminated food (Lindqvist and Westoo 2000)

Helicobacter pylori

H pylori is a major cause of stomach ulcers in humans and is associatedwith an increased risk of stomach cancer Epidemiological evidence indicatesthat contaminated water and uncooked foods particularly vegetables irrigatedwith untreated wastewater are associated with increased risk of infection(Brown 2000) No culture methods are available for its detection in theenvironment Molecular methods are available to determine its occurrence butnot its viability (Hegarty et al 1999)

Legionella spp

Legionella spp are associated with a potentially life-threateningrespiratory illness in older people Legionella is also associated with a milderfever and flulike illness called Pontiac fever Outbreaks usually occur followingthe growth of the organism in cooling towers of buildings or thermally heatedwater However outbreaks also have been associated with composted pottingmixes (Okazaki et al 1998) Recently an outbreak of Pontiac fever wasreported among sewage treatment plant workers repairing a decanter for sewage

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sludge concentration (Gregersen et al 1999) Positive antibody titers to L pneumophilia were found in all the ill workers and high concentrations wereisolated from biosolids Legionella has been detected in aerosols at sewagetreatment plants (Stampi et al 2000) Legionella spp will grow at temperaturesof 40degC and survival at higher temperatures is possible Methods are availablefor its detection in environmental samples

Staphylococcus aureus

Speculation has arisen about the possibility of S aureus illness from land-applied biosolids Although not always considered normal human microflora Saureus is nonetheless found on the skin of a large number of people (Voss1975 Welbourn et al 1976 McGinley el al 1988 Noble 1998) Some skinconditions associated with this bacteria include atopic dermatitis a superficialinflammation of the skin (Nishijima et al 1995) It is uncertain whether Saureus has a specific pathogenic role in atopic dermatitis or whether itspresence represents an opportunistic colonization at a site rendered moresusceptible by an underlying condition thus complicating the clinicalmanagement of this condition (Lever 1996) Eczema is another inflammatoryskin condition that may have a bacterial link Eczema is characterized byredness itching and oozing lesions that can become scaly crusted or hardenedIncreased severity and spreading of the condition has been associated with acytotoxic effect of antibacterial antibody and complement reacting withbacterial antigens on skin cells (Welbourn et al 1976)

It is possible that Staphylococcus is present in raw wastewater as a resultof washing and personal hygiene Indeed Casanova et al (2001) found Saureus in graywaters from households and Ashbolt et al (1993) isolated Saureus from primary wastewater although chlorinated tertiary wastewater hadonly sporadic occurrences of these organisms However there are nopublications documenting S aureus in biosolids Recent work at the Universityof Arizona optimized culture media for S aureus which was then used toevaluate the presence of the organism in biosolids Biosolids from TucsonArizona were negative for S aureus (CGerba University of Arizona personalcommunication June 2002)

Protozoan Pathogens

Cryptosporidium and Giardia are the protozoan parasites most oftenassociated with biosolids They are parasites of the small intestine that cause diar

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rhea Cryptosporidium oocysts and Giardia cysts have been detected inproducts of wastewater treatment and anaerobic sewage sludge digestion(Chauret et al 1999) and in biosolids (Bean and Brabants 2001b) Thesepathogens have been observed to die within days of Class B biosolids treatment(Bowman et al 2000) However there is little research on the survival of theseorganisms in biosolids-amended soil

Microsporidia are obligate intracellular parasites (eg Encephalitozoonspp) that have been associated with gastrointestinal illness in patients withacquired immunodeficiency syndrome (AIDS) and in some healthy individualsOne waterborne outbreak has been described (Cotte et al 1999) Of over 1200species described only 14 have been associated with human infections At leastthree of the species that infect humans will grow in animal cell culture (Wolk etal 2000) No method is available to assess infectivity in environmental samplesThe spores of the microsporidia are not unusually resistant to heat (Koudela etal 1999)

Helminths

EPA considered the human pathogens Ascaris lumbricoides Trichuris trichiura Taenia saginata Taenia solium Necator americanus andHymenolepsis nana in establishing the pathogen standards of the Part 503 ruleAlso included were two animal pathogens Ascaris suum (of pigs) and Toxocaracanis (of dogs) Human infections with A lumbricoides T trichiura and Hnana are obtained through direct consumption of embryonated eggs T saginatainfections in people are typically acquired from the ingestion of beef The eggsof this organism have been detected in some biosolids (Barbier et al 1990) Theeggs of Taenia solium are infectious to pigs but also are capable of producinglarvae that infect people and can cause central nervous system disease (Bale2000) People are infected with N americanus by the larvae penetrating theskin People who ingest the eggs of A suum of pigs can develop pneumonicasthma-like signs and can develop a few single adult worms People who eat theeggs of T canis can develop visceral or ocular larva migrans syndromes thatoccur mainly in children who eat contaminated dirt (Overgaauw 1997 Taylor2001)

Recently concerns have been raised about roundworm Baylisascaris procyonis The egg of this worm is similar to that of the related Ascaris sppand the ingestion of the eggs of this parasite can cause severe neurological andocular disease in humans and has been linked to some fatalities (Sorvillo et al2002) However eggs of B procyonis have not as yet been identified inbiosolids samples

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TABLE 6ndash6 Inactivation of Scrapie Prions

Disinfectant 1 5 min (log reduction) 60 min (log reduction)Hypochlorite (5250 mgL) 3 4Sodium metaperiodate 15 3Iodine 1 2I2 (20000 mgL)NaI (24000 mgL)Phenol (5000 mgL) 03 1Hydrogen peroxide 25 4Potassium permanganate 03 1Formaldehyde (200000 mgL) 0 1Lime treatment - 1

Sources Rohwer 1984 EPA 2001

Prions

Concern about prions has arisen with the advent of prion animal diseasessuch as bovine spongiform encephalopathy (BSE) in the United Kingdom andother parts of Europe The BSE prions concentrate in an animalrsquos brain andspinal cord but they have been detected only in sheep blood at lowconcentrations Animal manure would have no or low concentrations of BSEprions except possibly for wastes from slaughterhouses (Ward et al 1984)however the presence of prions in such wastes is uncertain (EPA 2001) Prionsare generally transmitted from animal to animal (cow to cow sheep to sheep)The risk of prion transmission to biosolids from animals is low but can increasewith the presence of small amounts of neural tissues or placenta coming fromslaughter houses At present there has been little evidence of prion-contaminated manures in the United States

Prions are very difficult to inactivate and require rigorous treatment(Godfree 2001) The higher the solids content of the waste the more rigorousthe treatment required (EPA 2001) Table 6ndash6 presents inactivation data forscrapie prions under a variety of disinfection treatments

Prions are resistant to high temperatures scrapie prions are inactivated attemperatures of 100degC or above At 121degC 001 of the prions were resistantto thermal inactivation (Rohwer 1984) Prions have been reported to survive

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boiling and autoclaving (DMTaylor et al 1999 EPA 2001) Prion survival atincreased temperatures coupled with chemical or biological treatmentassociated with biosolids processing has not been studied nor are data availableto directly assess prion survival through sewage-sludge treatment processes

In addition to chemical treatment (shown in Table 6ndash6) gamma radiationis also used to inactivate prions The required irradiation dose is related topathogen size As the size decreases the gamma dose increases because it isharder for the gamma irradiation to hit the specific sensitive targets in thesmaller infectious agents The inactivation dose for helminth eggs viruses andprions was found to be 200 kilorad (unit of absorbed dose) (McDonell 1985) 1megarad (Ward et al 1984) and 5 megarad (Rohwer 1984) respectively

Rationale for Selecting Emerging Organisms

In the current regulations the only pathogens considered are entericviruses helminths and Salmonella (or coliforms) In this section the committeeoutlines criteria that should be used to identify other pathogens that EPA shouldreview and for which information on occurrence persistence and risk should beobtained Once that information is obtained a decision can be made on whetherbiosolids regulations need to be modified to control the risk from these agentsor whether the existing regulations suffice to control these agents at anacceptably low level of risk

The selection of microorganisms for analysis in biosolids or wastewatershould based on the following criteria (CGerba University of Arizonapersonal communication September 2001)

bull Reliable viability assay Availability of a reliable and relativelyconsistent assay is critical for the study of a pathogen

bull Water-related disease-causing agents All selected pathogens must befound in wastewater and should be capable of transmission via exposure(airborne waterborne or contact) to biosolids

bull Extent of existing data on probability of surviving biosolids treatments The pathogens that have the greatest probability of survivingbiosolids treatment processes are increasingly of concern for landapplication The pathogens that can survive at high pH (above 11ndash12) andare heat resistant are of most concern

bull Extent of survival in the environment The longer a pathogen survivesin the environment the greater the chance of its transmission to asusceptible host

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Table 6ndash7 shows the criteria and a list of the pathogens that can beconsidered for analysis On the basis of these criteria adenovirus 40 astrovirushepatitis A virus rotavirus and E coli 0157H7 are potential target organismsfor analysis In addition caliciviruses including Norwalk viruses areimportant but methods of analyzing viability are not currently available Theprotozoan parasites were not selected because they are unlikely to survive theheat treatment and viability methods are not available for their detectionAlthough the bacterial pathogens Legionella spp probably deserve furtherstudy they were not included because the current detection methods have lowefficiency are difficult to use and are costly

Role of Indicator Organisms

The routine examination of biosolids for the presence of human pathogensis often tedious difficult and time consuming Therefore considerable efforthas been made to identify indicator microorganisms whose presence wouldsuggest that human pathogens might also be present A benefit of usingindicator organisms is that tests for them should be simpler and more routine

In the Part 503 regulation fecal coliforms are used as indicator organismsin two ways First as an indicator of health hazards fecal coliform density canbe used to classify Class A biosolids Second as an indicator of wastewater-treatment efficiency fecal coliform density is used to evaluate whetherSalmonella sp has repopulated when Class A biosolids are stored before landapplication Fecal coliforms are an appropriate indicator of treatment efficiencybut because they have the potential for regrowth (Pepper et al 1993) their useas an indicator for public-health hazards is less justified In addition somepathogens are more hardy than fecal coliforms highlighting the potential forunderestimating a specific health hazard

Clostridium perfringens has been suggested as another possible indicatororganism to assess the efficiency of biosolids disinfection processes Cperfringens a spore-forming bacteria is a good monitoring organism forprocesses using noncharged biocides (molecules that do not carry a netelectrical charge such as NO2 and NH3) or temperatures greater than 120degC(Blanker et al 1992) It has been suggested as a tracer for less hardy indicatorsand for the absence of protozoan parasites or viruses during wastewatertreatment (Payment and Franco 1993) Because C perfringens is typicallyfound at densities of 106 colony-forming units (CFUs) per gram of solids in rawor untreated biosolids its spores might be an excellent surrogate for the eggs ofAscaris suum (Reimers et al 1991 Sobsey et al 1991) in the f ollowingsystems oxy

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TABLE 6ndash7 Emerging Pathogens Likely to Be Present in Biosolids

Organism ReliableViabilityAssay

WaterborneOutbreaks

Probabilityof SurvivingBiosolidTreatment

Survival in theEnvironment

Adenovirus Yes Yes High heatLow pH

Months

Norwalk virus No Yes Unknown UnknownAstrovirus Yes Yes Moderate WeeksHepatitis A Yes Yes High heat

Moderate pHMonths

Rotavirus Yes Yes Moderate MonthsHepatitis E No Yes Unknown UnknownMycobacterium Yes Yes High DaysE coli 0157H7 Yes Yes High Months

regrowthpossible

Legionella Yes Yes Unknown YesListeria No No High WeeksMicrosporidia Yes Yes Low Unknown

ozone thermophilic alkaline treatment two-stage anaerobic digestioncomposting anaerobic digestion and lagoon storage C perfringens sporeswere selected for monitoring Ascaris egg survival in chemically processedmunicipal sewage sludge because both organisms appear to exhibit similarresistance to physical and chemical agents (heat alkaline pH hydroxideconcentration and nitrous acid content) The external structures of bothmicroorganisms may account for some similarities in resistance andinactivation however the Ascaris egg is more sensitive to high temperatures(gt45degC) (Blanker et al 1992) whereas C perfringens spores unlike otherindicator microbes are not inactivated in thermophilic processed sewagesludge Furthermore C perfringens is susceptible to hydroxide whereasAscaris eggs are resistant to high concentrations Ascaris is very sensitive tohigh concentrations of ammonia (005 to 2) depending on temperature(Blanker et al 1992) Detection of airborne clostridia is dependent on a methodfor analyzing biosolids-generated bioaerosols (Pillai et al 1996 Dowd et al1997) Unlike most microbial bioaerosols spore-forming bacteria are resistantto desiccation

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 278

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Other anaerobic bacteria such as Bifidobacterium and Bacteroides havealso been suggested as potential indicators However better standard methodsfor detecting anaerobic bacteria are needed before they can be routinelymonitored

Bacteriophages have also been suggested as indicators of fecal matter andviruses because they are consistently found in sewage Somatic coliphageinfects E coli strains and can be detected by simple and inexpensive techniqueswithin 18 h

A concern with the parasite criteria in the Part 503 regulations is the lackof a timely method to monitor indirectly for the inactivation of Ascaris eggsAscaris inactivation is used to determine whether a disinfection processproduces Class A biosolids The direct method of studying Ascaris egginactivation requires recovering the eggs from biosolids and placing them inculture for 3 to 4 weeks and then examining the culture microscopically Thismethod is costly and few laboratories accurately perform the assay A reliableindirect method requiring only a few days would be beneficial as wouldinexpensive simple and viable techniques to monitor helminth eggs bysurrogate microbes C perfringens could possibly be a good indicator organismfor Ascaris inactivation where noncharged chemical species are utilized asdisinfection agents (eg ammonia) However when temperature is thecontrolling inactivating factor a different type of indicator organism ormonitoring of temperature and time directly would be needed

EXPOSURE TO PATHOGENS

The major routes of potential human exposure to pathogens in biosolidsare air soil water and vectors Factors that affect exposure by each of theseroutes are discussed below

Air

Land application of biosolids may result in the formation of infectiousbioaerosols Bioaerosols are defined as aerosolized biological particles rangingin diameter from 002 to 100 micrometers (microm) (Dowd and Maier 2000) Thecomposition size and concentration of the microbial bioaerosols vary with thesource dispersal mechanisms and most important the environmentalconditions at a particular site Bioaerosols generated from water sources duringsplashing and wave action often consist of aggregates of several micro

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organisms (Wickman 1994) and usually have a thin layer of moisturesurrounding them Bioaerosols released into the air from soil surfaces such asthose surrounding biosolids and composting facilities are often singleorganisms or are associated with particles In many instances these particlesserve as ldquoraftsrdquo for microorganisms (Lighthart and Stetzenbach 1994)

The dispersal and settling of bioaerosols is affected by their physicalproperties and the environment in which they are airborne The most importantphysical characteristics are the size density and shape of the droplets orparticles and the most important environmental characteristics are air currentsrelative humidity and temperature (Lighthart and Mohr 1987 Pedgley 1991)Nonspecific open-air factors have also been reported to play a role (Cox 1987)

Aerosols can originate from point (eg a biosolids pile) or area (eg anagricultural field spread with biosolids) sources (Dowd et al 2000) Pointsources can be further categorized into instantaneous (eg sneezes) orcontinuous sources (eg release of bioaerosols from a biosolids pile) Thelaunch patterns of bioaerosols from point sources have a conical dispersionpattern whereas bioaerosols from area sources have a particulate-wave type ofdispersion Bioaerosol transport can be defined in terms of distance and timesubmicroscale transport being less than 10 min and distance less than 100meters (m) as is common in indoor environments Microscale transport rangesfrom 10 min to 1 h and from 100 m to 1 kilometer (km) Mesoscale andmacroscale transport are greater than 1 h (Hugh-Jones and Wright 1970)Atmospheric turbulence influences the diffusion and thus the concentration ofbioaerosols Bioaerosol stability varies among bacteria viruses and othermicroorganisms

Although there are reports on pathogen occurrence and survival onagricultural lands and waterways exposed to biosolids there is surprisingly littleinformation on airborne pathogen occurrence during land application ofbiosolids Most aerosol studies have been conducted near water treatmentplants at effluent spray irrigation sites within waste-handling facilities and atcomposting facilities (Lembke et al 1981 Brenner et al 1988 Millner et al1994) Different bioaerosol-sampling methods can lead to recoveries ofdifferent organisms Sorber et al (1984) used a large volume electrostaticprecipitator air sampler to study bioaerosols from the land application ofbiosolids They showed that bioaerosols are generated during the application ofbiosolids by tanker trucks and at spray irrigation sites However enteric viruseswere not detected in the bioaerosol samples that were analyzed In studiesconducted at a large land-application site in Texas Pillai et al (1996) used anAGI-30 impingement-based sampler to detect bioaerosolized micro

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bial populations including bacteriophages Under low-wind conditions none ofthe samples contained any presumptive Salmonella spp although some of thesamples were positive for hydrogen sulfide-producing organisms andpathogenic clostridia In subsequent monitoring during high-wind conditionsfecally associated male-specific coliphages thermotolerant clostridia andpresumptive Salmonella spp were also detected (Dowd et al1997) Bioaerosolconcentrations were higher at sites where biosolids material was physicallyagitated as compared with sites where ldquomanure applicatorsrdquo were used Thesestudies were used to generate microbial release rates from biosolids to modelbioaerosol transport (Dowd et al 2000) and in conjunction with assumed dose-response relationships to compute an estimated risk

Exposed people might develop allergic and toxic reactions to highconcentrations of noninfectious microorganisms The health effects fromexposure to such agents have been well documented in sewage treatment plantsanimal housing facilities and biowaste collection sites Studies using culture-based and nonculture-based methods have indicated that workers at the sites canbe exposed to concentrations of microorganisms as high as 102ndash109 CFUm3

and 104ndash1010 microorganisms per cubic meter respectively Such exposures aresubstantially higher than those generally found indoors (Eduard and Heederik1998)

Several studies have documented that microbial bioaerosols are stronglylinked to waste-application practices biosolids handling wind patterns andmicrometeorological fluctuations (Brenner et al 1988 Lighthart and Schaffer1995 Pillai et al 1996 Dowd et al 1997) Studies conducted on land-appliedClass B biosolids have shown that physical agitation of biosolids materialreleases Salmonella and fecal indicator viruses (Dowd et al 1997) Bioaerosolsaveraging 300 most probable number of presumptive Salmonella spp per cubicmeter were detected at biosolids loading and application sites at an arid locationin the United States The detection of microbial pathogens at distances from thepoint source is indicative of how wind gusts and wind patterns can transportbioaerosols over distances

Mathematical models have been designed to predict the transport ofmicroorganism-associated bioaerosols Pasquill (1962) described a classicmodel of particulate airborne transport of aerosols launched from a continualpoint source Lighthart and Frisch (1976) modified Pasquillrsquos equation toinclude a microbial inactivation constant to account for ultraviolet radiationinactivation and desiccation during transport Bioaerosol sampling used inconjunction with aerosol transport models can be used to estimate inhalationexposure These estimates in turn can be used in microorganism-specific dose-response models to determine the risks of infection (Haas et al 1999a)

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 281

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On the basis of field-sampling data Dowd et al (2000) modeled microorganismconcentrations based on point and area sources at a biosolids application site inthe arid western United States at distances ranging from 100 to 10000 m andwindspeeds ranging from 1 to 20 ms (45 ms is the average US windspeed)As expected the projected risk of infection from exposure to a single organismwas greater at higher windspeeds and closer to the source and was correlatedwith duration of exposure The risk of infection at 1000 m was predicted to below however at 100 m the potential risks of bacterial and viral infectionsranged between 1 and 29 (between 1100 and 29100) It is important tonote that this is a worst-case situation based on the method of applicationwhich tossed biosolids into the air Application was done in this mannerbecause there were no towns or human populations in close proximity to theland-application site

Soil

Pathogen survival in and transport through soil are considered together inthis section Environmental factors that affect survival of pathogens aresummarized in Table 6ndash8 Human pathogens that are routinely found indomestic sewage sludge include viruses bacteria protozoan parasites andhelminths Of those pathogens viruses are the smallest and least complexgenerally have a short survival in soil and have the greatest potential fortransport in soil Using a plaque-forming-unit method Straub et al (1993a)evaluated the survival of three viruses in a biosolids-amended desert soilpoliovirus type 1 and two bacteriophages (MS2 and PRD-1) Survival wastemperature-dependent and decreased as temperature increased Soil typeaffected virus survival longer survival occurring on clay loam biosolids-amended soils compared with sandy loam biosolids-amended soils (Straub et al1993b) Rapid loss of soil moisture also limited virus survival Whenconventional plaque-forming methods were used virus survival ranged from 3days to greater than 10 days depending on soil type temperature and moisture(Straub et al 1992 1993a) When molecular polymerase chain reaction (PCR)-based methods were used enteroviruses were detected in soil 3 months afterland application (Straub et al 1995) However PCR by itself only detects viralnucleic acid and does not indicate that viable viruses were actually present

Like virus survival bacteria survival in soil is affected by temperature pHand moisture (Gerba et al 1975) Soil nutrient availability also plays a role inbacteria survival Lower temperatures usually increase survival as do a neutralsoil pH and soil at field capacity (Straub et al 1993b) Of the pathogenicbacteria Salmonella and E coli (Newby et al 2000b) can survive for a long time

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 282

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TABLE 6ndash8 Environmental Factors Affecting the Survival of Pathogenic Microbes

Survival TimeParameter Virus Bacteria ProtozoaTemperature increasing ` ` `Soil moisture decreasing ` ` `Rate of desiccation increasing ` ` `Clay content increasing + + Not knownpH range of 6ndash8 + + 0

Note ` decreasing survival time + increasing survival timeSources Gerba et al 1975 Straub et al 1993ab 1995 Jenkins et al 1999

in biosolids-amended soilmdashup to 16 months for Salmonella (Hess andBreer 1975) In contrast Shigella has a shorter survival time than eitherSalmonella or E coli (Feachem et al 1983) Studies on indicator organismshave shown that total and fecal coliforms as well as fecal streptococci cansurvive for weeks to several months depending on soil moisture andtemperature conditions (Pepper et al 1993)

Regrowth is also important when evaluating the survival of pathogenic andindicator bacteria in soil and biosolids compost Salmonella E coli and fecalcoliforms are all capable of regrowth Following land application of biosolids orcomposting of biosolids with soil pathogen concentrations decrease below thedetection limit but subsequently increase after rainfall (Pepper et al 1993Soares et al 1995 Gibbs et al 1997)

The protozoan parasites often associated with biosolids include Giardiaand Cryptosporidium spp However little research has been conducted on thesurvival of these parasites in biosolids-amended soil One report documentedincreased inactivation of Cryptosporidium parvum as temperature increasedfrom 35degC to 50degC and water potential decreased (Jenkins et al 1999) Little isknown about the viability of these parasites following land application ofbiosolids and research in this area should be encouraged Helminths areperhaps the most persistent of enteric pathogens Ascaris eggs survive severalyears in soils although very dry or very wet soils decrease survival (Straub etal 1993b)

The transport of microorganisms through soils or vadose zone materials isaffected by a complex array of abiotic and biotic factors including adhesionprocesses filtration effects physiological state of the cells soil characteristics

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water flow rates predation and intrinsic mobility of the cells (Newby et al2000a) as well as the presence of biosolids For viruses the potential fortransport is large although viruses can adsorb to soil colloidal particles and tothe biosolids themselves thus limiting transport (Schijven and Rietveld 1996)Virus sorption is controlled by the soil pH Most viruses are negatively charged(isoelectric point 3ndash6) so that at a neutral soil pH soil sorption is reducedwhereas at more acidic soil pH values the viruses are positively chargedincreasing sorption Dowd et al (1998) confirmed that the isoelectric point wasthe predominant factor controlling viral transport through soil however forvirus particles greater than 60 nanometers (nm) in diameter size began to limittransport The sorption of bacteriophages and viruses to nine soil types wasexamined by Goyal and Gerba (1979) who confirmed that sorption is greatestat soil pH values of less than 5

There are few field studies on the transport of viruses from biosolidsthrough soil Most studies on virus transport have been conducted in laboratorycolumns using pure virus cultures Straub et al (1995) evaluated transport ofenteroviruses from land-applied anaerobically digested biosolids Viruses weredetected at soil depths of 200 centimeters (cm) indicating greater transport thanthat reported in previous studies (Damgaard-Larsen et al 1977 Bitton et al1984) In the Straub study a more modern PCR-based detection method wasused rather than the conventional cell-culture methods used in earlier studiesHowever PCR alone does not indicate viability of the viruses

The larger size of bacteria means that soil acts as a filter limiting bacterialtransport Soil would also limit the transport of the even larger protozoa andhelminths (Newby et al 2000a) However microorganisms may be transportedthrough soil cracks and macrochannels via preferential flow Transport ofindicator organisms from land-applied anaerobically digested biosolids wasevaluated by Pepper et al (1993) who found occasional fecal coliforms at soildepths of 300 cm presumably due to preferential flow

Pathogen survival and transport in soil should be evaluated from a public-health perspective Pathogens are routinely present in Class B biosolids and arecapable of surviving for days weeks or even months depending on theorganism and environment Therefore site restrictions with durations based onsubsequent land use are necessary following land application For many soilscontamination of underground aquifers due to vertical migration of pathogensfrom land-applied biosolids is unlikely because of the sorption of viruses andthe soil filtration potential for larger pathogens However in coarse texturedsandy soil or high permeability karst topography groundwater contaminationevents are possible For example surface-water contamination can occur fromland-applied biosolids because of soil runoff In the US groundwater sourcesunrelated to biosolids have been associated with 58 of

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 284

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total waterborne-disease outbreaks compared with 33 from surface-watersources (Schijven 2001) The committee notes that there is a dearth ofcontemporary information on pathogen transport through and on soil from land-applied biosolids in field situations The transport of pathogens throughbiosolids-amended soil is different than from soil alone because of sorption andbinding to the biosolids

Water

In principle pathogens present in biosolids can contaminate surface orgroundwaters if runoff and leachate are not controlled When municipal solidwaste is landfilled microbial contamination of groundwater from leachate ispossible albeit at low levels (Sobsey et al 1975 Sobsey 1978 Pahren 1987)Ritter et al (1992) found that lime-treated septage applied to land did notdeteriorate groundwater quality in regard to pathogens The committee did notidentify any studies of microbial contamination of surface or groundwater nearland where either Class A or Class B biosolids had been applied

Vectors

There are no published reports that specifically implicate vectors in thetransmission of infectious organisms from land-applied biosolids to humansHowever there have been reports of fly proliferation and mosquitos in standingwater bodies such as sewage effluent and septic tanks (Carlson and Knight1987 DSTaylor et al 1999 Learner 2000) A number of studies indicate thatvectors such as flies rodents and birds harbor infectious agents commonlyassociated with animal and poultry wastes Butterfield et al (1983) reported thatherring gulls carry Salmonella and Juris et al (1995) reported that fliesdisseminate helminth eggs from sewage treatment plants Although data(Grubel et al 1997) suggest that houseflies harbor Helicobacter pylori directtransmission of the organism from flies to humans has not been demonstratedAlthough flying insects are usually attracted to odors (Morris et al 1997) thereare no published data on whether land application of biosolids results in anincrease in flies mosquitoes or birds If biosolids application is not managedproperly heavy rainfall in conjunction with biosolids application could result inpools of biosolids-contaminated runoff that could attract vectors Land-application practices as specified in the Part 503 rule are designed to reducevector attraction but it is unclear whether these practices discourage vectorsAlthough flies and other vectors have been detected on biosolids-

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 285

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applied lands the extent to which these vectors are involved in the transmissionof infectious organisms to humans or the food chain is unknown

Regional Differences

The extent and routes of human exposure to biosolids vary greatly acrossthe United States depending on the overall ldquoexperience with biosolids userdquoFour exposure factors that vary by region are methods of biosolids applicationclimate soils and land availability for biosolids application versus populationdensity

bull Methods of Biosolids Application Biosolids-application methods varydepending on region type of biosolids and individual site For examplein the southwestern desert liquid anaerobic-digested biosolids aregenerally injected into soil subsurface On pastures biosolids aregenerally applied to the soil surface In other areas biosolids ldquocakesrdquo areadded and disked into soil The application method directly affects thepotential for bioaerosol generation chemical odors and ultravioletinactivation of pathogens It is important to note that incorporation ofbiosolids is more difficult with pastureland than cropland

bull Climate Regional differences in climate affect the fate and transport ofpathogens in biosolids-amended soil In general moist cool soils such asthose in the northeastern region of the United States favor survivalwhereas hot dry soils such as those in the southwestern region adverselyaffect pathogens Differences in rainfall are not as important astemperature because application of biosolids on desert agricultural landsis often followed by irrigation

bull Soils Although climate affects regional soil types texturally all soil typescan be found throughout the United States Of all soil characteristics soilpH differences are perhaps the most important Typically more acidic pHranges and more organic matter are in soils east of the Mississippi than inthe more arid western states

bull Land Availability and Population Density Land availability andpopulation densityare the most important factors for acceptability of theldquoexperience with biosolids userdquo In the desert Southwest agriculturalareas are often located far from urban centers so that there are fewersurrounding residents who may be affected by biosolids applications Inthe Northeast the potential impact of land application is much greaterbecause of the magnitude of land application and the proximity of thatland to people For example in areas such as Rhode Island almost allland would need to receive biosolids to

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 286

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accommodate use and disposal In high-density urban centers there is anincreased potential for nuisance odors and for increased exposure topathogens Thus the regional differences in land availability for biosolidsapplication relative to the proximity of urban centers mean thatldquoexperience with biosolids userdquo is not uniform nationwide

HOST FACTORS

Assessing potential risks from exposure to pathogens is complicated by theneed to consider a variety of factors that affect an individualrsquos susceptibility topathogens Three of these factors concomitant exposures genetic factors andacquired immunity are discussed below

Concomitant Exposures

Studies have shown that concomitant exposures to infectious organismsnoninfectious organisms cellular components irritants and odors can causesynergistic effects especially in humans in highly contaminated environments(Schiffman et al 2000) For example the adverse health effects from exposureto a combination of ammonia and particles were greater than the additive effectsof ammonia and particles by a factor of 15 to 20 (Bottcher 1998 as cited inSchiffman et al 2000)

Particles allergenic constituents and microbial metabolites such asendotoxins (lipopolysaccharides [LPS]) glucans and aflatoxins can have a rolein the development of various respiratory diseases and systemic effects (Eduardand Heederick 1998) Chromogenic end point and kinetic endotoxin assays areused to estimate the relative biological activity of LPS rather than measure theexact amount of LPS present However there are accuracy and reproducibilityconcerns with these assays (Hollander et al 1993) Carbohydrate components ofmolds such as glucans and mannans are known to act as inflammatory agentsand can function as biomarkers for exposure to molds (Murphy 1990)

Because endotoxins and glucans are cellular components ofmicroorganisms anaerobic digestion would not be expected to totally destroy orinactivate those compounds The detection of viable cells in land-appliedbiosolids implies that endotoxins should also be present However localclimatic and biosolids-management practices dictate the extent of endotoxinaerosolization Van Tongeren et al (1997) reported considerable variation inendotoxin concentrations in municipal wastes at a compost plant withconcentrations rang

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 287

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ing from 02 ngm3 at a compost plant to 3536 ngm3 at a waste-resourcerecovery operation Nielsen et al (2000) found seasonal variations in endotoxinconcentrations around operations involving containers of biosolidsconcentrations ranged from 03 ngm3 in spring to a maximum of 100 ngm3 inautumn Ivens et al (1999) reported a direct relationship between bioaerosolconcentrations of endotoxins and nausea and diarrhea among waste collectorsEndotoxin concentrations ranged from 036 enzyme unit (EU)m3 to 92 EUm3

(003 ngm3 to 077 ngm3 assuming 1 EU=12 ngm3) Melbostad et al (1994)reported that municipal sewage workers in Norway were exposed to endotoxinconcentrations of 0ndash370 ngm3 over 8 h (median level 30 ngm3) however norelationship was seen between endotoxin concentrations and such symptoms asnausea tiredness and headaches

People with atopic asthma have increased sensitivity to respirableendotoxins resulting in a variety of immune responses including increasedeosinophils in the airways (Peden et al 1999) Studies suggest that asthmaticindividuals exposed to allergens will have greater nasal inflammations ifexposed to endotoxins (Gavett and Koren 2001 Liu and Redmon 2001 Reedand Milton 2001)

Genetic Factors

Data suggest that host genetic factors (eg predisposition to asthmaattacks) have a key role in the manifestation of a health effect from infectiousorganisms particles odors endotoxins or allergens (Lacey and Crook 1988Michel et al 1991 1992 1996 George et al 2001) These studies have beenconducted on biowaste collectors compost workers sewage treatment plantworkers and animal house workers who are constantly exposed to highconcentrations of these agents There are no data on the roles of genetic factorsin health effects due to bioaerosols from land-applied biosolids Furthermorealthough particles allergens and microorganisms can cause health effects inoccupationally exposed workers data are lacking on whether the concentrationsobserved at land-application sites are sufficient to cause health effects insurrounding populations

Acquired Immunity

A potential factor modulating the risk from exposure to infectious agents isacquired immunity which can reduce the extent of illness in a populationexposed to microbial contamination or alter the dynamics of disease occur

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 288

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rence For most agents of concern the existence extent and duration of anyacquired immunity is not well understood For a number of infectionsimmunity may be highly short-lived (Anderson and May 1991 Bailey 1975) Inthe case of Salmonella only partial immunity appears to occur resulting inreduced severity (McCullough and Eisele 1951) In the case ofCryptosporidium there is also some reduction in susceptibility following aninfection although in some cases the severity of the infection in individualsrechallenged may be more severe (Chappel et al 1999)

If information on the extent and duration of immunity is found it can beincorporated into population models of infectious disease as described inChapter 7

EXPOSURE TO WORKERS

Sewage sludge and biosolids are used in a number of ways includingapplication to agricultural fields recreational fields lawns and home gardensand reclamation of mines and other disturbed lands The process of preparingand applying biosolids involves workers who are potentially at risk of exposureto infectious pathogens in the sewage sludge during preparation in the treatmentplant transportation of the biosolids to places of application application toland and following application in the fields The worker populations were notconsidered in setting EPArsquos standard for pathogens in biosolids As reported inChapter 3 there are few studies of worker exposure to biosolids Howeverthere are a few studies of exposure and effects observed in workers atwastewater and sewage treatment plants Although these studies are notsubstitutes for studies of biosolids exposure they are useful for identifyingpotential health concerns and pathogens that might be relevant to biosolids

The presence of human pathogens in raw sewage sludge has been welldocumented Ayres et al (1993) reported on the accumulation and viability ofhuman nematode eggs (primarily Ascaris lumbricoides) in the sewage sludge ofa waste-stabilization pond Cryptosporidium oocysts and Giardia cysts wererecovered from products of wastewater treatment and anaerobic sewage sludgedigestion (Chauret et al 1999) Specific infectious agents have been recoveredfrom biosolids applied to land including eggs of the helminth Taenia saginata(Barbier et al 1990) Thermotolerant clostridia were detected in aerosols from alarge commercial application site (Dowd et al 1997) In a multiyear study 21Salmonella serotypes were isolated from sewage sludge from four treatmentplants in different geographic areas of Ohio (Ottolenghi and Hamparian 1987)In the same study family members residing on farms showed antibodies tosalmonellae but the investigators were unable to deter

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 289

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mine whether there was a significant difference between exposed and controlsubjects

Immunoglobulin G antibodies to molds and actinomycetes were found inbiowaste collectors and compost workers exposed to bioaerosols (Buumlnger et al2000) Higher exposures to rod-shaped and total bacteria were found in sewageworkers with airway symptoms headache tiredness and nausea than inworkers not reporting these symptoms (Melbostad et al 1994) Hepatitis A wasreported in workers from a wastewater treatment plant during a smallcommunity outbreak (De Serres and Laliberteacute 1997)

ANTIBIOTIC RESISTANCE

There is constant acquisition and loss of genetic sequences among bacteria(Ochman et al 2000) Bacteria can acquire antibiotic resistance through pointmutations plasmid transfer events transposons and integrons Mobile DNAsequences make up a substantial portion of the transferred sequences in E coli(Lawrence and Ochman 1998) There are reports that antibiotic-resistantorganisms can be isolated from biosolids (Pillai et al 1996 1997) andantibiotic resistance transfer events have been documented under laboratoryconditions in sewage effluent (Arana et al 2001) A recent study foundtetracycline-resistance genes in waste lagoons and groundwater at two swineproduction facilities (Chee-Sanford et al 2001) This study also suggested thatthe resistance genes can be mobilized into soil inhabitants However there areno data to suggest that land application of biosolids will preferentially promotesuch transfer events Assuming that biosolids contain a number of potentialdonors and recipients of antibiotic resistance genes it is important to keep inmind that multiple processes should occur for the stable incorporation andexpression of new traits in the recipient cells The donor DNA must bedelivered to the recipient cells the transferred genes should be incorporated intothe recipientrsquos genome or plasmid and finally the incorporated genes should beexpressed in a manner that benefits the recipient cells (Ochman et al 2000) AGerman study suggests that there is minimal likelihood of functional antibioticcompounds persisting in biosolids (Hirsch et al 1999) therefore it is doubtfulwhether the incorporation and maintenance of antibiotic resistance genes inrecipient cells would provide them with any selective advantage Antibioticsare however present in raw sewage sludge and sewage treatment plant effluentResistant bacteria can therefore be present in biosolids without a selectiveadvantage in that medium and without specific gene transfer in that mediumPillai et al (1997) reported no significant differences in the antibiotic resistanceindex of E coli isolates obtained from undigested and digested

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 290

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municipal sewage from rural and urban environments when 13 antibiotics werescreened The ability of biosolids-related organisms to transfer their resistancemarkers to indigenous soil bacteria would depend on the survival of theintroduced strains in addition to the factors mentioned above On the basis ofthis information the committee does not believe that land-applied biosolidshave any substantial potential to alter the prevalence of antibiotic resistanceamong pathogenic microorganisms

PATHOGEN RISK ASSESSMENT

Risk assessment has been used in several environmental and public-healthapplications to determine (or reduce) exposure to pathogenic microorganismsIn this section available approaches to conducting microbial risk assessmentare briefly reviewed and their applicability to biosolids is assessed Thecommittee was aware that methodology for assessing risks to human healthfrom pathogens via exposure to biosolids is being developed by researchers atthe University of California at Berkeley The methodology has an exposure-assessment component for quantifying pathogen levels and a health-riskcomponent that accounts for special infectious disease considerations(secondary transmission and immunity) (JEisenberg University of CaliforniaBerkeley personal communication May 24 2002) However the methodologywas not finalized in time for the committee to evaluate it and include it in thisreport

Drinking Water

Historically the acceptable levels of microorganisms in drinking watercontact recreational waters and shellfish harvesting waters have been set usingindicator organisms most often either total or fecal coliforms With the adventof better methods for direct measurement of pathogens in water (Leong 1983Ongerth 1989 Gerba and Rose 1990 Gregory 1994 Rose 1990 Rose et al1991a) and the development of risk-assessment paradigms for settingenvironmental standards (NRC 1983 1989 Silbergeld 1993) these methodscan now be applied to the development of microbial standards for acceptablewater quality to supplement or replace traditional indicator measurements

The quantitative microbiological risk assessment (QMRA) approach thathas been used in the development of the Surface Water Treatment Rule(SWTR) and the Enhanced SWTR follows the framework proposed forchemical risk assessment by the National Research Council (NRC 1983) Theframework has the same steps as those for chemical risk assessment hazard

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 291

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assessment exposure assessment dose-response analysis risk characterizationand risk management

Alternative protocols specific to microbial risk assessment have beenproposed by such groups as the International Life Sciences Institute (ILSI)Pathogen Risk Assessment Working Group (1996) A schematic of the ILSIprotocol is shown in Figure 6ndash2 This protocol emphasizes the interrelationshipsbetween the technical and policy-making components surrounding the risk-assessment process particularly at the problem-formulation stage

A quantitative microbial risk-assessment approach has in part been usedby EPA Using data from human volunteer studies Regli et al (1991)developed a dose-response relationship for infection from the ingestion ofGiardia lamblia The result was compared with infection rates observed fromwaterborne outbreaks to assess the likelihood that an infected person wouldbecome ill (Regli et al 1991 Rose et al 1991b) Using a target risk of oneinfection per 10000 persons per year which was regarded as acceptable byEPA in the SWTR and a daily average water consumption of 2 liters (L) perperson per day EPA estimated that an acceptable finished water concentrationwould be 675times10`6 organism per L (one organism in 148000 L) Verificationof such low microbial occurrence represents a technological impossibilitytherefore it is necessary to use an estimated finished water concentration basedon the microbial quality of source water and the reduction of microorganismsachieved by a particular set of treatment processes

In the proposed SWTR a tiered treatment requirement incorporated thisapproach however the final promulgated regulation required a single fixed-value reduction (in logs) which was based on an estimated upper value ofsource-water microbial concentrations across the United States

Under the Long-Term Enhanced Surface Water Treatment Rule(LT2ESWTR) surface-water treatment plants will be required to use controlstrategies based on the concentrations of Cryptosporidium oocysts found intheir source water Although not explicitly founded on risk assessment therelationship between the oocyst concentrations in source water and the requireddegree of control is predicated on achieving a minimal degree of public-healthprotection regardless of source-water quality

Food and Air

The methods for assessing risks from exposure to pathogens in food andair are still in their infancy Several modeling approaches have been used butmodeling pathogens pose specific challenges such as how to model dose-response relationships (Coleman and Marks 1998) and pathogen reduction or

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 292

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FIG

UR

E 6

ndash2 S

chem

atic

of

ILS

I m

icro

bial

ris

k an

alys

is p

roto

col

Sou

rce

Ada

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fro

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isk

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Ins

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e P

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6

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 293

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multiplication in food There are also the issues of susceptibilityparticularly for sensitive subpopulations such as children the elderly pregnantwomen and immunocompromised individuals (Balbus et al 2000) and thepotential for secondary transmission of disease

A general framework for microbial food-safety risk assessment has beenproposed by McNab (1998) but this framework requires refinement ofappropriate distributions and mathematical relationships before it can be appliedto a specific pathogen In the past 10 years the US Department of Agriculturehas developed risk-assessment models for pathogens in foods of animal originfocusing on Salmonella in eggs (FSIS 1998a) and E coli in beef (FSIS 1998b)Another study (Marks et al 1998) used E coli 0157H7 to demonstratedynamic-flow tree modeling In an assessment of bioaerosol transport andbiosolids placement and the risk of bacterial and viral pathogens both point-andarea-source risk-assessment modeling approaches were used (Dowd et al 2000)

Applicability of Available Approaches to Biosolids Standards

Methods for conducting microbial risk assessment have advancedsubstantially since the promulgation of the Part 503 rule Although thesemethods have not progressed as far as those for chemical risk assessment thecommittee believes that they can be used by EPA as a basis to develop criteriafor biosolids to maintain acceptable levels of risk from microbial exposure

The committee envisions an approach conceptually similar to that used indeveloping the SWTR and LT2ESWTR From stipulation by EPA of anacceptable risk level for a particular pathogen the concentrations in biosolidseither at the time of disposal (where there is immediate potential for exposure)or after a required holding period can be computed by application of QMRAmethods EPA can then develop experimentally based relationships betweenprocess conditions (eg time temperature pH chemical doses and holdingtimes) and indicator organism concentrations (either density or reductionthrough treatment) that can ensure consistent attainment of the target maximumacceptable pathogen concentrations A regulation can then be crafted tomandate achievement of particular process conditions and indicator densities orreductions to produce acceptable biosolids for the designated use

The committee does not recommend that QMRA methods be required byregulation to monitor potential risks at any particular site Such monitoringshould be conducted by using indicator organisms and controlling operationalparameters and practices such as temperature time buffer zones and pH sothat tolerable risk levels are not exceeded

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 294

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To conduct microbial risk assessments a variety of information is neededincluding concentrations of the pathogen in biosolids its fate and transport inenvironmental media and its infectivity (dose-response relationship) Theextent of the available data on specific pathogens varies and there are a numberof difficulties with obtaining the needed information and conducting the riskassessments Some of the obstacles include limitations with available samplingand detection methods lack of dose-response data inadequate information oninfectivity from inhalation and dermal routes of exposure and difficulties withpopulation-level modeling These obstacles are discussed in more detail below

Potential Limitations in Sampling and Detection Methods

Bacteria

Better sampling and detection methods are needed for pathogens inbioaerosols Impaction impingement filtration and electrostatic precipitationare some of the methods routinely used to concentrate microorganisms frombioaerosols There are important differences in the equipment and collectionefficiencies of these methods The ASTM (2001) standard (E-884ndash82) forassessing occupational exposures to bioaerosols in indoor facilities uses animpinger (AGI-30) to sample a total volume of 240 L of air in 20 minCurrently there is no standard for assessing occupational exposures frombioaerosols in outdoor environments such as biosolids-application sitesAlthough specific microbial pathogens and fecal indicator organisms frombiosolids-application sites have been detected using the AGI-30 sampler thereare studies showing that the AGI-30 is relatively inefficient at concentratingbacterial cells from bioaerosols Samplers with improved airflow rates (up to400 Lmin) concentration efficiency and portability have been developed todetect bioaerosols primarily for biological weapons research and arecommercially available Although many of these samplers have been reportedlyfield tested for their efficacy in detecting biological weapons peer-reviewedpublished data on their efficacy are not available The limitations ofcommercially available bioaerosol samplers include considerable variation insampling efficacy (Juozaitis et al 1994) ability to culture some microbialsamples and ability to characterize the microbial populations beyond platecounts During transport deposition and sampling bacteria can be inactivatedor desiccated The ldquoinjuredrdquo cells might be incapable of being cultured onroutine microbiological media thus underestimating the actual number of viablecells within a bioaerosol For example the Anderson sampler which relies onan impac

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 295

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tion-based sampling approach has provided a large amount of data on indoorbioaerosols Because the Anderson sampler is based on impaction and themicrobial population estimates are based on direct plate counts the impaction-based sampling approach can lead to an underestimation of the actualbioaerosol load for the following reasons First bioaerosolized organisms maybe in a viable but non-culturable state thereby not forming colonies on theplates Second the larger cut-off size of the sixth stage of the Anderson samplermay make it inefficient at collecting very small bioaerosolized particles(Terzieva et al 1996) A key limitation in bioaerosol sampling is the portabilityof the samplers for use in remote field sites Many of the samplers such as theAGI-30 that rely on external vacuum and power sources cannot be easily usedat remote sites The hand-held highly portable SAS surface impaction-basedsampler has been used for monitoring however the samples are impacted on asolid surface which can be extremely detrimental to their survival and culture

Some molecular-biology-based assays such as gene-probe hybridizationand gene amplifications have promise for detecting and characterizing specificmicrobial groups within bioaerosols However those methods have sometechnical shortcomings such as inhibitory sample effects sample processingdeficiencies laborious protocols and possible laboratory-based contamination(Alvarez et al 1995 Pena et al 1999) Droffner and Brinton (1995) havedetected Salmonella-specific nucleic acids within thermophilic compost pilessuggesting that microbial nucleic acids can be resistant to degradation even atthe raised temperatures found in compost piles However the detection of stablenucleic acid sequences does not imply the presence of viable organismstherefore molecular analyses such as gene probe hybridizations and geneamplifications should be interpreted with caution Furthermore becausenoninfectious microorganisms and microbial components (eg cells sporesendotoxins glucans chemical markers antigens and allergens) might causeallergic and toxic reactions independent of cell viability nonviability-basedassays are also necessary (Eduard 1996)

Another concern in assessing the potential impacts of pathogen-ladenbioaerosols from biosolids-application sites is the sampling scheme Land-application programs may involve tens of acres with highly variablemicrometeorological conditions within the same general site The fluctuationscan be due to topography vegetation and mechanical agitation Wind directionand speed also can fluctuate even within a 20-min sampling time Because nostandards exist for bioaerosol sampling in outdoor environments the exactnumber of replicate samples needed to get a fair representation is unclear Thechoice of an appropriate statistical analysis to give environmentally significantconclusions is also important Spicer and Gangloff (2000) reported

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 296

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on the limitations of using data on nonparametric statistical treatments ofbioaerosols A further concern is that the definition of upwind and downwindsampling locations at sites may be too broad for bioaerosol samplers withsampling orifices of only a few centimeters in diameter

Thus there are challenges to developing and implementing an effectivebioaerosol-monitoring program including the need for a rigorous samplingscheme integrated sampling to account for micrometeorological fluctuations(which may be the most important challenge from a public-health standpoint)and the lack of efficient and portable bioaerosol samplers Other than theASTM standard sampling protocol for evaluating the microbiological quality ofmunicipal solid wastes (ASTM 2001) there are no standardized samplingschemes for determining the bacteriological and viral quality for biosolids land-application programs Standards are needed for bioaerosol sampling thataccount for outdoor site characteristics especially variations in site size

The environmental conditions under which microbial pathogens areaerosolized from biosolids piles at field sites and from biosolids applied toagricultural land need to be accurately determined The precise composition ofbiosolids material and bioaerosols from those sites also need to be studied usingconventional and contemporary molecular tools such as qualitative andquantitative PCR assays and the bacterial isolates archived Archived isolatespermit the use of DNA fingerprinting methods to determine whether the isolatesoriginate from land-applied biosolids (Dowd and Pillai 1999)

Viruses

Sewage sludge and biosolids particularly Class B biosolids contain avariety of human pathogenic viruses (Straub et al 1993b) Sufficient viruses arenormally present so that sampling and detection are relatively simple Thechoice of detection method is critical however when documenting theelimination of viruses Standard-cell-culture methods for viruses inenvironmental samples are expensive and time consuming requiring up to amonth for confirmed positive results (Reynolds et al 1997) Cell-culture assaysare further complicated by the presence of toxic organic and inorganic materialsfound in sewage sludge An alternative detection method is PCR which usingspecific oligonucleotide primers relies on in vitro enzymatic amplification oftarget nucleic acids (Saiki et al 1988) PCR analyses are quicker less costlyand more sensitive than other cell-culture methods Direct reverse transcriptasePCR (RT-PCR) can potentially detect intact nucleic acid sequences in viralprotein coats even when the viral particles have been inactivated In that caseinactive viruses can be detected and the potential risk from their presence

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 297

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overstated PCR is positive for virus detection long after cell-culture results arenegative

The issue of virus viability versus virus detection with PCR has led to adebate on the efficacy of the PCR method However development of theintegrated-cell-culture-PCR (ICC-PCR) has defused the debate (Reynolds et al1996) ICC-PCR combines biological amplification of viruses in cell cultureand enzymatic amplification of viral RNA via PCR There are many advantagesto this method particularly the prerequisite that the virus grow in cell culturefor positive PCR amplification thus detecting only viable viruses Acomparison of all three virus detection methods (Table 6ndash9) shows that for viralrisk assessment analysis ICC-PCR is the method of choice Cell culture couldpotentially underestimate exposure while RT-PCR could easily overestimateexposure

Protozoa and Helminths

Over the past 20 years various assays for helminth eggs in biosolids havebeen developed but no assay has been universally accepted primarily becausethere are few published quality-assurance and quality-control (QA-QC) data forthe various protocols that have been used Die-off studies with Ascaris eggscollected at different seasons showed that a consistent protocol for eggcollection storage and use in spiking biosolids must be addressed When sucha protocol is developed consistent QA-QC data can be obtained for helmintheggs spike studies (Reimers et al 1981 1986b 1990) When detectinghelminths sample preservation and pretreatment is often overlooked ForAscaris eggs a neutralization and cooling process is necessary to assess thealkaline and acidic disinfection and stabilization of biosolids (Meehan et al1986) Several methods can be used to detect Ascaris eggs including those ofBean and Brabants (2001a) Huyard et al (2000) EPA (1999) and Yanko(1987) Each of those methods has a different percent recovery of eggs and QA-QC data are available for only the Tulane Ascaris assay The Tulane assay isaccurate for anoxic and acidic biosolids at 75ndash80 with a precision ofapproximately 10ndash15 A summary of the Tulane Ascaris assay is presented inTable 6ndash10

This Ascaris assay gives no indication of QA-QC data relative to otherhelminth eggs or protozoa and helminth eggs other than Ascaris are liable torequire assay modifications The process should work well for the eggs of thecanine and feline ascarids Toxocara canis Toxocara cati and Toxascarisleonina which can enter wastestreams through toilets or storm runoff becausethese eggs are slightly larger than the eggs of Ascaris and have similar densitiesThis method may not be as effective for eggs of the human whipworm Trichuris

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TABLE 6ndash9 Comparisons of Methods for Detection of Virus

Method of DetectionIssue Cell Culture RT-PCR ICC-PCRReduced time of detection No Yes YesInfectious virus detected Yes YesNo YesIncreased sensitivity Yes No YesAffected by PCR inhibitory substances No Yes NoReduced costs No Yes YesDetects only viable organisms Yes No YesDetects viable but nonculturable virus No Yes Yes

Source Marlowe et al 2000 Reprinted with permission from Environmental Microbiologycopyright 2000 Elsevier Science

trichiura and the different human taeniid tapeworms The technique isinappropriate for protozoa because those of primary concern Giardia andCryptosporidium will pass through the final sieve Thus for those pathogensanother form of final sample processing is required At this time the processdescribed for Ascaris is good for verifying inactivation of pathogens in variousspiked samples but further work is required to verify recovery methods forroutine samples when other pathogens are of equal or greater concern

There is substantial concern over the reliability and accuracy of viabilityassays Currently the helminth egg assay for Ascaris is much more accurateprecise and efficient than the Cryptosporidium oocyst assay possibly becauseCryptosporidium parvum is much more sensitive to temperature cavitation andnoncharged biocidal constituents than Ascaris (Reimers et al 1999) In generalCryptosporidium can be inactivated with properly operated Class Bdisinfection even though Cryptosporidium have been reported to survive ClassB disinfection with lime stabilization (Bean and Brabants 2001b) In alkalinestabilization the ammonia content generally controls the inactivation ofhelminth eggs and protozoan oocysts Ascaris eggs require 1ndash3 ammonia forinactivation instead of the 01 required for Cryptosporidium Cavitation iseffective in inactivation of Cryptosporidium but is not as effective for Ascariseggs and the inactivation of Cryptosporidium occurs at 15degC less than that ofAscaris (Reimers et al 1999 Bowman et al 2000)

The preservation and pretreatment techniques for protozoan oocysts havenot been developed to the level of those for helminth eggs The viability andinfectivity assays typically use one of the following techniques (Jakubowski et

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TABLE 6ndash10 Summary of Tulane Ascaris Assay for Viability and Determination inPercent Recovery or Percent Variation from the Mean DensityBiosolids Matrix Recovery

(Accuracy) Variation(Precision)

Reference

Acid treated 805ndash790 102ndash38 Reimers et al1991

Anaerobicdigested andlagoon stored

755 148 Reimers et al1990

Soil blends 755 325 Leftwich et al1987

Alkalinetreatment

585 344 Meehan et al1986

EPA WhiteHouse document

lt500 - Bean andBrabants 2001a

In-vivo assay lt100 - Burnham 1988

al 1996) vital dye staining animal infectivity cell culture or polymerasechain reactions (B-tubulin messenger RNA or RT-PCR) The animal viabilityassay would be useful for Cryptosporidium of human origin Cell culture andmRNA testing also appear to have merit Cryptosporidium recoveries frombiosolids appear to be far less efficient than those from helminths having arecovery efficiency of about 10 for the sedimentation technique and less than3 for the flotation technique (Bean and Brabants 2001b) Recoveries ofCryptosporidium oocysts and Giardia cysts from biosolids varied from 32 to163 and 24 to 417 respectively These data illustrate the need to optimizethe techniques for protozoan preservation pretreatment and analysis becauserecovery efficiencies vary depending on the sampling matrix

Potential Limitations in Dose-Response Information

One intrinsic feature of risk assessment is that the data used to define adose-response relationship for both chemicals and microbial agents are mostoften obtained at relatively high doses A mathematical relationship is then usedto extrapolate the risk at lower exposure levels It has long been knownhowever that dose-response relationships may yield quite different low-doserisk levels (eg see Van Ryzin 1980) Thus it is important to develop theappropriate specifications for plausible dose-response models for infectiousmicroorganisms Initial attempts at expressing such characteristics have beenmade (Holcomb et al 1999) The two most successful models are theexponential and the beta-Poisson models both of which express the risk at low

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doses as a linear function of dose This linear function has been demonstratedwith outbreak data on Shigella and Giardia and with risks extrapolated fromhuman volunteer trials (Crockett et al 1996 Rose et al 1991b)

A second important aspect of dose-response assessment is the relationshipbetween the ingested dose and the severity and duration of effects For somepathogens the severity of the outcome depends on the initial ingested dose(Teunis et al 1999) There may also be species and subspecies differences ininfectivity (and in the severity of illness) Ideally a dose-response relationshipfor the particular subspecies (or ldquostrainrdquo) should be obtained however thatmight not be possible in practice

The differences in infectivity of different species of Salmonella andShigella have been demonstrated (Crockett et al 1996 Fazil 1996)Cryptosporidium parvum and different subspecies of E coli manifest differentdose-response relationships (Haas et al 1999b Okhuysen et al 1999)Infectivity differences likely result from differences in pathogenicity Thedegree to which biochemical markers may be used to predict infectivityquantitatively is an important research area

A number of human dose-response relationships have been developed forbacteria viruses and protozoa (Regli et al 1991 Rose et al 1991b Haas et al1993 1996 1999a Crockett et al 1996 Fazil 1996 Medema et al 1996Teunis et al 1999) However human or animal dose-response relationships forinfection or illness from sewage sludge helminths (eg Ascaria Tanenia) donot appear to have been identified

Although it would be best to use human dose-response data it is notpossible for many organisms and extrapolations must be made from animalstudies Studies on Listeria monocytogenes a foodborne pathogen and E coliO157H7 have used animal dose-response data to develop human dose-responseinformation (Haas et al 1999a 2000) Exposures estimated from humaninfection rates during outbreaks were comparable to the estimated infection ratebased on animal dose-response data thus validating the use of animal data as aquantitative predictor of human response However such validation needs to beconducted in the case of each particular pathogen when an inference fromanimal dose-response information is to be made

Protection of sensitive or susceptible subpopulations is frequently desiredalthough the definition of these subpopulations has not been rigorously definedIn a recent expert working group (Balbus et al 2000) one definition wascrafted erdquoSusceptibility is a capacity characterizable by a set of intrinsic andextrinsic factors that modify the impacts of a specific exposure upon risksseverity of outcomes in an individual or populationrdquo Under that definitionsusceptible subpopulations could include the immunocompromised (includingHIV-infected persons and persons taking immunosuppressive

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 301

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drugs) pregnant women the elderly and children (Gerba et al 1996) Inaddition susceptible subpopulations could include persons with less access tohealth care or with concomitant factors such as diet or use of illicit drugswhich might enhance risk or infectivity As yet there is no validated way toincorporate altered susceptibility for infectious microorganisms into a riskassessment Such incorporation will probably require animal models to assessdose-response alterations associated with differing susceptibility

Exposure Routes Other Than Ingestion

Microbial risk assessment is usually based on ingestion of contaminatedfood or water however biosolids exposure might occur by inhalation or directdermal contact Outbreak reports suggest that microorganisms found inbiosolids might be transmitted by inhalation (Giubileo et al 1998 Gregersen etal 1999 Marks et al 2000) Dose-response relationships and exposure modelsfor these microorganisms are needed In some cases for example forpathogenic fungi there are no ingestion analogs on which to base infectivity viainhalation Some animal models have been developed for inhalation exposure tobiotoxins (including bacterial endotoxins and other microbial inflammatoryagents) (Thorne 2000) A research program is needed to develop methods forthe risk assessment of these agents

Population Level Modeling

Two considerations of pathogen risk assessment that have no analog inchemical risk assessment is the need to address the potential for secondarytransmission and acquired immunity Secondary cases of infection may arise bya variety of mechanisms such as transmission among close family membersHousehold secondary cases can arise by direct or indirect (eg surfacecontamination) contact particularly when the primary case or one householdsecondary case is a child (Heun et al 1987 Griffin and Tauxe 1991 MacKenzie et al 1995) Presumably secondary cases may also arise from closecontact with an asymptomatic individual (in the ldquocarrierrdquo state) This iswellknown for highly acute and now uncommon illnesses such as typhoidExcretion of Norwalk virus following recovery and resulting in additional caseshas been documented to occur for as long as 48 h after recovery (White et al1986)

There is evidence that transmission of organisms at least for someillnesses may occur before as well as after symptoms appear In studying day-care rotavirus infections Pickering et al (1988) noted that more than 10 of

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the children excreted rotavirus up to 5 days before the onset of symptomaticillness This pre-symptom excretion of rotavirus represents one route oftransmission

The impact of secondary infections may be considered in at least twoways A first approximation may be made by multiplying the estimated numberof primary cases by a secondary-case ratio A second estimate may be made byusing population-based models as discussed in Chapter 7 These models havebeen documented in a number of reports (eg Eisenberg et al 1996 1998 Haaset al 1999b) However the models are still at the research stage as certainparameters (eg incubation time duration and intensity of immunity andeffectiveness of person-to-person contact) are poorly characterized forwaterborne diseases Furthermore there might be an underlying endemicbaseline of illness on which an outbreak can be superimposed (Morris et al1998) As additional data become available it might be possible for population-based risk assessments to assess the impact of control options for infectiousorganisms

FINDINGS AND RECOMMENDATIONS

The pathogen standards of the Part 503 rule are technologically basedrequirements intended to reduce the presence of pathogens The standardsconsist of treatment use and monitoring requirements Classification of ClassA and Class B biosolids are based largely on fecal coliforms as indicatororganisms Class A biosolids do not have detectable concentrations ofpathogens (determined by indicator organisms) and therefore risks from themare expected to be lower than those from Class B Pathogens are normallypresent in Class B biosolids but the risk they pose is unknown because no riskassessment has been performed

In determining the pathogen standards for biosolids EPA considered avariety of potential bacteria viruses protozoa and helminths that might bepresent in biosolids their fate and transport in the environment and thepotential for human contact The committee found that EPA considered anappropriate spectrum of pathogens and indicator organisms in setting itsstandards but new information on those and other pathogens not considered isnow available for conducting a national sewage sludge survey of pathogens andupdating hazard identification Because of the variety of pathogens that have thepotential to be in biosolids the committee supports EPArsquos use of pathogen-reduction requirements use restrictions and monitoring of indicator organismsrather than pathogen-specific concentration limits in its regulations

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 303

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Recommendations

bull EPA should conduct a national survey of pathogen occurrence in raw andtreated sewage sludges Important elements in conducting the surveyinclude use of consistent sampling methods analysis of a broad spectrumof pathogens that could be in sewage sludge and use of the best available(preferably validated) pathogen measurement techniques

bull Additional indicator organisms such as Clostridium perfringens shouldbe considered for potential use in regulation of land-applied biosolidsSuch indicators and other operational parameters (eg timetemperature pH and chemical dose) may be suitable for assessing day-to-day compliance with the regulations

As with the chemical standards EPA based its pathogen standards onselected pathogens and exposure conditions that were expected to berepresentative and conservative enough to be applicable to all areas of theUnited States and for all types of land applications However pathogen survivalin soils may range from hours to years depending on the specific pathogensbiosolids-application methods and rates initial pathogen concentrations soilcomposition and meteorological and geological conditions In addition veryfew data are available to estimate the occurrence transport and decay rates ofpathogens and endotoxins in bioaerosols

Recommendation Site restrictions buffer zones and holding periods forland-applied Class B biosolids should consider geographic and site-specificconditions that affect pathogen fate and transport

Regulations for Class B biosolids include use restrictions Theserestrictions are intended to limit animal and human contact with land-appliedbiosolids until environmental factors reduce pathogens to concentrations thatare not expected to cause adverse effects Because there are no requirements foron-site monitoring of pathogens there is little information available to evaluatethe reliability of use restrictions in achieving their intended minimum exposurelevels or to verify that those desired levels are maintained over an extended time

In addition the committee found that some potential exposure pathwayswere not sufficiently considered when the use restrictions were developed Forexample potential off-site inhalation of dust and aerosols does not appear tohave been considered The potential for groundwater contamination bypathogens was not sufficiently addressed This is a concern in geologicallysensitive areas where there is the potential for leachate from application sites tocontaminate subsurface-water resources In addition the potential for runoff tocontaminate surface waters was not adequately addressed

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Recommendations

bull Studies should be conducted to determine whether the site restrictionsspecified for Class B biosolids in the Part 503 rule actually achieve theirintended effect with regard to pathogen levels

bull As recommended in Chapter 5 for chemicals EPA should develop aconceptual site model to identify the major and minor exposure pathways(including secondary transmission) by which humans might come intocontact with pathogens in biosolids

Substantial advances in detection and quantification of pathogens in theenvironment have been made since the promulgation of the Part 503 rule Forexample new molecular techniques for detecting pathogens such as PCR arenow available In addition new approaches to environmental sample collectionand processing are available However no consensus standards have beendeveloped for pathogen measurements in biosolids and bioaerosols

Recommendation EPA should foster development of standardizedmethods for measurement of pathogens in biosolids and bioaerosols EPAshould include round-robin laboratory testing to establish method accuraciesand precisions at the various pathogen concentrations expected in raw sewagesludge and partially and fully treated biosolids These new detection methodsshould be used to verify that EPArsquos prescribed pathogen reduction techniquesare reliable in achieving their intended goals Mechanisms should be developed for incorporating new methodologies into the verification process as theybecome available

Microbial risk-assessment methods similar to those used in chemical riskassessments have been developed for pathogens in drinking water and foodThese methods are not as well-established as those for chemicals and there areimportant differences between the two For example a microbial riskassessment must include the possibility of secondary infections either throughperson-to-person contact or from transmission of the pathogen to others throughair food or water The importance of secondary transmission depends in parton the level of acquired immunity to the pathogen in the community aphenomenon that has no analog in chemical risk assessment

The committee believes quantitative microbial risk assessment (QMRA) isa feasible approach to setting standards for pathogens in biosolids Thecommittee does not recommend that QMRA be used to establish pathogen-specific regulatory concentration limits but recommends that it be used as a toolfor developing treatment use and monitoring requirements (or for validatingcurrent requirements) to meet acceptable risk levels However there are stillsubstantial data gaps such as characterization of dose-response relationshipsand transport and fate of pathogens and endotoxins in biosolids and

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bioaerosols Monitoring of compliance with the regulations should continue tobe conducted using indicator organisms and operational parameters andpractices (eg temperature buffer zones and pH) to ensure that tolerable risklevels are not exceeded

Recommendation QMRAs should be developed and used to establish (or validate) regulatory criteria (treatment processes use restrictions andmonitoring) for pathogens in biosolids They can also be used for sensitivityanalyses and identifying critical information that is needed to reduceuncertainty about the risks from pathogens in biosolids To conduct these riskassessments consideration must be given to assessing risks from all potentialroutes of exposure (eg bioaerosols groundwater) dose-responserelationships pathogen survival and secondary transmission of disease Insome cases research will be needed to fill gaps in knowledge of those inputs Asadditional information is gathered on exposure dose-response relationshipand pathogen survival the risk assessments should be reviewed and updated asnecessary

REFERENCES

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Alvarez AJ MPButtner and LDStetzenbach 1995 PCR for bioaerosol monitoring Sensitivityand environmental interference Appl Environ Microbiol 61(10)3639ndash3644

Anderson RM and RMMay 1991 Infectious Diseases in Humans Dynamics and ControlOxford Oxford University Press

Arana I JIJusto AMuela and IBarcina 2001 Survival and plasmid transfer ability ofEscherichia coli in wastewater Water Air Soil Pollut 126(34)223ndash238

Arrowood MJ 1995 Assessment of Pulse Power System to Inactivate Cryptosporidium parvumoocysts Report to Scientific Utilization Inc Huntsville AL by Centers for DiseaseControl Atlanta GA January 11 1995

Ashbolt NJ GSGrohmann and CSWKueh 1993 Significance of specific bacterial pathogensin the assessment of polluted receiving waters of Sydney Australia Water Sci Technol 27(3ndash4)449ndash452

ASTM (American Society for Testing and Materials) 2001 E884ndash82(2001) Standard Practice forSampling Airborne Microorganisms at Municipal Solid-Waste Processing FacilitiesAmerican Society for Testing and Materials West Conshohocken PA

Ayres RM DLLee DDMara and SASilva 1993 The accumulation distribution and viabilityof human parasitic nematode eggs in the sludge of a primary

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 306

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t th

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ion

of t

he o

rigin

al w

ork

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rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

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er b

ook

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fro

m t

heor

igin

al ty

pese

tting

file

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age

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ks a

re tr

ue to

the

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inal

lin

e le

ngth

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ord

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ks h

eadi

ng s

tyle

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nd o

ther

type

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ng-s

peci

fic fo

rmat

ting

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ever

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tain

ed a

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ome

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grap

hic

erro

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iden

tally

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rted

Ple

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the

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t ver

sion

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his

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icat

ion

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e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

facultative waste stabilization pond Trans R Soc Trop Med Hyg 87(3)256ndash 258Balbus J RParkin and MEmbrey 2000 Susceptibility in microbial risk assessment Definitions

and research needs Environ Health Perspect 108(9)901ndash905Barbier D DPerrine CDuhamel RDoublet and PGeorges 1990 Parasitic hazard with sewage

sludge applied to land Appl Environ Microbiol 56(5)1420ndash1422Bailey NTJ 1975 The Mathematical Theory of Infectious Diseases and Its Applications 2nd Ed

New York Oxford University PressBale Jr JF 2000 Cysticercosis Curr Treat Options Neurol 2(4)355ndash360Bean CL and JJBrabants 2001a Lab analyzes Ascaris ova recovery rates using revised

protocols Biosolids Technical Bulletin 7(1)12ndash14Bean CL and JJBrabants 2001b A Survey of Wastewater Solids to Assess the Prevalence of

Cryptosporidium Giardia Species and Ascaris lumbricoides An Evaluation of RisksAssociated with Land Application of Biosolids Poster presented at the 101st GeneralMeeting of the American Society of Microbiology Orlando FL May 23 2001

Bitton G OCPancorbo and SRFarrah 1984 Virus transport and survival after land applicationof sewage sludge Appl Environ Microbiol 47(5)905ndash909

Blanker EM MDLittle RSReimers and TGAkers 1992 Evaluating the use of Clostridiumperfringens spores as indicator of the presence of viable Ascaris eggs in chemically treatedmunicipal sludges Pp 201ndash215 in The Future Direction of Municipal Sludge (Biosolids)Management Where We Are and Where Wersquore Going Proceedings SpecialtyConference Portland OR July 26ndash30 1992 Vol 1 Portland OR Water EnvironmentFederation

Blumenthal UJ DDMara APeasey GRuiz-Palacios and RStott 2000 Guidelines for themicrobiological quality of treated wastewater used in agriculture Recommendations forrevising WHO guidelines Bull World Health Organ 78(9)1104ndash1116

Bottcher RW 1998 Dust in livestock and poultry buildings Health effects interactions withodors and control options In Schiffman SS Walker JM Small R Millner P(Organizing Committee) Participant Reviews and Opinions Workshop on Health Effectsof Odors Duke University 1998 (Cited in Schiffman et al 2000)

Bowman DD RSReimers MDLittle MBJenkins WSBankston and MM Atique 2000Assessment and Comparison of Ascaris Egg and Cryptosporidium Oocyst InactivationWith Respect to Biosolids Processing 14th Annual Residuals and Biosolids ManagementConference FebruaryMarch 2000 Specialty Conf Paper Water Environment FederationAlexandria VA

Brenner KP PVScarpino and SCClark 1988 Animal viruses coliphages and bacteria inaerosols and wastewater at a spray irrigation site Appl Environ Microbiol 54(2)409ndash415

Brown LM 2000 Helicobacter pylori Epidemiology and routes of transmission Epidemiol Rev22(2)283ndash297

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 307

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rese

ntat

ion

of t

he o

rigin

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ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

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the

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t ver

sion

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his

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icat

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itativ

e ve

rsio

n fo

r attr

ibut

ion

Bujoczek G 2001 Influence of Ammonia and Other Abiotic Factors on Microbial Activity andPathogen Inactivation During Processing of High-Solid Residues PhD DissertationUniversity of Manitoba Winnipeg MB Canada

Buumlnger J MAntlauf-Lammers TGSchulz GAWestphal MMMuumlller P Ruhnau andEHallier 2000 Health complaints and immunological markers of exposure to bioaerosolsamong biowaste collectors and compost workers Occup Environ Med 57(7)458ndash464

Burnham JC 1988 The alkaline stabilization and disinfection of municipal wastewater sludgeToledo Ohio A Case of Governmental Business and Academic Cooperation Pp 112ndash123 in Residuals Management Proceedings of Residuals Management SpecialtyConference Atlanta GA April 19ndash20 1988 Alexandria VA Water Pollution ControlFederation

Butterfield J JCCoulson SVKearsey PMonaghan JHMcCoy and GESpain 1983 Theherring gull Larus argentatus as a carrier of salmonella J Hyg (Lond) 91(3)429ndash436

Carlson DB and RLKnight 1987 Mosquito production and hydrological capacity of southeastFlorida impoundments used for wastewater retention J Am Mosq Control Assoc 3(1)74ndash83

Casanova LM CPGerba and MKarpiscak 2001 Chemical and microbial characteristics ofhousehold graywater J Environ Sci Health Part A 36(4)395ndash402

Chappell CL PCOkhuysen CRSterling CWang WJakubowski and HL Dupont 1999Infectivity of Cryptosporidium parvum in healthy adults with pre-existing anti-C parvumserum immunoglobulin G Am J Trop Med Hyg 60(1)157ndash164

Chapron CD NABallester and ABMargolin 2000 The detection of astrovirus in sludgebiosolids using an integrated cell culture nested PCR technique J Appl Microbiol 89(1)11ndash15

Chauret C SSpringthorpe and SSattar 1999 Fate of Cryptosporidium oocysts Giardia cysts andmicrobial inidicators during wastewater treatment and anaerobic sludge digestion Can JMicrobiol 45(3)257ndash262

Chee-SanfordJC RIAminov IJKrapac NGarrigues-Jeanjean and RIMackie 2001Occurrence and diversity of tetracycline resistance genes in lagoons and groundwaterunderlying two swine production facilities Appl Environ Microbiol 67(4)1494ndash1502

Coleman M and HMarks 1998 Topics in dose-response modeling J Food Prot 61(11)1550ndash1559

Cook MB and JAHanlon 1993 The role of the pathogen equivalency committee under the Part503 standards for the use or disposal of sewage sludge Memorandum to Water DivisionDirectors Regions IndashX from Michael BCook Director Office of WastewaterEnforcement and James AHanlon Acting Director Office of Science and TechnologyWashington DC dated June 15 1993 Pp 62ndash65 in Environmental Regulations andTechnology Control of Pathogens and Vector Attraction in Sewage Sludge EPA625R-92013 Office of Research and Development US Environmental Protection AgencyWashington DC

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 308

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rese

ntat

ion

of t

he o

rigin

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ork

has

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rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

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inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

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t ver

sion

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his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Cooperative State Research Service Technical Committee W-170 1989 Peer Review Standards forthe Disposal of Sewage Sludge US EPA Proposed Rule 40 CFR Parts-257 and 503(February 6 1989 Federal Register pp 5746ndash5902) Submitted to William RDiamondCriteria and Standards Division US Environmental Protection Agency Washington DCUS Dept of Agriculture Cooperative State Research Service

Cotte L MRabodonirina FChapuis FBailly FBissuel CRaynal PGelas F Persar MAPiens and CTrepo 1999 Waterborne outbreak of intestinal microsporifiosis in personswith and without human immunoodeficiency virus infection J Infect Dis 180(6)2003ndash2008

Cox CS 1987 The Aerobiological Pathway of Microorganisms Chichester WileyCroci L MCiccozzi DDe Medici SDiPasquale AFiore AMele and LToti 1999 Inactivation

of hepatitis A virus in heat-treated mussels J Appl Microbiol 87(6)884ndash888Crockett CS CNHaas AFazil JBRose and CPGerba 1996 Prevalence of shigellosis in the

US Consistency with dose-response Information Int J Food Microbiol 30(1ndash2)87ndash99Damgaard-Larsen S KOJensen ELund and BNissen 1977 Survival and movement of

enterovirus in connection with land disposal of sludges Water Res 11(6)503ndash509Dawson S FMcArdle DBennett SDCarter MBennett RRyvar and RM Gaskell 1993

Investigation of vaccine reactions and breakdowns after feline calicivirus vaccination VetRec 132(16)346ndash350

DeLuca G FZanetti PFateh-Moghadm and SStampi 1998 Occurrence of Listeriamonocytogenes in sewage sludge Zentralbl Hyg Umweeltmed 201(3)269ndash277

Deneen VC JM Hunt CRPaule RIJames RGJohnson MJRaymond and CWHedberg2000 The impact of foodborne calicivirus disease The Minnesota experience J InfectDis 181(Suppl 2)S281ndash283

De Serres G and DLaliberteacute 1997 Hepatitis A among workers from a waste water treatmentplant during a small community outbreak Occup Environ Med 54(1)60ndash62

Dowd SE and RMMaier 2000 Aeromicrobiology Pp 91ndash122 in Environmental MicrobiologyRMMaier ILPepper and CPGerba eds San Diego Academic Press

Dowd SE and SDPillai 1999 Identifying the sources of biosolids derived pathogen indicatororganisms in aerosols by ribosomal DNA fingerprinting J Environ Sci Health-A 34(5)1061ndash1074

Dowd SE CPGerba ILPepper and SDPillai 2000 Bioaerosol transport modeling and riskassessment in relation to biosolid placement J Environ Qual 29(1)343ndash348

Dowd SE SDPillai SWang and MYCorapcioglu 1998 Delineating the specific influence ofvirus isoelectric point and size on virus adsorption and transport through sandy soils ApplEnviron Microbiol 64(2)405ndash410

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 309

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has

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ompo

sed

from

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L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

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ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

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acc

iden

tally

inse

rted

Ple

ase

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sion

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icat

ion

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e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Dowd SE KWWidmer and SDPillai 1997 Thermotolerant clostridia as an airborne pathogenindicator during land application of biosolids J Environ Qual 26(1)194ndash199

Droffner ML and WFBrinton 1995 Survival of E coli and Salmonella populations in aerobicthermophilic composts as measured with DNA gene probes Zentralbl Hyg Umweltmed197(5)387ndash397

Eduard W 1996 Measurement methods and strategies for non-infectious microbial components inbioaerosols at the workplace Analyst 121(9)1197ndash1201

Eduard W and DHeederick 1998 Methods for quantitative assessment of airborne levels ofnoninfectious microorganisms in highly contaminated work environments Am Ind HygAssoc J 59(2)113ndash127

Eisenberg JN EYSeto AWOlivieri and RCSpear 1996 Quantifying water pathogen risk in anepidemiological framework Risk Anal 16(4)549ndash563

Eisenberg JN EYSeto JMColford Jr AWOlivieri and RCSpear 1998 An analysis of theMilwaukee cryptosporidiosis outbreak based on a dynamic model of the infection processEpidemiology 9(3)255ndash263

Enriquez CE CJHurst and CPGerba 1995 Survival of the enteric adenoviruses 40 and 41 intap sea and wastewater Wat Res 29(11)2548ndash2553

EPA (US Environmental Protection Agency) 1991a Preliminary Risk Assessment for Parasites inMunicipal Sewage Sludge Applied to Land EPA6006ndash91001 Office of Research andDevelopment US Environmental Protection Agency Washington DC March 1991

EPA (US Environmental Protection Agency) 1991b Preliminary Risk Assessment for Bacteria inMunicipal Sewage Sludge Applied to Land EPA6006ndash91006 Office of Research andDevelopment US Environmental Protection Agency Washington DC July 1991

EPA (US Environmental Protection Agency) 1992 Preliminary Risk Assessment for Viruses inMunicipal Sewage Sludge Applied to Land EPA600R-92064 Office of Research andDevelopment US Environmental Protection Agency Washington DC June 1992

EPA (US Environmental Protection Agency) 1993 Federal Register February 19 1993 40 CFRParts 257 403 and 503 The Standards for the Use or Disposal of Sewage Sludge FinalRules EPA 822Z-93001 US Environmental Protection Agency

EPA (US Environmental Protection Agency) 1999 Environmental Regulations and TechnologyControl of Pathogens and Vector Attraction in Sewage Sludge EPA625R-92013 Officeof Research and Development US Environmental Protection Agency Washington DC[Online] Available httpwwwepagovttbnrmrl625R-92013htm [January 4 2002]

EPA (US Environmental Protection Agency) 2001 Workshop on Emerging Infectious DiseaseAgents and Associated With Animal Manures Biosolids and Other Similar By-ProductsCincinnati OH June 4ndash6 2001 National Risk Management Research Laboratory USEnvironmental Protection Agency Cincinnati OH

Evans DA and WLPuskas 1986 Application of ultrasound for disinfection and pasteurizationPp 259ndash268 in Applied Fields for Energy Conservation Water

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 310

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is P

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s ne

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igita

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rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

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his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Treatment and Industrial Applications Final Report RSReimers SFBock andLEWhite eds DOECE40568-T1 (DE86014306) Washington DC TechnicalInformation Center Office of Scientific and Technical Information US Dept of EnergyJune 1986

Fazil AM 1996 A Quantitative Risk Assessment Model for Salmonella MS Thesis DrexelUniversity Philadelphia PA

Feachem RG DJBradley and HGarelick 1983 Sanitation and Disease Health Aspects ofExcreta and Waste Management New York Wiley

FSIS (Food Safety and Inspection Service) 1998a Salmonella Enteritidis Risk Assessment Shelleggs and egg products Food Safety and Inspection Service US Department ofAgriculture Washington DC [Online] Available httpwwwfsisusdagovophsriskindexhtm [January 4 2002]

FSIS (Food Safety and Inspection Service) 1998b Risk assessment of E coli O157H7 in groundbeef Food Safety and Inspection Service US Department of Agriculture WashingtonDC [Online] Available httpwwwfsisusdagovOPHSecolriskhomehtm [January 42002]

Gavett SH and HSKoren 2001 The role of particulate matter in exacerbation of atopic asthmaInt Arch Allergy Immunol 124(1ndash3)109ndash112

George CL HJin CLWohlford-Lenane MEOrsquoNeill JCPhipps P OrsquoShaughnessy JNKlinePSThorne and DASchwartz 2001 Endotoxin responsiveness and subchronic grain dust-induced airway disease Am J Physiol Lung Cell Mol Physiol 280(2)L203ndash213

Gerba CP and JBRose 1990 Viruses in source and drinking water Pp 380ndash396 in DrinkingWater Microbiology Progress and Recent Developments GA McFeters ed New YorkSpringer-Verlag

Gerba CP CWallis and JLMelnick 1975 Fate of wastewater bacteria and viruses in soil ProcASCE J Irrig Drain Div 101157ndash174

Gerba CP JBRose and CNHaas 1996 Sensitive populations Who is at the greatest risk Int JFood Microbiol 30(1ndash2) 113ndash123

Gibbs RA CJHu GEHo and IUnkovich 1997 Regrowth of faecal coliforms and salmonellaein stored biosolids and soil amended with biosolids Water Sci Technol 35(11)269ndash275

Giubileo L AMSarti LABianchi ECalcaterra and AColombi 1998 Review of risks ofbiological agents and preventive measures to safeguard the health of compost productionworkers [in Italian] Med Lav 89(4)301ndash315

Godfree A 2001 Control of pathogens Workshop on Emerging Infectious Disease Agents andAssociated With Animal Manures Biosolids and Other Similar By-Products CincinnatiOH June 4ndash6 2001 National Risk Management Research Laboratory USEnvironmental Protection Agency Cincinnati OH

Goyal SM and CPGerba 1979 Comparative adsorption of human enteroviruses simianrotavirus and selected bacteriophages to soils Appl Environ Microbiol 38(2)241ndash247

Green KY TAndo MSBalayan TBerke INClarke MKEstes DOMatson SNakataJDNeill MJStuddert and H-JThiel 2000 Taxonomy of the caliciviruses J Infect Dis181(Suppl 2)S322ndash330

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 311

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t th

is P

DF

file

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igita

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rese

ntat

ion

of t

he o

rigin

al w

ork

has

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rec

ompo

sed

from

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L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Gregersen P KGrunnet SAUldum BHAndersen and HMadsen 1999 Pontiac fever at asewage treatment plant in the food industry Scand J Work Environ Health 25(3)291ndash295

Gregory J 1994 Cryptosporidium in water Treatment and monitoring methods Filtr Sep 31(3)283ndash289

Griffin PM and RVTauxe 1991 The epidemiology of infections caused by Escherichia coliO157H7 other enterohemorrhagic E coli and the associated hemolytic uremic syndromeEpidemiol Rev 1360ndash98

Grubel P JSHoffman FKChong NABurstein CMepani and DRCave 1997 Vectorpotential of houseflies (Musca domestica) for Helicobacter pylori J Clin Microbiol 35(6)1300ndash1303

Haas CN JBRose CGerba and SRegli 1993 Risk assessment of virus in drinking water RiskAnal 13(5)545ndash552

Haas CN CSCrockett JBRose CGerba and AFazil 1996 Assessing the risk posed byoocysts in drinking water Am Water Works Assoc J 88(9)131ndash136

Haas CN JBRose and CPGerba 1999b Quantitative Microbial Risk Assessment New YorkWiley

Haas CN AThayyar-Madabusi JBRose and CPGerba 1999a Development and validation ofdose response relationship for Listeria monocytogenes Quant Microbiol 1(1)89ndash102

Haas CN AThayyar-Madabusi JBRose and CPGerba 2000 Development of a dose-responserelationship for Escherichia coli O157H7 Int J Food Microbiol 56(2ndash3)153ndash159

Hegarty JP MTDowd and KHBaker 1999 Occurrence of Helicobacter pylori in surface waterin the United States J Appl Microbiol 87(5)697ndash701

Hess E and CBreer 1975 Epidemiology of salmonellae and fertilizing of grass-land with sewagesludge [in German] Zentralbl Bakteriol 161(1)54ndash60

Heun EM RLVogt PJHudson SParren and GWGary 1987 Risk factors for secondarytransmission in households after a common-source outbreak of Norwalk gastroenteritisAm J Epidemiol 126(6)1181ndash1186

Hirsch R TTernes KHaberer and KLKratz 1999 Occurrence of antibiotics in the aquaticenvironment Sci Total Environ 225(1ndash2)109ndash118

Holcomb DL MASmith GOWare YCHung REBrackett and MPDoyle 1999Comparison of six dose-response models for use with food-borne pathogens Risk Anal 19(6)1091ndash1100

Hollander A DHeederick PVersloot and JDouwes 1993 Inhibition and enhancement in theanalysis of airborne endotoxin levels in various occupational environments Am Ind HygAssoc J 54(11)647ndash653

Huang PW DLaborde VRLand DOMatson AWSmith and XJiang 2000 Concentrationand detection of caliciviruses in water samples by reverse transcription-PCR ApplEnviron Microbiol 66(10)4383ndash4388

Hugh-Jones ME and PBWright 1970 Studies on the 1967ndash8 foot-and-mouth disease epidemicsThe relation of weather to the spread of disease J Hyg 68(2)253ndash271

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 312

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t th

is P

DF

file

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s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

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er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

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ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Huyard A BFerran and JMAudic 2000 The two phase anaerobic digestion process Sludgestabilization and pathogens reduction Water Sci Technol 42(9)41ndash48

Ivens UI NOBreum NEbbehoj BHNielsen OMPoulsen and HWurtz 1999 Exposure-response relationship between gastrointestinal problems among waste collectors andbioaerosols exposure Scand J Work Environ Health 25(3)238ndash245

ILSI Risk Science Institute Pathogen Risk Assessment Working Group 1996 A conceptualframework to assess the risks of human disease following exposure to pathogens RiskAnal 16(6)841ndash848

Jakubowski W SBoutros WFaber RPayer WGhiorse MLeChevallier JRose SSchaubASingh and MStewart 1996 Environmental methods for Cryptosporidium Am WaterWorks Assoc J 88(9)107ndash121

Jenkins MB MJWalker DDBowman LCAnthony and WCGhiorse 1999 Use of a sentinelsystem for field measurements of Cryptosporidium parvum oocyst inactivation in soil andanimal waste Appl Environ Microbiol 65(5)1998ndash2005

Juozaitis A KWilleke SAGrinshpun and JADonelly 1994 Impaction onto a glass slide oragar versus impingement into a liquid for the collection and recovery of airbornemicroorganisms Appl Environ Microbiol 60(3)861ndash870

Juris P IVilagiova and PPlachy 1995 The importance of flies (Diptera-Brachycera) in thedissemination of helminth eggs from sewage treatment plants [in Slovak] Vet Med(Praha) 40(9)289ndash292

Koudela B SKucerova and THudcovic 1999 Effect of low and high temperatures on infectivityof Encephalitozoon cuniculi spores suspended in water Folia Parasitol 46(3)171ndash174

Kukkula M PArstila MLKlossner LMaunula CHBonsdorff and PJaatinen 1997Waterborne outbreak of viral gastroenteritis Scand J Infect Dis 29(4)415ndash418

Lacey J and BCrook 1988 Fungal and actinomycete spores as pollutants of the workplace andoccupational allergens Ann Occup Hyg 32(4)515ndash533

Lawrence JG and HOchman 1998 Molecular archaeology of the Escherichia coli genome ProcNatl Acad Sci USA 95(16)9413ndash9417

Learner MA 2000 Egression of flies from sewage filter-beds Water Res 34(3)877ndash889Leftwich DB DBGeorge RSReimers MDLittle and NAKlein 1987 A Field Investigation

of Ascaris Ova Survival in Domestic Sludge Applied to Land Draft Report Prepared toUS Environmental Protection Agency by LCC Institute of Water Research Lubbock TX

Lembke LL RNKniseley RCVan Nostrand and MDHale 1981 Precision of the all glassimpinger and the Andersen microbial impactor for air sampling in solid waste facilitiesAppl Environ Microbiol 42(2)222ndash225

Leong LYC 1983 Removal and Inactivation of viruses by treatment processes for potable waterand wastewater A review Water Sci Technol 1591ndash114

Lever R 1996 Infection in atopic dermatitis Derm Ther 132ndash37

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 313

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Lighthart B and ASFrisch 1976 Estimation of viable airborne microbes downwind from a pointsource Appl Environ Microbiol 31(5)700ndash704

Lighthart B and AJMohr 1987 Estimating downwind concentrations of viable airbornemicroorganisms in dynamic atmospheric conditions Appl Environ Microbiol 53(7)1580ndash1583

Lighthart B and BTShaffer 1995 Airborne bacteria in the atmospheric surface layer temporaldistribution above a grass seed field Appl Environ Microbiol 61(4)1492ndash1496

Lighthart B and LDStetzenbach 1994 Distribution of microbial bioaerosol Pp 68ndash98 inAtmospheric Microbial Aerosols Theory and Applications B Lighthart and AJMohreds New York Chapman amp Hall

Lindqvist R and AWestoo 2000 Quantitative risk assessment for Listeria monocytogenes insmoked or gravad salmon and rainbow trout in Sweden Int J Food Microbiol 58(3)181ndash196

Liu AH and AHRedmon Jr 2001 Endotoxin Friend or foe Allergy Asthma Proc 22(6)337ndash340

Lue-Hing C SJSedita PTata JJBertucci CRKambhampati DRZenz and GJKnafl 1998Final Report on Certification of the Sludge Processing Trains (SPTS) of the MetropolitanWater Reclamation District of Greater Chicago (District) as Equivalent to Process toFurther Reduce Pathogens Submitted to Pathogen Equivalency Committee (PEC) USEnvironmental Protection Agency by Metropolitan Water Reclamation District of GreaterChicago Chicago IL

Lytle DA EWRice CHJohnson and KRFox 1999 Electrophoretic mobilities of Escherichiacoli 0157H7 and wild-type Escherichia coli strains Appl Environ Microbiol 65(7)3222ndash3225

MacKenzie WR WLSchell BABlair DGAddiss DEPeterson NJHoxie JJKazmierczakand JPDavis 1995 Massive outbreak of waterborne cryptosporidium infection inMilwaukee Wisconsin Recurrence of illness and risk of secondary transmission ClinInfect Dis 21(1)57ndash62

Marks HM MEColeman CTLin and TRoberts 1998 Topics in microbial risk assessmentDynamic flow tree process Risk Anal 18(3)309ndash328

Marks PJ IBVipond DCarlisle DDeakin REFey and EOCaul 2000 Evidence for airbornetransmission of Norwalk-like virus (NLV) in a hotel restaurant Epidemiol Infect 124(3)481ndash487

Marlowe EM KJJosephson and ILPepper 2000 Nucleic acid-based methods of analysis Pp287ndash318 in Environmental Microbiology RMMaier ILPepper and CPGerba eds SanDiego Academic Press

Mbela KK 1988 Evaluation of Temperature Effects on Inactivation of Ascaris Eggs in BothAerobic and Anaerobic Digestion Processes MS Thesis Department of EnvironmentalHealth Sciences School of Public Health and Tropical Medicine Tulane University NewOrleans LA May 1988

McCullough NB and CWEisele 1951 Experimental human salmonellosis II Immunity studiesfollowing experimental illness with Salmonella meleagridis and Salmonella anatum JImmun 66(5)595ndash608

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 314

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

McDonell DB 1985 Inactivation of Ascaris Eggs in Municipal Treatment Processes DScDissertation Department of Environmental Health Sciences School of Public Health andTropical Medicine Tulane University New Orleans LA April 1985

McGinley KJ ELLarson and JJLeyden 1988 Composition and density of microflora in thesubungual space of the hand J Clin Microbiol 26(5)950ndash953

McNab WB 1998 A general framework illustrating an approach to quantitative microbial foodsafety risk assessment J Food Prot 61(9)1216ndash1228

Medema GJ PFMTeunis AHHavelaar and CNHaas 1996 Assessment of the dose-responserelationship of Campylobacter jejuni Int J Food Microbiol 30(1-2)101-111

Meehan PP RSReimers TGAkers MDLittle MCMetcalf and CPLo 1986 Developmentof Chemical Fixation Process to PFRP Classification for Municipal Sludge TreatmentEnabling the Reuse of the Resulting Product Phase I SBIR Report to US EnvironmentalProtection Agency April 1986

Melbostad E WEduard ASkogstad PSanden JLassen PSoslashstrand and K Heldal 1994Exposure to bacterial aerosols and work-related symptoms in sewage workers Am J IndMed 25(1)59ndash63

Michel O RGinanni JDuchateau FVertongen BLe Bon and RSergysels 1991 Domesticendotoxin exposure and clinical severity of asthma Clin Exp Allergy 21(4)441ndash448

Michel O RGinanni BLe Bon JContent JDuchateau and RSergysels 1992 Inflammatoryresponse to acute inhalation of endotoxin in asthmatic patients Am Rev Respir Dis 146(2)352ndash357

Michel O JKips JDuchateau FVertongen LRobert HCollet RPauwels and RSergysels1996 Severity of asthma is related to endotoxin in house dust Am J Respir Crit CareMed 154(6 Pt 1)1641ndash1646

Millner PD SAOlenchock EEpstein RRylander JHaines JWalker BLOoi EHorne andMMaritato 1994 Biosolids associated with composting facilities Compost Science andUtilization 2(4)6ndash57

Monroe SS TAndo and RIGlass 2000 Introduction Human enteric caliciviruses An emergingpathogen whose time has come J Infect Dis 181(Suppl 2)S249ndashS251

Morris MC MAJoyce ACHeath BRabel and GWDelisle 1997 The responses of Lucillacuprina to odours from sheep offal and bacterial cultures Med Vet Entomol 11(1)58ndash64

Morris RD ENNaumova and JKGriffiths 1998 Did Milwaukee experience waterbornecryptosporidiosis before the large documented outbreak in 1993 Epidemiology 9(3)264ndash270

Murphy JW 1990 Immunity to fungi Curr Opin Immunol 2(3)360ndash367Newby DT ILPepper and RMMaier 2000a Microbial transport Pp 147ndash175 in

Environmental Microbiology RMaier ILPepper and CPGerba eds San DiegoAcademic Press

Newby DT TJGentry and ILPepper 2000b Comparison of 24-dichlorophenoxyacetic aciddegradation and plasmid transfer in soil resulting

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 315

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

from bioaugmentation with two different pJP4 donors Appl Environ Microbiol 66(8)3399ndash3407

Nielsen BH EMNielsen and NOBreum 2000 Seasonal variation in bioaerosols exposureduring biowaste collection and measurements of leaked percolate Waste Manage Res 18(1)64ndash72

Nishijima S SNamura SKawai HHosokawa and YAsada 1995 Staphylococcus aureus onhand surface and nasal carriage in patients with atopic dermatitis J Am Acad Dermatol32(4)677ndash679

Noble WC 1998 Skin bacteriology and the role of Staphylococcus aureus in infection Br JDermatol 139(Suppl 53)9ndash12

NRC (National Research Council) 1983 Risk Assessment in the Federal Government Managingthe Process Washington DC National Academy Press

NRC (National Research Council) 1989 Drinking Water and Health Vol 9 Selected Issues inRisk Assessment Washington DC National Academy Press

Ochman H JGLawrence and EAGroisman 2000 Lateral gene transfer and the nature ofbacterial innovation Nature 405(6784)299ndash304

Okazaki M BUmeda MKoide and ASaito 1998 Legionella longbeachae pneumonia in agardener [in Japanese] Kansenshogaku Zasshi 72(10)1076ndash1079

Okhuysen PC CLChappell JHCrabb CRSterling and HLDuPont 1999 Virulence of threedistinct Cryptosporidium parvum isolates for healthy adults J Infect Dis 180(4)1275ndash1281

Ongerth JE 1989 Giardia cyst concentrations in river water Am Water Works Assoc J 81(9)81ndash86

Ottolenghi AC and VVHamparian 1987 Multiyear study of sludge application to farmlandPrevalence of bacterial enteric pathogens and antibody status of farm families ApplEnviron Microbiol 53(5)1118ndash1124

Overgaauw PA 1997 Aspects of Toxocara epidemiology Human toxocarosis Crit RevMicrobiol 23(3)215ndash231

Pahren HR 1987 Microorganisms in municipal solid waste and public health implications CRCCrit Rev Environ Control 17(3)187ndash228

Papapetropoulou M and ACVantarakis 1998 Detection of adenovirus outbreak at a municipalswimming pool by nested PCR amplification J Infect 36(1)101ndash 103

Pasquill F 1962 Atmospheric Diffusion The Dispersion of Windborne Material from Industrialand Other Sources London Van Nostrand

Patel KD 1996 Enhancement of Anaerobic Digestion Processes Using Pulse Power TechnologyMS Thesis Department of Environmental Health Science School of Public HealthTulane University New Orleans LA December 1996

Payment P and EFranco 1993 Clostridium perfringens and somatic coliphages as indicators ofthe efficiency of drinking water treatment for viruses and protozoan cysts Appl EnvironMicrobiol 59(8)2418ndash2424

Peden DB KTucker PMurphy LNewlin-Clapp BBoehlecke MHazucha P Bromberg andWReed 1999 Eosinophil influx to the nasal airway after local LPS challenge in humansJ Allergy Clin Immunol 104(2 Pt 1)388ndash394

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 316

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Pedgley DE 1991 Aerobiology The atmosphere as a source and sink for microbes Pp 43ndash59 inMicrobial Ecology of Leaves JHAndrews and SS Hirano eds New York Springer-Verlag

Pena J SCRicke CLShermer TGibbs and SDPillai 1999 A gene amplification-hybridizationsensor based methodology to rapidly screen aerosol samples for specific bacterial genesequences J Environ Sci Health Part A 34(3)529ndash556

Pepper IL KLJosephson RLBailey MDBurr and CPGerba 1993 Survival of indicatororganisms in Sonoran Desert soil amended with sewage sludge J Environ Sci HealthPart A Environ Sci Eng 28(6)1287ndash1302

Pickering LK AVBartlett RRReves and AMorrow 1988 Asymptomatic excretion ofrotavirus before and after rotavirus diarrhea in children in day care centers J Pediatr 112(3)361ndash365

Pillai SD ERubio and SCRicke 1996 Prevalence of fluoroquinolone-resistant Escherichia coliin agricultural and municipal waste streams Bioresourc Technol 58(1)57ndash60

Pillai SD KWWidmer SEDowd and SCRicke 1996 Occurrence of airborne bacteria andpathogen indicators during land application of sewage sludge Appl Environ Microbiol 62(1)296ndash299

Pillai SD KWWidmer KGMaciorowski and SCRicke 1997 Antibiotic resistance profiles ofEscherichia coli isolated from rural and urban environments J Environ Sci Health PartA 32(6)1665ndash1675

Reed CE and DKMilton 2001 Endotoxin-stimulated innate immunity A contributing factor forasthma J Allergy Clin Immunol 108(2)157ndash166

Regli S JBRose CNHaas and CPGerba 1991 Modeling risk from giardia and viruses indrinking water Am Water Works Assoc J 83(11)76ndash84

Reimers RS ACAnderson AAAbdelhgani MCLockwood and LEWhite 1986a The usageof non-ionizing irradiation processes in the disinfection of water and wastes Pp 272ndash299in Applied Fields for Energy Conservation Water Treatment and Industrial ApplicationsFinal Report RSReimers SFBock and LEWhite eds DOECE40568-T1(DE86014306) Washington DC Technical Information Center Office of Scientific andTechnical Information US Dept of Energy June 1986

Reimers RS DDBowman PLSchafer PTata BDLeftwich and MMAtique 2001 FactorsAffecting Lagoon Storage Disinfection of Biosolids Proceedings of Joint WEFAWWACWEA Specialty Conference ldquoBiosolids 2001rdquo CD-ROM Water EnvironmentalFederation Alexandria VA February 2001

Reimers RS AJEnglande RMBakeer DDBowman TACalamari HBBradfordCFDufrechou and MMAtique 1999 Update on Current and Future Aspects ofResource Management for Animal Wastes WEFTEC rsquo99 Pre-Conference WorkshopldquoBeneficial Use of Animal Waste ResidualsmdashA Mandatory Aim for the 21st CenturyrdquoWater Environment Federation Alexandria VA October 1999

Reimers RS MDLittle TGAkers WDHenriques DBMcDonell and KK Mbela 1990Persistance of pathogens in lagoon-stored sludge EPA 600S2-

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 317

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

89815 Risk Reduction Engineering Laboratory US Environmental Protection AgencyResearch Triangle Park NC January 1990

Reimers RS MDLittle AJEnglande DBLeftwich DDBowman and RF Wilkinson 1981Parasites in Southern Sludges and Disinfection by Standard Sludge Treatment EPA 6002ndash81ndash166 NTIS PB 82ndash102344 Prepared by the School of Public Health and TropicalMedicine Tulane University New Orleans LA for the Municipal EnvironmentalResearch Laboratory Cincinnati OH

Reimers RS MDLittle AJEnglande DBMcDonell DDBowman and JM Hughes 1986bInvestigation of Parasites in Sludges and Disinfection Techniques EPA 6001ndash85022NTIS PB 86ndash135407 Prepared by the School of Public Health and Tropical MedicineTulane University New Orleans LA for the Health Effects Research LaboratoryResearch Triangle Park NC

Reimers RS MDLittle ALopez and KKMbela 1991 Final Testing of the Synox MunicipalSludge Treatment for PFRP ApprovalmdashPhase II Report to Synox Corporation BethesdaMD by School of Public Health and Tropical Medicine Tulane University New OrleansLA December 4 1991

Reimers RS DBMcDonell MDLittle TGAkers and WDHenriques 1985 ChemicalInactivation of pathogens in municipal sludges In Control of Sludge Pathogens Series IVWPCF Pre-Conference Workshop on ldquoMunicipal Wastewater Sludge DisinfectionrdquoKansas City MO October 1985 Washington DC Water Pollution Control Federation

Reynolds KA CPGerba and ILPepper 1996 Detection of infectious enteroviruses by anintegrated cell culture-PCR procedure Appl Environ Microbiol 62(4)1424ndash1427

Reynolds KA CPGerba and ILPepper 1997 Rapid PCR-based monitoring of infectiousenteroviruses in drinking water Water Sci Techol 35(11ndash12)423ndash427

Rice EW 1999 Escherichia coli Pp 75ndash78 in Waterborne Pathogens 1st Ed AWWA ManualM48 Denver CO American Water Works Association

Ritter WF JGMcDermott AEMChirnside and RWScarborough 1992 Land application oflime stabilized septage J Environ Sci Health Part A Environ Sci Eng 27(7)1701ndash1720

Rohwer RG 1984 Scrapie infectious agent is virus-like in size and susceptibility to inactivationNature 308(5960)658ndash662

Rose JB 1990 Sampling and analytical methods Environmental sampling for waterbornepathogens Overview of methods application limitations and data interpretation Pp 223ndash234 in Methods for the Investigation and Prevention of Waterborne Disease OutbreaksGFCraun ed EPA6001ndash90005a Health Effects Research Laboratory USEnvironmental Protection Agency Cincinnati OH

Rose JB CPGerba and WJakubowski 1991a Survey of potable water supplies forCryptosporidium and Giardia Environ Sci Technol 25(8)1393ndash1400

Rose JB CNHaas and SRegli 1991b Risk assessment and the control of waterborne giardiasisAm J Public Health 81(6)709ndash713

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 318

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t th

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ion

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he o

rigin

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ork

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ompo

sed

from

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es c

reat

ed f

rom

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inal

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er b

ook

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m t

heor

igin

al ty

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tting

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s P

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ks a

re tr

ue to

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inal

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e le

ngth

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ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

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the

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t ver

sion

of t

his

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icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Sabalos CM 1998 Detection of Enteric Viruses in Treated Wastewater Sludge Using Cell Cultureand Molecular Methods MS Thesis University of Arizona Tucson AZ August 1998

Saiki RK DHGelfand SStoffel SJScharf RHiguchi GTHorn KBMullis and HAErlich1988 Primer directed enzymatic amplification of DNA with a thermostable DNApolymerase Science 239(4839)487ndash491

Schiffman SS JMWalker PDalton TSLorig JHRaymer DShusterman and CMWilliams2000 Potential health effects of odor from animal operations wastewater treatment andrecycling of byproducts J Agromed 7(1)7ndash81

Schijven JF 2001 Virus Removal from Groundwater by Soil Passage Modeling Field andLaboratory Experiments PhD Dissertation Technische Universiteit Delft TheNetherlands

Schijven JF and LCRietveld 1996 How do field observations compare with models ofmicrobial removal The Groundwater Foundation 12th Annual Fall Symposium ldquoUnderthe Microscope Examining Microbes in Groundwaterrdquo Boston September 1996

Silbergeld EK 1993 Risk assessment The perspective and experience of US environmentalistsEnviron Health Perspect 101(2)100ndash104

Soares HM BCardenas DWeir and MSSwitzenbaum 1995 Evaluating pathogen regrowth inbiosolids compost Biocycle 36(6)70ndash76

Sobsey MD 1978 Field survey of enteric viruses in solid waste landfill leachates Am J PublicHealth 68(9)858ndash864

Sobsey MD CWallis and JLMelnick 1975 Studies on the survival and fate of enteroviruses inan experimental model of a municipal solid waste landfill and leachate Appl Microbiol 30(4)565ndash574

Sobsey MD RMHall and AEBurrus 1991 Evaluation of the SYNOX Process for Disinfectionof Raw Municipal Wastewater Sludge Report to SYNOX Corporation by Department ofEnvironmental Sciences and Engineering School of Public Health University of NorthCarolina December 1991

Sorber CA BEMoore DEJohnson HJHarding and REThomas 1984 Microbiologicalaerosols from the application of liquid sludge to land J Water Pollut Control Fed 56(7)830ndash836

Sorvillo F LRAsh OGBerlin and SAMorse 2002 Baylisascaris procyonis An emerginghelminthic zoonosis Emerg Infect Dis 8(4)355ndash359

Southworth RM 2001 The US EPA Part 503 Pathogen and Vector Attraction ReductionRequirements US Environmental Protection Agency

Spicer RC and HJGangloff 2000 Limitations in application of Spearmanrsquos rank correlation tobioaerosols sampling data AIHAJ 61(3)362ndash366

Stampi S FZanetti ACrestani and GDe Luca 2000 Occurrence and seasonal variation ofairborne gram negative bacteria in a sewage treatment plant New Microbiol 23(1)97ndash104

Straub TM ILPepper and CPGerba 1992 Persistence of viruses in desert soils amended withanaerobically digested sewage sludge Appl Environ Microbiol 58(2)636ndash641

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 319

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t th

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ompo

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tting

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ther

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setti

ng-s

peci

fic fo

rmat

ting

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ever

can

not b

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ed a

nd s

ome

typo

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erro

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ay h

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tally

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rted

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icat

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e au

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itativ

e ve

rsio

n fo

r attr

ibut

ion

Straub TM ILPepper and CPGerba 1993a Virus survival in sewage sludge amended desertsoil Water Sci Technol 27(34)421ndash424

Straub TM ILPepper and CPGerba 1993b Hazards from pathogenic microorganisms in land-disposed sewage sludge Rev Environ Contain Toxicol 13255ndash91

Straub TM ILPepper and CPGerba 1995 Comparison of PCR and cell culture for detection ofenteroviruses in sludge-amended field soils and determination of their transport ApplEnviron Microbiol 61(5)2066ndash2068

Taylor DM KFernie IMcConnell and PJSteele 1999 Survival of scrapie agent after exposureto sodium dodecyl sulphate and heat Vet Microbiol 67(1)13-16

Taylor DS CDRichmond and JBHunt 1999 Cultural control of larval mosquito production ina fallow citrus grove used for disposal of secondary-treated sewage effluent J Am MosqControl Assoc 15(1)65ndash68

Taylor MR 2001 The epidemiology of ocular toxocariasis J Helminthol 75(2)109ndash118Terzieva S JDonnelly VUlevicius SAGrinshpun KWilleke GNStelma and KPBrenner 1996 Comparison of methods for detection and enumeration of airborne microorganisms

collected by liquid impingement Appl Environ Microbiol 62(7)2264ndash2272Teunis PF NJNagelkerke and CNHaas 1999 Dose response models for infectious

gastroenteritis Risk Anal 19(6)1251ndash1260Thorne PS 2000 Inhalation toxicology models of endotoxin- and bioaerosol-induced

inflammation Toxicology 152(1ndash3)13ndash23Van Ryzin J 1980 Quantitative risk assessment J Occup Med 22(5)321ndash326Van Tongeren M LVan Amelsvoort and DHeederick 1997 Exposure to organic dusts

endotoxins and microorganisms in the municipal waste industry Int J Occup EnvironHealth 3(1)30ndash36

Venosa AD 1985 Detection and Significance of Pathogens in Sludges In Control of SludgePathogens Series IV WPCF Pre-Conference Workshop on ldquoMunicipal WastewaterSludge Disinfectionrdquo Kansas City MO October 1985 Washington DC Water PollutionControl Federation

Voss JG 1975 Effects of an antibacterial soap on the ecology of aerobic bacterial flora of humanskin Appl Microbiol 30(4)551ndash556

Ward RL GAMcFeters and JGYeager 1984 Pathogens in Sludge Occurrence Inactivationand Potential Regrowth SAND83ndash0557 Albuquerque NM Sandia National Laboratories78pp July 1984

Watkins J and KPSleath 1981 Isolation and enumeration of Listeria monocytogenes fromsewage sewage sludge and river water J Appl Bacteriol 50(1)1ndash9

Wei S PWalsh RHuang and SSTo 2000 93G a novel sporadic strain of hepatitis E virus inSouth China isolated by cell culture J Med Virol 61(3)311ndash 318

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 320

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t th

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heor

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tting

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nd o

ther

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setti

ng-s

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fic fo

rmat

ting

how

ever

can

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tain

ed a

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ome

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erro

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sion

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icat

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e au

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e ve

rsio

n fo

r attr

ibut

ion

Welbourn E RHChampion and WEParish 1976 Hypersensitivity to bacteria in eczema IBacterial culture skin tests and immunofluorescent detection of immunoglobulins andbacterial antigens Br J Dermatol 94(6)619ndash632

White KE MTOsterbolm JAMariotti JAKorlath DHLawrence TL Ristinen andHBGreenberg 1986 A foodborne outbreak of Norwalk virus gastroenteritis Evidencefor post-recovery transmission Am J Epidemiol 124(1)120ndash126

Wickman HH 1994 Deposition adhesion and release of bioaerosol Pp 99ndash165 in AtmosphericMicrobial Aerosols Theory and Applications BLighthart and AJMohr eds New YorkChapman amp Hall

Wolk DM CHJohnson EWRice MMMarshall KFGrahn CBPlummer and CRSterling2000 A spore counting method and cell culture model for chlorine disinfection studies ofEncephalitozoon syn Septata intestinalis Appl Environ Microbiol 66(4)1266ndash1273

Yang YC 1996 Abiotic Factors in Biosolids Processing that Influence Pathogen Disinfection(Nitrous Acids and Ammonia Studies) MS Thesis School of Public Health and TropicalMedicine Tulane University New Orleans LA June 1996

Yanko WA 1987 Occurrence of Pathogens in Distribution and Marketing Municipal SludgesEPA6001ndash87014 NTIS PB88ndash15273AS Health Effects Research Laboratory USEnvironmental protection Agency Research Triangle Park NC

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 321

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7

Integration of Chemical and Pathogen RiskAssessment

The final element of the charge to the committee is to explore whetherapproaches for conducting pathogen risk assessment can be integrated withthose for chemical risk assessment This inquiry leads to a summary andsynthesis of many of the previous chaptersrsquo findings and recommendations thatresulted directly or indirectly from the committeersquos need to address the inherentuncertainty of the complex composition of biosolids This uncertainty precludesthe possibility of completely separating the risk-assessment and risk-management processes Risk assessment for such mixtures is an ongoingprocess that requires quality control of treatment processes and some form ofsurveillance for adverse effects from exposure to biosolids In this chapter thequestion of whether pathogen risk assessment can be integrated with chemicalrisk assessment will be explored first in the agent-by-agent context of theoriginal risk assessment used for the Part 503 rule and then in the broader andmore recent context of risk assessment for complex mixtures

AGENT-BY-AGENT RISK ASSESSMENT

The pathogen and chemical regulations of the Part 503 rule weredeveloped differently EPA conducted risk assessments for chemicals toestablish concentration limits and loading rates but deemed microbial riskassessment to be too immature for developing risk-based limits for pathogensInstead EPA established treatment and site restrictions to reduce theconcentrations

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 322

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of pathogens in biosolids Advances in microbial risk assessment have occurredsince then but there remains a difference in the maturity of risk-assessmentprocedures for chemicals and those for pathogens The question posed iswhether this difference is simply an artifact of the different stages ofdevelopment of these two branches of risk assessment or whether genericdifferences are attributable to the nature of the agents themselves In addressingthis question it is useful to consider the four components of the traditional risk-assessment process (hazard identification dose-response characterizationexposure assessment and risk characterization) and ask which if any of thosecomponents has inherent differences in the way pathogens and chemicals areassessed

Hazard identification is the process of reviewing relevant biological andchemical information on an agent that might pose a health hazard Althoughthere are obvious differences in the types of information available on chemicalsand pathogens there appears to be little fundamental difference in the processof identifying their hazards This is supported by a recent NRC reportClassifying Drinking Water Contaminants for Regulatory Consideration (NRC2001) in which no distinction between chemical and biological contaminants ismade In general however pathogens usually are grouped into generic classeswith less of an agent-specific focus than is common in chemical risk assessment

The process for characterizing dose-response relationships is not asstraightforward for pathogens as it is for chemicals The process is complicatedby the possibility that exposure to a pathogen may engender an immuneresponse that might persist and alter an individualrsquos subsequent susceptibility toinfection or clinical disease Acquired immunity has no relevant analog forchemical exposures in the risk-assessment context although there are chemicalsfor which sustained exposure can result in tolerance for some toxic end pointsAlso the converse can be true when an individual becomes sensitized to achemical and develops serious and persistent hypersensitivity For infectiousagents however acquired immunity can be a major modifier of population riskAn exposed population is likely to be an unknown mixture of those withacquired immunity and those without Moreover the population can changeover time as susceptible individuals become infected and move from onesubgroup to the other Acquired immunity might simply be addressed bydeveloping two dose-response functions in the risk-assessment process one forthe susceptible population without immunity and a second for the populationwith acquired immunity The conservative approach would be to conduct anassessment of a totally susceptible population and although the results could bevery conservative this option would be consistent with EPArsquos practice ofprotecting sensitive subpopulations

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 323

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Perhaps the greatest methodological difference in the risk-assessmentprocess for chemicals and pathogens occurs in the exposure assessment processThe difference is because of the possibility of secondary transmission ofinfectious agents (discussed in-depth below) The challenge posed by secondarytransmission is that an individual is at risk not only from direct exposure topathogens in biosolids but also from population-level interactions that can resultin exposure to and infection from individuals already infected In addition thereare environmental pathways (eg contamination of surface waters used fordrinking or recreation) by which an individual infected with an entericpathogen for example can alter the risk for populations not primarily exposedto the pathogen in biosolids Whatever the pathway secondary transmission canexpand the population at risk beyond those involved in the original exposurescenario Hence the likelihood of secondary transmission is an issue that mustbe addressed generally in pathogen risk assessments as contrasted with thosefor chemical exposures

The risk-characterization process for a single pathogen versus a singlechemical will differ in the need to account for the implications of acquiredimmunity and secondary transmission In the case of biosolids however thatdistinction is somewhat academic because both chemicals and pathogens arepart of a complex mixture the exact composition of which can change fromtime to time and place to place As noted above and in Chapters 4 and 6methods for conducting chemical and microbial risk assessments have advancedsince the promulgation of the Part 503 rule including methods for assessingrisks of chemical mixtures These advances are clearly relevant to updating thebiosolids standards However the additional complexity of dealing withchemical and pathogen mixtures has the potential of being counter to therecommendations of the PresidentialCongressional Commission on RiskAssessment and Risk Management (1997) In particular the commissionadvised a diminished reliance on assumption-laden procedures for arriving atagent-by-agent and medium-by-medium mathematical estimates of riskInstead it advises assessments focused at particular exposures and health endpoints clarified with stakeholder input with the objective of achieving andsustaining practical reductions in risk Issues about mixtures are discussedfurther below and the committee outlines data needs and the nature of studiesthat would inform more focused assessments in Chapters 2 and 3

SECONDARY TRANSMISSION

Most quantitative risk assessments for pathogens have focused oningestion of waterborne pathogens (Fuhs 1975 Haas 1983 Regli et al 1991Ander

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 324

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son et al 1998) In these studies static models were used to calculate theprobability of individual infection or disease as a result of a single exposureevent This approach is based on an early chemical model for risk assessment(NRC 1983) In chemical risk assessment there is generally a straightforwardrelation between risk to an individual and risk to a population of similarlyexposed people For example if a particular exposure scenario results in anestimate of an individual risk of chemically induced disease of 1times10`4 then theexpected number of cases in an exposed population of 100000 is 10 This resultis valid under the assumption that any personrsquos probability of disease isindependent of whether anyone else gets the disease Both estimates ofindividual and population risk are determined by the dose-response function andthe exposure assumptions and both of those are unmodified by the diseasestatus of others in the population As noted above that straightforward relationis not the case for all infectious diseases For example for an individual theprobability of infection from a particular pathogen in biosolids PI is the sum oftwo terms

PI=P(directexposuretopathogen inbiosolids)+P(exposure topathogen shedby infected person)

The possibility of exposure to a pathogen shed by an infected person ispeculiar to pathogens in being an important and sometimes dominant pathwayof exposure The pathway by which the shed pathogen gets from the infected tothe susceptible person can be from direct contact or by circuitous routes throughthe environment

The limitations of treating infectious disease transmission as a staticdisease process with no interaction between those infected or diseased andthose at risk has been illustrated in studies of Giardia (Eisenberg et al 1996)dengue (Koopman and Longini 1994) and sexually transmitted diseases(Koopman et al 1991) However risk-assessment approaches forenvironmentally mediated pathogen exposures involving secondarytransmission are only now being developed (Colford et al 2001) Theseapproaches allow exploration of the importance of the secondary infectionprocess However the need for data for execution of calculations based on theseapproaches is also greater than that for static risk assessments When secondaryinfection is possible risk is by definition manifested at a population level andrisk calculations are dynamic in nature (The overall risk calculation is basednot only on current exposures to contaminated media but also on all subsequentsecondary infections) In addition the existence and development of acquiredimmunity in the population must be accounted for in the analysis

The dynamic systems approach was used to study the conditions underwhich environmentally mediated secondary transmission could be important

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 325

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in the transmission of Giardia (Eisenberg et al 1996) An exposure scenariowas studied in which swimmers were exposed to Giardia from a recreationalswimming impoundment filled with water reclaimed from community sewageThe important finding in this study was that the rate of infected swimmersshedding pathogens into the impoundment was a crucial factor in determining(1) the degree to which a contribution of the incidence of giardiasis came fromtransmission via swimming and (2) the most effective control strategy

Clearly the methods of risk assessment for chemicals and pathogens haveinherent differences in some elements of the risk-assessment process Thus thecommittee concludes that in conducting single-agent risk assessments there areinherent differences between chemical and pathogenic agents that must beconsidered In particular infection of an individual from exposure to pathogensin biosolids may lead to secondary infections in others from person-to-personcontact or from transmission of the pathogen to others through air food orwater

The importance of secondary transmission depends in part on the level ofacquired immunity to the pathogen in the community In assessing thelikelihood of secondary transmission it is clear that the use of the dynamicmodeling approach to fully assess the risks of the pathogen component ofbiosolids for all pathogens and all exposure scenarios would be a complexundertaking Generally site-specific data (eg population size) are requiredand the models are themselves analytically complex The use of defaultparameter values and appropriately structured analysis may be able to provide apractical procedure for using the modeling approach to explore the importanceof immunity and secondary transmission in preliminary analyses At presenthowever it may be more practical to use less comprehensive methods as a formof preliminary analysis to address the importance of these effects The objectiveof such a preliminary analysis would be to determine whether a particularpathogen possesses characteristics that result in secondary transmission and ifso determine the possible pathways through which this transmission can occur

For pathogens that can be transmitted via infected individuals thepreliminary analysis can proceed following the standard format of chemical riskassessment with the focus on the susceptible individual A new feature of thisprocess is the need to determine the existence of exposure pathways connectinga susceptible individual to others in the community assumed to be infectedalready If plausible pathways do not exist then no further analysis is neededAlternatively if such pathways are identified it will be necessary to exploretheir importance If their importance is low with respect to direct exposure nofurther action is needed whereas a significant risk with respect to backgroundincidence of disease suggests the need for a comprehensive assessment

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 326

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From another perspective the issue here is to gain some insight into whatis termed the ldquoforce of infectionrdquo by infectious disease epidemiologists(Anderson and May 1991) The force of infection represents the probability thata given susceptible host becomes infected per unit time only because of thepresence of other infected individuals in the population A complicating featureof the concept is that the force of infection is generally assumed to be linearlyproportional to the number of infected individuals in the population Thisproportion in turn depends on the level of population immunity Those factorsagain underscore that if pathways of secondary infection exist it is onlypossible in an approximate way to carry out the preliminary analyses on anindividual basis rather than at the population level A feasible approach mightbe to conduct a two-tiered evaluation the first dealing with the potential forsecondary transmission of a set of candidate pathogens and the secondanalyzing the exposure pathways for those pathogens with a secondarytransmission potential

COMPLEX MIXTURES

It is a challenge to integrate the outcomes of each agent-specific riskassessment into a comprehensive whole even for simple mixtures One reasonfor the difficulty is the lack of information usually available on the biologicalinteractions between components of the mixture The second reason is thechallenge to characterize in a useful way the range of risks that might occur Forbiosolids the possible adverse outcomes of exposure will include acute andchronic effects from chemical exposures and principally acute effects fromexposures to pathogens Further these effects will range from short-term non-life-threatening outcomes like irritation and diarrhea to chronic life-threateningoutcomes like cancer Although the exposure-assessment component of the risk-assessment process will characterize the extent of various chronic versus acutehazards for specific population groups an integrated assessment will sometimesbe needed to balance the risk of outcomes of modest severity with those of greatseverity

This same challenge exists for mixtures of chemical agents alone asdiscussed in EPArsquos ldquoSupplementary Guidance for Conducting Health RiskAssessment of Chemical Mixturesrdquo (EPA 2000) This document offers valuableguidance on the assessment of risks arising from the chemical mixtures found inbiosolids The strategic guidance from that document that can be extrapolated tobiosolids is that it is preferable to base risk assessments on studies of exposureto the whole mixture for example epidemiological studies of biosolidsworkers However as noted in Chapter 3 that type of data is not available forbiosolids in either sufficient amount or quality consequently

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 327

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making it necessary to use a component-based approach to assess risks frompathogens and chemicals in biosolids

Although the chemical mixtures document discusses in some detail thevarious options available for risk characterization including guidance on theformulation of hazard indexes there is no equivalent guidance either from EPAor in the scientific literature for mixtures of pathogens let alone the chemical-pathogen mixture that biosolids comprise Introducing risks from pathogens tothe process of integrating diverse outcomes in the risk characterization stepwould seem to present no new challenges beyond the implications of acquiredimmunity and secondary infection discussed previously However despiteprogress in integrating risks for mixed chemical exposures the possibility ofpathogen-pathogen or chemical-pathogen interactions between the componentsin either inhibiting or enhancing the adverse effects expected from individualexposures presents an array of unexplored issues in the context of riskassessment That pathogen-pathogen and chemical-pathogen interactions occuris illustrated by examples including the increased likelihood of tuberculosisinfection among workers exposed to silica dusts (Hnizdo and Murray 1998Ding et al 2002) Of greater relevance to biosolids is the experimentaldemonstration that short-term inhalation exposures to nitrogen dioxide increasethe susceptibility of rodents to pneumonia (Coffin et al 1977 Gardner et al1977) The committee concludes that the knowledge base for generatingsummary indexes of risk for finite mixtures of chemicals and pathogens isincomplete However research is clearly needed to synthesize existinginformation on potential interaction of chemicals and pathogens that might beassociated with biosolids exposures and lead to an increased susceptibility toinfection particularly by inhalation

It is important to note that even if a summary index of the risk of anadverse response to mixtures was available it would not necessarily reflect thetotal hazard of exposure to biosolids because of the inability to identify all of itshazardous constituents and their potential for interaction in vivo Moreover thecomposition of biosolids is susceptible to unanticipated changes from time totime and place to place Thus it is not possible to conduct a risk assessment forbiosolids at this time (or perhaps ever) that will lead to risk-managementstrategies that will provide adequate health protection without some form ofongoing monitoring and surveillance There is a degree of uncertainty thatwhen exceeded in the risk-assessment process requires some form of activehealth and environmental tracking in the risk-management strategy to ensureagainst unanticipated outcomes This situation led the committee to concludethat although the Part 503 agent-specific risk-assessment process can beimproved with new risk assessment methodology the remaining uncertainty forcomplex mixtures of chemicals and biological agents

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 328

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is sufficient to preclude the development of risk-management procedures basedon these agent-specific analyses that can reliably result in acceptable levels ofrisk Some form of process quality assurance and ongoing surveillance must bedone to ensure that effects not anticipated by the chemical- and pathogen-specific risk assessments do not occur Strategies for the management of risksarising from biosolids exposure should include audits of process performanceand management practices periodic hazard surveillance and studies of healthoutcomes including epidemiological studies and studies in response to episodicevents

As recounted in this report the various steps in the treatment transportapplication and use of biosolids present multiple opportunities for both humanexposure and monitoring and surveillance of the process to ensure minimizationof risks Figure 7ndash1 adapted for biosolids (Halperin 1996) attempts tosummarize the process the opportunities for hazard surveillance and theopportunities for study of exposed human populations Also shown are thepoints in the process amenable to quality control and compliance audits toensure that the management practices assumed in the risk assessment process orrequired by the Part 503 rule are in fact carried out appropriately

In Figure 7ndash1 each of the center boxes is a process to which biosolids aresubjected beginning with the original treatment process (top) that converts theraw sewage sludge into Classes A or B biosolids which are then packaged orotherwise prepared for transport and delivery to the application site Biosolidsare then applied to land where they are subject to weathering and some of theconstituents may be transported off-site The right side of the figure shows asecond set of boxes that represent human exposures to biosolids at any pointbetween initial processing and final decay or inactivation of off-sitecontaminants Exposed populations can be monitored or studied at particulartimes and locations to assess the relation between any abnormal healthconditions and the biosolids exposure experienced Any information gainedfrom studying health outcomes is collected and fed back into the riskassessment to support or improve the risk-management process as indicated bythe vertical line on the far right of the figure

The left side of the figure shows the stages in the process amenable toquality-assurance activities or hazard surveillance At any point in the processit is possible to obtain bulk samples of biosolids (or biosolids-soil mixtures) todetermine whether its hazardous constituents are present in expected orunexpected concentrations It is also possible to monitor the media of exposureto chemicals or pathogens originating in biosolids (eg personal air monitoringof workers engaged in land application)

With respect to quality assurance as indicated in Chapter 2 a need existsto verify the efficacy of treatment technologies used for pathogen control

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 329

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FIGURE 7ndash1 Processing transport and land application of biosolids withoptions for hazard surveillance and studies of human exposures

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 330

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Because the regulations for pathogen control are technologically basedrather than risk based it is important to verify that the technology is achievingthe intended results Such verification includes a review of the managementpractices required for Class B land application because they are predicated onthe assumption that further pathogen reduction is achieved through theimplementation of such practices

The right side of the figure shows the points in the process where humanexposures can occur and by implication the different populations andcircumstances that might be involved Although routine human healthsurveillance is unnecessary and impractical because of the wide variety ofpossible outcomes the committee believes that specific circumstances mightafford opportunities for health effects studies such as epidemiological studiesof occupational groups or investigations arising from reports of diseaseoutbreaks plausibly connected to biosolids exposure

FINDINGS AND RECOMMENDATIONS

Ideally risk assessment of biosolids should be based on complex-mixturedata to include risks from chemicals and pathogens However that type of datais not available in either sufficient quantity or quality (see Chapter 3) andmethods have not been developed for integrating and characterizing the rangeof risks that might occur from exposure to mixtures of chemicals andpathogens Thus it remains necessary to use a component-based approach toassess risks from pathogens and chemicals in biosolids The committee foundthat although the chemical-specific risk assessments conducted to establish thePart 503 regulations can be improved by using new risk-assessmentmethodology the remaining uncertainty for complex mixtures of chemical andbiological agents is sufficient to preclude the development of risk-managementprocedures that can reliably result in acceptable levels of risk Some form oftreatment-process quality assurance and ongoing surveillance must be done toensure that effects not anticipated by the agent-specific risk assessments do notoccur

Recommendations

bull Figure 7ndash1 should be used by EPA as a framework for managing the risksfrom exposure to biosolids The framework includes audits of treatment-process performance and management practices periodic hazardsurveillance and studies of health outcomes including preplannedstudies and studies in response to episodic events For example asrecommended in Chapters 2 and 6 surveys should be conducted to verifythat Class A and Class B treatment processes perform as assumed byengineering principles and determinations of

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 331

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pathogen density and destruction across the treatment process and in thesoil over time should be completed Recommendations contained in Chapter 5 also address the need for process-performance measures thatcan be monitored and used in site-specific surveys of performance In Chapter 3 the nature and objectives of hazard surveillance studies andstudies of health outcomes of exposed populations are described morefully All the recommendations reflect the committeersquos concern that thecomplex risk-assessment task posed by biosolids cannot serve as a usefuland reliable guide without an ongoing effort to ensure that theassumptions underlying the assessment are valid and that the risk-management procedures put in place in response to the assessment arebeing routinely implemented Broad-scale and site-specific feedbackgraphically depicted in Figure 7ndash1 is needed

bull Research should be conducted to synthesize existing information onpotential interaction of chemicals and pathogens that might be associatedwith biosolids exposures and lead to an increased susceptibility toinfection particularly by inhalation

Methods for conducting chemical and microbial risk assessment haveadvanced since the promulgation of the Part 503 rule in 1993 In reviewingthese methods the committee found that there are inherent differences betweenchemical and pathogenic agents that must be considered in single-agent riskassessments In particular infection of an individual from exposure topathogens in biosolids might result in secondary infections in others Thesecondary infections might be caused by person-to-person contact ortransmission of the pathogen to others through air food or water Theimportance of secondary transmission depends in part on the level of acquiredimmunity to the pathogen in the community Another development ofimportance is the recommendation of the PresidentialCongressionalCommission on Risk Assessment and Risk Management to diminish reliance onassumption-laden procedures for arriving at agent-by-agent and medium-by-medium mathematical estimates of risk in favor of stronger interaction withstakeholders in achieving and sustaining practical reductions in risk

Recommendation As outlined in Chapters 5 and 6 future riskassessments of biosolids components should be conducted using the mostcurrent methods and data For pathogens it is important that risk assessmentsinclude an evaluation of the potential for secondary transmission of diseaseRepresentatives from all stakeholders should be included in future riskassessments Stakeholders can provide information and insights into the use ofbiosolids in practice and the potential health problems which are particularlyimportant in the development of exposure assessment Involving stakeholdersthroughout the risk-assessment process provides opportunities to bridge gaps inunderstanding language values and perspectives

The committee is aware that this report poses a challenge to EPA in thatmuch of the discussion in this chapter as well as in Chapters 3 and 4 recom

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 332

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mends very different emphases in updating the Part 503 rule than are reflectedin the charge to the committee In many ways the contents of Chapters 2 5 and6 are a more direct response to the charge which is grounded in the originalapproach and methodology while acknowledging that this review would becarried out in the context of new developments However the committeebelieves that the differences in point of view and approach underlying itsresponse to the various elements of the charge accurately reflect the counter-vailing currents in the broader risk-assessment community and the differencesin perspective among those directly involved in the management of biosolidsrisks The overall objective of the process which this report is a part of is tobetter assess and manage the risks associated with the land application ofbiosolids in the United States

REFERENCES

Anderson RM and RMMay 1991 Infectious Diseases of Humans Dynamics and Control NewYork NY Oxford University Press

Anderson MA MHStewart MVYates and CPGerba 1998 Modeling the impact of bodycontact recreation on pathogen concentrations in a source drinking water reservoir WaterRes 32(11)3292ndash3306

Coffin DL DEGardner GISidorenko and MAPinigin 1977 Role of time as a factor in thetoxicity of chemical compounds in intermittent and continuous exposures Part 2 Effectsof intermittent exposure J Toxicol Environ Health 3(5ndash6)821ndash828

Colford J JEisenberg BLewis JScott DEisenberg and JSoller 2001 A Dynamic Model toAssess Microbial Health Risks Associated with Beneficial Use of Biosolids Status Report5 WERF Project 98-REM-1 Prepared by EOA Inc Oakland CA and School of PublicHealth University of California Berkeley CA for Water Environment ResearchFoundation Alexandria VA March 2001

Ding M FChen XShi BYucesoy BMossman and VVallyathan 2002 Diseases caused bysilica Mechanisms of injury and disease development Int Immunopharmacol 2(2ndash3)173ndash182

Eisenberg JN EYSeto AWOlivieri and RCSpear 1996 Quantifying water pathogen risk inan epidemiological framework Risk Anal 16(4)549ndash563

EPA (US Environmental Protection Agency) 2000 Supplementary Guidance for ConductingHealth Risk Assessment of Chemical Mixtures EPA630R-00002 August 2000National Center for Environmental Assessment Office of Research and DevelopmentUS Environmental Protection Agency Washington DC [Online] Available httpwwwepagovnceawww1rafchem_mixhtm [December 26 2001]

Fuhs OW 1975 A probabilistic model of bathing beach safety Sci Total Environ 4(2)165ndash175

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 333

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type

setti

ng-s

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fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

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rs m

ay h

ave

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as th

e au

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e ve

rsio

n fo

r attr

ibut

ion

Gardner DE DLCoffin MAPinigin and GISidorenko 1977 Role of time as a factor in thetoxicity of chemical compounds in intermittent and continuous exposures Part 1 Effectsof continuous exposure J Toxicol Environ Health 3(5ndash6)811ndash820

Haas CN 1983 Estimation of risks due to low doses of microorganisms A comparison ofalternative methodologies Am J Epidemiol 118(4)573ndash582

Halperin WE 1996 The role of surveillance in the hierarchy of prevention Am J Ind Med 29(4)321ndash323

Hnizdo E and JMurray 1998 Risk of pulmonary tuberculosis relative to silicosis and exposure tosilica dust in South African gold miners Occup Environ Med 55(7)496ndash502

Koopman JS and IMLongini Jr 1994 The ecological effects of individual exposures andnonlinear disease dynamics in populations Am J Public Health 84(5)715ndash716

Koopman JS IMLongini Jr JAJacquez CPSimon DGOstrow WRMartin andDMWoodcock 1991 Assessing risk factors for transmission of infection Am JEpidemiol 133(12)1199ndash1209

NRC (National Research Council) 1983 Risk Assessment in the Federal Government Managingthe Process Washington DC National Academy Press

NRC (National Research Council) 2001 Classifying Drinking Water Contaminants for RegulatoryConsideration Washington DC National Academy Press

PresidentialCongressional Commission of Risk Assessment and Risk Management 1997 RiskAssessment and Risk Management in Regulatory Decision-Making Final ReportWashington DC The Commission

Regli S JBRose CNHaas and CPGerba 1991 Modeling risk from giardia and viruses indrinking water Am Water Works Assoc J 83(11)76ndash84

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 334

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Glossary

Aggregateexposure

mdashExposure to a single chemical by multiple pathways and routes ofexposure

Benchmarkdose

mdashAn exposure level that corresponds to a statistical lower bound on astandard probability of an effect such as 10 of people affected

Bioaerosols mdashAerosolized biological particles that range in diameter from 002 to 100micrometers

Biomarker mdashChanges in the characteristics of a biologic sample such as changes inenzyme levels that reflect a particular environmental exposure a particularhuman or animal disease process or evidence of increased or decreasedsusceptibility to adverse effects from such exposures

Biosolids mdashDefined by EPA as the primarily organic solid product yielded bymunicipal wastewater treatment processes that can be beneficially recycled(whether or not they are currently being recycled) The term is defined inthis report as sewage sludge that has been treated to meet the land-application standards in the Part 503 rule or any other equivalent land-application standards

Cumulativeexposure

mdashCombined exposures to multiple pollutants by multiple pathways androutes of exposure

Default as-sumption

mdashAn assumption about a receptor population characteristic that is madewhen actual information about that characteristic is unavailable

Domesticsewage

mdashWaste and wastewater from humans or household operations that isdischarged to or otherwise enters a treatment works

GLOSSARY 335

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Endotoxin mdashA complex bacterial toxin composed of protein lipid and polysaccharidethat is released upon lysis of the cell

Exposure mdashContact of an individual with a chemical or physical agent Exposure isquantified as the amount of the agent available at the exchange boundariesof the individual (eg skin lungs gut) and available for absorption

Exposureassessment

mdashThe determination or estimation (qualitative or quantitative) of themagnitude frequency duration and route of exposure

Exposurepathway

mdashThe course a chemical or physical agent takes from a source to anexposed individual An exposure pathway describes a mechanism by whichan individual or population is exposed to chemical or physical agents at ororiginating from a site Each exposure pathway includes a source or releasefrom a source an exposure point and an exposure route If the exposurepoint differs from the source a transportexposure medium (eg air) ormedia (in cases of intermediate transfer) also is included

Highly ex-posedindividual(HEI)

mdashAn individual who remains for an extended period at or adjacent to thesite where maximum exposure occurs

Indicatororganism

mdashA microorganism that is used for monitoring whether a certain set ofpathogens might be present

Indirect ex-posure

mdashExposure involving multimedia transport of chemicals from source toexposed individual For example consumption of produce grown onbiosolids-amended soil

Loading rate mdashThe maximum loading limit of a chemical per unit of time permissibleon a given site

Margin ofexposure

mdashA ratio defined by EPA as a dose derived from a tumor bioassayepidemiological study or biologic marker study such as the doseassociated with a 10 response rate divided by an actual or projectedhuman exposure

Mutipath-way expo-sure

mdashExposure to an agent (chemical physical or biological) by variousroutes such as inhalation ingestion and dermal absorption

No-ob-served-adverse-effect level

mdashThe highest dose of a chemical that was administered to animals in atoxicity study without producing an observed adverse effect

Probabilisticapproaches

mdashEvaluating a range of possible risk estimates and their likelihood tied tovarious mathematical models of the likely distribution of potential valuesinstead of relying on single numbers or point estimates

ReasonableMaximumExposure(RME)

mdashA semiquantitative term referring to the lower portion of the high end ofthe exposure distribution It

GLOSSARY 336

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typically determined using a combination of average and upper-boundvalues for various exposure parameters so that the final exposure estimatewill be an upper-bound exposure with a reasonable expectation ofoccurrence usually considered the 95th percentile

Receptorpopulation

mdashThe groups of people that may be exposed to the contaminated media

Secondarytransmission

mdashThe spread of disease by indirect transmission of the infectious agentTransmission can be from person-to-person contact whereby an infectedindividual infects another from exposure to contaminated objects or viaenvironmental pathways such as contamination of soil or surface water

Sewagesludge

mdashThe solid semi-solid or liquid residue generated during the treatment ofdomestic sewage in a treatment works

Stakeholders mdashStakeholders are groups who are potentially affected by the risk riskmanagers and groups that will be affected by efforts to manage the sourceof the risk They could include federal regulators state regulators biosolidsmanagers local businesses industries public health officials cliniciansand citizens

Susceptiblesubpopula-tion

mdashPopulations which may exhibit a greater effect in response to particularexposures

Uncertaintyanalysis

mdashAnalysis of information about risks that is only partly known orunknowable Mathematical uncertainty analyses can be used to generateprobabilistic distributions of risk estimates that reflect the extent to whichthe information used to assess risk is uncertain

Variability mdashA populationrsquos natural heterogeneity or diversity particularly that whichcontributes to differences in exposure levels or in susceptibility to theeffects of chemical exposures

Vector mdashAn organism capable of transmitting an infectious agent to anotherorganism

GLOSSARY 337

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Appendix A

BIOGRAPHICAL INFORMATION ON THECOMMITTEE ON TOXICANTS AND

PATHOGENS IN BIOSOLIDS APPLIED TOLAND

Thomas ABurke (Chair) is professor in the Department of Health Policyand Management at the Johns Hopkins University School of Hygiene andPublic Health with joint appointments in the Department of EnvironmentalHealth Sciences and the School of Medicinersquos Department of Oncology He isalso founding codirector of the universityrsquos Risk Sciences and Public PolicyInstitute Before joining the university Dr Burke was deputy commissioner ofhealth for the State of New Jersey and director of science and research for theNew Jersey Department of Environmental Protection In New Jersey hedirected pioneering initiatives that influenced the development of nationalprograms such as Superfund the Safe Drinking Water Act and the ToxicsRelease Inventory His research interests include environmental epidemiologythe evaluation of community exposures to environmental pollutants theassessment and communication of environmental risks and the application ofepidemiology and health risk assessment to public policy Dr Burke is chair ofthe advisory board to the directors of the Centers for Disease Control andPrevention National Center for Environmental Health and is a member of theNational Research Council (NRC) Board on Environmental Studies andToxicology He received his PhD in epidemiology from the University ofPennsylvania and his MPH from the University of Texas

APPENDIX A 338

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Lawrence RCurtis is professor and head of the Department ofEnvironmental and Molecular Toxicology at Oregon State University Hisresearch interests are focused on understanding the cellular level processes thatdetermine bioaccumulation of persistent chlorinated hydrocarbons andpolycyclic aromatic hydrocarbons and the trophic transfer and ecotoxicology ofpersistent organic contaminants Dr Curtis is on the editorial board of theJournal of Toxicology and Environmental Health Critical Reviews and hasserved as chair of the Membership Committee of the Society of Toxicology Hereceived his MSc from the University of South Alabama and his PhD inpharmacology and toxicology from the University of Mississippi Medical Center

Charles NHaas is the LDBetz Chair Professor of EnvironmentalEngineering at Drexel University He is widely recognized for his research inthe areas of microbial and chemical risk assessment hazardous wasteprocessing industrial wastewater treatment waste recovery and water andwastewater disinfection processes Dr Haas is a fellow of the AmericanAcademy of Microbiology and is the founding editor in chief of QuantitativeMicrobiology He is also a member of the Council of the Society for RiskAnalysis He received his MS in environmental engineering from the IllinoisInstitute of Technology and his PhD from the University of Illinois

William EHalperin is professor and chairman of the Department ofPreventive Medicine and Community Health at the New Jersey Medical SchoolBefore joining the faculty of the medical school Dr Halperin was a seniorscientist with the National Institute for Occupational Safety and Health and alsoheld the position of deputy director His research interests are in occupationalmedicine occupational epidemiology and public-health surveillance DrHalperin was a member of the NRC Committee on Risk AssessmentMethodology and currently serves on the NRC Committee on Toxicology andits Subcommittee on Spacecraft Water Exposure Guidelines He received hisMD MPH and Dr PH from Harvard University and is certified by theAmerican Board of Preventive Medicine and the American Board ofOccupational Medicine

Ellen ZHarrison is director of the Cornell Waste Management Institute aprogram of the Cornell Center for the Environment that develops solutions forwaste-management problems and addresses broader issues of waste generationand composition waste reduction risk management environmental quality andpublic decision-making Ms Harrison has been involved for many years in theassessment of health and environmental risks from land application of sewagesludges She has served as cochair of the Northeast Regional

APPENDIX A 339

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Research Project on Land Application of Sewage Biosolids since 1997 and isthe coauthor of The Case for Caution Recommendations for Land Applicationof Sewage Sludges An Appraisal of the US EPArsquos Part 503 Sludge Rules Shealso served on the council for the town of Ithaca New York from 1993 to1999 Ms Harrison received her MS in geological sciences from CornellUniversity

John BKaneene is professor of epidemiology and director of thePopulation Medicine Center at Michigan State University He also holdsprofessorships in the Department of Large Animal Clinical Sciences theDepartment of Epidemiology and the Animal Health Diagnostic LaboratoryHis research is focused on the application of epidemiological methods tounderstand disease dynamics in populations and the use of these methods indesigning implementing and evaluating prevention and control strategiesSome specific areas of research include the epidemiology of food-bornepathogens (Campylobacter Salmonella and Escherichia coli) and theirrelationships to the development of antimicrobial resistance in animal andhuman populations the epidemiology of drug and chemical residues in foods ofanimal origin and their potential human health risks and the epidemiology oftuberculosis Dr Kaneene was a member of the NRC Committee on Drug Usein Food Animals and currently serves as a member of the NRC Board onAgriculture and Natural Resources Subcommittee on Food and Health DrKaneene received his DVM from the University of Khartoum and his MPHand PhD in epidemiology and statistics from the University of Minnesota

Greg Kester is a civil and environmental engineer at the WisconsinDepartment of Natural Resources where he serves as the state residualscoordinator overseeing all aspects of Wisconsinrsquos biosolids program In thatposition he has incorporated all necessary provisions of federal biosolidsregulations set policy for the Wisconsin biosolids program implemented byfield engineers and made determinations on the adequacy of solids-handlingdesign He developed and maintains a communication network for all statebiosolids coordinators The network provides a forum for the exchange ofquestions and dialogue on implementation technical standards andenforcement strategies Mr Kester has also been involved with a Wisconsinworkgroup to develop risk-based soil criteria for PCBs Before Mr Kesterbecame an environmental engineer he worked for 10 years as an operator andbiosolids-reuse program worker for the Madison Metropolitan SewerageDistrict He received his BS in civil and environmental engineering from theUniversity of Wisconsin at Madison

Stephen PMcGrath is a program leader in the Agriculture andEnvironment Division of the Institute of Arable Crops Research-Rothamsted inthe United

APPENDIX A 340

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Kingdom and special professor at the School of Life and EnvironmentalSciences at the University of Nottingham His research is focused onunderstanding the source behavior fate and impact of pollutants (particularlyheavy metals) in soil and the food chain biological impacts of waste disposalphytoremediation and soil remediation His research on ecotoxicology ofmetals and waste disposal led to new national rules in the United Kingdom forsewage-sludge disposal He is also involved in international projects with theInternational Atomic Energy Agency and the United Nations Food andAgriculture Organisation on the use of stable isotopes to determine the optimalutilization of wastes Dr McGrath received his PhD in physiological ecologyfrom Sheffield University

Thomas EMcKone is a senior scientist at the Ernest Orlando LawrenceBerkeley National Laboratory and is an adjunct professor in the School ofPublic Health at the University of California at Berkeley His research interestsinclude the chemical transport and accumulation of toxic chemicals in multipleenvironmental media (air water and soil) the development of multimediacompartment models that can be used in quantitative risk assessments andhuman exposure and health risk assessment He is responsible for thedevelopment of CalTOX a model used by the California Department of ToxicSubstances Control to conduct health-risk assessments that addresscontaminated soils and the contamination of adjacent air surface watersediments and groundwater Dr McKone is a past-president of theInternational Society of Exposure Analysis and has served on several NRCcommittees He received his MS and PhD in engineering from the Universityof California at Los Angeles

Ian LPepper is professor and research scientist in the Departments ofSoil Water and Environmental Science and Microbiology and Immunology atthe University of Arizona He also serves as director of the universityrsquosNational Science Foundation Water Quality Center His research interests are inmolecular ecology of soil and biosolids particularly with respect to the riskfrom pathogens and metals from land-applied biosolids Dr Pepper received hisMS in soil biochemistry and his PhD in soil microbiology from Ohio StateUniversity

Suresh DPillai is associate professor of food safety and environmentalmicrobiology in the Poultry Science Department of Texas AampM University Healso serves as associate director of the universityrsquos Institute of Food Science andEngineering Dr Pillairsquos research interests include the occurrence fatetransport and activity of microbial pathogens in natural and developedecosystems such as groundwater surface water wastewater bioaerosols and

APPENDIX A 341

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food processing He is also involved in the development and testing of rapiddiagnostic molecular assays for microbial pathogens and the evaluation ofpublic-health risks from microbial pathogens He received his MSc inindustrial microbiology from the University of Madras India and his PhD inmicrobiology and immunology from the University of Arizona

Frederick GPohland is professor and Edward RWeidelein Chair ofEnvironmental Engineering at the University of Pittsburgh His researchinterests include environmental engineering operations and processesindustrial solid and hazardous waste management and environmental impactassessment He has studied an array of innovative technologies forenvironmental monitoring and remediation with special emphasis ongroundwater soils and surface waters Dr Pohland is past president of theAmerican Academy of Environmental Engineers and was elected to theNational Academy of Engineering in 1993 He received his MS in sanitaryengineering and his PhD in environmental engineering from Purdue University

Robert SReimers is professor in the Department of Environmental HealthSciences at Tulane University He also holds an adjunct appointment in theuniversityrsquos Department of Civil and Environmental Engineering He is anenvironmental engineer and applied chemist specializing in natural resourcemanagement including the management of residuals and toxic waste Hisresearch interests include biosolids treatment disinfection stabilization andreuse industrial residual product development and innovative processdevelopment Dr Reimers has studied the translocation of chemical pollutantssuch as PCBs in soils and has been involved in studying the prevalencesurvival and control of parasites (eg Ascaris eggs) in municipal wastewaterbiosolids Dr Reimers received his MA in chemistry from the University ofTexas and his PhD in engineering (environmental and water resources) fromVanderbilt University

Rosalind ASchoof is a principal at Gradient Corporation which is aenvironmental consulting practice She conducts evaluations of chemicaltoxicity health risk assessment for cancer and noncancer end points andmultimedia assessment of exposure to environmental chemicals Dr Schoof isparticularly interested in the bioavailability of metals (eg arsenic cadmiumand lead) found in soils and has been involved in evaluating exposures atmining smelting and pesticide manufacturing sites She received her PhD intoxicology from the University of Cincinnati and is a diplomate of theAmerican Board of Toxicology

APPENDIX A 342

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Donald LSparks is SHallock duPont Chair of Environmental SoilChemistry and Francis Alison professor at the University of Delaware atNewark He also holds joint faculty appointments in the Departments of Civiland Environmental Engineering and Chemistry and Biochemistry in the Collegeof Marine Studies Dr Sparks is internationally recognized for his research inthe areas of kinetics of soil chemical processes surface chemistry of soils andsoil components using in situ spectroscopic and microscopic techniques and thephysical chemistry of soil potassium He is the recipient of many awards andhonors including being named a fellow of the American Society of Agronomythe Soil Science Society of America and the American Association for theAdvancement of Science He is a past-president of the Soil Science Society ofAmerica and is currently president-elect of the International Union of SoilScience Dr Sparks received his MS in soil science from the University ofKentucky and his PhD from the Virginia Polytechnic Institute and StateUniversity

Robert CSpear is professor of environmental health sciences in theSchool of Public Health at the University of California at Berkeley He is alsothe founding director of the universityrsquos Center for Occupational andEnvironmental Health His research interests include the mathematicalmodeling of toxicological and infectious disease processes and statistical issuesin exposure assessment Dr Spear has an extensive publication record in thisfield spanning farm workersrsquo exposures to pesticides to strategies for thecharacterization and control of the exposure of rural populations to parasites inthe developing world He has also served on a number of scientific advisorycommittees including the Board of Scientific Councilors of the NationalInstitute for Occupational Safety and Health Dr Spear received his BS andMS in mechanical engineering from the University of California at Berkeleyand his PhD in control engineering from Cambridge University

APPENDIX A 343

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Appendix B

PARTICIPANTS AT PUBLIC SESSIONS

March 14 2001mdashWashington DCAlan Hais Office of Water US Environmental Protection AgencyRobert Bastian Office of Wastewater Management US Environmental

Protection AgencyAlbert Page University of California RiversideNancy Burton National Institute for Occupational Safety and HealthFrank Hearl National Institute for Occupational Safety and HealthBill Kelly Center for Regulatory EffectivenessCecil Lue-Hing representing the Association of Metropolitan Sewerage

AgenciesSandy Smith PEN Green Sludge BustersHenry Staudinger citizenRufus Chaney US Department of AgricultureRich Anderson consultantAlbert Gray Water Environment FederationSusan Boutros Environmental Associated LtdJune 3 2001mdashIrvine CaliforniaRichard Stehouwer Pennsylvania State University

APPENDIX B 344

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ng-s

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James Ryan Office of Research and Development US EnvironmentalProtection Agency

Robert Southworth US Environmental Protection Agency (retired)Robert OrsquoDette SynagroJune 4 2001mdashIrvine CaliforniaMark Gray SynagroLauren Fondahl US Environmental Protection AgencyGary Feldman Riverside County Health Services AgencyJane Williams California Communities Against ToxicsPenny Newman Center for Community Action and Environmental JusticeLarry Charpied organic farmerDonna Charpied citizenLyle Talbot Desert Citizens Against PollutionAthena Geges residentJanine Matelke residentMarc Miller residentMargie Newman citizenMs Schembri citizenJerry Cody citizenSteve Stockton Responsible Biosolids Management IncRobert OrsquoDette SynagroLorrie Loder Synagro

APPENDIX B 345

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Page 2: Biosolids Applied to Land

THE NATIONAL ACADEMIES PRESS 500 Fifth Street NW Washington DC 20001

NOTICE The project that is the subject of this report was approved by the Governing Board of theNational Research Council whose members are drawn from the councils of the National Academyof Sciences the National Academy of Engineering and the Institute of Medicine The members ofthe committee responsible for the report were chosen for their special competences and with regardfor appropriate balance

This project was supported by Grant No X-82862501 between the National Academy of Sci-ences and the US Environmental Protection Agency Any opinions findings conclusions orrecommendations expressed in this publication are those of the author(s) and do not necessarilyreflect the view of the organizations or agencies that provided support for this project

International Standard Book Number 0-309-08486-5

Library of Congress Control Number 2002112634Cover photograph by Robert OrsquoDette Synagro

Additional copies of this report are available from The National Academies Press 500 Fifth StreetNW Box 285 Washington DC 20055 800ndash624ndash6242 202ndash334ndash3313 (in the Washington metropoli-tan area) httpwwwnapedu

Copyright 2002 by the National Academy of Sciences All rights reserved

Printed in the United States of America

ii

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The National Academy of Sciences is a private nonprofit self-perpetuating society of distinguished scholars engaged in scientific and engineering research dedicated to the furtherance of science and technology and to their use for the general welfare Upon the authority of the charter granted to it by the Congress in 1863 the Academy has a mandate that requires it to advise the federal government on scientific and technical matters Dr Bruce M Alberts is president of the National Academy of Sciences

The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences as a parallel organization of outstanding engineers It is autonomous in its administration and in the selection of its members sharing with the National Academy of Sciences the responsibility for advising the federal government The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs encourages education and research and recognizes the superior achievements of engineers Dr Wm A Wulf is president of the National Academy of Engineering

The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and upon its own initiative to identify issues of medical care research and education Dr Harvey V Fineberg is president of the Institute of Medicine

The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academyrsquos purposes of furthering knowledge and advising the federal government Functioning in accordance with general policies determined by the Academy the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government the public and the scientific and engineering communities The Council is administered jointly by both Academies and the Institute of Medicine Dr Bruce M Alberts and Dr Wm A Wulf are chair and vice chair respectively of the National Research Council

wwwnational-academiesorg

iii

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iv

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COMMITTEE ON TOXICANTS AND PATHOGENS INBIOSOLIDS APPLIED TO LAND

Members

THOMAS ABURKE (Chair) Johns Hopkins University Baltimore MarylandLAWRENCE RCURTIS Oregon State University Corvallis OregonCHARLES NHAAS Drexel University Philadelphia PennsylvaniaELLEN ZHARRISON Cornell University Ithaca New YorkWILLIAM EHALPERIN New Jersey Medical School Newark New JerseyJOHN BKANEENE Michigan State University East Lansing MichiganGREG KESTER Wisconsin Department of Natural Resources Madison WisconsinSTEPHEN PMCGRATH Institute for Arable Crops Research Rothamsted EnglandTHOMAS EMCKONE University of California Berkeley CaliforniaIAN LPEPPER University of Arizona Tucson ArizonaSURESH DPILLAI Texas AampM University College Station TexasFREDERICK GPOHLAND University of Pittsburgh Pittsburgh PennsylvaniaROBERT SREIMERS Tulane University New Orleans LouisianaROSALIND ASCHOOF Gradient Corporation Mercer Island WashingtonDONALD LSPARKS University of Delaware Newark DelawareROBERT CSPEAR University of California Berkeley California

Staff

SUSAN NJMARTEL Study DirectorMARK CGIBSON Program OfficerROBERTA MWEDGE Program Director for Risk AnalysisRUTH ECROSSGROVE EditorJESSICA BROCK Senior Project AssistantMIRSADA KARALIC-LONCAREVIC Research AssistantKELLY ACLARK Editorial Assistant

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ng-s

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not b

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tain

ed a

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ome

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grap

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erro

rs m

ay h

ave

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iden

tally

inse

rted

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ase

use

the

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t ver

sion

of t

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e au

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e ve

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r attr

ibut

ion

vi

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nd o

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type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

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tain

ed a

nd s

ome

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grap

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erro

rs m

ay h

ave

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tally

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rted

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ibut

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BOARD ON ENVIRONMENTAL STUDIES ANDTOXICOLOGY1

Members

GORDON ORIANS (Chair) University of Washington SeattleJOHN DOULL (Vice Chair) University of Kansas Medical Center Kansas CityDAVID ALLEN University of Texas AustinINGRID CBURKE Colorado State University Fort CollinsTHOMAS BURKE Johns Hopkins University Baltimore MarylandWILLIAM LCHAMEIDES Georgia Institute of Technology AtlantaCHRISTOPHER BFIELD Carnegie Institute of Washington Stanford CaliforniaDANIEL SGREENBAUM Health Effects Institute Cambridge MassachusettsBRUCE DHAMMOCK University of California DavisROGENE HENDERSON Lovelace Respiratory Research Institute Albuquerque

New MexicoCAROL HENRY American Chemistry Council Arlington VirginiaROBERT HUGGETT Michigan State University East LansingJAMES HJOHNSON Howard University Washington DCJAMES FKITCHELL University of Wisconsin MadisonDANIEL KREWSKI University of Ottawa Ottawa OntarioJAMES AMACMAHON Utah State University LoganWILLEM FPASSCHIER Health Council of the Netherlands The HagueANN POWERS Pace University School of Law White Plains New YorkLOUISE MRYAN Harvard University Boston MassachusettsKIRK SMITH University of California BerkeleyLISA SPEER Natural Resources Defense Council New York New York

Senior Staff

JAMES JREISA DirectorDAVID JPOLICANSKY Associate Director and Senior Program Director for

Applied EcologyRAYMOND AWASSEL Senior Program Director for Environmental Sciences and

EngineeringKULBIR BAKSHI Program Director for the Committee on ToxicologyROBERTA MWEDGE Program Director for Risk AnalysisKJOHN HOLMES Senior Staff OfficerSUSAN NJMARTEL Senior Staff OfficerSUZANNE VAN DRUNICK Senior Staff OfficerRUTH ECROSSGROVE Managing Editor

1This study was planned overseen and supported by the Board on EnvironmentalStudies and Toxicology

vii

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WATER SCIENCE AND TECHNOLOGY BOARD

Members

RICHARD GLUTHY (Chair) Stanford University Stanford CaliforniaJOAN BROSE (Vice Chair) University of South Florida St PetersburgRICHELLE MALLEN-KING Washington State University PullmanGREGORY BBAECHER University of Maryland College ParkKENNETH RBRADBURY Wisconsin Geological and Natural History Survey

MadisonJAMES CROOK CH2M Hill Boston MassachusettsEFI FOUFOULA-GEORGIOU University of Minnesota MinneapolisPETER GLEICK Pacific Institute for Studies in Development Environment and

Security Oakland CaliforniaSTEVEN PGLOSS US Geological Survey Flagstaff ArizonaJOHN LETEY JR University of California RiversideDIANE MMCKNIGHT University of Colorado BoulderCHRISTINE LMOE Emory University Atlanta GeorgiaRUTHERFORD HPLATT University of Massachusetts AmherstJERALD LSCHNOOR University of Iowa Iowa CityLEONARD SHABMAN Virginia Polytechnic Institute and State University

BlacksburgRRHODES TRUSSELL Montgomery Watson Pasadena California

Staff

STEPHEN DPARKER DirectorLAURA JEHLERS Senior Staff OfficerJEFFREY WJACOBS Senior Staff OfficerWILLIAM SLOGAN Senior Staff OfficerMARK CGIBSON Staff OfficerMJEANNE AQUILINO Administrative AssociateELLEN ADE GUZMAN Research AssociatePATRICIA JONES KERSHAW StudyResearch AssociateANITA AHALL Administrative AssistantANIKE LJOHNSON Project AssistantJON QSANDERS Project Assistant

viii

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setti

ng-s

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fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

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erro

rs m

ay h

ave

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tally

inse

rted

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ase

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OTHER REPORTS OF THE BOARD ONENVIRONMENTAL STUDIES AND TOXICOLOGY

The Airliner Cabin Environment and Health of Passengers and Crew (2002)Arsenic in Drinking Water 2001 Update (2001)Evaluating Vehicle Emissions Inspection and Maintenance Programs (2001)Compensating for Wetland Losses Under the Clean Water Act (2001)A Risk-Management Strategy for PCB-Contaminated Sediments (2001)Toxicological Effects of Methylmercury (2000)Strengthening Science at the US Environmental Protection Agency

Research-Management and Peer-Review Practices (2000)Scientific Frontiers in Developmental Toxicology and Risk Assessment

(2000)Copper in Drinking Water (2000)Ecological Indicators for the Nation (2000)Waste Incineration and Public Health (1999)Hormonally Active Agents in the Environment (1999)Research Priorities for Airborne Particulate Matter (3 reports 1998ndash2001)Ozone-Forming Potential of Reformulated Gasoline (1999)Risk-Based Waste Classification in California (1999)Arsenic in Drinking Water (1999)Brucellosis in the Greater Yellowstone Area (1998)The National Research Councilrsquos Committee on Toxicology The First 50

Years (1997)Carcinogens and Anticarcinogens in the Human Diet (1996)Upstream Salmon and Society in the Pacific Northwest (1996)Science and the Endangered Species Act (1995)Wetlands Characteristics and Boundaries (1995)Biologic Markers (5 reports 1989ndash1995)Review of EPArsquos Environmental Monitoring and Assessment Program (3

reports 1994ndash1995)Science and Judgment in Risk Assessment (1994)Pesticides in the Diets of Infants and Children (1993)Setting Priorities for Land Conservation (1993)Protecting Visibility in National Parks and Wilderness Areas (1993)Dolphins and the Tuna Industry (1992)Science and the National Parks (1992)Assessment of the US Outer Continental Shelf Environmental Studies

Program Volumes IndashIV (1991ndash1993)Human Exposure Assessment for Airborne Pollutants (1991)Rethinking the Ozone Problem in Urban and Regional Air Pollution (1991)Decline of the Sea Turtles (1990)Copies of these reports may be ordered from the National Academy Press(800) 624ndash6242 or (202) 334ndash3313wwwnapedu

ix

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Preface

In this report biosolids are defined as sewage sludge that has been treatedto meet the regulatory requirements for land application set out in the Code ofFederal Regulations Title 40 (Part 503) The US Environmental ProtectionAgency (EPA) established the Part 503 rule and is responsible for overseeingthe national biosolids program The land-application requirements includeconcentration limits and loading rates for chemical pollutants treatment and userequirements for controlling and reducing pathogens and the attraction ofvectors and management practices The requirements are intended to protectpublic health and the environment from any reasonably anticipated adverseeffects Over the past decade questions have been raised about the adequacy ofthe chemical and pathogen standards for protecting public health To helpaddress the questions and the requirement for periodic reassessment of the Part503 rule EPA asked the National Research Council (NRC) to independentlyreview the technical basis of the chemical and pathogen regulations forbiosolids focusing only on human health

In this report the NRCrsquos Committee on Toxicants and Pathogens inBiosolids Applied to Land (membership and biographical information providedin Appendix A) searched for evidence on human health effects related tobiosolids exposure and the technical methods and approaches used by EPA toestablish its human-health-based chemical and pathogen standards for biosolidsThe NRC and the committee are aware that some interested parties wereanticipating that this report might make a determination of whether EPA shouldcontinue to promote land application of biosolids However such a

PREFACE xi

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rmat

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determination was not part of the committeersquos charge The committee agreesthat regulations must be adequate to protect human health and the environmentand that they must be complied with and enforced The committee was asked tofocus its review on approaches for identifying human health hazards forassessing exposure to those hazards and for assessing risk from the exposuresThis report offers numerous recommendations to update and strengthen thescientific credibility of the biosolids regulations and to ensure their consistentimplementation

This report has been reviewed in draft form by individuals chosen for theirdiverse perspectives and technical expertise in accordance with proceduresapproved by the NRCrsquos Report Review Committee The purpose of thisindependent review is to provide candid and critical comments that will assistthe institution in making its published report as sound as possible and to ensurethat the report meets institutional standards for objectivity evidence andresponsiveness to the study charge The review comments and draft manuscriptremain confidential to protect the integrity of the deliberative process We wishto thank the following individuals for their review of this report Robert CooperBioVir Laboratories Inc Benicia California Alison Cullen University ofWashington Seattle Washington Charles Henry University of WashingtonSeattle Washington Cecil Lue-Hing Cecil Lue-Hing amp Associates Inc BurrRidge Illinois Philip Landrigan Mount Sinai School of Medicine New YorkNew York Aaron Margolin University of New Hampshire Durham NewHampshire Penny Newman Center for Community Action and EnvironmentalJustice Riverside California George OrsquoConnor University of FloridaGainesville Florida Robert Southworth Marshall Virginia Alan Stern NewJersey Department of Environmental Protection Trenton New Jersey WillyVerstraete University of Gent Gent Belgium and William Yanko Big BearCity California

Although the reviewers listed above have provided many constructivecomments and suggestions they were not asked to endorse the conclusions orrecommendations nor did they see the final draft of the report before its releaseThe review of this report was overseen by Michael Kavanaugh Malcolm PirnieInc Emeryville California and Ronald Estabrook University of TexasSouthwestern Medical Center Dallas Texas Appointed by the NRC they wereresponsible for making certain that an independent examination of this reportwas carried out in accordance with institutional procedures and that all reviewcomments were carefully considered Responsibility for the final content of thisreport rests entirely with the authoring committee and the institution

The committee gratefully acknowledges the individuals who madepresentations to the committee at its public meetings A list of those individuals is

PREFACE xii

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ks h

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ng s

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nd o

ther

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setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

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ome

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hic

erro

rs m

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provided in Appendix B The committee also wishes to thank EPA staffmembers Alan Hais Robert Bastian Alan Rubin James Smith and CharlesWhite for their assistance in providing documents and information

The committee is grateful for the assistance of the NRC staff in preparingthe report It particularly wishes to acknowledge the contributions of SusanMartel project director who coordinated the project and contributed to thecommitteersquos report Other staff members who contributed to this effort areJames JReisa director of the Board on Environmental Studies and ToxicologyRoberta MWedge program director for risk analysis Mark Gibson programofficer (Water Science and Technology Board) Ruth ECrossgrove editorMirsada Karalic-Loncarevic research assistant and Jessica Brock seniorproject assistant

Finally I would especially like to thank all the members of the committeefor their efforts throughout the development of this report

Thomas ABurke PhD Chair Committee

on

Toxicants and Pathogens in Biosolids

Applied to Land

PREFACE xiii

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PREFACE xiv

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Contents

ABBREVIATIONS xviii

SUMMARY 1

1 INTRODUCTION 17 Biosolids 18 Human Health and Risk-Assessment Issues 25 The Committeersquos Task 26 The Committeersquos Approach 27 Report Organization 29 References 29

2 BIOSOLIDS MANAGEMENT 31 Federal Biosolids Regulations and Current State of Program 35 European Biosolids Management 55 Pathogen Issues and Treatment Controls 74 Pathogen Equivalency Committee 80 Implementation and End-Use Practices 82 Characterization of Biosolids 91 Compliance Assistance and Enforcement 95 Findings and Recommendations 96 References 99

CONTENTS xv

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3 EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTSASSOCIATED WITH BIOSOLIDS PRODUCTION ANDAPPLICATION

106

Description of the Literature 107 Findings and Recommendations 121 References 122

4 ADVANCES IN RISK ASSESSMENT SINCE THE ESTAB-LISHMENT OF THE PART 503 RULE

126

The Risk-Assessment Process 126 New Approaches and Considerations in Risk Assessment 130 Changes in Risk-Assessment Approaches in EPA Offices 147 Findings and Recommendations 156 References 158

5 EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMI-CAL STANDARDS

164

Hazard Assessment and Chemical Selection 165 Exposure Assessment 178 Derivation of Risk-Based Standards 205 Inorganic Chemicals 207 Organic Chemicals 219 Findings and Recommendations 238 References 242

6 EVALUATION OF EPArsquoS APPROACH TO SETTINGPATHOGEN STANDARDS

257

Pathogen Standards 257 Pathogens in Biosolids 267 Exposure to Pathogens 279 Host Factors 287 Exposure to Workers 289 Antibiotic Resistance 290 Pathogen Risk Assessment 291 Findings and Recommendations 303 References 306

7 INTEGRATION OF CHEMICAL AND PATHOGEN RISKASSESSMENT

322

Agent-By-Agent Risk Assessment 322 Secondary Transmission 324

CONTENTS xvi

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Complex Mixtures 327 Findings and Recommendations 331 References 333

GLOSSARY 335

APPENDIXES

A Biographical Information on the Committee on Toxicants andPathogens in Biosolids Applied to Land

338

B Participants at Public Sessions 344

CONTENTS xvii

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Abbreviations

CFR Code of Federal Regulations

CFU colony forming units

CWA Clean Water Act

EQ exceptional quality

HEI highly exposed individual

MEI most exposed individual

MPN most probable number

MT metric tons

NIOSH National Institute for Occupational Safety and Health

NRC National Research Council

NSSS National Sewage Sludge Survey

OIG EPA Office of Inspector General

PCBs polychlorinated biphenyls

PEC Pathogen Equivalency Committee

PFRP process to further reduce pathogens

PFU plaque-forming unit

POTW publicly owned treatment works

PSRP process to significantly reduce pathogens

QMRA quantitative microbial risk assessment

RME reasonable maximum exposure

TEF toxicity equivalency factor

TS total solids

ABBREVIATIONS xviii

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xix

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Biosolids Applied to Land Advancing Standardsand Practices

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Summary

Wastewater treatment in the United States is a major cornerstone of effortsto keep the nationrsquos waters clean Sewage sludge is the solid semisolid orliquid residue generated during treatment of domestic sewage Since the early1970s the US Environmental Protection Agency (EPA) and the wastewatertreatment industry have promoted recycling of sewage sludge With theprohibition of ocean disposal of wastewater residuals in 1992 the use of sewagesludge as soil amendments (soil conditioners or fertilizers) or for landreclamation has been increased to reduce the volume of sewage sludge thatmust be landfilled incinerated or disposed of at surface sites Approximately56 million dry tons of sewage sludge are used or disposed of annually in theUnited States approximately 60 of that is used for land applicationDepending on the extent of treatment sewage sludge may be applied wherelittle exposure of the general public is expected to occur on the sites such as onagricultural land forests and reclamation sites or on public-contact sites suchas parks golf courses lawns and home gardens EPA estimates that sewagesludge is applied to approximately 01 of available agricultural land in theUnited States on an annual basis

The regulation governing land application of sewage sludge wasestablished by EPA in 1993 in the Code of Federal Regulations Title 40 (Part503) under Section 405 (d) of the Clean Water Act The regulation is intendedto protect public health and the environment The Part 503 rule establishedmanagement practices for land application of sewage sludge concentrationlimits and loading rates for chemicals and treatment and use requirements

SUMMARY 1

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designed to control and reduce pathogens and attraction of disease vectors(insects or other organisms that can transport pathogens) In this report the termbiosolids refers to sewage sludge treated to meet the land-application standardsin the Part 503 rule or any other equivalent land-application standards

The chemical and pathogen land-application standards in the Part 503 rulewere developed differently For chemicals EPA conducted extensive riskassessments that involved identifying the chemical constituents in biosolidsjudged likely to pose the greatest hazard characterizing the most likelyexposure scenarios and using scientific information and assumptions tocalculate concentration limits and loading rates (amount of chemical that can beapplied to a unit area of land) Nine inorganic chemicals in biosolids arecurrently regulated and EPA is considering the addition of a class of organicchemicals (dioxins) to its regulation Monitoring data on some of the regulatedinorganic chemicals indicate a decrease in their concentrations over the pastdecade due in part to the implementation of wastewater pretreatment programsThus the chemical limits for biosolids can be achieved easily In contrast to thechemical standards the pathogen standards are not risk-based concentrationlimits for individual pathogens but are technologically based requirementsaimed at reducing the presence of pathogens and potential exposures to them bytreatment or a combination of treatment and use restrictions Monitoringbiosolids is required for indicator organisms (certain species of organismsbelieved to indicate the presence of a larger set of pathogens)

THE COMMITTEErsquoS TASK

In response to the Clean Water Act requirement to reassess periodically thescientific basis of the Part 503 rule and to address public-health concerns EPAasked the National Research Council (NRC) to conduct an independentevaluation of the technical methods and approaches used to establish thechemical and pathogen standards for biosolids focusing specifically on humanhealth protection and not ecological or agricultural issues The NRC convenedthe Committee on Toxicants and Pathogens in Biosolids Applied to Landwhich prepared this report The committee was asked to perform the followingtasks

1 Review the risk-assessment methods and data used to establishconcentration limits for chemical pollutants in biosolids todetermine whether they are the most appropriate approachesConsider the NRCrsquos previous (1996) review and determine whetherthat reportrsquos recommendations have

SUMMARY 2

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been appropriately addressed Consider (a) how the relevantchemical pollutants were identified (b) whether all relevantexposure pathways were identified (c) whether exposure analysesparticularly from indirect exposures are realistic (d) whether thedefault assumptions used in the risk assessments are appropriateand (e) whether the calculations used to set pollutant limits areappropriate

2 Review the current standards for pathogen elimination in biosolidsand their adequacy for protecting public health Consider (a)whether all appropriate pathogens were considered in establishingthe standards (b) whether enough information on infectious doseand environmental persistence exists to support current controlapproaches for pathogens (c) risks from exposure to pathogensfound in biosolids and (d) new approaches for assessing risks tohuman health from pathogens in biosolids

3 Explore whether approaches for conducting pathogen riskassessment can be integrated with those for chemical riskassessment If appropriate recommend approaches for integratingpathogen and chemical risk assessments

MAJOR FINDINGS AND RECOMMENDATIONS

The committee recognizes that land application of biosolids is a widelyused practical option for managing the large volume of sewage sludgegenerated at wastewater treatment plants that otherwise would largely need tobe disposed of at landfills or by incineration In responding to its charge thecommittee searched for evidence on human health effects related to biosolidsexposure reviewed the risk assessments and technical data used by EPA toestablish the chemical and pathogen standards and reviewed the managementpractices of the Part 503 rule The committee did not attempt to determinewhether the approaches used by EPA to set the 1993 biosolids standards wereappropriate at the time of their development and the committeersquos findings andrecommendations should not be construed as either criticism or approval of thestandards issued at that time The committee found that EPA has not yetaddressed certain recommendations of the 1996 NRC report that pertain to thescope of the present study The committee is aware that some interested partieswere anticipating that this report might make a determination of whether EPAshould continue to promote land application of biosolids However such adetermination was not part of the committeersquos charge Nor was the committeeasked to judge the adequacy of the individual standards in protecting humanhealth The committeersquos report instead is focused on identifying how currentrisk-assessment practices and knowledge regarding chemi

SUMMARY 3

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cals and pathogens in biosolids can be used to update and strengthen thescientific basis and credibility of EPArsquos biosolids regulations

In this report the committee documents numerous findings and a numberof recommendations for addressing public-health concerns uncertainties anddata gaps about the technical basis of the biosolids standards To delineateissues needing the greatest attention the committee identified the followingoverarching findings and recommendation based on its review and synthesis ofthe specific findings and recommendations of each chapter

Overarching Findings

There is no documented scientific evidence that the Part 503 rule has failedto protect public health However additional scientific work is needed to reducepersistent uncertainty about the potential for adverse human health effects fromexposure to biosolids There have been anecdotal allegations of disease andmany scientific advances have occurred since the Part 503 rule waspromulgated To assure the public and to protect public health there is a criticalneed to update the scientific basis of the rule to (1) ensure that the chemical andpathogen standards are supported by current scientific data and risk-assessmentmethods (2) demonstrate effective enforcement of the Part 503 rule and (3)validate the effectiveness of biosolids-management practices

Overarching Recommendations

bull Use improved risk-assessment methods to better establish standardsfor chemicals and pathogens Risk-assessment methods for chemicalsand pathogens have advanced over the past decade to the extent that (1)new risk assessments should be conducted to update the scientific basis ofthe chemical limits and (2) risk assessments should be used tosupplement technological approaches to establishing regulatory criteriafor pathogens in biosolids

bull Conduct a new national survey of chemicals and pathogens in sewagesludge The committee endorses the recommendation of a previous NRCcommittee that a new national survey of chemicals be performed Thecommittee further recommends a survey of pathogen occurrence in rawand treated sewage sludges The survey should include a carefulexamination of management practices to ensure that risk-assessmentprinciples are effectively translated into practice Data from the surveyshould be used to provide feedback for continuous improvement in thescience and technology of biosolids applied to land

SUMMARY 4

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bull Establish a framework for an approach to implement human healthinvestigations A procedural framework should be established toimplement human health investigations including short-terminvestigations of unusual episodes of release exposure or disease andlarge-scale preplanned studies of exposures and their association if anywith disease The framework should have mechanisms to document state-of-the-art successes both technological and administrative in preventingor remediating exposure to pathogens and toxicants and their adversehealth outcomes Further the framework should include a means fortracking allegations and sentinel events (compliance management orhealth based) investigations and conclusions Such tracking should besystematic and developed in cooperation with states

bull Increase the resources devoted to EPArsquos biosolids program Toremedy the deficiencies and to implement the recommendations describedin this report more funding and staff resources are needed for EPArsquosbiosolids program EPA should support and facilitate greater delegation ofauthority to states to administer the federal biosolids regulationResources are also needed for conducting needed research and to revisethe regulation as appropriate and in a timely fashion

These recommendations are discussed in greater detail below and in thefollowing chapters

Health Effects

Toxic chemicals infectious organisms and endotoxins or cellular materialmay all be present in biosolids There are anecdotal reports attributing adversehealth effects to biosolids exposures ranging from relatively mild irritant andallergic reactions to severe and chronic health outcomes Odors are a commoncomplaint about biosolids and greater consideration should be given to whetherodors from biosolids could have adverse health effects However a causalassociation between biosolids exposures and adverse health outcomes has notbeen documented To date epidemiological studies have not been conducted onexposed populations such as biosolids appliers farmers who use biosolids ontheir fields and communities near land-application sites Because of theanecdotal reports of adverse health effects the public concerns and the lack ofepidemiological investigation the committee concluded that EPA shouldconduct studies that examine exposure and potential health risks to worker andresidential populations Studies of wastewater treatment workers exposed to rawsewage sludge should not be used as substitutes for studies of populationsexposed to biosolids The types and routes of exposure to sewage sludge andbiosolids constituents can be quite different and there are major differences inthe populations exposed For example exposures to

SUMMARY 5

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biosolids go beyond the wastewater treatment plant to other worker populationssuch as appliers and farmers and to the general public such as communitiesliving near land-application sites and consumers of crops grown on biosolids-amended soils Exposed populations may also include sensitive subpopulationssuch as children immunocompromised individuals and the elderly who areunlikely to be prevalent in the workplace

Findings There is a lack of exposure and health information onpopulations exposed to biosolids Therefore although the land application ofbiosolids has occurred for many years with little if any systematic documentedevidence of adverse effects there is a need to gather epidemiological data andto investigate allegations of health incidents EPA needs to study morerigorously the exposure and health risks or the lack thereof in worker andcommunity populations exposed to biosolids

Recommendations Although routine human health surveillance of allpopulations exposed to biosolids is impractical the committee recommends thatEPA promote and support response investigations targeted exposuresurveillance studies and a few well-designed epidemiological investigations ofexposed populations This recommendation is intended to provide a means ofdocumenting whether health effects exist that can be linked to biosolidsexposure The committee recommends the following types of studies

bull Studies in response to unusual exposures and unusual occurrences ofdisease Occasionally the occurrence of unusual events can provideinformation on the agents of disease For example an outbreak or asymptom of disease might occur following a known exposure or anunusual exposure scenario In both instances exposure and healthoutcomes should be determined

bull Preplanned exposure-assessment studies Such studies should characterizethe exposures of workers such as biosolids appliers and farmers and thegeneral public who come into contact with constituents of biosolids eitherdirectly or indirectly The studies would require identification ofmicroorganisms and chemicals to be measured selection of measurementmethods for field samples and collection of adequate samples inappropriate scenarios A possible exposure-assessment study would be tomeasure endotoxin exposure of workers at biosolids production andapplication sites and of communities nearby

bull Complete epidemiological studies of biosolids use These studies shouldbe conducted to provide evidence of a causal association or a lackthereof between biosolids exposure and adverse human health effectsThey should include an assessment of the occurrence of disease and anassessment or measurement of potential exposures An example of alongitudinal epidemic

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logical study would be an evaluation of health effects in a cohort ofbiosolids appliers These workers should be characterized by duration andlevel of exposure and given appropriate follow-up Because completeepidemiological studies are expensive and require extensive data analysispriority should be given to studies that can address serious or widespreadproblems and help reduce uncertainty

Chemical and Pathogen Standards

EPArsquos 1993 chemical and pathogen standards for biosolids were based onthe scientific and technical information available at that time and theexpectation that the prescribed biosolids-management practices specified in thePart 503 rule would be effective in preventing harmful exposure to biosolidsconstituents To assure the public that the standards are protective of humanhealth it is important that EPA demonstrate that its chemical limits andpathogen-reduction requirements are supported by current scientific data andrisk-assessment methods Management practices (eg 10-meter setback fromwater bodies) are designed to control the potential risks therefore it isimportant to verify the effectiveness of the practices In addition EPA mustdemonstrate that the Part 503 rule is being enforced

Findings The committee found that no substantial reassessment has beendone to determine whether the chemical or pathogen standards promulgated in1993 are supported by current scientific data and risk-assessment methods Inaddition EPA does not have an adequate program to ensure compliance withthe biosolids regulations and has not documented the effectiveness of itsprescribed management practices Although there is no documented scientificevidence that the Part 503 rule has failed to protect public health there is a needto address scientific and management questions and uncertainties that challengeEPArsquos biosolids standards

Recommendations EPA should expand its biosolids oversight activities toinclude procedures for (1) assessing the reliability of the biosolids treatmentprocesses (2) monitoring compliance with the chemical and pathogenstandards (3) conducting environmental hazard surveillance and (4) studyinghuman exposure and health The committee recommends that Figure S-1 beused by EPA as a framework for establishing such a program The central partof the figure presents the general process by which biosolids are produced andused for land application Depicted on the left side of the figure areopportunities for conducting environmental hazard surveillance At these

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FIGURE S-1 Processing transport and land application of biosolids withoptions for hazard surveillance and studies of human exposures

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stages biosolids or environmental samples should be collected andanalyzed to verify that (1) treatment technologies for pathogen control areeffective (quality control) (2) chemical standards are met (compliance audits)and (3) unanticipated hazards are identified An important part of thisverification process is a review of the management practices required for landapplication because the practices are predicated on the assumption thatexposure to hazardous agents is further reduced by the implementation of suchpractices Studies should be conducted to determine whether the managementpractices specified in the Part 503 rule achieve their intended effect Additionalrisk-management practices should be considered in revising the Part 503 ruleConsiderations should include setbacks to residences or businesses setbacks toprivate and public water supplies limitations on holding or storage practicesslope restrictions soil permeability and depth to groundwater or bedrock andgreater distance to surface water

The right side of the figure depicts the various points in the process wherehuman exposures can occur Field research should be conducted to assesspotential exposure to biosolids constituents of concern Results from thisresearch could be used to identify populations that should be monitored orstudied at particular times and locations for abnormal health conditions andpotential biosolids exposure (see earlier recommendations for response andepidemiological studies) Studying environmental samples and reports ofadverse health outcomes can provide feedback to support or improve the risk-assessment and risk-management processes

The major aspect of the framework studied by the committee was thetechnical basis of the 1993 chemical and pathogen land-application standards ofthe Part 503 rule Recent EPA guidance recommends that risk assessment ofcomplex mixtures ideally be based on studies of the mixture rather than onselected individual components Such an approach is not feasible for biosolidshowever because studies of biosolids as complex mixtures are lackingFurthermore although methods for conducting risk assessments of chemicalmixtures are available no work has been done on risks from pathogen mixturesmuch less chemical-pathogen mixtures

Finding Because of data gaps and lack of risk-assessment methods forcomplex mixtures it is not possible at this time to integrate pathogen riskassessment with chemical risk assessment Thus it remains necessary to use acomponent-based approach to assessing risks from chemicals and pathogens inbiosolids There have been substantial improvements in conducting riskassessments since the Part 503 rule was promulgated and guidance for usingthese improved methods to update and strengthen the scientific basis of thechemical and pathogen standards is provided below

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Chemical Standards

In developing the original (1993) Part 503 rule EPA selected 10 inorganicchemicals (arsenic cadmium chromium1 copper lead mercurymolybdenum2 nickel selenium and zinc) to regulate for land application Riskassessments were conducted on each chemical to establish concentration limitsand loading rates However methods for conducting risk assessments haveevolved substantially since the 1993 regulations were established One of themajor developments has been a growing recognition of the need to includestakeholders in the risk-assessment process Stakeholders are groups who arepotentially affected by the risk groups who will manage the risk and groupswho will be affected by efforts to manage the source of the risk Stakeholderscan provide information and insights into how biosolids are used in practice andthe nature of potential exposures to chemicals and pathogens Involvingstakeholders throughout the risk-assessment process provides opportunities tobridge gaps in understanding language values and perspectives and to addressconcerns of affected communities Other important developments in riskassessment in recent years include improvements in measuring and predictingadverse health effects advancements in measuring and predicting exposureexplicit treatment of uncertainty and variability and improvements indescribing and communicating risk

In developing its 1993 chemical standards EPA selected chemicalsexposure conditions and risk-assessment assumptions that were intended to berepresentative and conservative enough to be applicable to all regions of theUnited States and to all land-application sites including agricultural fieldsforests and reclamation sites Thus the standards were expected to account forpossible variations in biosolids composition geographic and environmentalconditions or application and management practices EPA relied heavily on its1988ndash1989 National Sewage Sludge Survey (NSSS) to identify chemicals toregulate using percent detection and concentration values to exempt some

1Chromium was deleted from the regulation in 1995 This amendment was the resultof a petition seeking review of the pollutant limits for chromium filed in 1993 by theLeather Industries of America Inc to the US Circuit Court of Appeals for the Districtof Columbia Circuit The court remanded the request to EPA for additional justificationor modification of its chromium regulations in the Part 503 rule The agencysubsequently determined that there was insufficient support for regulating chromium inbiosolids

2Standards for molybdenum were dropped from the original regulation Currentlyonly a ceiling-concentration limit is available for molybdenum and a decision aboutestablishing new pollutant limits for this metal has not been made

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chemicals from regulation and to establish ceiling-concentration limits forothers A 1996 NRC report (Use of declaimed Water and Sludge in Food Crop Production) questioned the reliability of the results of the NSSS because oflimitations in sampling analyses and data-reporting methods Improvements inindustrial wastewater pretreatment processes and changes in chemical uses haveoccurred over the past decade Chemicals not included in the NSSS analyseshave since been identified as potential concerns and data gaps on toxicity andfate and transport characteristics that prevented risk assessment from beingperformed on some chemicals a decade ago might now be filled In addition thecommittee found no adequate justification for EPArsquos decision to eliminate fromregulation all chemicals detected at less than 5 frequency in the NSSS (or10 frequency in subsequent reanalysis) It should be noted that there are stilldata gaps that will continue to limit risk-assessment capability on many of thechemicals including those newly identified as potential concerns

EPA considered 14 major exposure pathways in setting the 1993 limits forthe nine regulated chemicals Nine of the pathways resulted in exposure tohumans two to animals two to soil organisms and one to plants The pathwayswere evaluated for agricultural and nonagricultural application scenarios For allnine of the regulated chemicals agricultural scenarios produced the lowestlimits that were subsequently used in the regulation EPA elected to evaluate thehuman exposure pathways for a theoretical highly exposed individual (HEI)(ie a hypothetical individual assumed to remain for an extended period of timeat or adjacent to the site where maximum exposure occurs) The degree ofrealism for the HEI varied among the exposure pathways and it was not clear tothe committee whether exposure estimates were comparably conservative for allpathways Moreover each pathway was evaluated independently and noconsideration was given to exposure from multiple pathways

Current risk-assessment practice is to perform comprehensivemultipathway risk assessments that estimate aggregate exposures for eachreceptor population (ie groups with potential exposure to contaminatedmedia) Such risk assessments are based on a conceptual site model thatidentifies the biosolids sources (eg biosolids tilled into soil or applied to thesurface for agricultural soil) the pathways by which biosolids constituentsmight be released and transported and the nature of human contacts with theconstituents General practice has changed from using the HEI as the receptorof concern because such an individual is unlikely to exist to using anindividual with reasonable maximum exposure (RME) An RME individual is ahypothetical individual who experiences the maximum exposure that isreasonably expected to occur (ie an upper-bound exposure estimate) RMEs

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should be based on receptor populations of concern such as a farm familyliving adjacent to and downhill from a land application site

A number of risk algorithms were used to calculate the 1993 chemicallimits The general algorithms are still valid but some fate and transport modelsand exposure parameter assumptions used in the calculations have advancedsince 1993 and some alternative assumptions have been supported by newstudies Chemical limits should be based on an integrated evaluation of allexposure pathways that might affect the identified receptors

Findings The committee found the technical basis of the 1993 chemicalstandards for biosolids to be outdated EPA has not reevaluated its chemicalstandards since promulgation so the data and methods used for the originalregulations are well over a decade old There have been substantial advances inrisk assessment since then and there are new concerns about some adversehealth outcomes and chemicals not originally considered Because of thediversity of exposed populations environmental conditions and agriculturalpractices in the United States it is important that nationwide chemicalregulations be based on the full range of exposure conditions that might occurFurthermore there is a need to investigate whether the biosolids produced todayare similar in composition to those used in the original assessments

Recommendations Using current risk-assessment practices EPA shouldreassess the standards for the regulated chemicals and conduct another chemicalselection process to determine whether additional chemicals should beconsidered for regulation On the basis of the revised risk assessments andchemical selection EPA can determine whether the standards or risk-management process should be revised and whether additional chemicalsshould be regulated Because the land-application standards are to be relevantnationally it is important that the revised risk assessments reflect regionalvariations in climate hydrology and biosolids use and characteristics and thatstandards are protective of populations reflecting reasonable estimates ofmaximum exposure The chemical standards should be reevaluated and updatedperiodically to ensure that they are supported by the best available scientificdata and methods Important elements for updating the risk assessments are thefollowing

bull As recommended by an earlier NRC committee a new national survey ofchemicals in biosolids should be conducted EPA should review availabledatabases from state programs in designing a new survey Other elementsthat should be included in the survey are an evaluation of the adequacy ofdetection methods and limits to support risk assessment consideration ofchemical categories such as odorants and pharmaceuticals that were notpreviously

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evaluated and assessment of the presence of multiple species of certainmetals such as mercury and arsenic that have different toxicity endpoints Data from this survey should be used to identify any additionalchemicals for potential regulation

bull Aggregate exposure assessments should be performed A conceptual sitemodel should be used to identify major and minor exposure pathways forvarious application scenarios Special consideration should be given toidentifying the application practices and environmental conditions that arelikely to result in the greatest human exposure Risks from long-term low-level exposures as well as short-term episodic exposures such as thosethat can occur with volatile chemicals should be evaluated

bull An RME individual rather than an HEI should be evaluated for eachexposure pathway Use of the RME is a more informed and reasonableestimate of exposure than the HEI because it reduces reliance on thesubjective application of default assumptions and reflects improvedmethods of characterizing population exposure When the RMEindividual is likely to be exposed by more than one pathway exposuresshould be added across pathways

bull Fate and transport models and exposure parameter assumptions used inthe risk assessment should be updated to reflect the most currentinformation on the RME individual for each exposure pathway

bull Representatives of stakeholders should be included in the risk-assessmentprocess to help identify exposure pathways local conditions that couldinfluence exposure and possible adverse health outcomes

Pathogen Standards

Pathogens are disease-causing microorganisms The two land-applicationclassifications for biosolids Class A and Class B are based on pathogencontent Class A biosolids have pathogen densities below specified detectionlimits whereas Class B biosolids have pathogen densities above those limitsNo risk assessments were conducted to establish the 1993 pathogen standardsfor these classes Instead EPA established technologically based requirementsto reduce the presence of pathogens by treatment or a combination of treatmentand use restrictions To meet Class A requirements demonstration of pathogenreduction is required by using one of several prescribed treatments Monitoringof indicator organisms is required of Class A biosolids at the time of usedistribution or land application to verify that treatment processes have reducedpathogen concentrations as expected (ie below the specified detection limits)Class B biosolids must also undergo treatment to reduce the presence ofpathogens but unlike Class A biosolids Class B biosolids may

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have detectable concentrations of pathogens Because of that site restrictionsare required to minimize contact with the biosolids until environmental factors(eg heat and desiccation) have further reduced the presence of pathogens Siterestrictions include restrictions on crop harvesting animal grazing and publicaccess for designated periods of time However there is no requirement that on-site measurements be taken at Class B application sites to confirm that thetreatment and the use restrictions resulted in below-detection pathogenconcentrations Such on-site measurements would help to estimate potentialrisks and the efficacy of site-management requirements

EPA considered a spectrum of bacteria viruses protozoa and helminths insetting its 1993 pathogen standards New information on some of these andother organisms are now available for updating hazard identification Humansmay be exposed to pathogens in biosolids from ingestion of contaminated foodwater or soil dermal contact and inhalation of bioaerosols (aerosolizedbiological particles) There is also the potential for humans to be exposed viasecondary transmission from exposure to pathogens shed from infectedindividuals either by direct contact or by routes through the environment Someexposure pathways such as the inhalation pathway were not adequatelyevaluated by EPA in the development of the 1993 Part 503 pathogenrequirements EPA also did not address sufficiently the potential for surface-water contamination by runoff groundwater contamination and secondarytransmission of disease

The reliability of biosolids treatment processes in reducing pathogens isessential for public-health protection There is a need to better document thereliability of EPArsquos prescribed treatment processes and to establish thatmanagement controls intended to reduce pathogens by natural attenuation areeffective An important consideration in making these determinations isensuring that the pathogen detection methods used are accurate and preciseSubstantial advances in detection and quantification of pathogens in theenvironment have been made since the 1993 promulgation of the Part 503 ruleFor example new molecular techniques for detecting pathogens (egpolymerase chain reaction) are now available In addition new approaches toenvironmental sample collection and processing are available Howeverimproved standardized methods for measuring pathogens in biosolids andbioaerosols need to be developed

As with the chemical standards EPA based its 1993 pathogen standards onselected pathogens and exposure conditions that were expected to berepresentative and conservative enough to be applicable to all areas of theUnited States and all types of land applications This includes the recognitionthat pathogen survival in soils can range from hours to years depending on thespecific pathogens biosolids application methods and rates initial patho

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gen concentrations soil composition and meteorological and geologicalconditions Little is know about pathogen transport and survival in bioaerosolsQuantitative microbial risk-assessment (QMRA) methods similar to those usedin chemical assessments have been developed for microbial agents in drinkingwater and food These methods are not as well established as those forchemicals and there are important differences between the two One of themajor differences is that microbial risk assessment must include the possibilityof secondary transmission of disease either through person-to-person contact orfrom transmission of the pathogen to others through air food or water Theimportance of secondary transmission depends in part on the level of acquiredimmunity to the pathogen in the community a phenomenon that has no analogin chemical risk assessment

Findings Given the variety of pathogens that have the potential to bepresent in biosolids the committee supports EPArsquos approach to establishingpathogen reduction requirements and monitoring indicator organisms Howeverthe reliability of EPArsquos prescribed treatment techniques should be betterdocumented using current pathogen detection technology and more research onenvironmental persistence and dose-response relationships is needed to verifythat current management controls for pathogens are adequate to maintainminimal exposure concentrations over an extended period of time QMRAmethods have developed sufficiently to provide better risk information thatshould be used to establish or support existing regulatory criteria

Recommendations

bull EPA should conduct a national survey of pathogen occurrence in raw andtreated sewage sludges Important elements in conducting the surveyinclude use of consistent sampling methods analysis of a broad spectrumof pathogens that could be present in sewage sludge and use of the bestavailable (preferably validated) pathogen measurement techniques

bull QMRAs should be developed and used to establish regulatory criteria(treatment requirements use restrictions and monitoring) for pathogensin biosolids For example EPA could stipulate an acceptable risk level fora particular pathogen QMRA could then be used to estimate theconcentration of that pathogen in biosolids either at the point ofapplication (where there is immediate potential for exposure) or followingany required holding period EPA could then determine experimentallybased relationships between the maximum acceptable pathogenconcentration and the process conditions (eg time temperature pHchemical doses and holding times) andor the pathogen indicatorconcentrations (either density or reduction through treatment) On thebasis of those relationships regulatory criteria and monitoring for land

SUMMARY 15

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application can be updated or developed to ensure consistent attainmentof target pathogen concentrations To conduct QMRAs a conceptual sitemodel should be used to identify all potential routes of exposureadditional input data (eg dose-response and pathogen-survival data)should be collected and consideration should be given to potentialsecondary transmission of infectious disease QMRAs also can be used toanalyze sensitivity and to ascertain what critical information is needed toreduce uncertainty about the risks from exposure to pathogens inbiosolids The pathogen standards should be reevaluated and updatedperiodically to ensure that they are supported by the best availablescientific data and methods and to ensure that anecdotal information is notbeing used for the predication of past current or future regulations

bull EPA should foster development of standardized methods for measuringpathogens in biosolids and bioaerosols

bull EPA should promote research that uses improved pathogen detectiontechnology to better establish the reliability of its prescribed pathogentreatment processes and biosolids-use controls to achieve and maintainminimal exposure over time In setting pathogen treatment requirementsit might be useful to establish metrics for typical (mean) treatmentperformance and concentrations not to be exceeded

bull Research should be conducted to assess whether other indicatororganisms such as Clostridium perfringens could be used in regulationof biosolids Such indicators along with traditional indicators andoperational parameters may be suitable for monitoring day-to-dayregulatory compliance

SUMMARY 16

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1

Introduction

Land application of treated sewage sludge (often referred to as biosolids)for soil-amendment and land-reclamation purposes has increased over the pastdecade as a result of the ban on ocean dumping of wastewater residuals (OceanDisposal Ban Act of 1988) and as an alternative to other disposal options suchas landfilling or incineration Recycling sewage sludge has been practiced formany decades In 1993 EPA promulgated Standards for the Use or Disposal ofSewage Sludge (Code of Federal Regulations Title 40 Part 503) which setpollutant limits operational standards for pathogen and vector-attractionreduction management practices and other provisions intended to protectpublic health and the environment from any reasonably anticipated adverseeffects from chemical pollutants and pathogenic organisms Many of theregulations (commonly referred to as the Part 503 rule) were based on riskassessments conducted to identify and characterize risks associated with the useor disposal of sewage sludge In this report the National Research Councilrsquos(NRCrsquos) Committee on Toxicants and Pathogens in Biosolids Applied to Landreviews the nature of the human health risks from chemicals and pathogens inbiosolids evaluates the scientific approaches that EPA used to establish itshuman-health-based land-application pollutant limits and pathogen reductiontechniques provides an overview of the advances in risk assessment since theestablishment of those standards and in light of the advancementsrecommends risk-based strategies for reevaluating the human-health-based land-application standards of the Part 503 rule

INTRODUCTION 17

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This chapter briefly reviews why biosolids are a public-health concernstates the task addressed by the committee sets forth the committeersquos activitiesand deliberative process in developing the report and describes the organizationof the report

BIOSOLIDS

Definitions and Use

Sewage sludge is defined in the Part 503 rule as the solid semi-solid orliquid residue generated during the treatment of domestic sewage in a treatmentworks The term biosolids is not used in the Part 503 rule but EPA (1995)defines biosolids as ldquothe primarily organic solid product yielded by municipalwastewater treatment processes that can be beneficially recycledrdquo as soilamendments Use of the term biosolids has been controversial because of theperception that it was created to improve the image of sewage sludge in apublic-relations campaign by the sewage industry (Rampton 1998) For thepurposes of this report the committee considers sewage sludge to be the solidsemi-solid or liquid residue generated during treatment of domestic sewageand biosolids to be sewage sludge that has been treated to meet the land-application standards in the Part 503 rule or any other equivalent land-application standards

It is estimated that approximately 56 million dry tons of sewage sludge areused or disposed of annually in the United States of which approximately 60are used for land-application or public distribution (see Chapter 2) On the basisof data from EPA (1999a) and USDA (1997) EPA estimates that approximately01 of available agricultural land in the United States is treated with biosolidsBiosolids are a complex mixture that may contain organic inorganic andbiological pollutants from the wastewaters of households commercialestablishments and industrial facilities and compounds added or formed duringvarious wastewater treatment processes Such pollutants include inorganiccontaminants (eg metals and trace elements) organic contaminants (egpolychlorinated biphenyls [PCBs] dioxins pharmaceuticals and surfactants)and pathogens (eg bacteria viruses and parasites) Sewage-sludge treatmentprocesses are intended to reduce the volume and organic content of biosolidsand to reduce the presence of pathogens but retain beneficial properties for soil-amendment and land-reclamation purposes Figure 1ndash1 provides a simplifiedschematic of how biosolids are produced and illustrates how the content ofbiosolids can vary depending on the wastewater streams and the variations intreatment processes See Figures 2ndash1 and 2ndash2 in

INTRODUCTION 18

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FIGURE 1ndash1 Biosolids production

aRequired by federal and state agenciesbPrior to dewatering sewage sludge is conditioned and thickened by addingchemicals (eg ferric chloride lime or polymers)

INTRODUCTION 19

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BOX 1ndash1 DEFINITIONS

Sewage sludge the solid semi-solid or liquid residue generatedduring the treatment of domestic sewage in a treatment works

Biosolids

bull EPArsquos definition the primarily organic solid product yielded bymunicipal wastewater treatment processes that can be beneficiallyrecycled (whether or not they are currently being recycled)

bull Committeersquos definition sewage sludge that has been treated to meetthe land-application standards in the Part 503 rule or any otherequivalent land-application standards or practices

Chapter 2 for more detailed diagrams of wastewater and sewage sludgetreatment

Biosolids are applied to agricultural and nonagricultural lands as soilamendments because they can improve the chemical and physical properties ofsoils and they contain nutrients and trace elements important for plant growthAgricultural lands include sites where food crops (for human or animalconsumption) and nonfood crops are grown Nonagricultural lands includeforests rangelands and public contact sites (eg public parks golf courses andcemeteries) Severely disturbed lands such as strip mines and gravel pits canbe reclaimed with biosolids

Biosolids are divided into two classes on the basis of pathogen contentClass A and Class B Class A biosolids are treated to reduce the presence ofpathogens to below detectable levels and can be used without any pathogen-related restrictions at the application site Class A biosolids can also be baggedand sold to the public if other requirements are met Class B biosolids aretreated to reduce pathogens but still contain detectable levels of them Class Bbiosolids have site restrictions that seek to minimize the potential for humanand animal exposure until environmental factors such as heat sunlight anddesiccation have reduced pathogens further Class B biosolids cannot be sold orgiven away in bags or other containers or used at sites with public use

Sewage sludge that is not treated to meet land-application standards isusually disposed of at landfills or surface disposal sites that contain only sewagesludge or is incinerated Regulations pertaining to these disposal practices arecontained in the Part 503 rule Review of disposal regulations is howeveroutside the scope of the committeersquos task

INTRODUCTION 20

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Pollutant Standards

Different methods were used to establish the chemical pollutant andpathogen standards in the Part 503 rule For the chemical pollutant limitssewage-sludge surveys (EPA 1982 1990) and risk assessments (EPA 1992ab)were used to identify and characterize risks from chemical pollutants in sewagesludge The risk assessments considered a variety of pathways by whichhumans animals plants and soil organisms could be exposed to biosolidpollutants Chemical standards (ie ceiling concentrations (mgkg) cumulativepollutant loading rates (kghectare) pollutant concentration limits (mgkg) andannual pollutant loading rates (kghectare365-day period) were originallyestablished for 10 inorganic chemicals using the most limiting exposurepathway These chemicals are arsenic cadmium chromium1 copper leadmercury molybdenum2 nickel selenium and zinc Standards for five of thecurrently regulated chemicals (arsenic cadmium lead mercury and selenium)are based on potential adverse human health effects Most standards are only foreight chemicals only a ceiling concentration is currently established formolybdenum as described in the footnote

In December 1999 EPA issued a proposal to amend the Part 503 rule forland-applied biosolids by adding a risk-based concentration limit for dioxins acategory of organic compounds that includes 29 specific congeners ofpolychlorinated dibenzo-p-dioxins polychlorinated dibenzofurans and coplanarpolychlorinated biphenyls (PCBs) (EPA 1999b) (More details about thisproposal are presented in Chapters 2 and 5)

EPA established operational standards for pathogens in biosolids ratherthan risk-based standards although it conducted a preliminary set of riskassessments for viruses (EPA 1992c) bacteria (EPA 1991a) and parasites (EPA1991b) The operational standards are pathogen-reduction requirements thegoal of which is to reduce the presence of pathogens (including

1Chromium was deleted from regulation in 1995 This amendment was the result of apetition filed in 1993 by the Leather Industries of America Inc to the US Circuit Courtof Appeals for the District of Columbia Circuit seeking review of the pollutant limits forchromium The court remanded the request to EPA for additional justification ormodification of its chromium regulations in the Part 503 rule The Agency subsequentlydetermined that there was ldquoan insufficient basis at this time for the regulation ofchromium in sewage sludge that is applied to landrdquo (EPA 1995)

2Standards for molybdenum were dropped from the original regulation Currentlyonly a ceiling-concentration limit is available for molybdenum and a decision aboutestablishing new pollutant limits for this metal has not been made

INTRODUCTION 21

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enteric viruses bacteria parasites and viable helminth ova) in biosolids tolevels that are unlikely to pose a threat to public health and the environmentunder specific use conditions Because of the variety of different pathogens thatmight be present in sewage sludge and the impracticality of testing for all ofthem EPA requires analyses of ldquoindicator organismsrdquo An indicator organism isa particular species of microorganism whose presence is used to indicate that acertain set of pathogenic organisms might also be present The Part 503 rulespecifies operational standards for fecal coliforms Salmonella sp bacteriaenteric viruses and viable helminth ova

Earlier NRC Review

In 1996 the NRC published the report Use of Reclaimed Water and Sludgein Food Crop Production which reviewed the practice of using wastewater andbiosolids for agricultural purposes That report focused specifically on issuesrelated to food-crop production and evaluated the regulations for chemicals andpathogens in the Part 503 rule reviewed the impacts on soil crops andgroundwater and considered the economic legal and institutional issues of thepractice The current report is different from the earlier one in that itencompasses all land-application uses (not only food-crop production) isfocused only on human health risks and provides an in-depth assessment of themethods used to assess those risks

The 1996 report concluded that ldquoWhile no disposal or reuse option canguarantee complete safety the use of [municipal wastewater and biosolids] inthe production of crops for human consumption when practiced in accordancewith existing federal guidelines and regulations presents negligible risk to theconsumer to crop production and to the environment Current technology toremove pollutants from wastewater coupled with existing regulations andguidelines governing the use of reclaimed wastewater and sludge in cropproduction are adequate to protect human health and the environmentrdquoHowever the report also highlighted limitations and inconsistencies in EPArsquosrisk evaluation and made recommendations for additional research Excerpts ofthe major recommendations of that report are presented in Box 1ndash2

One of the major concerns with respect to EPArsquos risk evaluation was thereliability of the National Sewage Sludge Survey (EPA 1990) which served asthe basis for many of the decisions made in the Part 503 rule including EPArsquosdecision to exempt organic pollutants from regulation Inconsistencies werefound in the surveyrsquos sampling and data-reporting methods that undermined thereliability of the data Therefore it was recommended that EPA conduct anothernational survey of pollutants in biosolids To date no comprehensive survey hasbeen performed

INTRODUCTION 22

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BOX 1ndash2 RECOMMENDATIONS IN NRC (1996) REPORT

Adequacy of Existing Regulations for Pathogens in ReclaimedWater and Biosolids

bull Until a more sensitive method for the detection of Salmonella inbiosolids is developed the present test should be used for supportdocumentation but not be substituted for the fecal coliform test inevaluating biosolids as Class A

bull EPA should continue to develop and evaluate effective ways to monitorfor specific pathogens in biosolids

bull EPA should reevaluate the adequacy of the 30-day waiting periodfollowing the application of Class B biosolids to pastures used forgrazing animals

Adequacy of Existing Regulations for Harmful Chemicals inReclaimed Water and Biosolids

bull A more comprehensive and consistent survey of municipal wastewatertreatment plants is needed to show whether or not toxic organiccompounds are present in biosolids at concentrations too low to pose arisk to human and animal health and to the environment In conductinga second NSSS EPA should strive to improve the integrity of the databy using more consistent sampling and data-reporting methods TheEPA should not exclude chemicals from regulatory considerationbased solely on whether or not those chemicals have been bannedfrom manufacture in the United States (eg PCBs) since they are stillfound in sewage sludge from many wastewater treatment plants

Marketing Biosolids Products to the Public

bull The Part 503 rule should be amended to more fully assure that onlybiosolids of exceptional quality in terms of both pathogen andchemical limits are marketed to the general public so that furtherregulation and management beyond the point of sale or give-awaywould not be necessary

Soil Crop and Groundwater Effects

bull When determining biosolids and fertilizer application rates an analysisof the rates of organic nitrogen mineralization should be performed inorder to avoid buildup of excess nitrate-nitrogen Nitrate-nitrogen that isnot taken up by plants may contribute to excess fertilisation andleaching Where excess phosphorus is of concern soil phosphoruslevels should be monitored and biosolids application rates should beadjusted to correspond to crop phosphorus rather than nitrogen needs

bull As more croplands are treated with biosolids and reach their regulatorylimit of chemical pollutant loading from biosolids applications additionalinforma

INTRODUCTION 23

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bull tion will be needed to assess potential long-term impacts of biosolidson groundwater quality and on the sustainability of soils for cropproduction

Economic Legal and Institutional Issues

bull Any payment program designed to promote agricultural use of treatedeffluents or biosolids should be carefully structured to avoid thecreation of incentives to apply reclaimed water or biosolids at rates inexcess of agronomic rates and to avoid undermining farmmanagement practices needed to protect public and occupationalhealth and the environment

bull States and municipalities that wish to implement a beneficial-useprogram need to address public concerns and provide assurances thatthe new uses of biosolids and wastewater do not endanger health orthe environment in application areas The public and local officialsshould be involved in the decision-making process at an early stage

bull The operators of municipal wastewater treatment facilities and theparties using biosolids and wastewater should implement visiblestringent management and self-regulation measures includingmonitoring and reliable reporting by farmers and should supportvigilant enforcement of appropriate regulations by local or stateagencies Implementation of these measures will be credible means ofpreventing nuisance risks and harm to people property and highlyvalued nearby resources

bull The municipal utility should carry out demonstration programs for publiceducation and to verify the effectiveness of management and self-regulatory systems In addition the utility should be prepared toindemnify farmers against potential liabilities when farmersrsquo financingby banks or other lenders may hinge on this assurance

bull Management of biosolids for beneficial use should be more visiblylinked to existing regulations governing its disposal Program credibilitymay be improved and public concern reduced if federal state andmunicipal regulators clearly assign authority to local governments forresponding to any reports of adverse consequences related tobeneficial use of biosolids such as ground water contamination odorattraction of vermin or illnesses The public should be aware that stateand local units of government have the necessary regulatory authorityto take corrective actions against parties who have violated rules andguidance

INTRODUCTION 24

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ion

The 1996 NRC report also examined the adequacy of EPArsquos pathogenrequirements and made recommendations to improve them (Box 1ndash2) EPA3

has indicated that it plans to develop better analytical protocols for detectingpathogens including Salmonella as resources permit It notes that in generalmost biosolids producers continue to demonstrate Class A quality by relying onthe fecal coliform tests rather than the Salmonella test EPA also plans todevelop monitoring protocols for specific pathogens

EPA3 has not decided whether to reevaluate the 30-day waiting periodrequired before grazing is allowed on biosolids-amended pastures A decisionwill be based on EPArsquos review of a workshop held in June 2001 titled EmergingPathogen Issues in Biosolids Animal Manures and Other Similar By-productsand a microbial risk-assessment model currently being developed byresearchers at the University of California at Berkeley for the WaterEnvironment Research Foundation

HUMAN HEALTH AND RISK-ASSESSMENT ISSUES

A number of potential human health and risk-assessment issues werebrought to the committeersquos attention Some of the major human health issuesinclude the following

bull Differences in the extent of health complaints There are severalallegations of deaths caused by exposure to biosolids and anecdotalreports of illnesses ranging from acute to chronic problems includingheadaches respiratory problems and gastrointestinal illnesses Mosthealth complaints appear to be concentrated in specific locales Otherlocales receive few or no complaints

bull Citizen complaints Odors from biosolids are the principal complaint fromcitizens living near biosolids land-application sites Citizens have alsocomplained of attraction of vectors (eg insects birds) declines inproperty values and damage to property and public roads by the heavytrucks used to transport biosolids These types of complaints havesometimes been categorized as nuisance problems or aesthetic issues butconcerns have been raised that odors and vector attraction could havehealth impacts

3Responses to follow-up questions from US House Science Committee Hearing onBiosolids March 22 2000 Submitted to the committee by Elizabeth MSokul OversightCounsel Committee on Science US House of Representatives

INTRODUCTION 25

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ther

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setti

ng-s

peci

fic fo

rmat

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how

ever

can

not b

ere

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nd s

ome

typo

grap

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erro

rs m

ay h

ave

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tally

inse

rted

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ase

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of t

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as th

e au

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r attr

ibut

ion

bull Differences in public confidence in enforcement and compliance with thePart 503 rule A variety of alleged incidents were brought to thecommitteersquos attention including improper application of biosolidsinadequate public-access restrictions at Class-B application sites andviolations of the 30-day waiting period before allowing grazing on treatedpastures It was beyond the scope of the committeersquos task to investigate orverify these allegations but an audit of the national biosolids program byEPArsquos Office of Inspector General concluded that ldquoEPA does not have aneffective program for ensuring compliance with the land applicationrequirements of Part 503 Accordingly while EPA promotes landapplication EPA cannot assure the public that current land applicationpractices are protective of human health and the environmentrdquo (EPA 2000)

In addition to health issues questions have been raised about the risk-assessment approaches used to establish the biosolids standards Major issuesinclude the following

bull Regional and site-specific considerations Biosolids content use practicesand application-site characteristic (eg geology and climate) vary greatlyamong and within regions It is important that these variations areconsidered in the risk assessment used to establish the biosolids standards

bull Difficulties in conducting risk assessments when the available database ispoor Major gaps in the biosolids data include need for updatedcharacterization of biosolids constituents exposure information andunderstanding of relevant health effects

bull Challenge of assessing risks from a complex mixture Biosolids are amixture of organic and inorganic chemicals and biological agents Risk-assessment procedures typically quantify risks from single chemicals andassume additivity when multiple chemicals are present Although muchthought has been given to evaluating risks from chemical mixturesstrategies for considering risks from exposure to complex mixtures arestill in development

THE COMMITTEErsquoS TASK

The Clean Water Act requires EPA to periodically reassess the scientificbasis of the Part 503 rule including the option of adding pollutants to theregulation Several advances and improvements in conducting risk assessmentshave occurred since the promulgation of the rule in 1993 Some researchershave questioned the scientific basis and data used in establishing EPArsquosbiosolids standards noting data gaps nonprotective policy choices and

INTRODUCTION 26

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ompo

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from

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heor

igin

al ty

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tting

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age

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ks a

re tr

ue to

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e le

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nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

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ever

can

not b

ere

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ed a

nd s

ome

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erro

rs m

ay h

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rted

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more stringent standards set by other countries In addition there is increasingconcern among communities near land-application sites about the health risksfrom exposure to biosolids For these reasons EPA asked the NRC to conductan independent evaluation of the technical basis of the Part 503 rule land-application standards

In response to this request the NRC convened the multidisciplinaryCommittee on Toxicants and Pathogens in Biosolids Applied to Land Thecommittee was asked to review information on the land application of biosolidsand to evaluate the methods used by EPA to assess human health risks fromchemical pollutants and pathogens in biosolids Specifically the committee wasasked to

1 Review the risk-assessment methods and data used to establishconcentration limits for chemical pollutants in biosolids todetermine whether they are the most appropriate approachesConsider the NRCrsquos previous (1996) review and determine whetherthat reportrsquos recommendations have been appropriately addressedConsider (a) how the relevant chemical pollutants were identified(b) whether all relevant exposure pathways were identified (c)whether exposure analyses particularly from indirect exposuresare realistic (d) whether the default assumptions used in the riskassessments are appropriate and (e) whether the calculations usedto set pollutant limits are appropriate

2 Review the current standards for pathogen elimination in biosolidsand their adequacy for protecting public health Consider (a)whether all appropriate pathogens were considered in establishingthe standards (b) whether enough information on infectious doseand environmental persistence exists to support current controlapproaches for pathogens (c) risks from exposure to pathogensfound in biosolids and (d) new approaches for assessing risks tohuman health from pathogens in biosolids

3 Explore whether approaches for conducting pathogen riskassessment can be integrated with those for chemical riskassessment If appropriate recommend approaches for integratingpathogen and chemical risk assessments

THE COMMITTEErsquoS APPROACH

To accomplish its task the committee held five meetings between March2001 and May 2002 The first two meetings involved data-gathering sessionsthat were open to the public The committee heard from EPA the NationalInstitute for Occupational Safety and Health industry representativesenvironmental and community groups and academics Many concerned members

INTRODUCTION 27

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from

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rom

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heor

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tting

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ks a

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ther

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setti

ng-s

peci

fic fo

rmat

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how

ever

can

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ere

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ed a

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ibut

ion

of the public attended the meetings and were given the opportunity to addressthe committee Citizens living near land-application sites voiced concerns aboutodors health effects lack of investigation into health complaints andapplication practices that do not comply with the regulations At its secondmeeting the committee also visited an agricultural field in Riverside CountyCalifornia where Class B biosolids were being applied The purpose of the visitwas to observe techniques used to apply biosolids to an agricultural field Thecommittee also reviewed a large body of written material on biosolids Thecommittee relied on peer-reviewed publications as its primary source ofinformation but unpublished data (submitted by various sources includingindustry representatives and the public) were sometimes used to supplementexisting information or when no other information was available

The committee is aware that some readers expect this report to cover allaspects of biosolids use and determine whether EPA should continue topromote its use That expectation goes well beyond the committeersquos chargeTherefore it is important to clarify what this report addresses and what it doesnot address

This report focuses on the land application of Class A and Class Bbiosolids It does not consider risks from sewage treatment processes (includingcomposting) storage or transporting nor does it cover risks from disposalpractices of landfilling surface disposal or incineration

The committee was asked to devote its efforts to evaluating existingbiosolids regulations (as of July 1 2000) in 40 CFR Part 503 Because theregulations cover only chemical (specifically inorganics) and pathogenicpollutants radioactive contaminants were not included in the committeersquosassessment even though the committee is aware that radioactive compoundsmay be present in biosolids The committeersquos assessment also excluded an in-depth evaluation of EPArsquos risk assessment and proposed regulations fordioxins because they were not finalized at the time of writing However thecommittee did evaluate the scientific basis of EPArsquos original decision not toregulate organic pollutants in biosolids

Although the Part 503 rule considers risks to both human andenvironmental health the committee was asked to focus its evaluation onhuman health risks and not on plant animal or ecological risks The committeeinterpreted this task to include an evaluation of relevant occupational health inaddition to public health It is also important to emphasize that the primarypurpose of this report is to provide an evaluation of the risk-assessment methodsand approaches used to establish the biosolids land-application standards and isnot an investigation into the validity of allegations of biosolids-related illnessesRisk assessment is the characterization of potential adverse health effectsresulting from exposure to environmental hazards It is a process

INTRODUCTION 28

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ks a

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ue to

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orig

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rmat

ting

how

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can

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ed a

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ome

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ay h

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rted

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his

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thor

itativ

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rsio

n fo

r attr

ibut

ion

separate from risk management which is the term used to describe the processby which risk-assessment results are integrated with other information (egsocial economic and engineering factors) to make decisions about thenecessity method and extent of risk reduction

REPORT ORGANIZATION

The remainder of this report is organized into six chapters Chapter 2describes the history of the biosolids regulations treatment processes usepractices compliance issues and risk-management practices in the UnitedStates It also provides a brief overview of biosolids regulations and practices inEurope Chapter 3 reviews the available evidence on human health effects fromexposure to biosolids Chapter 4 presents developments in risk assessment sincethe Part 503 rule was established and discusses current risk-assessmentpractices used by EPA Chapter 5 reviews EPArsquos risk-assessment approach tosetting limits for chemical pollutants in biosolids EPArsquos pathogen-reductionstandards are reviewed in Chapter 6 along with new developments in the areaof risk assessment for microbial agents Chapter 7 explores whether it ispossible to use an integrated approach to assess the risks from a complexmixture of chemical and biological agents

REFERENCES

EPA (US Environmental Protection Agency) 1982 Fate of Priority Pollutants in Publicly OwnedTreatment Works Vol 1 Final Report EPA4401ndash82303 Effluent Guidelines DivisionWater and Waste Management US Environmental Protection Agency Washington DCSeptember 1982

EPA (US Environmental Protection Agency) 1990 National Sewage Sludge Survey availabilityof information and data and anticipated impacts on proposed regulations Proposed ruleFed Regist 55(218)47210ndash47283 (November 9 1990)

EPA (US Environmental Protection Agency) 1991a Preliminary Risk Assessment for Bacteria inMunicipal Sewage Sludge Applied to Land EPA6006ndash91006 Office of Research andDevelopment US Environmental Protection Agency Washington DC July 1991

EPA (US Environmental Protection Agency) 1991b Preliminary Risk Assessment for Parasites inMunicipal Sewage Sludge Applied to Land EPA6006ndash91001 Office of Research andDevelopment US Environmental Protection Agency Washington DC March 1991

EPA (US Environmental Protection Agency) 1992a Technical Support Document for LandApplication of Sewage Sludge Vol 1 EPA 822R-93ndash001a Office of

INTRODUCTION 29

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from

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es c

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ed f

rom

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inal

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heor

igin

al ty

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tting

file

s P

age

brea

ks a

re tr

ue to

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orig

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e le

ngth

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ord

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ks h

eadi

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tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

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ay h

ave

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rted

Ple

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his

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ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Water US Environmental Protection Agency Washington DC November 1992EPA (US Environmental Protection Agency) 1992b Technical Support Document for Land

Application of Sewage Sludge Vol 2 Appendices EPA 822R-93ndash001b Office of WaterUS Environmental Protection Agency Washington DC November 1992

EPA (US Environmental Protection Agency) 1992c Preliminary Risk Assessment for Viruses inMunicipal Sewage Sludge Applied to Land EPA600R-92064 Office of Research andDevelopment US Environmental Protection Agency Washington DC June 1992

EPA (US Environmental Protection Agency) 1993 Federal Register February 19 1993 40 CFRParts 257 403 and 503 The Standards for the Use or Disposal of Sewage Sludge FinalRules EPA 822Z-93001 US Environmental Protection Agency Washington DC

EPA (US Environmental Protection Agency) 1995 A Guide to the Biosolids Risk Assessmentsfor the EPA Part 503 Rule EPA832-B-93ndash005 Office of Wastewater Management USEnvironmental Protection Agency Washington DC September 1995 [Online] Availablehttpwwwepagovowmbio503ruleindexhtm [December 20 2001]

EPA (US Environmental Protection Agency) 1999a Biosolids Generation Use and Disposal inthe United States EPA530-R-99ndash009 Office of Solid Waste and Emergency ResponseUS Environmental Protection Agency Washington DC September 1999 [Online]Available httpwwwepagovepaoswernonhwcompostbiosolidpdf [March 19 2002]

EPA (US Environmental Protection Agency) 1999b Standards for the use or disposal of sewagesludge Proposed rule Fed Regist 64(246)72045ndash72062 (December 23 1999)

EPA (US Environmental Protection Agency) 2000 Water Biosolids Management andEnforcement Audit Report No 2000-P-10 Office of Inspector General March 20 2000[Online] Available httpwwwepagovoigearthauditlist30000P0010pdf [December20 2001]

NRC (National Research Council) 1996 Use of Reclaimed Water and Sludge in Food CropProduction Washington DC National Academy Press

Rampton S 1998 Let them eat nutri-cake Merriam-Webster thinks our ldquobiosolidsrdquo donrsquot stink(how the word biosolid became a dictionary term) Harperrsquos Magazine (November 1998)

USDA (US Department of Agriculture) 1997 1997 Census of Agriculture Vol 1 National Stateand Country Tables USDA National Agricultural Statistics Service [Online] Availablehttpwwwnassusdagovcensus [April 16 2002]

INTRODUCTION 30

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2

Biosolids Management

Wastewater treatment necessarily produces two end products effluent andsewage sludge All wastewater generated in homes businesses industries andother venues that is conveyed to wastewater treatment plants is treated to alloweffluent discharge back into the surface and groundwaters of the United StatesSewage sludge is likewise treated in the wastewater process generally throughaerobic or anaerobic microbial activity for specified time periods andtemperatures Both effluent and sewage sludge require treatment to ensure thattheir release into the environment is protective of human health and theenvironment as required by the Clean Water Act (CWA) Sewage sludge isdefined as the solid semi-solid or liquid residue generated during the treatmentof domestic sewage in a treatment works and biosolids are defined in thisreport as sewage sludge that has been treated to meet standards for landapplication under Part 503 of the CWA or any other equivalent land-applicationstandards

Of the nationrsquos estimated 263 million people in 1996 190 million of themor 72 contributed wastewater directly through a sewerage system toapproximately 16000 publicly owned treatment works (POTW) (EPA 2000a)The remaining 73 million people discharged wastewater to some form of on-sitetreatment system or holding tank more than half of which also is ultimatelydischarged to a POTW (Razvi 2000) Each person discharging human waste toa wastewater treatment system produces approximately 47 dry pounds (21kilograms) of sewage sludge each year (EPA 1993) As the population of the

BIOSOLIDS MANAGEMENT 31

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ibut

ion

United States increases the percentage of the population directly discharging toPOTWs is projected to increase to 88 by 2016 (EPA 2000a) The ability toeffectively treat and return wastewater and sewage sludge to the environment ina protective manner is of paramount importance from both a public-health andan environmental perspective In partial recognition of this fact Congresspassed the CWA of 1972 and the federal government has contributed $611billion in grants and $161 billion in low-interest loans to municipal and localgovernments between 1972 and 1999 for capital construction costs to providenecessary support for wastewater and sewage-sludge treatment and dispositionof biosolids (EPA 2000a) Approximately 40 of that amount has been used forsewage sludge treatment and disposition of biosolids (Peavy et al 1985)Sewage sludge is generated in several treatment processes that generally includeprimary (from primary clarification) and secondary (from secondaryclarification) sewage sludge The general process of treating wastewater andsewage sludge is illustrated in Figures 2ndash1 and 2ndash2

EPA is responsible under Section 405 of the CWA to promulgateregulations for sewage sludge use or disposal The CWA Amendments of 1987added special provisions that required EPA to identify toxic pollutants and setsewage-sludge standards that are ldquoadequate to protect public health and theenvironment from any reasonably anticipated adverse effect of each pollutantrdquo(emphasis added) Recognizing that sewage-sludge production will continue toincrease and that sewage sludge possesses many potential beneficial propertiesfor agricultural production federal and state agencies have long advocated therecycling of it as biosolids through land application (EPA 1981 1984 1991)The other primary options for sewage sludge disposition are to bury it in alandfill or to incinerate it Although these latter options possess inherent risksand environmental difficulties these options are beyond the scope of this report(see Chapter 1)

Of the 16000 POTWs in the United States approximately 8650 generatesewage sludge that must be used or disposed of at least annually (WisconsinDepartment of Natural Resources unpublished data 2001) Based on data from37 states approximately 5900 of these sewage sludge generators (68) eitherland apply or publicly distribute over 34 million dry tons of biosolids each year(see also End Use Practice section of this chapter) Most of this recycling use isconducted without public opposition and with no documented adverse healtheffects However recent allegations of adverse health effects have receivedmedia and congressional attention Chapter 3 assesses the epidemiologicalevidence and approach for health effects associated with biosolids productionand application but does not systematically investigate these allegationsRather the report examines the process by which the regulations wereestablished and determines whether advances in risk-assessment methodswarrant a revisiting of the process

BIOSOLIDS MANAGEMENT 32

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tting

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age

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ks a

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ks h

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ng s

tyle

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ng-s

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rmat

ting

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ever

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tain

ed a

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ome

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grap

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rted

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n fo

r attr

ibut

ion

FIG

UR

E 2

ndash1 T

he p

roce

ss s

chem

atic

del

inea

ting

wat

er a

nd w

aste

wat

er tr

eatm

ent a

long

wit

h th

e se

wag

e sl

udge

str

eam

BIOSOLIDS MANAGEMENT 33

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of t

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sed

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ks a

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tyle

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type

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ng-s

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n fo

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ibut

ion

FIG

UR

E 2

ndash2 S

ewag

e sl

udge

trea

tmen

t alt

erna

tive

s

BIOSOLIDS MANAGEMENT 34

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of t

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This chapter briefly examines the development of the Part 503 rule certainrelated issues and what EPA has done to implement the rule sincepromulgation It also reviews how states implement the rule whether or notthey have explicit delegated authority from EPA An examination of biosolidsregulations and practices in Europe is then used to compare and contrast thesepractices An overview of the acceptable pathogen treatment controls and landapplication site restrictions is presented as well as associated methods forstabilization to reduce the attraction to vectors such as rodents Issues are raisedthat relate to the verification of the efficacy of treatment Finally this chapterexamines end-use practices in the United States biosolids quality achieved dataon nonregulated pollutants risk-management practices inherent to landapplication of biosolids (primarily Class B) and to the risk-assessment processand compliance and enforcement strategies and action taken by EPA or states

FEDERAL BIOSOLIDS REGULATIONS AND CURRENTSTATE OF PROGRAM

History

The current biosolids standards became effective in Part 503 of Chapter 40of the Code of Federal Regulations (40 CFR 503) on March 22 1993 (EPA1993) More specifically the regulations are established as GeneralRequirements Pollutant Limits Management Practices Operational StandardsFrequency of Monitoring Requirements Record Keeping and Reporting Therequirements apply to each of the three major methods of ultimate disposition ofsewage sludge or biosolids recycling and public distribution burial in amunicipal solid-waste landfill or a surface disposal site or incinerationEnforceable standards are established for all three options but this reportfocuses only on land application and public distribution The standards weredeveloped over more than 10 years and received both public and private inputFrom September 13 1979 until 40 CFR 503 was published standards for theland application of biosolids were set in 40 CFR Part 257 (EPA 1979) Researchfocusing on the beneficial micro- and macronutrients present in treated sewagesludge had been conducted at numerous universities before the publication ofthe 1979 regulations (eg Keeney et al 1975) Indeed Wisconsin statutesspecifically encouraged the responsible recycling of biosolids through use onagricultural land beginning in 1973 (Wisconsin Statutes Assembly Bill 1281973)

BIOSOLIDS MANAGEMENT 35

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Because POTWs typically have industrial contributors to their wastewatercollection systems wastewater pretreatment regulations became effectivethrough 40 CFR Part 403 on June 26 1978 with a stated objective to

a prevent the introduction of pollutants into POTWs which willinterfere with the operation of a POTW including interference withits use or disposal of municipal biosolids

b prevent the introduction of pollutants into POTWs which will pass through the treatment works or otherwise be incompatible withsuch works and

c improve opportunities to recycle and reclaim municipal andindustrial wastewaters and biosolids (EPA 1999a)

These regulations to control pollution dramatically reduced theconcentrations of selected pollutants discharged to applicable sewerage systemsand therefore also the concentrations in the resultant biosolids (see alsoCharacterization of Biosolids section)

Federal Policy

EPA has had a long-standing policy of promoting the beneficial use ofbiosolids and a regulatory mandate to review and revise related regulationsperiodically as new research warrants In January 1981 EPA published astatement of federal policy and guidance with the US Food and DrugAdministration (FDA) and the US Department of Agriculture (USDA) for theproper management and necessary controls of land application of biosolids forthe production of fruits and vegetables EPA (1984) further formalized itspolicy of promoting beneficial use and developing a comprehensive regulatoryapproach as mandated by the CWA in the Federal Register on June 12 1984EPA again clarified that position through the publication of an interagencypolicy which with six other federal agencies promoted the beneficial use ofbiosolids in the Federal Register on July 18 1991 (EPA 1991)

Section 402 of the CWA sets provisions for permitting dischargesincluding sewage sludge to waters of the United States As authorized by theCWA the National Pollutant Discharge Elimination System (NPDES) permitprogram has been in place since 1972 and regulates point sources of waterpollution such as pollutants discharged from pipes or ditches Many statesconsider the land application of biosolids to be a point-source discharge togroundwater and regulate this practice under the permit program Individualhomes that are connected to a municipal system use a septic system or do not

BIOSOLIDS MANAGEMENT 36

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have a surface discharge do not need an NPDES permit however industrialmunicipal and other facilities must obtain permits if their discharges go directlyto surface waters In most cases the NPDES permit program is administered byauthorized states Chapter 40 of CFR 501 was published in 1989 to set aregulatory framework for states seeking delegated authority to implement abiosolids program under permits in compliance with Section 402 At presentthere are five states that have received delegation (Oklahoma Utah TexasWisconsin and South Dakota) and about 20 that are seeking such authorityConversely 44 states have received delegated implementation authority for theNPDES effluent permit program (EPA 1999a) Notably delegation for theeffluent permit program is funded and delegation for and implementation of thebiosolids program is not

Proposed Regulation

40 CFR 503 was published for public comments on February 6 1989EPArsquos original risk assessment (see Chapter 5 for further information) definedthe at-risk population as the most exposed individual (MEI) The MEI is aperson who is maximally exposed to a pollutant in biosolids for a lifetime EPAconducted an aggregate public-health risk assessment that estimated the riskfrom land application of biosolids in the absence of any regulation Thataggregate assessment found that the risk would be less than one cancer case peryear and that approximately 1000 persons would exceed a threshold leadconcentration and 500 would experience some lead-related health effects Withthe final regulation in place the resultant risk was predicted to be less than onecancer case less than one person exceeding a threshold blood lead level andless than one person experiencing adverse lead effects (EPA 1993) In additionthis risk would present itself only at such time as all assumptions in the riskassessment were fulfilled

The Cooperative State Research Service Technical Committee W-170composed of university researchers organized a Peer Review Committee (PRC)from academia EPA environmental groups and units of state and localgovernment to provide expert and extensive comments to EPA on the proposedrule (Cooperative State Research Service Technical Committee W-170 1989)Two critical points were raised during the public comment period by the PRC(1) The MEI was modeled with multiple layers of conservative exposures thatcould not exist in reality and this contradicted the notion of reasonablyanticipated adverse effects and (2) the research for metal uptake was based onmetal salts and pot studies in greenhouses rather than field research They alsorecommended a risk-based approach to pathogens Al

BIOSOLIDS MANAGEMENT 37

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though EPA had an official policy to promote beneficial use of biosolids theproposed regulation would have substantially curtailed such use thusencouraging increased surface disposal and incineration

As a result of this extensive peer review EPA initiated additional researchand substantially modified the risk assessment and ultimately the regulationFor example EPA decided to use a highly exposed individual (HEI) rather thanan MEI in the risk assessment The HEI is a person who remains for anextended period at or adjacent to the site where maximum exposure occurs TheHEI represented a more reasonable case of exposure and still provided multiplesafety factors of protection (EPA 1993 1995a)

Final Regulations

There are three major categories of requirements establishing biosolidsquality and site-management criteria for land application Each of thesecategories is further divided into two sections When biosolids meet the strictestsection in all three categories it is considered exceptional quality (EQ)Management-practice requirements establish site restrictions and limitapplication rates on agricultural land for the remaining non-EQ biosolids Thethree requirement categories that establish biosolids quality are as follow

bull Pollutant concentrations versus ceiling concentrationsbull Class A pathogen criteria versus Class B pathogen criteria that include

management practicesbull Process-control criteria to reduce attraction to vectors versus physical

barriers from vectors

Biosolids that meet the requirements to be deemed EQ can be publiclydistributed without further regulation under 40 CFR 503 (If biosolids do notmeet the pollutant concentration limits and the other requirements they can stillbe publicly distributed as long as an information sheet is included that specifiesa maximum annual application rate) It is further stipulated that biosolids mustbe land applied at an ldquoagronomic raterdquo to not exceed the nitrogen requirementsfor the crop grown This stipulation is to avoid loss from the root zone to thegroundwater and to avoid excessive nitrogen buildup that may ultimately runoff to surface water

The Part 503 federal regulations for pathogen and vector attraction controlare and have been technologically based instead of risk based That is in partdue to unreliable pathogen assays and insufficient and variable data with respectto the fate and transport of pathogens in the natural environment (see Chapter 6for more details)

BIOSOLIDS MANAGEMENT 38

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Pollutant Concentrations

Specific pollutant concentrations were derived for nine metals (EPA1995a) The risk assessment examined 14 pathways of exposure and amaximum cumulative loading rate was determined for the most limitingpathway for each pollutant These values are shown in column 2 of Table 2ndash1

Assumptions were then made that a site was used for 100 consecutiveyears at a loading rate of 10 MThectare per year Next a back calculation wasused to determine a maximum concentration in the biosolids that would notallow the maximum cumulative loading rate to be attained The pollutantconcentration limits are intended to define biosolids that can be land appliedwithout requiring the applier to track cumulative pollutant loadings Themethods used by EPA to identify the pollutant concentration limits aredescribed in Chapter 5 That concentration became the pollutant concentrationlimit in all but two cases (see below) The current pollutant concentration limitsare shown in column 3 of Table 2ndash1

A National Sewage Sludge Survey (NSSS) was conducted by EPA (1990)for the purpose of gathering needed data on sewage sludge quality in the nationThe ceiling limit was set at the 99th percentile level found in the NSSS or therisk-based number whichever was greater The current ceiling limitconcentrations are shown in column 1 of Table 2ndash1 The risk-derived numberbecame the ceiling limit only for chromium (which was later deleted fromregulation see discussion later in this chapter) selenium and nickel1 In thosecases the 99th percentile value became the pollutant concentration limitCurrently both the ceiling concentration and pollutant concentration limits arerisk based for nickel and selenium

Thus land-applied biosolids that contain chemical concentrations less thanthose shown in column 3 of Table 2ndash1 do not need to track cumulative loadingsto sites because it is assumed that loadings will never approach the limitsshown in column 2 If land-applied biosolids have any chemical concentrationsbetween the values of column 3 and column 1 then cumulative loading recordsmust be kept for any such bulk application

It is important to note that when biosolids are sold or given away in a bagor container that weighs less than 1 MT it must meet the strictest standards forpathogen and vector control but does not need to meet the pollutantconcentration limits shown in column 3 of Table 2ndash1 As noted previously if itdoes not meet the column 3 limits an information sheet must be supplied

1The risk-based number and 99th percentile level found in the NSSS were the samefor nickel

BIOSOLIDS MANAGEMENT 39

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BIOSOLIDS MANAGEMENT 40

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or instructions printed on the bag that prescribe loading rates that will notexceed annual loading rates shown in column 4 Because of the perceivedinfrequent use of this exception and the difficulty with tracking its use thecommittee concluded that it would be simpler to require that all biosolids soldor given away be EQ

Pathogen Control

Biosolids are divided into Class A and Class B on this basis of theirpathogen content and control Class A biosolids must undergo more extensivetreatment than Class B biosolids (described below) to reduce pathogensincluding bacteria enteric viruses and viable helminth ova to below detectableamounts Once these goals are achieved Class A biosolids can be land appliedwithout any pathogen-related restrictions at the site Biosolids having the leastfurther restrictions on land application are those meeting the Class A pathogenrequirements the vector control requirements and the high-quality pollutantconcentration limits for metals If all these requirements are met the biosolidscan be used with no more restrictions than any other fertilizer or soil-amendment product

The Class B pathogen requirements were developed from the 1979 40 CFR257 regulations for processes to significantly reduce pathogens (PSRP) In theinitial development of those requirements a PSRP was defined as a process thatreduces pathogenic viruses Salmonella bacteria and indicator bacteria (fecalcoliform) by at least 1 log (90) (EPA 1989)

The Class B biosolids requirements are intended to ensure that pathogensin biosolids have been reduced to amounts that are protective of public healthand the environment under the specific use conditions As a central element ofthe Class B criteria site restrictions designed to minimize potential for humanand animal contact apply until environmental factors have further reducedpathogens to low amounts Thus packaged Class B biosolids cannot be sold orgiven away for land application at public-contact sites lawns and homegardens but can be used in bulk quantities at appropriate types of land-application sites such as agricultural lands forests and mine reclamation sitesprovided the biosolids meet limits on pollutants vector-attraction reduction andother management requirements of Part 503 (EPA 1993) In addition biosolidscan be used as municipal-solid-waste (MSW) landfill cover in compliance with40 CFR Part 258

BIOSOLIDS MANAGEMENT 41

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Class A Pathogen Requirements

The Class A pathogen criteria require that both treatment-process controlrequirements and prescribed densities of either fecal coliform or Salmonella aresatisfied Pathogen criteria must be met at the same time or before the vector-attraction reduction requirements are met One of the following organismdensity requirements listed below must be satisfied for all Class A alternatives

Fecal Coliform Density Requirements The fecal coliform density mustbe less than 1000 most probable number (MPN) per gram (g) of total solids(TS) and that must be satisfied immediately after the treatment process iscompleted If the material is bagged or distributed at that time no retesting isrequired If the material is bagged distributed or land applied at a later time itmust be retested and the density requirement satisfied to ensure that regrowth ofbacteria has not occurred

Salmonella Density Requirements The Salmonella density must be lessthan 3 MPN per 4 g of TS and that must be satisfied immediately after thetreatment process is completed If the material is bagged or distributed at thattime no retesting is required If the material is bagged distributed or landapplied at a later time it must be retested and the density requirement satisfiedto ensure that regrowth of bacteria has not occurred

In addition one of the following treatment processes listed must be met tobe designated Class A biosolids (EPA 1999b) The goal of these processes is toreduce pathogen densities below specified detection limits for three types oforganisms Salmonella sp (lt3 MPN per 4g TS) enteric viruses (lt1 plaqueforming unit [PFU] per 4 g TS) and helminths (lt1 viable organism per 4 g TS)

Alternative 1mdashTemperature and Time Process These criteria werebased on a time-temperature relationship related to pasteurization studies and tocomposting data This alternative has been and is still used for aerobic digestionand anaerobic digestion An increased sewage-sludge temperature must bemaintained for a prescribed period according to the guidelines summarized inTable 2ndash2

Alternative 2mdashAlkaline Treatment Process The pH of the sewagesludge must be raised to greater than 12 for at least 72 hours (h) During thistime the temperature of the sewage sludge must be greater than 52degC for atleast 12 h In addition after the 72-h period the sewage sludge must be air driedto at least 50 TS

Alternative 3mdashPrior Test for Enteric Virus and Viable Helminth OvaThe sewage sludge must be analyzed for the presence of enteric viruses

BIOSOLIDS MANAGEMENT 42

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TABLE 2ndash2 Guidelines for Temperature Treatments

Total Solids Temperature Time EquationD=Time inDays t=Tempin degC

Notes

`7 `50degC `20min No heating ofsmall particlesby warmedgases orimmiscibleliquid

`7 `50degC `15s Small particlesheated bywarmed gasesor immiscibleliquid

lt7 gt50degC `15s to lt30min

lt7 `50degC `30min

and viable helminth ova If the sewage sludge is analyzed before pathogen-reduction processing and found to have densities of enteric virus of less than 1plaque-forming unit (PFU) per 4 g of TS and viable helminth ova of less than 1per 4 g of TS the sewage sludge is considered Class A biosolids with respect toenteric virus and viable helminth ova until the next monitoring event If thesewage sludge is analyzed before pathogen-reduction processing and found tohave densities of enteric virus greater than or equal to 1 PFU4 g of TS or viablehelminth ova of more than 1 per 4 g of TS and is tested again after processingand found to have densities of enteric virus of less than 1 PFU4 g of TS andviable helminth ova less than 1 per 4 g of TS the sewage sludge is consideredClass A biosolids when the treatment process is operated under the sameconditions that successfully reduced enteric virus and helminth ovaNote Temperatures calculated using the appropriate equation must never be less than 50degC Thetime values are not used in the calculations but are provided to indicate the prescribed duration thattemperature must be maintainedSource EPA 1999b

Alternative 4mdashPost-Test for Enteric Virus and Viable Helminth OvaProcess If the sewage sludge is not analyzed before pathogen-reductionprocessing for enteric viruses and viable helminth ova the sewage-sludgedensity of enteric viruses must be less than 1 PFU4 g of TS and the density ofviable helminth ova must be less than 1 per 4 g of TS at the time the sew

BIOSOLIDS MANAGEMENT 43

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t th

is P

DF

file

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s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

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L fil

es c

reat

ed f

rom

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orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

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tting

file

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age

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ks a

re tr

ue to

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inal

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ord

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ks h

eadi

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nd o

ther

type

setti

ng-s

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fic fo

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ever

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ave

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tally

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rted

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use

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prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

age sludge is used disposed of or prepared for sale or giveaway in a bag orcontainer or when the biosolids meets EQ requirements

Alternative 5mdashProcesses to Further Reduce Pathogens (PFRP)Alternative 5amdashComposting Process Compost the sewage sludge using

either within-vessel or static-aerated-pile composting methods and maintain thetemperature of the sewage sludge at 55degC or higher for 3 days or compost thesewage sludge using windrow composting methods and maintain thetemperature of the sewage sludge at 55degC or higher for 15 days or longerDuring this period a minimum of five windrow turnings are required

Alternative 5bmdashHeat Drying Process Dry the sewage sludge by director indirect contact with hot gases to reduce the moisture content of the sewagesludge to 10 or lower Either the temperature of the sewage-sludge particlesmust exceed 80degC or the wet bulb temperature of the gas in contact with thesewage sludge leaving the dryer must exceed 80degC

Alternative 5cmdashHeat Treatment Process Heat liquid sewage sludge toa temperature of 180degC or higher for 30 min

Alternative 5dmdashThermophilic Aerobic Digestion Process Agitateliquid sewage sludge with air or oxygen to maintain aerobic conditions Themean cell residence time for the sewage sludge must be 10 days at 55degC to 60degC

Alternative 5emdashBeta Ray Irradiation Process Irradiate the sewagesludge with beta rays from an accelerator at a dose of at least 10 megarad atroom temperature

Alternative 5fmdashGamma Ray Irradiation Process Irradiate the sewagesludge with gamma rays from certain isotopes such as cobalt 60 and cesium137 at a dose of at least 10 megarad at room temperature

Alternative 5gmdashPasteurization Process Maintain the temperature of thesewage sludge at 70degC or higher for 30 min or longer

Alternative 6mdashProcess Equivalent to Process to Further Reduce Pathogens (PFRP) Treat the sewage sludge in a process that is equivalent toPFRP as approved by the permit authority To obtain a Class A biosolid ratingthe process must reduce Salmonella species or fecal coliforms to below Class Acriteria and must operate under the specified conditions used in its applicationdemonstration to the EPA Pathogen Equivalency Committee (see below)

Class B Pathogen Requirements

In addition to management-practice requirements including site restric

BIOSOLIDS MANAGEMENT 44

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igita

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rese

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ion

of t

he o

rigin

al w

ork

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orig

inal

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rted

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sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

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r attr

ibut

ion

tions the Class B pathogen control requirements mandate that one of thefollowing be satisfied before land application

Fecal Coliform Limitation Compliance with the fecal coliform limitationfor Class B biosolids must be demonstrated by calculating the geometric meanof at least seven separate samples (TS analysis must be done on each sample)The geometric mean must be less than 2000000 MPN or colony-forming units(CFU) per g of TS

Aerobic Digestion Agitate the sewage sludge with air or oxygen tomaintain an aerobic condition for a mean cell residence time and temperaturebetween 40 days at 20degC and 60 days at 15degC (This process cannot be satisfiedduring the winter in most of the northern United States without additionalmeasures being taken to maintain adequate temperatures)

Anaerobic Digestion Treat the sewage sludge in the absence of air for aspecific mean cell residence time at a specific temperature Values for the meancell residence time and temperature must be between 15 days at 35degC to 55degCand 60 days at 20degC Straight-line interpolation to calculate mean cell residencetime is allowable when the temperature is between 35degC and 20degC

Lime Stabilization Add sufficient lime to the sewage sludge to raise thepH to 12 after 2 h of contact

Air Drying Dry the sewage sludge on sand beds or in paved or unpavedbasins for a minimum of 3 months During 2 of the 3 months the ambientaverage daily temperature must be above 0degC

Composting Compost the sewage sludge using either within-vessel static-aerated-pile or windrow composting methods and raise the temperature of thesewage sludge to 40degC or higher for 5 days For 4 h at some point during eachof the 5 days the temperature in the compost pile must exceed 55degC

Process Equivalent to Process to Significantly Reduce Pathogens (PSRP) Treat the sewage sludge in a process that is equivalent to a PSRP asapproved by the permit authority

Over the past 15 years two processes have been approved as PSRPequivalents by the EPA Pathogen Equivalency Committee (PEC) These are theN-Viro alkaline stabilization process and the Synox OxyOzone process Bothprocesses have been upgraded to PFRP status in more recent studiesSpecifically the N-Viro process meets the Class B equivalency criteria foralkaline stabilization and the Synox OxyOzone process meets the criteria ofpathogen monitoring from influent to effluent

BIOSOLIDS MANAGEMENT 45

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t th

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of t

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al w

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sion

of t

his

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icat

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e au

thor

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e ve

rsio

n fo

r attr

ibut

ion

Reduction of Vector Attraction

Vector-attraction reduction may be classified as long-term or short-termstabilization or may be accomplished through physical barriers Long-termstabilization is defined as the biological degradation of the putrescible organicsand results in a reduction of vector attraction One of 10 options may be used tosatisfy vector control The first five options below are considered long-termstabilization and the next three are considered short-term stabilization (inhibitbiological activity before application) and must be demonstrated at the time ofuse to ensure that the criteria are satisfied It should be stressed that whenbiosolids are applied to land the vector-attraction-reduction requirements mustbe satisfied This can be a potential issue with the short-term options since theyare reversible It should also be noted that treatment should be complete prior toland application so that further reaction does not occur in the field which mayresult in the release of odorants One of the following eight vector controlrequirements may be used to qualify as EQ biosolids

Volatile Solids Reduction The mass of volatile solids in the sewagesludge shall be reduced by a minimum of 38

Specific Oxygen Uptake Rate The specific oxygen uptake rate (SOUR)for aerobic sewage sludge shall be equal to or less than 15 milligrams (mg) ofoxygen per hour per gram of TS on a dry-weight basis corrected to 20degC

Anaerobic Bench-Scale Test Demonstrate through additional digestionin a bench-scale test that additional volatile solids reduction for anaerobicallydigested sewage sludge is less than 17 This can be demonstrated byanaerobically digesting a portion of the previously digested sewage sludge inthe laboratory in a bench-scale unit for 40 additional days at a temperaturebetween 30degC and 37degC This requirement is satisfied when at the end of thetest volatile solids have been reduced by less than 17 as measured from thebeginning to the end of the test

Aerobic Bench-Scale Test Demonstrate through additional digestion in abench-scale test that additional volatile solids reduction for aerobically digestedsewage sludge is less than 15 This can be demonstrated by aerobicallydigesting a portion of the previously digested sewage sludge at a concentrationof 2 solids or less in the laboratory in a bench-scale unit for 30 additionaldays at a temperature of 20degC Sewage sludge with a higher percentage of solidsmust be diluted with effluent down to 2 at the start of the test Thisrequirement is satisfied when at the end of the test volatile solids have beenreduced by less than 15 as measured from the beginning to the end of the test

BIOSOLIDS MANAGEMENT 46

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of t

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al w

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Aerobic Process (for Compost) The sewage sludge must be treated in anaerobic process for 14 days or longer During that time the temperature of thesewage sludge must be higher than 40degC and the average temperature of thesewage sludge must be higher than 45degC

pH Adjustment The pH of the sewage sludge must be raised to 12 orhigher by alkali addition and without the addition of more alkali remain at 12or higher for 2 h and then at 115 or higher for an additional 22 h

Drying Without Primary Solids The percent solids of sewage sludgethat does not contain unstabilized solids generated in a primary wastewatertreatment process shall be equal to or greater than 75 based on the moisturecontent and total solids prior to mixing with other materials

Drying with Primary Solids The percent solids of sewage sludge thatcontains unstabilized solids generated in a primary wastewater treatmentprocess shall be equal to or greater than 90 based on the moisture content andtotal solids prior to mixing with other materials

In place of the process-based requirements one of the following tworequirements may be utilized during or after land application and are consideredphysical barriers to vector attraction

Injection No significant amount of the biosolids can be present on theland surface within 1 h of biosolids injection

Incorporation The biosolids must be incorporated within 6 h of surfaceapplication or as approved by the permit authority

Table 2ndash3 summarizes the above requirements

Treatment Design Standards

Sewage sludge treatment technology not only provides the primarymechanism for pathogen reduction and the necessary stabilization to reducebiosolids attraction as a food source for vectors but also provides the means toreduce odors and related public nuisance and public health concerns Although40 CFR 503 provides prescriptive standards for treatment process control theGreat Lakes-Upper Mississippi River Board of State and Provincial PublicHealth and Environment Managers (GLUMB) report Recommended Standardsfor Wastewater Facilities (GLUMB 1997) (commonly referred to as the ldquoTenStates Standardsrdquo) is used as a basis for minimum design requirements in manystates but does not require the minimum criteria for many of the PSRPs Thecommittee concludes that tightening the minimum treatment

BIOSOLIDS MANAGEMENT 47

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TA

BL

E 2

ndash3 S

umm

ary

of R

equi

rem

ents

for

Vec

tor

Att

ract

ion

Red

ucti

on U

nder

Par

t 503

Req

uire

men

tW

hat I

s R

equi

red

Mos

t App

ropr

iate

for

O

ptio

n 1

503

33(b

)(1)

At l

east

38

red

uctio

n in

vol

atile

sol

ids

duri

ng s

ewag

e sl

udge

trea

tmen

tS

ewag

e sl

udge

pro

cess

ed b

yndashA

naer

obic

bio

logi

cal t

reat

men

tndashA

erob

ic b

iolo

gica

l tre

atm

ent

ndashChe

mic

al o

xida

tion

Opt

ion

250

333

(b)(

2)L

ess

than

17

add

itio

nal

vola

tile

sol

ids

loss

dur

ing

benc

h-sc

ale

anae

robi

c ba

tch

dige

stio

n of

the

sew

age

slud

ge f

or 4

0 ad

ditio

nal

days

at 3

0degC

to 3

7degC

(86

degF to

99deg

F)

Onl

y fo

r an

aero

bica

lly

dige

sted

sew

age

slud

ge

Opt

ion

350

333

(b)(

3)L

ess

than

15

add

itio

nal

vola

tile

sol

ids

redu

ctio

n du

ring

ben

ch-

scal

e ae

robi

c ba

tch

dige

stio

n fo

r 30

add

itio

nal d

ays

at 2

0degC

(68

degF)

Onl

y fo

r ae

robi

call

y di

gest

ed s

ewag

e sl

udge

wit

h 2

or

less

sol

ids

Opt

ion

450

333

(b)(

4)S

OU

R a

t 20deg

C (

68degF

) is

`1

5 m

g of

oxy

gen

hg

tota

l sew

age

slud

ge s

olid

sS

ewag

e sl

udge

s fr

om a

erob

ic p

roce

sses

(sh

ould

not

be

used

for

com

post

ed s

ewag

e sl

udge

s)O

ptio

n 5

503

33(b

)(5)

Aer

obic

trea

tmen

t of

the

sew

age

slud

ge f

or a

t lea

st 1

4 da

ys a

tov

er 4

0degC

(10

4degF

) w

ith

an a

vera

ge te

mpe

ratu

re o

f ov

er 4

5degC

(113

degF)

Com

post

ed s

ewag

e sl

udge

(O

ptio

ns 3

and

4 a

re li

kely

to b

e ea

sier

to m

eet f

or s

ewag

e sl

udge

s fr

om o

ther

aer

obic

pro

cess

es)

Opt

ion

650

333

(b)(

6)A

ddit

ion

of s

uffi

cien

t alk

ali t

o ra

ise

the

pH to

at l

east

12

at 2

5degC

(77deg

F)

and

mai

ntai

n a

pH `

12

for

2 h

and

a pH

`1

15

for

22m

ore

hour

s

Alk

ali-

trea

ted

sew

age

slud

ge (

alka

lies

incl

ude

lim

e f

ly a

sh k

iln

dust

and

woo

d as

h)

Opt

ion

750

333

(b)(

7)P

erce

nt s

olid

s `7

5

pri

or to

mix

ing

wit

h ot

her

mat

eria

lsS

ewag

e sl

udge

s tr

eate

d by

an

aero

bic

or a

naer

obic

pro

cess

(ie

se

wag

e sl

udge

s th

at d

o no

t con

tain

uns

tabi

lized

sol

ids

gene

rate

d in

prim

ary

was

tew

ater

trea

tmen

t)

BIOSOLIDS MANAGEMENT 48

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his

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thor

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e ve

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n fo

r attr

ibut

ion

Opt

ion

850

333

(b)(

8)P

erce

nt s

olid

s `9

0

pri

or to

mix

ing

wit

h ot

her

mat

eria

lsS

ewag

e sl

udge

s th

at c

onta

in u

nsta

biliz

ed s

olid

s ge

nera

ted

inpr

imar

y w

aste

wat

er tr

eatm

ent (

eg

any

hea

t-dr

ied

sew

age

slud

ges)

Opt

ion

950

333

(b)(

9)B

ioso

lids

are

inje

cted

into

soi

l so

that

no

sign

ific

ant a

mou

nt o

fse

wag

e sl

udge

is p

rese

nt o

n th

e la

nd s

urfa

ce1

h af

ter

inje

ctio

n e

xcep

t Cla

ss A

bio

solid

s w

hich

mus

t be

inje

cted

wit

hin

8 h

afte

r th

e pa

thog

en r

educ

tion

pro

cess

Bio

soli

ds a

ppli

ed to

the

land

or

sew

age

slud

ge p

lace

d on

asu

rfac

e di

spos

al s

ite

dom

esti

c se

ptag

e ap

plie

d to

agr

icul

tura

lla

nd a

for

est

or a

rec

lam

atio

n si

te o

r pl

aced

on

a su

rfac

edi

spos

al s

ite

Opt

ion

1050

333

(b)(

10)

Bio

soli

ds a

re in

corp

orat

ed in

to th

e so

il w

ithi

n 6

h af

ter

appl

icat

ion

to la

nd o

r pl

acem

ent

on a

sur

face

dis

posa

l sit

e e

xcep

tC

lass

A b

ioso

lids

whi

ch m

ust b

e ap

plie

d to

or

plac

ed o

n th

e la

ndsu

rfac

e w

ithi

n 8

h of

the

path

ogen

red

ucti

on p

roce

ss

Bio

soli

ds a

ppli

ed to

the

land

or

sew

age

slud

ge p

lace

d on

asu

rfac

e di

spos

al s

ite

dom

esti

c se

ptag

e ap

plie

d to

agr

icul

tura

lla

nd f

ores

t or

a r

ecla

mat

ion

site

or

plac

ed o

n a

surf

ace

disp

osal

site

Opt

ion

1150

333

(b)(

11)

Sew

age

slud

ge p

lace

d on

a s

urfa

ce d

ispo

sal s

ite

mus

t be

cove

red

wit

h so

il o

r ot

her

mat

eria

l at t

he e

nd o

f ea

ch o

pera

ting

day

Sew

age

slud

ge o

r do

mes

tic

sept

age

plac

ed o

n a

surf

ace

disp

osal

site

Opt

ion

1250

333

(b)(

12)

pH o

f do

mes

tic

sept

age

mus

t be

rais

ed to

`1

2 at

25deg

C (

77degF

) by

alka

li a

dditi

on a

nd m

aint

aine

d at

`1

2 fo

r 30

min

with

out a

ddin

gm

ore

alka

li

Dom

esti

c se

ptag

e ap

plie

d to

agr

icul

tura

l lan

d a

for

est

or a

recl

amat

ion

site

or

plac

ed o

n a

surf

ace

disp

osal

sit

e

Sour

ce A

dapt

ed f

rom

EPA

199

9b

BIOSOLIDS MANAGEMENT 49

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design standards by control agencies and GLUMB to reflect and beconsistent with the requirements of 40 CFR 503 would accomplish much in thearea of compliance and odor abatement Since odors are a primary source ofpublic complaints adequacy of treatment cannot be over-emphasized Odors area function of treatment quality and are minimized with effective treatment andmanagement

Rule Modifications

Two lawsuits were brought shortly after the 1993 rule promulgationinvolving three chemical pollutants (chromium selenium and molybdenum)that caused modifications to the land application section of 40 CFR 503 Thefirst lawsuit centered on the fact that the pollutant concentrations for chromiumand selenium were not based on risk and the petition argued that EPA wasrequired under the CWA to establish such limits based only on risk The courtagreed and required that the risk-based values become the pollutantconcentrations in all cases This meant that the ceiling concentrations in thosecases would also be the risk-based number (The pollutant limit for seleniumwas therefore increased from 36 [99] to 100 milligrams per kilogram [mgkg][risk based]) The suit also charged that the research used to assessphytotoxicity as the limiting pathway for chromium was based on pot studiesand not field research which showed no such effects The court again agreedbut EPA chose not to replace the standard with the next limiting pathwaybecause it would set the limit at 12000 mgkg Determining that no biosolidswould have chromium concentrations that high chromium was deleted fromregulation under 40 CFR 503 (EPA 1995b)

The second lawsuit asserted that the research used to determine thelimiting pathway for molybdenum (animal ingesting feed grown on biosolids-treated fields) was not scientifically supportable and calculated amounts ofmolybdenum that plants take in (eg plant uptake slopes) were based on highlycontaminated sewage sludge EPA agreed to conduct more research to betterestablish risk levels At this time the cumulative loading limit and pollutantconcentration limits have been deleted for molybdenum and only the ceilingconcentration remains (see Table 2ndash1) (EPA 1994) OrsquoConnor et al (2001)conducted a modified risk assessment and recommended values for the deletedtables However EPA has not acted to revise the molybdenum standard

BIOSOLIDS MANAGEMENT 50

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Revision of Regulations

EPA was court-ordered to promulgate a second round of 40 CFR 503regulations by December 15 2001 In response EPA conducted a pollutantscreening hazard identification exercise and subsequently determined that theonly pollutants posing a potential risk that were not regulated in the first roundwere dioxin and dioxin-like compounds On December 23 1999 EPApublished proposed risk-based regulations for 7 dioxin 10 furan and 12coplanar PCB congeners (EPA 1999c) Once again EPA received numerouscomments on the proposal representing an array of perspectives As a result ofthe public comments received EPA contracted for a new biosolids survey toevaluate biosolids concentrations of the congeners of interest contracted for anew risk assessment using probabilistic or Monte Carlo simulation methodsrather than the deterministic methods used for the proposed rule and engaged apeer-review panel Agreement was recently reached between all parties toextend the deadline for the Round 2 land-application rule until October 172003 EPA (2002a) published a Notice of Data Availability on June 12 2002that summarizes new data and a revised risk assessment

Public Issue Forums

A number of public forums have been critical of the final Part 503regulations or of EPArsquos commitment to oversight in implementing theregulations The criticisms include the following

bull After promulgation of the Part 503 regulations in 1993 EPA decided thatthe land application of biosolids was a low risk to public health andtherefore the biosolids oversight program was given a low priority in itsannual budget That decision was based on the aggregate risk assessmentwhich showed negligible adverse effects even without regulationHowever the decision has had far-reaching negative consequences andhas forced the agency and state programs to operate in a conflictresolution mode rather than in an efficient proactive mode As a resultresources are expended only after a problem is identified rather thanworking to avoid the problem in the first place This policy decisionprovides little flexibility for dealing with perceived effects or emergingissues

bull A committee of the National Research Council (NRC) was convened in1993 to examine the science behind the federal biosolids regulations andthe use of biosolids on food-chain crops The NRC (1996) reportconcluded that ldquoif the regulations are properly adhered to the use of[biosolids] on food-

BIOSOLIDS MANAGEMENT 51

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chain crops for human consumption is protective of human healthrdquo Thereport also recommended that additional research be conducted in certainareas particularly in pathogen control and that EPA take steps to ensurethat the regulations were followed (see also Chapter 1 and Box 1ndash2 formore detail on that committeersquos recommendations)

bull There have been several allegations of human deaths and illnesses causedby land application of biosolids However there has been no documentedscientific evidence to substantiate those claims

bull There have also been several allegations of animal deaths caused by landapplication of biosolids (eg cases in Colorado and Georgia) Supportingevidence to substantiate these allegations has not been documented in thescientific literature but EPA did investigate them and has producedreports on their findings23 It found no substantiation for the allegations

bull The National Institute for Occupational Safety and Health (NIOSH)published a Hazard ID 10 (NIOSH 2000) in August 2000 based on aHealth Hazard Evaluation Report (Burton and Trout 1999) The reportswere based on an investigation of worker health effects at theLeSourdsville Ohio wastewater treatment facility owned and operatedby the Butler County Health Department The workers were involved inthe treatment storage and land application of sewage sludge There was alapse between the time of the workers becoming ill and the involvementof NIOSH At the time of the illnesses LeSourdsville had operatingdifficulties and the sewage sludge produced did not meet the Class Bbiosolids requirements (Lodor 2001) For example the sewage sludge hadfecal coliform densities more than 4 times the allowed limit At the timeof the NIOSH inquiry in 1999 coliform densities were well below thelimit However it was also found that good hygiene protocol was notgenerally followed by the biosolids workers thus precluding any relevantcorrelations NIOSH recently released guidance for controlling potentialrisks to workers exposed to Class B biosolids (NIOSH 2002) Thisdocument supercedes the Hazard ID 10 document

bull A congressional hearing before the Committee on Science chaired byCongressman FJames Sensenbrenner Jr was held on March 22 2000 tohold EPA accountable for how it dealt with criticism and the public ingeneral regarding its biosolids program (The hearing was not intended toquestion the science behind the existing regulations see also Kester2000a)

2DHGould GHLoneragan Integrated Livestock Management Group GKBeckand HDFraleigh Colorado State University and RBBrobst EPA unpublished datano date

3JWGaskin and EWTollner University of Georgia unpublished data no date

BIOSOLIDS MANAGEMENT 52

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bull An independent program audit by the EPA Office of the Inspector General(OIG) (EPA 2000b) requested by the EPA Office of Water (OW)concluded that there was a significant lack of oversight and resourcescommitted by the EPA Office of Enforcement and Compliance Assurance(OECA) the Office of Wastewater Management (OWM) the Office ofScience and Technology (OST) and the Office of Research andDevelopment (ORD) Therefore EPA could not guarantee that land-application and public-distribution practices were conducted incompliance with the CWA regulations and thus protective of public healthand the environment Notably the Inspector General did not claim thatthe regulations were not protective but rather criticized EPArsquos inability toconfirm compliance However OW and OECA officially declined to takeaction on many of the OIGrsquos recommendations due to budgetaryconstraints and other program priorities (EPA 2000c 2001a) The OIGsubsequently sent a letter stating that OWrsquos and OECArsquos formal responsewas inadequate The OIG suggested alternative means for fulfilling thereport recommendations and broadly criticized the lack of commitment tothe biosolids program and the absence of consensus regarding programimplementation within EPA (EPA 2001b) They also requested a timelinefrom OW and OECA for establishing a new biosolids goal and identifyingneeded resources to accomplish it under the Government Performanceand Results Act (GPRA) The OW and OECA responded with a letter(EPA 2002b) stating that to fulfill the OIG recommendations wouldrequire budget and staff resources the agency simply did not have Thusthe OW and OECA position continues to be that biosolids are a low riskto human health and the environment Given the ongoing need for OWand OECA to set priorities among its many programs concerning publichealth and environmental protection they maintain that their limitedresources are better allocated elsewhere

bull In late 2000 EPA requested and sponsored an NRC study to reviewinformation on the land application of biosolids and reexamine the risk-assessment methods used in developing the Part 503 regulations in lightof recent research findings and advances in risk assessment to determinewhether the standards were still adequately protective of human healthThis study is also reviewing pathogen control whether a risk-basedapproach for pathogens should be pursued and whether chemical andpathogen risk-assessment approaches can be integrated This report is theproduct of that committee

bull The EPA OIG released a status report of EPArsquos biosolids program inMarch 2002 (EPA 2002c) The major findings of the report were

- EPA places a low priority on the biosolids program and the number ofprogram staff assigned to it have been declining

- EPA has delegated authority of the biosolids program to only five statesEPA cannot be certain that all citizens in nondelegated states areprovided at least the same level of protection as in the federal program

BIOSOLIDS MANAGEMENT 53

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- There can be wide variation in how states manage biosolids- EPA has no formal process for tracking health complaints Of 21

complaints that were brought to the OIGrsquos attention 14 wereinvestigated by EPA or a state agency five were not report to EPA orthe state and two were not related to biosolids

- EPA has no plans for conducting a comprehensive evaluation andmonitoring study to address risk assessment uncertainties Moreresearch on pathogen testing appears to be needed

- In reviewing EPArsquos relationship with the Water Environment Federation(WEF) OIG found that 96 of the $129 million given to WEF and itsresearch organization over a 3-year period was congressionallymandated and EPA had no discretion in awarding the funds

- The general public has concerns about the effects of biosolids on healthquality of life and natural resources Public perception of landapplication of biosolids has a significant impact on the implementationof the program

EPA Resources

The committee notes that it has long been recognized by those within EPAworking in the biosolids field and state agencies required to implement thebiosolids program that EPA disinvestment in the program has caused aninability to adequately ensure that the regulations are followed Although morethan 40 of the capital cost and the operation and maintenance expense ofwastewater treatment is expended on biosolids treatment and management(much of which is from federal dollars in the form of grants and low-interestloans) less than one-tenth of 1 of EPArsquos budget is devoted to the biosolidsprogram Of EPArsquos $78 billion budget in FY 2001 only about $4 million or005 was devoted to biosolids staff and the program (JWalker EPApresentation at Biosolids Regulator Workshop Potomac Maryland June 282001)

The Wisconsin Department of Natural Resources (WDNR) represents allstate environmental protection agencies to EPA including the EPA BiosolidsProgram Implementation Team (BPIT) on a number of biosolids issues In thiscapacity the WDNR has sent five letters to EPA between 1998 and 2001seeking program support (Meyer 1998 Kester 2000bc 2001ab) The areas ofmost critical need include technical support on biosolids treatment for pathogenand vector-attraction controls and staffing The Pathogen EquivalencyCommittee (PEC) comprises agency experts who primarily serve as volunteersto provide technical support regarding the adequacy of treatment technologywith respect to pathogen control Each of the 10 EPA Regions

BIOSOLIDS MANAGEMENT 54

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have between 02 and 2 full-time employees (FTEs) and a total nationwide of88 FTEs working in all areas of biosolids management The EPA ORD has 2FTEs devoted to the program and EPA headquarters has 48 FTEs (JWalkerEPA presentation at Biosolids Regulator Workshop Potomac Maryland June28 2001) In addition to these obvious staff shortages consideration should begiven to train new experts in the field to replace existing staff many of who areapproaching retirement

State Programs

Many states are responsible for implementing biosolids programs by theirown statutes and regulations In those states biosolids application falls underboth EPA and state rules with federal rules being required minimum standardsSome municipalities (or local units of government) in the United States haveadopted local ordinances pertaining to land application The authority of amunicipality and thus the scope that a local ordinance can address variesbetween the states (Harrison and Eaton 2001) Thus the ability of a localordinance to withstand legal challenge depends on the state As notedpreviously only five states (Oklahoma Utah Texas Wisconsin and SouthDakota) have received official delegated authority from EPA to administer thefederal regulations for biosolids Several states have submitted requests fordelegated authority but in many cases experience long waiting periods for areview of that request (eg Vermont and Iowa) or encounter other legal ortechnical roadblocks For example Colorado Indiana and South Carolina havehad legal issues with self-audit protection laws which are inconsistent withfederal requirements North Carolina has issues with implementing agreementscompliant with endangered species protection administered through the USFish and Wildlife Service and Michigan has potential issues with authority overnon-Native-American wastewater generated or used on Native American landNevertheless all states have varying degrees of commitment for biosolidsprogram administration Figure 2ndash3 shows the number of full-time employees(FTEs) working for state biosolids programs This figure is based on directcommunication between the WDNR and each state (WDNR unpublished data2001)

EUROPEAN BIOSOLIDS MANAGEMENT

The management of biosolids in Europe varies from country to country asdo the standards applied their derivation and their enforcement This situationis readily apparent when US regulations and their varying levels of

BIOSOLIDS MANAGEMENT 55

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FIG

UR

E 2

ndash3 N

umbe

r of

FT

Es

dedi

cate

d to

sta

te b

ioso

lids

pro

gram

s F

igur

es d

o no

t inc

lude

sep

tage

sta

ff S

ourc

e E

PA

200

2c

BIOSOLIDS MANAGEMENT 56

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enforcement are compared with those of European countries Some of thesubstantial differences in the contaminant standards between Europe and theUS are in part due to differences in approaches to environmental protectionand regulatory intent (public health and environmental protection) Forexample some European countries have taken the approach of minimizing anyaccumulation of metals beyond background environmental levels whereasother European countries and the US have performed risk assessments todetermine land-application concentrations that are protective of reasonablyanticipated adverse effects Even the latter approach has lead to substantiallydifferent standards between some countries A variety of factors influence theoutcomes of risk assessment (discussed in Chapter 5) but the majorcontributing factor to different risk-based standards between countries is eachcountryrsquos selection of target organism (humans animals plants soil organisms)to protect Although it was beyond the scope of this report to prepare acomprehensive evaluation of differences between US standards and those ofother countries it is important that the differences be acknowledged and thebases for those differences used to inform future risk assessments This sectionprovides an overview of how different European countries have approached themanagement of biosolids for land application

The European Union is composed of 15 member nations The Council ofEuropean Communities (1986) published the Sewage Sludge Directive (86278EEC) All members had to promulgate their own version of the directive asnational regulations by 1989 The directive included a recommended range ofpollutant concentration values for seven constituents in biosolids for membernations to use in adopting their standards (see Table 2ndash4) However individualnations could choose to adopt more stringent standards than thoserecommended in the directive New regulations were proposed but might not beadopted until 2005 (Luca Marmo European Commission Brussels personalcommunication 2002)

A comprehensive review of biosolids use and disposal practices waspublished by the International Association on Water Quality (IAWQ)International Water Association (IWA) the Water Environment Federation(WEF) and the European Water Pollution Control Association (EWPCA)(Matthews 1996) Selected information from that review and other referenceshas been presented with appropriate updates when available (Council of theEuropean Communities 1986 EPA 1990 1995ab 1999b Gendebien et al1999 European Union 2000ab and European Communities 2001)Accordingly representative data from Europe to complement US informationhave been assembled to provide a basis for comparison and some determinationof the current and future status of biosolids management

BIOSOLIDS MANAGEMENT 57

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TABLE 2ndash4 European Union Limit Values for Concentrations of Heavy Metals inBiosolids for Use on Land

Limit Values (mgkg of DM)Elements Directive 86278EEC ProposedCadmium 20ndash40 10Chromium - 1000Copper 1000ndash1750 1000Mercury 16ndash25 10Nickel 300ndash400 300Lead 750ndash1200 750Zinc 2500ndash4000 2500

Abbreviation DM dry matterSource Adapted from Council of the European Communities 1986

An assessment of the status of disposal and recycling within the Europeancommunity (European Communities 2001) reviewed existing legislation andregulations and provided an analysis of stakeholder positions motivations andconstraints as well as solutions for reducing constraints and encouraging theuse of biosolids Analysis of existing legislation indicated that specificrequirements focus principally on the use of biosolids in agriculture bothnationally and in Europe The EEC directives which have the strongestinfluence on biosolids use are directive 91271EEC on urban wastewatertreatment and 86278EEC on the use of biosolids in agriculture (Council of theEuropean Communities 1986) Requirements set by the latter directive are acrucial element in the management of biosolids produced in the member statesand some member states have introduced provisions that go beyond therequirements of the directive In particular the limit values for concentrationsof heavy metals in biosolids are lower than those specified in the directive in amajority of the countries

As indicated in Table 2ndash5 the countries in which the limitations on heavymetal concentrations are the most stringent are Belgium (Flanders region)Denmark Finland the Netherlands and Sweden Greece Luxembourg IrelandItaly Portugal and Spain have set limit values similar to those in the directivevalues for Poland an accession country are also lower than the EuropeanUnion standards The United Kingdom legislation differs by not providing anylimit values for heavy metals in biosolids but rather specifying the maximumannual average loads of heavy metals to soil that are similar to the directive(Table 2ndash6) In addition the regulations on biosolids use include limit valuesfor pathogens in France Italy and Luxembourg and for organic

BIOSOLIDS MANAGEMENT 58

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the

orig

inal

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tting

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age

brea

ks a

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ue to

the

orig

inal

lin

e le

ngth

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ks h

eadi

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tyle

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ting

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ever

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ome

typo

grap

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erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

TA

BL

E 2

ndash5 E

urop

ean

Uni

on L

imit

Val

ues

for

Hea

vy M

etal

s in

Bio

soli

ds m

illi

gram

s pe

r ki

logr

am o

f dr

y m

atte

r (D

M)

(Ita

lic

num

bers

rep

rese

nt li

mit

valu

es b

elow

thos

e re

quir

ed b

y di

rect

ive

862

78E

EC

)C

dC

rC

uH

gN

iP

bZ

nA

sM

oC

oD

irec

tive

86

278

EE

C20

ndash 40

-1

000 ndash

175

016

ndash 25

300 ndash

400

750ndash

120

02

500 ndash

400

0-

--

Aus

tria

2a50

a30

0a2a

2510

0a1

500a

--

10a

10b

500b

500b

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100b

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--

10c

500c

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0c-

--

4d30

0d50

0d4d

100d

150d

180

0d-

--

10e

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10c

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07ndash

25f

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elgi

um (

Flan

ders

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elgi

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loon

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600

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050

02

000

--

Den

mar

k-

dry

mat

ter

basi

s0

810

01

000

08

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g4

000

25h

--

- to

tal p

hosp

horu

s ba

sis

100

200

250

010

000

g

Fin

land

330

060

02

100

150

150

0-

--

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1i10

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Fra

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BIOSOLIDS MANAGEMENT 59

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

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been

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sed

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rs m

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ave

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tally

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ase

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t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Cd

Cr

Cu

Hg

Ni

Pb

Zn

As

Mo

Co

Dir

ecti

ve 8

627

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pain

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il p

H lt

720

100

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--

soil

pH

gt7

401

750

175

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400

120

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Sw

eden

210

060

02

550

100

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nite

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om-

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sion

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ntri

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ston

ia15

120

080

016

400

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--

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via

202

000

100

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300

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and

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100

500

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ia (

grad

e II

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tria

c B

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dd V

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BIOSOLIDS MANAGEMENT 60

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

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L fil

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reat

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inal

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pese

tting

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ks a

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inal

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e le

ngth

s w

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brea

ks h

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ng s

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nd o

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type

setti

ng-s

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rmat

ting

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ever

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sion

of t

his

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as th

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f Car

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se v

alue

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duce

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(C

u) a

nd 3

00 (

Zn)

fro

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ecem

ber 3

1 2

007

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vate

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deni

ng l

ead

valu

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red

uced

to 6

0 m

gkg

of

DM

or

500

0 m

gkg

of

phos

phor

us

h For

pri

vate

gar

deni

ng

i Tar

get l

imit

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es f

or 1

998

j 15

mg

kg o

f D

M f

rom

Jan

uary

1 2

001

and

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gkg

of

DM

fro

m J

anua

ry 1

200

4A

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viat

ions

As

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enic

Cd

cad

miu

m C

o c

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t C

r c

hrom

ium

Cu

cop

per

Hg

mer

cury

Mo

mol

ybde

num

Ni

nick

el P

b le

ad Z

n z

inc

Sour

ce A

dapt

ed f

rom

Eur

opea

n C

omm

unit

ies

2001

BIOSOLIDS MANAGEMENT 61

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

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orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

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age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

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rted

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ase

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prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

TABLE 2ndash6 European Union Limit Values for Amounts of Heavy Metals That MayBe Added Annually to Soil Based on a 10-Year Average

Limit Values (ghay)Elements Directive 86278EEC ProposedCadmium 150 30Chromium - 3000Copper 12000 3000Mercury 100 30Nickel 3000 900Lead 15000 2250Zinc 30000 7500

Note The component authority may decide to allow an increase in the loading rate for copper andzinc on a case-by-case basis for those plots of land that are copper-or zinc-deficient and if it hasbeen proved by qualified expert advice that there is a specific agronomic need for the cropsAbbreviations ghay gram per hectare per yearSources Adapted from Council of the European Communities 1986 European Union 2000b

compounds in Austria Belgium-Flanders Denmark France Germany andSweden neither of which are included in the directive (Tables 2ndash7 and 2ndash8)

In all member states regulations on the use of biosolids specify limitvalues for heavy metals in soil that are similar in most cases to the requirementsset in the directive (Table 2ndash9) Some countries have defined limit values forseveral categories of soil pH or limit the maximum load of heavy metals toagricultural lands on a 10-year basis Maximum quantities of biosolids that canbe applied on land have been set between 1 metric ton by the Netherlands forgrasslands and 10 metric tons by Denmark per hectare and per year

The debate on biosolids recycling and disposal differs in intensity andresolution throughout the European community An analysis of stakeholdergroups (European Communities 2001) including the farming communitylandowners industries water and wastewater plants and companies localauthorities national authorities and citizens and consumer groups indicated asignificant diversity of opinion ranging from opposition to advocacy as shownbelow

BIOSOLIDS MANAGEMENT 62

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

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ompo

sed

from

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L fil

es c

reat

ed f

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inal

pap

er b

ook

not

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m t

heor

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al ty

pese

tting

file

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age

brea

ks a

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orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

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tyle

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nd o

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type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

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grap

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ave

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tally

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t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

TABLE 2ndash7 European Limit Values for Pathogens Concentrations in Biosolids

Salmonella Other PathogensFrance 8 MPN10 g of DM Enterovirus 3 MPCN10 g of DM

Helminths eggs 310 g of DMItaly 1000 MPNg of DMLuxembourg Enterobacteria 100g

No egg of worm likely to becontagious

Poland Biosolids cannot be used inagriculture if it containsSalmonella

ldquoParasitesrdquo 10kg of DM

Abbreviations DM dry matter MPN most probable number MPCN most probable cytophaticnumberSource Adapted from European Communities 2001

bull The regulatory requirements in the Netherlands and Flanders region ofBelgium have prevented almost all use of biosolids in agriculture since1991 and 1999 respectively

bull In countries such as Denmark and the United Kingdom new regulationsare considered sufficiently strict to reduce risks to an acceptable level(Denmark) and agreement in 1998 between water and sewage operatorsand retailers as well as farmersrsquo associations and government (UnitedKingdom) led to the joint adoption of a ldquosafe sludge matrixrdquo providing foradditional restrictions on the use of biosolids on agricultural land as wellas the categories of crops on which biosolids may not be used

bull In Sweden a voluntary agreement was signed in 1994 between theSwedish Environmental Protection Agency the Swedish Federation ofFarmers (LRF) and the Swedish Water and Waste Water Associationconcerning quality assurances relating to the use of biosolids inagriculture However in October 1999 the LRF recommended that itsmembers stop using biosolids because of quality concerns

bull Public opinion in Germany has recently swung in favor of agriculturalland application mainly because this practice is considered economicallyviable and the potential risks are sufficiently reduced by the existinglegislation which is now being reviewed

bull In Austria France and the Walloon region of Belgium national (orregional) agreements have been considered and in France such anagreement

BIOSOLIDS MANAGEMENT 63

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

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rese

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of t

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his

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ion

as th

e au

thor

itativ

e ve

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n fo

r attr

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ion

TA

BL

E 2

ndash8 E

urop

ean

Lim

it V

alue

s fo

r O

rgan

ic C

ompo

unds

in B

ioso

lids

(m

illi

gram

s pe

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logr

am o

f dr

y m

atte

r)

Dio

xins

and

Fur

ans

(PC

DD

PC

DF

) ng

TE

kg

of D

MPC

Bs

AO

XL

AS

DE

HP

NP

EP

AH

Tol

uene

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tria

100a

bc

50e

02a

bc

1e50

0ab

d-

--

6d-

Bel

gium

(Fl

ande

rs)e

Den

mar

k-

--

260

010

050

6-

from

10

720

001

300

5030

3fr

om 1

07

2002

130

050

103

Fra

nce

-0

8f-

--

2ndash5g

15ndash

4h-

Ger

man

y10

00

2i50

0-

--

--

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eden

-0

4-

-10

03

5a L

ower

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tria

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lber

gd C

arin

thia

e L

imit

valu

es f

or a

ppro

xim

atel

y 30

org

anic

com

poun

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f Sum

of

seve

n pr

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pal P

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28

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118

138

153

180

)g F

luor

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]flu

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hen

used

on

past

ure

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or e

ach

one

of th

e si

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ngen

ers

BIOSOLIDS MANAGEMENT 64

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

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of t

he o

rigin

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thor

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r attr

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TA

BL

E 2

ndash9 E

urop

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Uni

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l (m

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cell

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wth

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Dir

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86

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Aus

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1a50

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1b10

0b10

0b1b

60b

100b

300b

--

-2c

100c

100c

15c

60c

100c

300c

--

-2d

100d

100d

1d60

d10

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0d-

--

2e10

0e10

0e1e

60e

100e

300e

-10

e50

e

05ndash

15f

50ndash1

00f

40ndash1

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--

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(W

allo

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210

050

150

100

200

--

-D

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05

3040

05

1540

100

--

-F

inla

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010

00

260

6015

0-

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Fra

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215

010

01

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0-

--

Ger

man

y1

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150

100

200

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BIOSOLIDS MANAGEMENT 65

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

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tting

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age

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how

ever

can

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tally

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ase

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t ver

sion

of t

his

publ

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ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Cd

Cr

Cu

Hg

Ni

Pb

Zn

As

Mo

Co

Dir

ecti

ve 8

627

8E

EC

(6lt

pHlt

7)1ndash

3-

50ndash1

401ndash

15

30ndash7

550

ndash300

150 ndash

300

--

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15

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01

7510

030

0-

--

Lux

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urg

1ndash3

100ndash

200

50ndash1

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15

30ndash7

550

ndash 300

150ndash

300

--

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ethe

rlan

ds0

810

036

03

3585

140

--

-P

ortu

gal

-soi

l pH

lt5

51

5050

130

5015

0-

--

-55

lt s

oil p

H lt

73

200

100

15

7530

030

0-

--

-soi

l pH

gt7

430

020

02

110

450

450

--

-S

pain

-soi

l pH

lt7

110

050

130

5015

0-

--

-soi

l pH

gt7

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BIOSOLIDS MANAGEMENT 66

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bull was supported on the condition that additional quality controls and aninsurance fund be developed One party to the agreement (farmersrsquo union)asked for a ban on biosolids because current methods used are notconsidered sufficient to address the perceived risks related to theagricultural cycling of biosolids

bull In Finland and Luxembourg the farming community is generally hostiletoward the use of biosolids for land application mainly because of thepressure to use animal manure (eg the Finnish Union of AgriculturalProducers requested a ban on the use of biosolids for land application andhas renewed its stand against the use of biosolids in agriculture in 2001)

bull In Ireland and Portugal farmers tend to support the agricultural use ofbiosolids for economic and for agronomic (organic matter and phosphoruscontent) reasons although biosolids use in these countries has beenrelatively recent

bull In Spain Italy and Greece available information indicates that there islittle debate on use of biosolids

The analysis of stakeholdersrsquo positions (European Communities 2001)indicates that the main concerns on sewage sludge disposal and biosolidsrecycling are that the growing quantities of sewage sludge must be treated withthe aim of keeping both environmental and economic costs as low as possibleSimilarly improving practices of treatment and use of biosolids is nowconsidered essential Moreover within the context of uncertainties concerningthe potential impacts on human health and the environment of the variousdisposal and recycling options additional research is needed to increaseconfidence in the use of biosolids in agriculture

Some strategies suggested by the recent European Union biosolids-management assessment for reducing constraints and encouraging recycling ofbiosolids include the following (European Communities 2001)

bull Certify the treatment process involved the quality of biosolids andrecycling practices

bull Develop a trust fund or insurance system to cover any loss of profitsdamages or other costs related to the use of biosolids in agriculturetogether with legal provisions to regulate producer liability

bull Standardize science-based laws and regulationsbull Enhance mutual confidence and communication and transfer of

information between stakeholders

BIOSOLIDS MANAGEMENT 68

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bull Diminish uncertainty over risks to human health and environment andextend the assessment and dissemination of information beyond heavymetals to include organic pollutants and pathogens

bull Develop codes of practice for the recycling of biosolids the possible useof labels for quality assurance and associated training programs andoutreach activities for stakeholders

When European Union biosolids-management practices are compared withthose of the US it is apparent that European and US contaminant limits applylargely to heavy metals and are based on (1) the concentration of the biosolidsitself (2) the loading or total amount of metal that can be added and howquickly it can be applied and (3) the maximum concentration of metals in soilallowed to build up after biosolids application

According to an analysis of regulations in the United States and someEuropean countries by McGrath et al (1994) three basic approaches to settinglimits were distinguished (1) analyzing the pathways of pollutant transfer toselected target organisms and an assessment of the likely harmful effects thatmetals might have on the target (2) setting limits consistent with the lowest-observed-adverse-effect concentrations which are actual cases of effects due tometals but not necessarily derived from studies that involved applications ofbiosolids and (3) attempting to match the metal inputs to soils to the smalllosses of metals due to crop removal soil erosion and leaching (metal balanceapproach) These approaches were considered responsible for the widelydifferent numerical limits for metals arising either from a policy decision toreach zero impact (metals balance) and associated low levels or fromapproaches that allow some increase in metal concentrations in soils based ontarget organisms and use of associated models and sparse toxicity data Thusthe practice of implementing vastly different regulations for biosolidsapplication to land in the United States and within European Union membernations create differing social economic technological and environmentalimpacts that beg consensus resolution in the scientific technical and regulatorycommunities

Within the European Union the intended goal and most widely appliedbiosolids disposition option is agricultural use However the selection of anoption and its implementation according to European Commission directives isaffected by local or national circumstances Thus the degree of flexibilityvaries Some indication of the production and disposal of domestic sewagesludge and biosolids in Europe as of 1992 is included in Table 2ndash10 Notablyocean disposal has been phased out so that the principal disposal options nowinclude agricultural use landfill and incineration As in the United States the

BIOSOLIDS MANAGEMENT 69

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BIOSOLIDS MANAGEMENT 70

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BIOSOLIDS MANAGEMENT 71

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European Commission has developed regulatory limits (Sewage SludgeDirective 86278EEC) when biosolids are used in agriculture The SewageSludge Directive requires member states to apply maximum limit values forcertain heavy metals in the biosolids and in the soil to which it is applied topretreat sewage sludge and to restrict its use including the frequency andquantity of application on certain soils

These regulations establish conditions relating to pretreatment nutrientneeds quality of soil protection of surface waters and groundwaters andcompliance with concentration limits of heavy metals in soil Use of biosolids isprohibited on specified categories of land within defined periods prior toharvesting and where concentrations of heavy metals in the soil exceedspecified limit values Records must be kept and made available to thecompetent authorities on the quantities composition use treatment and resultsof analysis on biosolids the names and addresses of recipients of biosolids andthe places where biosolids are to be used (European Union 2000a)Accordingly member states have performed biosolids surveys to comply withthe reporting requirements such as the UK Sludge Survey for 1996ndash1997(Gendebien et al 1999) Summary reports indicating biosolids quality andultimate disposition quantities are to be submitted to the European Union every5 years (eg UK Department of the Environment 1993)

A part of the implementation of the directive is that application forbiosolids use is made in advance of the operation and conditions are applied tothe methods and type of biosolids used Consideration is given to the linksbetween biosolids use and potential transmission of pathogens to the humanfood chain and into water courses or supplies through nutrient leaching Inaddition biosolids producers are obliged to provide details of biosolidscomposition to owners of land where biosolids will be applied (see Box 2ndash1)Analytical methods sampling frequencies monitoring procedures and record-keeping requirements are also prescribed (see Box 2ndash2)

Proposed revisions are included in the European Union WorkingDocument on Sludge (European Union 2000b) and changes in limit values arebeing considered for heavy metals and organic compounds on the basis ofbiosolids concentrations and soil characteristics The use of biosolids in soilswhere the concentrations of heavy metals exceed the limit values suggested inTable 2ndash11 would be allowed only on a case-specific basis and member stateswould have to ensure that those limit values are not exceeded as a result of theuse of biosolids If the concentrations of one or more heavy metals in biosolidsare higher than the concentration limits suggested in Table 2ndash4 or if theconcentrations of one or more organic compounds in biosolids are higher thanthe concentration limits proposed in Table 2ndash12 the use of biosolids

BIOSOLIDS MANAGEMENT 72

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BOX 2ndash1 EXAMPLES OF REGULATORY CONTROLS

One European Union member state (United Kingdom) operates aprenotification system through its competent authority This system isdesigned to ensure that biosolids are given suitable treatment beforespreading on agricultural land and has led to the setting of legal limits formetals in soil according to the requirements of the directive In additionthe UK has set limits for 10-y average rates of application for metals inbiosolids and requires that producers identify suitable sites A code ofpractice for the agricultural use of biosolids in agriculture has been issuedand there is a separate code dealing with the agricultural use of biosolidsin forests The responsibility for undertaking sampling and analysis lieswith the biosolids producers who must support their activities bymaintaining records and supplying data to the Environment MinistrySampling and analytical procedures are in accordance with the code ofpractice which incorporates the directiversquos requirements and specifiesrestrictions to minimize risks to health

The Sewage Sludge Directive has been incorporated into thelegislation of another member state (Sweden) through an order issued bythe Environment Ministry This order governs the monitoring of biosolidsquality and the spreading of biosolids on arable land It also lays downlimit values for inputs of nutrients to arable soil via biosolids limit valuesfor metals in arable soils and limit values for inputs of metals to arablesoil A separate ordinance specifies limit values for metal concentrationsin biosolids intended for agricultural use Biosolids must be treated beforebeing used in agriculture and producers of biosolids must supply adeclaration of contents to those who will use the biosolids Similarly theoperation of sewage plants in that state requires authorization fromnational and regional authorities

In a third member state (Portugal) the national law sets limit valuesfor heavy metal concentrations in the soil and the quantity of biosolids perhectare

Source Adapted from European Union 2000a

should not take place Compliance with Tables 2ndash4 and 2ndash12 is assumed if90 of samples in a 12-month period are less than the standards and if 10 ofsamples exceed the standards by less than 50 The maximum annualquantities of heavy metals indicated in Table 2ndash6 that may be added to the soilbecause of use of biosolids should not be exceeded These limit values areintended to be reviewed every 6 years with a view toward achieving medium-and long-term concentrations for pollution prevention

BIOSOLIDS MANAGEMENT 73

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BOX 2ndash2 EXAMPLES OF MONITORING PROCEDURES

In one member state (United Kingdom) monitoring is undertaken inaccordance with the directive whereby soil is analyzed on first applicationand at least every twentieth year while biosolids are spread to determineits pH and metals levels Biosolids are analyzed at least every six monthsand every time significant changes occur in the quality of the biosolidstreated at the works Analysis is the responsibility of the biosolidsproducer but records must be kept and made available to the EnvironmentMinistry The analytical methods used are in accordance with thedirective The parameters analyzed conform to the directive and there area number of additional ones

In another member state (Portugal) the national law requiressampling of both the biosolids and the soil The biosolids are analysed bythe user who has the burden of proof that it complies with the legallyestablished limits The results are then made available to the Institute ofWaste (INR) Regional Directorates of the Environment (DRAs) orGeneral Inspectorate of Environment (IGA) who give the final approvalThe analyses of the soil are to be undertaken before biosolids are appliedalthough there is no specification of sampling frequency after the biosolidsare spread The results must be kept for five years

In another member state (Sweden) the producer of biosolids isresponsible for carrying out sampling and analysis of biosolids in respectof dry matter and loss on ignition pH total phosphorus total nitrogenammonium nitrogen lead cadmium copper chromium mercury nickeland zinc The order that requires this also lays down detailed rules onsampling and analysis methods The frequency of sampling and analysisis determined according to the treatment capacity of the plant As aminimum the sampling and analysis must be done on an annual basisPermitting authorities are responsible for supervision and inspection

Source Adapted from European Union 2000a

PATHOGEN ISSUES AND TREATMENT CONTROLS

EPA sponsored the Workshop on Emerging Infectious Disease Agents andIssues Associated with Animal Manures Biosolids and Other Similar By-Products in Cincinnati Ohio in June 2001 This workshop was attended byover 100 participants from around the world who raised general concerns withrespect to bacteria viruses and parasites in these materials Although animalmanures are generally land applied and untreated and contain pathogens ofconcern only biosolids are addressed in this report Concerns for pathogencontrol in Classes A and B biosolids were expressed For example becauseClass B biosolids are only partially disinfected through treatment

BIOSOLIDS MANAGEMENT 74

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TABLE 2ndash11 European Union Limit Values for Concentrations of Heavy Metals inSoil

Limit Values (mgkg of DM)Elements Directive

86278EEC6ltpHlt7

Proposed5`pHlt6

Proposed6`pHlt7

ProposedpH`7

Cadmium 1ndash3 05 1 15Chromium - 30 60 100Copper 50ndash140 20 50 100Mercury 1ndash15 01 05 1Nickel 30ndash75 15 50 70Lead 50ndash300 70 70 100Zinc 150ndash300 60 150 200

Note When the concentration value of an element in a specific land area is higher than theconcentration limit set in the table the competent authority may still allow the use of biosolids onthat land on a case-by-case basis after evaluation of the following aspects (1) intake of heavymetals by animals (2) uptake of heavy metals by plants (3) groundwater contamination and (4)long-term effects on biodiversity particularly on soil biota The areas of land with higher metalconcentrations will be monitored and the possibility of using biosolids will be subject to a periodicalassessment by the competent authorityAbbreviation DM dry matterSource Adapted from European Union 2000b

further disinfection of land-applied Class B biosolids is related tomanagement and treatment by natural attenuation Workshop participantsagreed that more data are needed on rates of pathogen survival in soil or oncrops after application of biosolids As discussed earlier the criteria of at leastseven samples with a geometric mean of less than 2times106 MPN or CPU of fecalcoliform per gram of dry weight as a control is one of the means fordetermining Class B treatment adequacy Better documentation is needed tocorrelate that or any number to treatment efficiency

The process control requirements for Classes A and B designations areessentially identical to those established in 40 CFR 257 the 1979 regulationspreceding 40 CFR 503 The treatment controls were based on an assumed logreduction of at least 1 for each option (EPA 1985 1989) The fecal densityrequirement established in 40 CFR 503 was assumed to correlate to a roughly 2-log reduction (EPA 1985 1992) However as early as 1981 it was recognizedthat additional research was necessary to better document the presence ofpathogens and other organisms in raw sewage sludge and their

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TABLE 2ndash12 Proposed Limit Values for Concentrations of Organic Compounds andDioxins in Biosolids for Use on LandOrganic Compounds Proposed Limit Values (mgkg of DM)AOXa 500LASb 2600DEHPc 100NPEd 50PAHe 6PCBf 08Dioxins Proposed Limit Values (ng TEkg of DM)PCDDPCKFg 100

aSum of halogenated organic compoundsbLinear alkylbenzene sulfonatescDi(2-ethylhexyl)phthalatedIt comprises the substances nonylphenol and nonylphenolethoxylates with 1 or 2 ethoxy groupseSum of the following polycyclic aromatic hydrocarbons acenapthene phenanthrene fluoreneflouranthene pyrene benzo[b+j+k]fluoranthene benzo[a]pyrene benzo-[ghi]perylene indeno[123-cd]pyrenefSum of the polychlorinated biphenyl congeners number 28 52 101 118 138 153 180gPolychlorinated dibenzodioxins and dibenzofuransAbbreviations DM dry matter TE 2378-tetrachloro-p-dioxin toxicity equivalentsSource Adapted from European Union 2000b

fate through the various treatment regimes in the regulations and acomprehensive literature review of all relevant publications between 1940 and1980 was conducted (Pedersen 1981)

Based on limited analyses in EPArsquos National Risk Management ResearchLaboratory (NRMRL) in Cincinnati and more complete data collected inWisconsin between 1998 and 2000 fecal coliforms appear to be present at verylow densities in biosolids and perhaps even in raw sewage sludge That is alsotrue of Ascaris eggs and enteric virus (JSmith EPA personal communication2002 WDNR unpublished data 2000) These data raise the question of thevalidity of relying on numeric standards for various organisms because it isunclear what they represent For example enteric virus and helminth ova areused to measure treatment efficiency for Class A biosolids because of theirhardiness and resistance to treatment but they are also used as indicators ofClass A treatment in alternatives 3 and 4 (discussed previ

BIOSOLIDS MANAGEMENT 76

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ously) Thus numeric standards are not necessarily incorrect but there is a needto better define their regulatory meaning and adequacy Another point ofconcern raised at the EPA workshop was assay development For example withthe measurement of Ascaris there is no proper protocol for samplingpretreatment and purification before the assay and the appropriate quality-assurance and quality-control (QA and QC) protocols for the spike to be used inthe assays The assays for the other parasites and protozoan oocysts are alsounreliable and underdeveloped The analytical methods for other parasitesprotozoan oocysts and even fecal coliform in biosolids are also suspect andmethod development and validation are needed (EPA 2001c) Table 2ndash13provides a partial list of possible organisms that may be used as measures oftreatment efficiency and that was discussed at the EPA 2001 conference

Many organisms of concern have been known to be present in sewagesludge and regulations have been developed with the intent to maximize theirelimination and minimize the potential transport to humans This was evident inthe initial sewage sludge (40 CFR 257) regulations promulgated in 1979Nevertheless new organisms of concern have been identified and new researchshould be initiated to reconfirm the level of disinfection achieved throughvarious pathogen process controls Bacteria such as E coli 0157H7 Listeriaand Helicobacter have emerged as potential public-health problems (seeChapter 6 for more details) Table 2ndash14 lists these and other bacteria ofpotential regulatory concern including ones that represent a change in concernfrom low to high or are newly recognized In addition it is necessary tounderstand the mechanisms responsible for pathogen reduction and timerequired to meet the control-process requirements For these reasons it isnecessary to validate the rate of elimination of pathogens through varioustreatment regimes Research in this area is currently underway (JSmith EPApersonal communication May 2002)

In the area of virology the conference raised several issues concerningviruses such as coxsackievirus echovirus adenoviruses rotaviruses andreovirus (to name a few) Their potential impact on public health is included inTable 2ndash15 For pathogen monitoring the virologists discussed usingenteroviruses and coliphages for process disinfection efficacy but suggested Ecoli fecal coliforms enterococci and Clostridium perfringens for fieldmonitoring As a result of the workshop deliberations the consensus opinion ofthe participating virologists was that Class-B-treatment processes should yieldthe reductions summarized in Table 2ndash16 if the processes are properlyconducted and maintained and the sitersquos climate geology and soilcharacteristics enable natural attenuation

Regarding the assessment of helminth eggs and protozoan oocysts theefficacy of existing Class B disinfection processes for inactivating parasites

BIOSOLIDS MANAGEMENT 77

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TABLE 2ndash13 Process Criteria for Class B Biosolids

Bacterial InactivationProcess Temperature Critical

ParameterTime Possible

Measure ofEfficiency

Air drying gt0degC Desiccation by-products

2ndash3 mo E coli fecalcoliformClostridium perfringens

Alkalinestabilization

Ambient Ammonia pH 2 h Clostridium perfringens

Aerobicdigestion

15ndash20degC Endogenousmicrobialactivity

60ndash40 d Fecal coliformE coli

Anaerobicdigestion

20ndash35degC Endogenousmicrobialactivityorganic by-products

60ndash15 d Clostridium perfringens

Composting 40ndash55degC Organic by-products

5 d at40degC 4h at 55degC

Clostridium perfringens

Source EPA 2001c

remains a concern but the processes should be effective for protozoanoocysts However little information is available on treatment efficiency ofhelminth eggs There are also concerns with analytical methods for thedetection and identification of helminth eggs of the species noted in Table 2ndash17Therefore research is needed to develop reliable assays to measure helmintheggs and to assess the efficacy of Class B processes for inactivating helminths(eg Taenia and Toxicara) where fecal coliforms have traditionally been theonly means of monitoring pathogen-inactivation performance The workshopparticipants expressed interest in using Clostridium perfringens as an indicatororganism when noncharged biocides are the major agent for inactivation and foranaerobic digestion lagoon storage composting and alkaline stabilization Theexisting Part 503 regulation states that the Class A disinfected biosolids are farless a concern as a result of Ascaris egg controls along with the temperaturefactors In the current Class A requirements monitoring is required forSalmonella or fecal coliform in addition to meeting one of several treatmentcontrol processes which include several nationally approved processesdesignated equivalent to a process to further reduce pathogens (PFRP) (listed inTable 2ndash18)

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TABLE 2ndash14 Bacterial Pathogens of Potential Concern in Biosolids

Major ConcernmdashClassica New IssuesmdashChangesb

Salmonella E coli 0157H7Shigella ListeriaEnteropathogenic E coli HelicobacterYersinia enterocolitica MycobacteriaCampylobacter jejuni AeromonasVibrio cholera LegionellaLeptospira Burkholderia

EndotoxinsAntibiotic resistance

aKowal 1985bEPA 2001c

Concerns for Class A processes were also elucidated at the EPA workshopHowever there was less concern with pathogen contamination and more withthe confirmation of the efficiency of Class A processes (Approved mechanismsof pathogen control for Class A treatment for bacteria viruses and parasites aresummarized in Table 2ndash19) Issues of concern included regrowth of pathogenswith short-term stabilized biosolids and possible emission of odors Others werespecification of treatment process versus product control and the appropriatepoint in the treatment process to obtain pre-treatment samples and whether touse an indicator organism to predict pathogen survival and recontaminationHowever the major problem discussed at the workshop was the Class Aprocess criteria that do not take into account potentials for regrowth Regrowthof pathogens can occur in Class A biosolids but generally not in Class Bbiosolids To prevent pathogen regrowth a fairly stable background populationof microorganisms is needed Relevant research on composting indicates theneed for 104 to 105 microorganisms per gram of dry weight of solid (Burnhamet al 1992) With such background levels as would be common with Class Bbiosolids pathogen regrowth is inhibited by competition with the existingmicrobial ecosystem Class A disinfection processes generally eliminate thesecompeting microorganisms requiring retesting of Class A biosolids if used inbulk quantities more than 3 weeks or so after production

Bioaerosol generation is a concern with the processes of aerobic digestionanaerobic digestion composting alkaline stabilization and combinations The

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concerns are bacterial species viruses and bacteria in bioaerosols but probablynot parasites due to their greater size and weight

TABLE 2ndash15 Principal Viruses of Concern in Municipal Wastewater and SewageSludgeVirus Diseases of Public Health ConcernPoliovirus PoliomyelitisCoxsackievirus Meningitis pneumonia hepatitis fever etcEchovirus Meningitis paralysis encephalitis fever etcHepatitis A virus Infectious hepatitisRotavirus Acute gastroenteritis with sever diarrheaNorwalk agents Epidemic gastroenteritis with severe diarrheaReovirus Respiratory infections gastroenteritis

Source Kowal 1985

In summary several pathogen-related issues and research needs wereidentified at the EPA workshop and in related literature

bull Further information regarding pathogen survival in processing or emissionduring the process

bull Research on vectors carrying pathogens and toxinsbull Assessment of bioaerosols and other chemical aerosolsbull Test-method development and validation for various organisms in sewage

sludge and biosolidsbull Field verification of efficacy of Class A and Class B treatment processes

(including data to directly relate process controls to initial and finalpathogen and indicator densities)

bull Development of indicator pathogens for assessment of impact andattenuation in field situations

PATHOGEN EQUIVALENCY COMMITTEE

A critical function in the regulation of sewage sludge and biosolids isfulfilled by the Pathogen Equivalency Committee (PEC) established in 1985The PEC is composed of experts within EPA who evaluate treatmenttechnologies to determine whether they are equivalent in treatment efficiency toeither recognized PSRP (Class B) or PFRP (Class A) as defined in 40 CFR

BIOSOLIDS MANAGEMENT 80

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TABLE 2ndash16 Class B Virus Reduction for Biosolids Disinfection Process

Process Virus Log Reduction TimeLagoon storage 1ndash2 6ndash12 moMesophilic anaerobic digestion 1ndash2 15ndash30 dMesophilic aerobic digestion 1ndash2 15ndash30 dAlkaline stabilizationpH=11 to 12

1ndash3 1 d

Air drying lt3 solids lt1 2ndash3 moAir drying gt3 solids 3ndash4 2ndash3 moHeat drying 55ndash60degC 3ndash4 ~1 hComposting 40ndash55degC 3ndash4 6 wk

Source EPA 2001c

503 Determination of several such treatment technologies expected withina few years are vermicomposting microwave technology infrared irradiationtechnology alkaline stabilization anaerobic digestion and aerobic digestionThe equivalency criteria could be related to treatment alternatives 1 through 6for Class A or alternatives 1 through 3 for Class B

The long-term responsibilities of PEC include integrating and developingmethods for microbial assays gross biosolids parameters analysis of metalsand analytical techniques for organics many of which are included in Standard Methods manuals published by the American Society for Testing andMaterials and agricultural analyses In developing microbial assays protocoldevelopment and workshops to train EPA and other professionals are neededThe same issues relate to vector-attraction tests which need to be compiled andrefined for new stabilization techniques Due to the major problems arising withmanure in nonpoint source pollution USDA and EPA should collaborate onmethod development However EPA does not have a formal coordinated groupthat handles these important issues and there has been no logical protocol toresolve these questions Even so the committee believes that this ongoingproblem could be resolved with appropriate action from EPA

In the fall of 2000 Haas (2001) conducted an independent assessment ofthe pathogen equivalency process That report focused on the determination ofequivalency for both PSRP and PFRP process assessment Overall the reportfound that the members of the PEC need assistance to better conduct theirduties The reportrsquos short-term recommendations to support the PEC were asfollow

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TABLE 2ndash17 Principal Parasites of Concern in Municipal Wastewater and SewageSludgeHelminth Worms Symptoms or DiseasesAscaris lumbricoides Digestive disturbances abdominal painAscaris suum Coughing chest pain or asymptomaticTrichuris trichiura Abdominal pain diarrhea anemia weight lossToxocara canis Fever abdominal discomfort and muscle achesTaenia sasginata Nervousness insomnia anorexiaTaenia solium Nervousness insomnia anorexiaNecator americanus Hookworm diseaseHymenolepis nana Taeniasis

Source Kowal 1985

bull The PEC members should have a formal portion of their time allocated toPEC responsibilities

bull Travel funds should be put at the disposal of the PEC to enable meetingattendance and visits to selected sites of petitioners

bull There is a perception on the part of PEC members that EPArsquos Cincinnatilaboratories do not include biosolids as a formal part of their missionstatement This needs to be clarified and rectified

bull A formal procedure for designation of backup members should be devised

The report also included a protocol for formally handling a PECapplication and recommended that it be developed via a formal approval routeOverall the report found that the diverse background of EPA staff serving onthe PEC is a well-rounded forum and should be continued

IMPLEMENTATION AND END-USE PRACTICES

Overview

There are three major alternatives for final disposition of sewage sludge(1) recycling as biosolids to agricultural land as a fertilizer or soil amendmentor selling or giving away to the public for use on home gardens or lawns (2)

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TABLE 2ndash18 Processes Recommended as Equivalent to PFRP

Process Criteria for ApprovalCBI Walker IncAurora Illinois

Two-stage aerobic digestion processutilized time-temperature control withresulting mesophilic aerobic digestion forstabilization

Fuchs Gass and WasserteckinkMayen Germany

Two-stage autothermophilic aerobicdigestion process utilizing time-temperature control with resultingmesophilic aerobic digestion forstabilization

International Process Systems IncGlastonbay Connecticut

In-vessel composting process related totime-temperature disinfection followed bycompost maturation for stabilization

K-F Environmental Technologies IncPompton Plains New Jersey

Indirect drying process utilizing the PSRP(process to significantly reduce pathogens)heat drying process criteria and short-termstabilization at less than 10 moisturecontent

Lyonnaise des EauxPecz-Sur-Seine France

Two-phase thermophillic and mesophilicanaerobic digestion where pathogencriteria used to demonstrate PFRP(process for the further reduction ofpathogens) criteria with mesophilicstabilization

AJW IncSanta Barbara California

Thermophilic alkaline stabilization usedpasteurization criteria with short-termstabilization related by pH

N-ViroToledo Ohio

Advance alkaline stabilization that hasvarious alternatives for disinfection andalkaline composting for disinfection Theyused the pathogen criteria and alternative 2

Synox CorporationJacksonville Floride

OxyOzonation process is an acid-oxidizing process that utilizes a pathogencriteria from influent and effluent inalternative 3

Ultra Clear IncMarlboro New Jersey

Microbiological composting and dryingprocess which is a time-temperatureprocess equivalency

Source EPA 1999b

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TABLE 2ndash19 Class A Inactivation of Pathogens

Process Inactivation ConcernsAerobic digestion(thermophilic)

Time temperature Oxygen transfer solidscontent bioaerosols

Anaerobic digestion(thermophilic)

By-products timetemperature

Solids content odorbioaerosols pH

Composting(thermophilic)

By Products timetemperature

Solids content odorbioaerosols pH

Alkaline stabilization Ammonia time-temperature Solids content odoraerosols pH

Heat drying(gt80degC)

Time-temperature Explosions odors aerosols

Irradiation(gamma beta)

gt1 megarad Solids content stablization

CombinationsDigestorsLagoonsDrying beds

Time-temperature by-products

Solids content odorsbioaerosols

Sources Reimers et al 1986ab 1999 2001 EPA 2001c

burying in a municipal solid-waste landfill or a surface disposal site or (3)burning in an incinerator When assessing any of these practices they should beevaluated holistically for risk For instance if all land application should ceasehow would the overall risk be altered if additional landfills surface disposalsites and incinerators were constructed and operated to accommodate theadditional volumes In response to EPArsquos beneficial-use policy the publicationof risk-based regulations and the general trend toward recycling numerousstates began to encourage POTWs to use their biosolids in the late 1980s and1990s This policy was further aided by philosophical shifts away from andpolitical and legal difficulties associated with siting and constructingincinerators and landfills

Management Practices

Biosolids are applied to land through one of three methods

bull Injection Injection vehicles directly inject liquid biosolids at a depth of 6to 9 inches into the soil The injectors may simultaneously disc the field

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or include fine injection tubes for minimal soil breakup depending on thetype of farm-management practices used This method is considered themost effective for odor control and minimizes the risk of runoff to surfacewaters However it is not possible to use injection when applying to haycrops or frozen ground Application is usually prior to planting or afterharvest Vehicles range from 1500- to 5000-gallon capacity Injection isconsidered a physical-barrier option for satisfying vector-controlrequirements

bull Incorporation Biosolids are applied to the surface of the soil and thenphysically worked into the field within 6 h or as specified by the permitauthority This method is common for cake solids that cannot be injectedand is used either prior to planting or after harvest Biosolids are generallyincorporated at a depth of 6 to 9 inches Incorporation is also considered aphysical-barrier option for satisfying vector-control requirements

bull Surface Application Either liquid or cake solids are applied to the soilsurface but are not incorporated into the soil until normal farmingpractices disturb the soil This method is common for hay crops andapplication during winter months Surface application does not satisfyvector-control requirements and stabilization must be accomplishedthrough treatment prior to surface application

The federal regulations for managing a land-application site include thefollowing prescriptions

bull Biosolids shall not be applied to land if it is likely to adversely affect athreatened or endangered species or its critical habitat

bull Biosolids must not be applied to land that is frozen flooded or snowcovered so that biosolids cannot enter any wetland or waters of theUnited States except as provided in an National Pollutant DischargeElimination System (NPDES) permit

bull Biosolids must not be applied to land at a distance of less than 10 meters(33 feet) from any waters of the United States unless otherwise specifiedin a NPDES permit

bull Biosolids must be applied at a rate equal to or less than the agronomicnitrogen need of the crop to be grown

Some states require more stringent site criteria including greater distancesfrom surface waters maximum slope restrictions minimum depths togroundwater and bedrock minimum and maximum soil permeability ratesminimum distances to residences or recreation areas and minimum distances toprivate or public water-supply wells For example Table 2ndash20 compares thecriteria required by Wisconsin with those of the Part 503 rule

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TA

BL

E 2

ndash20

Wis

cons

in R

equi

rem

ents

for

Bio

soli

ds A

ppli

ed to

the

Lan

d in

Bul

k

Sit

e C

rite

ria

Sur

face

Inco

rpor

atio

nIn

ject

ion

Par

t 503

Req

uire

men

tsD

epth

to b

edro

ck3

ft3

ft3

ftD

epth

to h

igh

grou

ndw

ater

3 ft

3 ft

3 ft

All

owab

le s

lope

s0ndash

60ndash

12

0ndash12

D

ista

nce

to w

ells

- C

omm

unit

y w

ater

sup

ply

or s

choo

l10

00 f

t10

00 f

t10

00 f

t-

Oth

era

250

ft25

0 ft

a25

0 ft

a

Min

imum

dis

tanc

e to

res

iden

ce b

usin

ess

or r

ecre

atio

n ar

ea50

0 ft

200

ft20

0 ft

Min

imum

dis

tanc

e to

res

iden

ce o

r bu

sine

ss w

ith

perm

issi

on25

0 ft

100

ft10

0 ft

Dis

tanc

e to

rur

al s

choo

ls a

nd h

ealth

car

e fa

cilit

ies

1000

ft

1000

ft

500

ftD

ista

nce

to p

rope

rty

line

50 f

tb25

ftb

25 f

tb

Min

imum

dis

tanc

e to

str

eam

s la

kes

pon

ds w

etla

nds

or

chan

neli

zed

wat

erw

ays

conn

ecte

d to

a s

trea

m l

ake

or

wet

land

33 f

t

- S

lope

0 to

lt6

20

0 ft

150

ft10

0 ft

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- S

lope

6 to

lt12

N

ot a

llow

ed20

0 ft

150

ftM

inim

um d

ista

nce

to g

rass

wat

erw

ays

or

dry

run

wit

h a

50 f

t ran

ge g

rass

str

ipc

- S

lope

0 to

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10

0 ft

50 f

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ft

- S

lope

6 to

lt12

N

ot a

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0 ft

50 f

tS

oil p

erm

eabi

lity

ran

ge (

inh

)0

2ndash6

00ndash

60

0ndash6

0a S

epar

atio

n di

stan

ces

to n

onpo

tabl

e w

ells

use

d fo

r ir

riga

tion

or

mon

itor

ing

may

be

redu

ced

to 5

0 ft

if

the

bios

olid

s ar

e in

corp

orat

ed o

r in

ject

ed a

nd th

e de

part

men

t doe

s no

tde

term

ine

that

a g

reat

er d

ista

nce

to th

e w

ells

is r

equi

red

to p

rote

ct th

e gr

ound

wat

er

b The

dis

tanc

es to

pro

pert

y li

nes

may

be

redu

ced

wit

h th

e w

ritt

en p

erm

issi

on o

f bo

th p

rope

rty

owne

rs

c Rep

arat

ion

dist

ance

s no

t req

uire

d if

gra

ss w

ater

way

or

dry

run

wit

h gr

ass

stri

p is

con

tain

ed w

ithi

n a

site

or

fiel

d fo

r th

e pu

rpos

e of

ero

sion

con

trol

So

urce

Ada

pted

fro

m W

isco

nsin

Adm

inis

trat

ive

Cod

e 19

96

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Inherent in the concept of developing two classes of pathogen-controlcriteria are management-practices and site-restriction requirements to equalizethe two standards EPA imposed limitations regarding minimum time durationsbetween application of Class B biosolids and the harvesting of certain crops thegrazing of animals and public access to the site Those limitations aresummarized in Table 2ndash21 If the limitations are followed EPA concluded thatthe level of protection from pathogenic organisms in Class B biosolids wasequal to the protection provided by the unregulated use of Class A biosolids

Three factors affect the potential dietary exposure to pathogens via cropsthrough land application (EPA 1999b) (1) pathogens must be in the biosolids(2) the application of biosolids to food crops must transfer the pathogens to theharvested crop and (3) the crop must be ingested before it is processed toreduce the pathogens If all three factors are not present potential exposure iseliminated The production of Class A biosolids reduces the pathogens inbiosolids to below detectable concentrations and may be used without furtherrestriction if it is also deemed exceptional quality (EQ) In contrast Class Bbiosolids may contain reduced but still measurable densities of pathogenicbacteria viruses protozoans and viable helminth ova

The site restrictions are imposed to allow for further reduction of thepathogenic populations through natural attenuation processes The restrictionsare based primarily on the survival rate of helminth ova which are consideredthe hardiest pathogens that might be present in biosolids Some of the factorsthat influence pathogen survival are sunlight moisture pH temperaturecations presence of soil microflora and organic material content Potentialpathways of exposure are also considered in setting the time restrictions Forinstance pathogen die-off is much different when crops are exposed on theirsurfaces compared with crops grown underground Helminth ova can survive ontop of soil or within soil for months to years depending on climate thus longerwaiting periods are required for food crops either grown in the biosolids-amended soil or in contact with the soil-biosolids mixture In practice far lessthan 1 of biosolids-amended land is used for the production of unprocessedfood-chain crops (WDNR unpublished data 2001) Of 27 states responding toan inquiry on this topic by the Wisconsin Department of Natural Resources(WDNR) 25 reported no such use and two reported less than 1 such useBased on these results this finding can be reasonably expected in the remaining23 states

Other management practices are intended to minimize the introduction ofbiosolids to surface water (primarily because of phosphorus and solidsconcerns) or the leaching of biosolids to groundwater (primarily because ofnitrate concerns) To this end for Class B and other non-EQ biosolids EPA

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TABLE 2ndash21 Minimum Duration Between Application and HarvestGrazingAccessforClass B Biosolids Applied to the LandCriteria Surface Incorporation InjectionFood crops whose harvested part maytouch the soilbiosolids mixture (beansmelons squash etc)

14 mo 14 mo 14 mo

Food crops whose harvested parts growin the soil (potatoes carrots etc)

2038 moa 38 mo 38 mo

Food feed and fiber crops (field cornhay sweet corn etc)

30 d 30 d 30 d

Grazing of animals 30 d 30 d 30 dPublic access restrictionHigh potentialb 1 y 1 y 1 yLow potential 30 d 30 d 30 d

aThe 20 month duration between application and harvesting applies when the biosolids that aresurface applied stays on the surface for 4 months or longer prior to incorporation into the soil The38 month duration is in effect when the biosolids remain on the surface for less than 4 months priorto incorporationbThis includes application to turf farms which place turf on land with a high potential for publicexposureSource Adapted from 40 CFR Part 503

requires minimum setback distances of 10 meters from surface watersalthough at least 21 states have increased their minimum setback distancebetween 50 and 300 feet Such factors as slope buffer strips method ofbiosolids application and the designated uses of nearby surface waters may beconsidered by states in setting setback distances EPA also requires thatapplication of non-EQ biosolids be limited to accommodate the nitrogenrequirements of the crop to be grown Notably federal statutes do not includegroundwater in the definition of waters of the United States and thus nominimum depth to groundwater or bedrock is included in federal regulationsHowever at least 23 states include such requirements and at least 10 haveprohibited land application of biosolids during winter months Whilerecognizing that there are vast differences in topography weather and soilconditions across the country EPA would be well advised to include morespecific site requirements in its biosolids regulations including minimum depthto groundwater controls on winter application and setback distances fromresidences

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In addition stockpiling of biosolids in fields should only be done withfully stabilized and treated biosolids for very short durations (generally for nomore than 72 h) and in a manner that ensures there is no runoff to surface wateror adjacent land Storage at treatment plants or off-site engineered facilitiesshould be considered to avoid the need to land apply during inclement weatherconditions

Most states mimic the federal requirements for limiting land-applicationrates to accommodate the nitrogen requirements of the intended crops Nitrogenis the limiting factor in assessing application rates The application rate must bebased on the nitrogen needs of the crop to be grown Available nitrogen shouldbe assessed based on mineralization rates for the organic nitrogen and methodof application for the ammonium-nitrogen Nitrogen supplied from all othersources must also be taken into account This should be implemented throughcommunication between the land applier and the farmer Because of thesenitrogen limitations biosolids are the most regulated fertilizer or soilamendment used on agricultural land However a small but growing number ofstates are also limiting the application rate based on the phosphorus needs of thecrop or some other phosphorus index As animal waste becomes furtherregulated based on phosphorus content phosphorus consideration is likely tohave an impact on the biosolids program as well (Animal waste has not to datebeen regulated to address pathogen or nutrient control) Excess phosphorusoften becomes a water-quality problem after it reaches surface waters becauseit promotes accelerated algae growth and eutrophication For these reasonswastewater treatment plants are increasingly being forced to limit thephosphorus in their effluent discharge to surface waters Therefore thephosphorus concentration in sewage sludge is necessarily increasing Althoughthe Part 503 rule does not address phosphorus many states require setbackdistances slope restrictions and winter prohibitions to minimize the potentialfor runoff and the associated problems with phosphorus

End-Use Practices

The WDNR has worked with all states to gain information regardingbiosolids-use practices quality pathogen control and vector-attractionreduction The following data from 37 states represent the best estimation ofcurrent biosolids use in the United States (WDNR unpublished data 2001)

bull 56 million dry tons of biosolids are used or disposed ofbull Of that 34 million dry tons of biosolids are used as soil amendments

BIOSOLIDS MANAGEMENT 90

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andor fertilizer in the United States representing 61 of the total amountused or disposed of

- 24 million dry tons of biosolids are land applied representing 43 ofthe total amount used or disposed of

- 1 million dry tons of biosolids are land applied or publicly distributed asEQ biosolids representing 18 of the total amount used or disposed of

bull 095 million dry tons of biosolids are disposed of in licensed municipalsolid waste landfills representing 17 of the total amount used ordisposed of

bull 008 million dry tons of biosolids are disposed of in surface disposal unitsrepresenting 1 of the total amount used or disposed of

bull 11 million dry tons of biosolids are burned through incinerationrepresenting 20 of the total amount used or disposed of

CHARACTERIZATION OF BIOSOLIDS

Several national surveys of biosolids quality have been conducted by EPAand the Association of Metropolitan Sewerage Agencies (AMSA) to quantifyconcentrations of pollutants and nutrients in biosolids In addition states havecollected data on biosolids as part of their biosolids program management andcompliance monitoring for many years Compliance is tracked largely throughstate programs and through the federal Biosolids Data Management System(BDMS) and Permit Compliance System (PCS) For chemicals monitoring isrequired for total percent solids the nine regulated inorganic compounds totalnitrogen and total nitrogen ammonium For pathogens the pathogen densityrequirements for Class A and Class B biosolids (discussed earlier in thischapter) are monitored Vector attraction reduction requirements are alsomonitored Minimum monitoring requirements are specified in 40 CFR 503based on the quantity of biosolids used or disposed of (see Table 2ndash22)

The current Part 503 regulations require that monitored biosolids must berepresentative of what is actually going to be used or disposed of Whenever thebiosolids are changed so that their characteristics change new sampling musttake place

The success of the pretreatment program is illustrated in the reducedconcentrations of selected inorganic pollutants in biosolids since theimplementation of regulations on nondomestic discharges to sewerage systemsThe data for biosolids show significant reductions in some of the regulatedinorganic chemicals from the inception of the pretreatment program until the

BIOSOLIDS MANAGEMENT 91

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TABLE 2ndash22 Frequency of Monitoring and Land Application and Landfilling

Amount of Biosolids (drymetric tons per 365 days)

Amount of Biosolids (dryUS tons per 365 days)a

Frequency ofMonitoring

0ltXlt290 0ltXlt320 Once per y290`Xlt1500 320`Xlt1654 Once per quarter1500`Xlt15000 1654`Xlt16540 Once per 60 d15000`X 16540`X Once per mo

aAmount that is land applied or landfilled on a dry weight basisbMetric tons=US tonstimes0907Source 40 CFR 503

mid-1990s when the concentrations leveled off For example datacollected in Pennsylvania from 1978 to 1997 showed large decreases incadmium copper lead mercury nickel and zinc and smaller rates ofdecreases for arsenic selenium and molybdenum (Stehouwer et al 2000)Wisconsin and New Jersey have extensive biosolids monitoring data and willbe used for illustrative purposes Tables 2ndash23 and 2ndash24 show pollutantconcentrations over time The numbers presented are state averages TheWisconsin data include any outlier data and nondetects are considered at thedetection limit Data from Portland Oregon (Portland 2002) Seattlemetropolitan area (King County 2000) and Milwaukee metropolitan area(MMSD 2001) depict similar trends

In addition to the regulated pollutants within EPArsquos biosolids program thepretreatment program is charged with controlling the 126 ldquopriority pollutantsrdquoas well as any other incompatible pollutants from industries that discharge intothe sewer systems as described in the Clean Water Act (EPA 1999a) There arefour criteria under the pretreatment program as described earlier Those criteriaare directed towards ensuring compliance with permits Selected contaminantsin their wastewater are monitored by industries to which the pretreatmentprogram or local ordinance limits apply and also in the effluent discharge of thePOTWs covered by the pretreatment program Toxic organic chemicalsdischarged to a POTW may be volatilized degraded deposited in the sewagesludge or passed through to the effluent Monitoring of the wastewater effluentmay be required for the 126 priority pollutants but there is no federalrequirement to test sewage sludge for them nor federal limits on most of theirconcentration in biosolids One issue with monitoring for these constituents isthat on the rare occasion that one or more of them are detected there are noestablished criteria levels of concern for many of them Reliable data on theimpact of pretreatment programs on the concentration of toxic organicchemicals in biosolids are not currently available

BIOSOLIDS MANAGEMENT 92

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TABLE 2ndash24 New Jersey Data (all values are in milligram per kilogram of dryweight)Element 1981ndash1983 1989ndash1994 1997As 27 285 433Cd 94 56 35Cr 93 39 26Cu 825 679 628Pb 210 100 65Hg 36 23 19Mo 15 13Ni 46 31 23Se 20 49Zn 1110 826 810

Source New Jersey Department of Environmental Protection unpublished data 2001

PCBs were considered a group of related organic compounds in the initialdevelopment of the Part 503 regulations but ultimately were not regulatedbecause their production had already been banned in the United StatesHowever 12 coplanar PCBs are still under consideration for regulation in Part503 A 2000 survey of 50 biosolids samples in Wisconsin found detectedconcentrations of total PCBs in 40 of the samples when the analysis wasperformed on an aroclor basis (WDNR unpublished material 2000) A furtheranalysis of a subset of the 50 samples (samples with detectable aroclors sixwith nondetectable aroclor samples and one resample) on a congener-specificbasis found detectable concentrations in 100 of the samples A similar 2001EPA survey of 101 biosolids samples from across the nation also founddetectable concentrations of coplanar PCBs (EPA 2002a) The total PCBconcentration mean in the Wisconsin survey was 023 mgkg for the arocloranalyses and 03 mgkg for the congener-specific analyses Current regulationsin 40 CFR 761 state that land-applied biosolids with concentrations of totalPCBs at less than 50 mgkg are regulated under 40 CFR 503 and sewage sludgewith concentrations greater than 50 mgkg cannot be land applied and is subjectto provisions within that regulation (EPA 1998) Furthermore 40 CFR 257requires industrial sludge with concentrations of total PCBs at greater than 10mgkg to be injected or incorporated when land applied

EPArsquos stated purpose in their sampling survey of 2001 was to determinetoxicity equivalent concentrations (TEQs) for the 29 congeners of dioxins

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furans and coplanar PCBs which they proposed to add to 40 CFR 503 Themean TEQ value for total dioxin and dioxin-like compounds was 3160nanograms per kilogram (ngkg) DM when nondetect measurements weresummed at one-half the detection limit (EPA 2002a) AMSA also conducted asurvey of member and nonmember facilities in late 2000 (Alvarado et al 2001)A total of 197 biosolids samples were collected from 170 facilities and meanand median TEQ concentrations of 485 and 217 ngkg were reportedrespectively The TEQ values ranged from 71 to 256 ngkg with a single outlierof 3590 ngkg Notably these TEQ concentrations are lower than thosereported in a similar survey conducted in 1994 (Green et al 1995) This findingmay be due to fewer medical-waste incinerators in operation and other reducedcombustion sources of dioxin but may in large part be explained by improvedanalytical techniques In all three surveys nondetectable congeners weresummed at one-half the detection concentration As detection concentrationscontinue to decrease so too do the added values of nondetections

The State of Vermont recently reported the results of a survey of the 17dioxin and furan congeners (but excluded coplanar PCBs) in a sampling of 20POTWs and 3 comingling EQ generating facilities (Kelley 2000) A total of 28samples were collected in November and December 1996 and in August 1998The mean and median TEQ concentrations were 1122 and 855 pptrespectively and the range was from 132 to 5944 ppt One importantdifference in the Vermont survey data compared with the EPA and AMSA datais that nondetectable congeners were summed as zero rather than one-half thedetection limit

COMPLIANCE ASSISTANCE AND ENFORCEMENT

Perhaps the most common and vocal complaint of EPArsquos biosolidsprogram is the lack of federal presence to ensure compliance with the existingregulations In the absence of that assurance and as the report of the Office ofthe Inspector General (OIG) concluded (EPA 2000b) EPA cannot claim thatthe regulations are followed and that public health and the environment areprotected as required by the CWA States do however implement their ownbiosolids programs to some greater or lesser extent and actively participate inboth compliance assistance and enforcement

State regulators report substantial compliance is prevalent when assessedEPArsquos Office of Enforcement and Compliance Assistance has taken a formalposition that biosolids are a low public-health and environmental priority andthus no formal program policy is in place However according to EPA all 10regional offices will take appropriate action as required if a case is brought totheir attention (DRegas EPA personal communication to OIG June 11

BIOSOLIDS MANAGEMENT 95

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2001) Although some EPA regional offices are more aggressive and involvedthan others little enforcement action is taken at the federal level Furthermoreenforcement strategies differ between states and EPA states tend to favorstepped enforcement that focuses on compliance assistance and education andEPA is likely to levy monetary penalties with less discussion

EPA recently established an incident-response team as part of theBiosolids Program Implementation Team to address and investigate criticalallegations of sewage sludge and biosolids violations and public-health threatsA problem this team has faced is that they are not notified of situations in atimely manner There is currently no process for registration or follow-up oncomplaints and alleged violations An administrative framework is necessary totrack such allegations investigations and outcomes

FINDINGS AND RECOMMENDATIONS

EPA provides insufficient support and oversight to the biosolids programEPA gives low priority to its biosolids program because it contends that risksfrom exposure to chemicals and pathogens in biosolids are low and that land-application programs generally function as intended and in compliance with theregulations This contention should be better substantiated

Recommendations

bull EPA should strengthen its biosolids-oversight program by increasing theamount of funding and staff (technical and administrative) devoted to it

bull EPA should provide additional funds (not diverted funds) to states toimplement biosolids programs and facilitate delegation of authority tostates to administer the federal biosolids regulations

bull Resources are also needed for conducting research into emerging issuesand to revise the regulations as appropriate and in a timely fashion (egmolybdenum standards should be proposed)

bull A process should be established to track allegations and sentinel events(compliance management or health based) investigations andconclusions Such tracking should be systematic developed incooperation with states and should document both positive and negativeoutcomes

The Pathogen Equivalency Committee (PEC) performs invaluabletechnical support and process assessment

Recommendations

bull The PEC should be funded supported and officially sanctioned as anintegral part of the federal biosolids program The following areimportant in supporting the PEC

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mdash The PEC members should have a formal portion of their time allocatedto PEC responsibilities

mdash Travel funds should be put at the disposal of the PEC to enable meeting attendance and visits to selected sites of petitioners

mdash There is a perception on the part of PEC members that EPArsquosCincinnati laboratories do not include biosolids as a formal part of theirmission statement This needs to be clarified and rectified

mdash formal procedure for designation of backup members should be devised

Biosolids risk-management practices are an integral component of the riskassessment and technological criteria that were used to establish the standardsof the Part 503 rule They are therefore an important component of theregulations for chemicals and pathogens

Recommendations

bull Studies should be conducted to determine whether the managementpractices specified in the Part 503 rule (eg 10-meter setback fromwaters) achieve their intended effect

bull Additional risk-management practices should be considered in futurerevisions to the Part 503 rule including setbacks from residences orbusinesses setbacks from private and public water-supply wells sloperestrictions soil permeability and depth to groundwater or bedrock andreexamination of whether a greater setback distance to surface water is warranted

bull Provisions for allowing distribution of Class A biosolids in bags or othercontainers (weighing less than 1 metric ton) should not be allowed whenthey do not meet pollutant concentration limits (ie all biosolids sold orgiven away should be EQ)

bull Exemptions from nutrient management and site restrictions for landapplication of bulk EQ biosolids should be eliminated

There are several prescribed treatment processes that can be used to meetregulatory requirements for classifying biosolids as Class A or Class BHowever the efficacy of the treatment processes needs verification and thestabilization regulations need to be refined for consistent control of vectorattraction

Recommendations

bull EPA should conduct national field and laboratory surveys to verify thatClass A and Class B treatment processes perform as assumed by theirengineering and design principles Determinations should be made ofpathogen density and elimination across the various accepted treatmentprocesses and in the biosolids or environmental media over time

bull Standard treatment design criteria should be adopted nationally to ensurecompliance with existing biosolids regulations

BIOSOLIDS MANAGEMENT 97

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bull Stabilization controls need to be further refined and directly correlated tometabolic techniques (eg SOUR test carbon dioxide metabolic releasemethane metabolic release)

The available methods for detecting and quantifying pathogens in biosolidshave not been validated There have been a number of advances in detectionand quantification of pathogens in the environment and in approaches toenvironmental sample collection and processing However no consensusstandards have been developed for pathogen measurements in biosolids

RecommendationEPA should support development standardization and validation of

detection and quantification methods for pathogens and indicator organismsregulated under the Part 503 rule The sufficiency of these methods and theirresults should be considered in conducting and interpreting future riskassessments and used to develop applicable risk-management technologies

The CWA requires EPA to establish biosolids regulations based on riskhowever it is important to acknowledge and consider other approaches toregulating land application of biosolids

RecommendationAs part of the process of revising the Part 503 rule EPA should review

biosolids protocols used by other nations This could provide valuable newperspectives and insights into the scientific technical and societal bases for thedevelopment and implementation of biosolids regulations

EPA and the US Department of Agriculture cosponsored a workshop onemerging pathogens in June 2001 with international experts in the field Thecommittee supports the major research recommendations from that workshop(listed below)

RecommendationsResearch is needed on the following topics

bull Pathogen survival in processing or emissions during the treatment processbull Vectors carrying pathogens and toxinsbull Bioaerosols and other chemical aerosolsbull Test-method development and validation for various organisms in sewage

sludge and biosolidsbull Field verification of efficacy of Class A and Class B treatment processes

(including data to directly relate process controls to initial and finalpathogen and indicator densities)

BIOSOLIDS MANAGEMENT 98

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bull Development of indicator pathogens for assessment of impact andattenuation in field situations

REFERENCES

Alvarado MJ SArmstrong and ECrouch 2001 The AMSA 20002001 Survey of Dioxin-likeCompounds in Biosolids Statistical Analyses Prepared by Cam bridge EnvironmentalInc Cambridge MA for the Association of Metropolitan Sewerage Agencies (AMSA)October 30 2001 [Online] Available httpwwwamsa-cleanwaterorgadvocacydioxinfinal_reportpdf [May 17 2002]

Burnham JC NHatfield GFBennett and TJLogan 1992 Use of kiln dust with quicklime foreffective municipal sludge pasteurization and stabilization with the N-Viro soil processPp 128ndash141 in Innovations and Uses for Lime DDWalker Jr TBHardy DCHoffmanand DDStanley eds ASTM STP 1135 Phildelphia PA American Society for Testingand Materials

Burton NC and DTrout 1999 NIOSH Health Hazard Evaluation Report BioSolids LandApplication Process LeSourdsville Ohio HETA 98ndash0118ndash2748 US Department ofHealth and Human Services Public Health Service Centers for Disease Control andPrevention National Institute for Occupational Safety and Health

Cooperative State Research Service Technical Committee W-l70 1989 Peer Review Standards forthe Disposal of Sewage Sludge US EPA Proposed Rule 40 CFR Parts-257 and 503(February 6 1989 Federal Register pp 5746ndash5902) Submitted to William RDiamondCriteria and Standards Division US Environmental Protection Agency WashingtonDC US Dept of Agriculture Cooperative State Research Service

Council of the European Communities 1986 Council Directive 86278EEC of 12 June 1986 on theProtection of the Environment and in Particular of the Soil When Sewage Sludge is Usedin Agriculture Community Legislation in Force Document 386L0278 [Online]Available httpeuropaeuinteur-lexenlifdat1986en_386L0278html [September 122001]

EPA (US Environmental Protection Agency) 1979 Criteria for classification of solid wastedisposal facilities and practices Fed Regist 44(179)53460ndash53464 (September 13 1979)

EPA (US Environmental Protection Agency) 1981 Land Application of Municipal SewageSludge for the Production of Fruits and Vegetables A Statement of Federal Policy andGuidance SW 905 US US Environmental Protection Agency US Food and DrugAdministration and US Department of Agriculture Washington DC

EPA (US Environmental Protection Agency) 1984 Municipal sludge management policy NoticeFed Regist 49(114)24849ndash24850 (June 12 1984)

EPA (US Environmental Protection Agency) 1985 Pathogen Risk Assessment Feasibility StudyEPA 6006ndash88003 Office of Research and Development

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Office of Health and Environmental Assessment Environmental Criteria and AssessmentOffice US Environmental Protection Agency Cincinnati OH November 1985

EPA (US Environmental Protection Agency) 1989 Environmental Regulation and TechnologyControl of the Pathogens in Municipal Wastewater Sludge for Land Application UnderCFR Part 257 Office of Technology Transfer and Regulatory Support USEnvironmental Protection Agency Cincinnati OH September 1989

EPA (US Environmental Protection Agency) 1990 National sewage sludge survey Availabilityof information and data and anticipated impacts on proposed regulations Fed Regist 55(218)47210ndash47283 (November 9 1990)

EPA (US Environmental Protection Agency) 1991 Interagency policy on beneficial use ofmunicipal sewage sludge on federal land Notice Fed Regist 56(138)33186ndash33188 (July18 1991)

EPA (US Environmental Protection Agency) 1992 Technical Support Document for Reduction ofPathogens and Vector Attraction in Sewage Sludge EPA 822R-93ndash004 Office of WaterUS Environmental Protection Agency November 1992

EPA (US Environmental Protection Agency) 1993 Federal Register February 19 1993 40 CFRParts 257 403 and 503 The Standards for the Use or Disposal of Sewage Sludge FinalRules EPA 822Z-93001 US Environmental Protection Agency

EPA (US Environmental Protection Agency) 1994 Federal register amendment to 40 CFR503Fed Regist 59(38)9095ndash9100 (February 25 1994)

EPA (US Environmental Protection Agency) 1995a A Guide to the Biosolids Risk Assessmentsfor the EPA Part 503 Rule EPA 832-B-93ndash005Office of Wastewater Management USEnvironmental Protection Agency Washington DC September 1995 [Online] Availablehttpwwwepagovowmbio503ruleindexhtm [December 20 2001]

EPA (US Environmental Protection Agency) 1995b Sewage sludge Use or disposal standardsFed Regist 60(206)54771ndash54792 (October 25 1995)

EPA (US Environmental Protection Agency) 1998 Part IV 40 CFR Parts 750 and 761 Disposalof polychlorinated biphenyls (PCBs) Final Rule Fed Regist 63(124)35383ndash35474(June 29 1998)

EPA (US Environmental Protection Agency) 1999a Introduction to the National PretreatmentProgram EPA-833-B-98ndash002 Office of Wastewater Management US EnvironmentalProtection Agency February 1999 [Online] Available wwwepagovnpdespubsfinal99pdf [March 19 2002]

EPA (US Environmental Protection Agency) 1999b Environmental Regulations and TechnologyControl of Pathogens and Vector Attraction in Sewage Sludge EPA625R-92013 Officeof Research and Development US Environmental Protection Agency Washington DC[Online] Available httpwwwepagovttbnrmrl625R-92013htm [January 4 2002]

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acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

EPA (US Environmental Protection Agency) 1999c Standards for the use or disposal of sewagesludge Proposed rule Fed Regist 64(246)72045ndash72062 (December 23 1999)

EPA (US Environmental Protection Agency) 2000a Progress in Water Quality An Evaluation ofthe National Investment in Municipal Wastewater Treatment EPA-832-R-00ndash008 Officeof Wastewater Management Office of Water US Environmental Protection AgencyJune 2000 [Online] Available httpwwwepagovOWOWMhtmlwqualitybenefitshtm[May 16 2002]

EPA (US Environmental Protection Agency) 2000b Water Biosolids Management andEnforcement Audit Report No 2000-P-10 Office of Inspector General March 20 2000[Online] Available httpwwwepagovoigearthauditlist30000P0010pdf [December20 2001]

EPA (US Environmental Protection Agency) 2000c OECArsquos Response to IG Report on Biosolids(2000-P-10) Memorandum from Steven AHerman Assistant Administrator Office ofEnforcement and Compliance Assurance to Jonathan CFox Assistant AdministratorOffice of Water US Environmental Protection Agency Washington DC June 23 2000

EPA (US Environmental Protection Agency) 2001a Final Audit Report on Biosolids Managementand Enforcement (No 2000-P-10) Memorandum to Michael Simmons Deputy AssistantInspector General for Internal Audits from Diane CRegas Acting AssistantAdministrator Office of Water US Environmental Protection Agency Washington DCJune 11 2001

EPA (US Environmental Protection Agency) 2001b Agency Response to Biosolids Managementand Enforcement Audit Report No 2000-P-10 Memorandum to GTracy Mehan AssistantAdministrator for Water and Sylvia KLowrance Acting Assistant Administrator forEnforcement and Compliance Assurance from Judith JVanderhoef Project ManagerHeadquarters Audit Division October 5 2001

EPA (US Environmental Protection Agency) 2001c Workshop on Emerging Infectious DiseaseAgents and Associated With Animal Manures Biosolids and Other Similar By-ProductsCincinnati OH June 4ndash6 2001 National Risk Management Research Laboratory USEnvironmental Protection Agency Cincinnati OH

EPA (US Environmental Protection Agency) 2002a Standards for the Use or Disposal of SewageSludge Notice Fed Regist 67(113)40554ndash40576 (June 12 2002)

EPA (US Environmental Protection Agency) 2002b Biosolids Management and EnforcementOIG Audit Report No 2000-P-10 Memorandum to Judith J Vanderhoef ProjectManager Headquarters Audit Division and Michael Wall Acting Divisional Inspector forAudit Headquarters Audit Division from GTracy Mehan Assistant Administrator forWater and Sylvia KLowrance Acting Assistant Administrator for Enforcement andCompliance Assurance US Environmental Protection Agency Washington DC Jan30 2002

EPA (US Environmental Protection Agency) 2002c Land Application of Biosolids Status Report2002-S-000004 Office of Inspector General US Environmental Agency March 28 2002

BIOSOLIDS MANAGEMENT 101

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

European Communities 2001 Disposal and Recycle Routes for Sewage Sludge Part 1 Sludge UseAcceptance Part 2 Regulatory Report European Communities DG EnvironmentLuxembourg Office for Official Publications of the European Communities October2001 [Online] Available httpeuropaeuintcommenvironmentsludgesludge_disposalhtm [March 27 2001]

European Union 2000a Waste management Chapter 4 in Handbook for Implementation of EUEnvironmental Legislation Enlargement and Co-Operation with European ThirdCountries Europa The European Union On-Line [Online] Available httpeuropaeuintcommenvironmentenlarghandbookwastepdf [September 12 2001]

European Union 2000b Working Document on Sludge 3rd Draft ENVE3LM European UnionBrussels April 27 2000 The European Union On-Line Available httpeuropaeuintcommenvironmentsludgesludge_enpdf [March 20 2002]

Gendebien A CCarlton-Smith MIzzo and JEHall 1999 UK Sewage Sludge Survey-NationalPresentation RampD Technical Report P 165 Environmental Agency Bristol UK

GLUMB (Great Lakes-Upper Mississippi River Board of State and Provincial Public Health andEnvironmental Managers) 1997 Recommended Standards for Wastewater FacilitiesAlbany NY Health Education Service

Green LC EACCrouch SRArmstrong TLLash and RLLester 1995 Comments onEstimating Exposure to Dioxin-Like Compounds Review Draft CambridgeEnvironmental Inc Cambridge MA January 12 1995

Haas CN 2001 Assessment of the PEC Process Report to US EPA Pathogen EquivalencyCommittee (PEC) Philadelphia PA Drexel University Philadelphia PA January 2 2001

Harrison EZ and MMEaton 2001 The role of municipalities in regulating the land applicationof sewage sludges and spetage Nat Res J 41(1)77ndash123

Keeney DR KWLee and LMWalsh 1975 Guidelines for the Application of WastewaterSludge to Agricultural Land in Wisconsin Technical Bulletin 88 Madison WIDepartment of Natural Resources

Kelley EF 2000 Vermont Biosolids Dioxin Sampling Project Final Report Vermont Departmentof Environmental Conservation December 7 2000

Kester G 2000a Letter to Chairman FJames Sensenbrenner US House of RepresentativeCommittee on Science Washington DC from GKester State Residuals CoordinatorBureau of Watershed Management State of Wisconsin Department of Natural ResourcesMadison WI April 6 2000

Kester G 2000b Letter to Michael Cook Director Office of Wastewater Management USEnvironmental Protection Agency Washington DC from GKester Wisconsin ResidualsCoordinator Bureau of Watershed Management State of Wisconsin Department ofNatural Resources Madison WI February 23 2000

Kester G 2000c Letter to Mike Cook Director Office of Wastewater Management USEnvironmental Protection Agency Washington DC from G Kester Wisconsin ResidualsCoordinator Bureau of Watershed Management State of Wisconsin Department ofNatural Resources Madison WI October 2 2000

BIOSOLIDS MANAGEMENT 102

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Kester G 2001a Letter to Michael BCook Director Office of Wastewater Management ElaineGStanley Director Office of Compliance Brian JMaas Director Water EnforcementDivision Eric VSchaffer Director Office of Regulatory Enforcement Elliott JGilbergDirector Chemical Commercial Services and Municipal Division and Frederick FStiehlDirector Environmental Planning Targeting and Data Division US EnvironmentalProtection Agency Washington DC from GKester State Residuals Coordinator Bureauof Watershed Management State of Wisconsin Department of Natural ResourcesMadison WI January 9 2001

Kester G 2001b Letter to The Honorable Christine Todd Whitman Administrator USEnvironmental Protection Agency Washington DC from GKester State ResidualsCoordinator Bureau of Watershed Management State of Wisconsin Department ofNatural Resources Madison WI September 10 2001

King County 2000 Biosolids Quality Summary Biosolids Management Program King CountyDepartment of Natural Resources Wastewater Treatment Division Seattle WA July 2001

Kowal NE 1985 Health Effects of Land Application of Municipal Sludge EPA6001ndash85015Health Effects Research Laboratory Office of Research and Development USEnvironmental Protection Agency Research Triangle Park NC (cited in EPA 1992)

Lodor ML 2001 NIOSH reports omits significant details in LeSourdsville case BiosolidsTechnical Bulletin 7(4)11ndash13

Matthews P ed 1996 Global Atlas of Wastewater Sludge and Biosolids Use and DisposalScientific and Technical Report No 4 London International Association on WaterQuality 197 pp

McGrath SP ACChang ALPage and EWitter 1994 Land application of sewage sludgeScientific perspectives of heavy metal loading limits in Europe and the United StatesEnviron Rev 2108ndash118

Meyer GE 1998 Letter to JCharles Fox Assistant Administrator Office of Water USEnvironmental Protection Agency Washington DC from GEMeyer Secretary State ofWisconsin Department of Natural Resources Madison WI November 13 1998

MMSD (Milwaukee Metropolitan Sewerage District) 2001 Pretreatment Program EffectivenessAnalysis 2000 Milwaukee Metropolitan Sewerage District May 2001

NIOSH (National Institute for Occupational Safety and Health) 2000 Workers Exposed to Class BBiosolids During and After Field Application NIOSH Hazard ID HID 10 DHHS(NIOSH) 2000ndash158 National Institute for Occupational Safety and Health Centers forDisease Control and Prevention Public Health Service US Department of Health andHuman Services August 2000

NIOSH (National Institute for Occupational Safety and Health) 2002 Guidance for ControllingPotential Risks to Workers Exposed to Class B Biosolids DHHS (NIOSH) 2002ndash149National Institute for Occupational Safety and Health Centers for Disease Control andPrevention Public Health Service US Department of Health and Human ServicesPreprint June 12 2002

BIOSOLIDS MANAGEMENT 103

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

NRC (National Research Council) 1996 Use of Reclaimed Water and Sludge in Food CropProduction Washington DC National Academy Press

OrsquoConnor G RBBrobst RLChaney RLKincaid LRMcDowell GM Pierzynski ARubinand GGVan Riper 2001 A modified risk assessment to establish molybdenum standardsfor land application of biosolids J Environ Qual 30(5)1490ndash1507

Pedersen D 1981 Density Levels of Pathogenic Organisms in Municipal Wastewater Sludge ALiterature Review EPA-6002ndash81ndash170 NTIS PB82ndash102286 Boston MA Camp Dresseramp McKee Inc

Peavy HS DRRowe and GTchobanoglous 1985 P 278 in Environmental Engineering NewYork McGraw-Hill

Portland 2002 Biosolids Management Plan Bureau of Environmental Services City of PortlandFebruary 2002

Razvi A 2000 Audit Report of DNR Septage Management Program College of NaturalResources University of Wisconsin-Stevens Point August 15 2000

Reimers RS ACAnderson AAAbdelhgani MCLockwood and LEWhite 1986a The usageof non-ionizing irradiation processes in the disinfection of water and wastes Pp 272ndash299in Applied Fields for Energy Conservation Water Treatment and Industrial ApplicationsFinal Report RSReimers SFBock and LEWhite eds DOECE40568-T1(DE86014306) Washington DC Technical Information Center Office of Scientific andTechnical Information US Department of Energy June 1986

Reimers RS MDLittle AJEnglande DBMcDonell DDBowman and JM Hughes 1986bInvestigation of Parasites in Sludges and Disinfection Tech niques EPA 6001ndash85022NTIS PB 86ndash135407 Prepared by the School of Public Health and Tropical MedicineTulane University New Orleans LA for the Health Effects Research LaboratoryResearch Triangle Park NC

Reimers RS AJEnglande RMBakeer DDBowman TACalamari HBBrad fordCFDufrechou and MMAtique 1999 Update on Current and Future Aspects ofResource Management for Animal Wastes WEFTEC rsquo99 Pre-Con ference WorkshopldquoBeneficial Use of Animal Waste Residuals-A Mandatory Aim for the 21st CenturyrdquoWater Environment Federation Alexandria VA October 1999

Reimers RS DDBowman PLSchafer PTata BDLeftwich and MMAtique 2001 FactorsAffecting Lagoon Storage Disinfection of Biosolids Proceedings of Joint WEFAWWACWEA Specialty Conference ldquoBiosolids 2001rdquo CD-ROM Water EnvironmentalFederation Alexandria VA February 2001

Stehouwer RC AMWolf and WTDoty 2000 Chemical monitoring of sewage sludge inPennsylvania Variability and application uncertainty J Environ Qual 29(5)1686ndash1695

UK Department of the Environment 1993 Sludge Use in Agriculture 19901991 Report to the ECCommission Under Directive 86278EEC Department of the Environment HMSOLondon

Wisconsin Administrative Code 1996 Domestic Sewage Sludge Management Chapter NR 204Register 49115ndash37 Department of Natural Resources State

BIOSOLIDS MANAGEMENT 104

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t th

is P

DF

file

Thi

s ne

w d

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of t

he o

rigin

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ork

has

been

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ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

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er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

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e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

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ting

how

ever

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ed a

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ome

typo

grap

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rs m

ay h

ave

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tally

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rted

Ple

ase

use

the

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t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

of Wisconsin Department of Administration [Online] Available httpwwwdoastatewiusdsasdocservdocsaleswiscodeasp [March 27 2002]

BIOSOLIDS MANAGEMENT 105

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t th

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ork

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sed

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reat

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rom

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orig

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ook

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age

brea

ks a

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ue to

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orig

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e le

ngth

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ord

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ks h

eadi

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ay h

ave

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his

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e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

3

Epidemiological Evidence of Health EffectsAssociated with Biosolids Production and

Application

This chapter reviews the epidemiological literature concerning workersand community residents potentially exposed to biosolids during production andapplication This literature is valuable for four reasons (1) it may providedocumentation of human-health consequences of exposure to biosolids underthe circumstances of their production application and use (2) it may provideinformation on routes of exposure such as airborne transmission or ingestion(3) it may provide information on a dose-response relationship and (4) it mayidentify gaps in the literature Recognition of gaps is essential to distinguishbetween no evidence of effect and evidence of no effect Finally even thoughall prediction is based on logical extension from available information anepidemiological review can provide an assessment of the strength of theknowledge foundation from which predictions are made

The committee was apprised of various human-health allegationsassociated with biosolids exposure from news articles written submissions fromthe public and citizens who attended its public meetings It was beyond thecommitteersquos charge to investigate or verify these allegations Thus thecommittee limited review to studies published in the peer-reviewed literatureand reports from government agencies The review included studies thatinvestigated health effects or provided biomonitoring data (evidence ofbiological absorption [ie chemical absorption into the body]) and excludedstudies limited to human exposure without evidence of biological absorption orhuman health effects Although the committee was asked to focus on publichealth the review includes epidemiological studies involving production andapplication

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

106

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ork

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rom

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ks a

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his

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e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

of biosolids by workers in addition to assessments of health effects incommunity residents The rationale for inclusion of information on workerexposure is that occupational exposure which for many toxicants is usuallyhigher in exposed workers than in residents exposed from the generalenvironment often provides a substantial basis for extrapolating risk assessmentfrom higher occupational concentrations to lower environmental concentrations

The committee also considered potential risks from odors and diseasevectors but did not find any epidemiological studies of these types of risksrelated to biosolids Odors and disease vectors have often been categorized asnuisance or aesthetic issues but odors can have adverse physiological andpsychological effects (see Chapter 5) and vectors can transmit disease (seeChapter 6) These are issues that need careful consideration as there appears tobe a fine line between when odors or disease vectors are merely nuisance issuesand when they are health issues

DESCRIPTION OF THE LITERATURE

The committee evaluated 23 studies relevant to the assessment of humanhealth effects associated with biosolids exposure and divided them into sixmajor focus populations (1) biosolids users (eg farmers and home gardeners)(2) populations near agricultural application sites (3) workers involved inbiosolids production and application (4) populations near sewage treatmentplants (5) workers in sewage treatment plants and (6) compost workers Fewepidemiological studies were conducted specifically for biosolids exposureThere are substantially more studies of workers in sewage treatment plants andpopulations living near them Although those studies do not involve exposure tobiosolids per se they were included because they provide valuable informationabout hazards to sewer workers and others exposed to raw sewage that could beused to identify potential hazards from biosolids However an exhaustivereview of the literature on exposures from sewage treatment plants was notconducted

Table 3ndash1 provides the details of the studies that the committee evaluatedA summary of the populations studied the observed outcomes and thecommitteersquos assessment is provided below

Exposed Populations

bull Biosolids users One study documents chemical exposure fromavocational gardening use of biosolids (Baker et al 1980) This singleinvesti

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

107

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t th

is P

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s ne

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l rep

rese

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ion

of t

he o

rigin

al w

ork

has

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sed

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reat

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rom

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inal

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igin

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tting

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age

brea

ks a

re tr

ue to

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orig

inal

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e le

ngth

s w

ord

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ks h

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ng s

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ther

type

setti

ng-s

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fic fo

rmat

ting

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ever

can

not b

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tain

ed a

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grap

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ay h

ave

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tally

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rted

Ple

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the

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t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

TA

BL

E 3

ndash1 S

umm

ary

of H

uman

Hea

lth

Stu

dies

on

Bio

soli

ds a

nd B

ioso

lids

-rel

ated

Exp

osur

es

Stu

dy T

ype

End

Poi

nts

Eva

luat

edF

indi

ngs

Ref

eren

ces

Bio

soli

ds U

sers

Cro

ss-s

ecti

onal

Eva

luat

ion

of P

CB

exp

osur

e an

d he

alth

eff

ects

in (

1)bi

osol

ids

user

s (n

=89

) in

Blo

omin

gton

Ind

iana

ex

pose

d to

bio

soli

ds d

irec

tly

from

app

lica

tion

toga

rden

s or

indi

rect

ly f

rom

foo

ds g

row

n in

bio

soli

ds-

amen

ded

soil

s (

2) w

orke

rs o

ccup

atio

nall

y ex

pose

d to

PC

Bs

(n=

18 o

nly

1 ex

pose

d vi

a bi

osol

ids)

(3

) fa

mil

ym

embe

rs o

f w

orke

rs o

ccup

atio

nal

expo

sed

tobi

osol

ids

(n=

19)

and

(4)

indi

vidu

als

wit

h no

kno

wn

expo

sure

to P

CB

s (n

=22

) (

PC

Bs

wer

e di

scha

rged

into

the

mun

icip

al s

ewag

e sy

stem

by

a el

ectr

ical

capa

cito

r m

anuf

actu

ring

pla

nt)

Mea

n se

rum

con

cent

rati

ons

of P

CB

s w

ere

174

ppb

inbi

osol

ids

user

s 7

51

ppb

in P

CB

-exp

osed

wor

kers

33

6 p

pb in

wor

ker

fam

ily

mem

bers

an

d 24

4 p

pb in

none

xpos

ed in

divi

dual

s F

or b

ioso

lids

use

rs P

CB

seru

m c

once

ntra

tion

s w

ere

asso

ciat

ed p

osit

ivel

y w

ith

the

perc

enta

ge o

f ga

rden

car

e (p

=0

035)

and

nega

tive

ly w

ith

wea

ring

glo

ves

whi

le g

arde

ning

(p=

002

1) b

ut w

ere

not s

igni

fica

ntly

ass

ocia

ted

wit

hth

e am

ount

of

bios

olid

s us

ed o

r th

e du

rati

on o

fex

posu

re N

o ov

ert s

ympt

oms

of P

CB

toxi

city

wer

eob

serv

ed a

nd n

o co

rrel

atio

ns w

ere

foun

d be

twee

nP

CB

exp

osur

e an

d te

sts

of h

emat

olog

ical

hep

atic

or

rena

l fun

ctio

n P

lasm

a tr

igly

ceri

de c

once

ntra

tion

sw

ere

foun

d to

incr

ease

wit

h se

rum

PC

Bco

ncen

trat

ions

sug

gest

ing

that

PC

Bs

mig

ht a

lter

lipi

dm

etab

olis

m

Bak

er e

t al

1980

Pop

ulat

ions

Nea

r A

gric

ultu

ral A

ppli

cati

on S

ites

Pro

spec

tive

Thr

ee-y

ear

heal

th s

urve

y of

farm

resi

dent

s (n

=16

4)an

d do

mes

tic

anim

als

at f

arm

app

lica

tion

sit

es in

Ohi

o R

esid

ents

als

o un

der

No

sign

ific

ant d

iffe

renc

es in

the

follo

win

g pa

ram

eter

sw

ere

foun

d be

twee

n re

side

nts

at la

nd-a

ppli

cati

on s

ites

and

cont

rol s

ites

res

pira

tory

illn

ess

gas

troi

ntes

tina

lil

lnes

s o

r ge

nera

l sym

ptom

s d

isea

se

Dor

n et

al

1985

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

108

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

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of t

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prin

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sion

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his

publ

icat

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as th

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thor

itativ

e ve

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wen

t tub

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and

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test

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Res

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h re

side

nts

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arm

s th

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tap

ply

bios

olid

s (n

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0)

occu

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ce in

dom

esti

c an

imal

s a

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erol

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nver

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s to

23

viru

ses

and

the

freq

uenc

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asso

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lnes

ses

No

conv

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und

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app

lica

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W

orke

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dor

App

lica

tion

Ind

ustr

yC

ross

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alIn

terv

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s w

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load

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pply

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ss B

bio

soli

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nden

viro

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tal

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itor

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incl

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zone

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bac

teri

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san

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met

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His

tory

of

gast

roin

test

inal

illn

ess

amon

g w

orke

rs

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eric

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teri

a w

ere

dete

cted

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e ai

r an

d bu

lksa

mpl

es E

ndot

oxin

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ls a

t or

belo

w le

vels

fou

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ilit

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ious

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as is

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ids

to w

hich

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wor

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inve

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mog

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eteo

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elat

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y lo

w v

olum

e of

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expo

sure

sour

ce

Fan

nin

et a

l 19

80

Jaku

bow

ski

1986

Ret

rosp

ecti

veM

onit

orin

g of

mic

roor

gani

sms

in th

e ai

r up

win

dan

d do

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pare

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Cam

ann

et a

l 19

80

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

109

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t th

is P

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file

Thi

s ne

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ce d

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coll

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er 7

y b

efor

e th

e pl

ant

open

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Jaku

bow

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1986

Pro

spec

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Hea

lth

surv

ey o

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mm

unit

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300)

inS

chau

mbu

rg I

L b

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6 w

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ivat

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atio

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nica

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on

a su

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of

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mun

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nifi

cant

(plt

001

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ses

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as th

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onel

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oper

atio

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in S

trep

toco

ccus

and

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phyl

ococ

cus

isol

ates

in th

roat

sw

abs

wer

e ob

serv

ed a

fter

pla

ntop

enin

g b

ut r

egre

ssio

n an

alys

es f

ound

no

rela

tion

ship

wit

h ex

posu

re to

the

plan

t S

imil

arly

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re w

ere

incr

ease

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vir

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olat

es in

fec

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ampl

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g th

eop

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iona

l pe

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thos

e in

crea

ses

wer

e no

t fou

ndto

be

rela

ted

to th

e pl

ant

Ant

ibod

y te

sts

for

ente

ric

viru

ses

foun

d no

evi

denc

e of

incr

ease

d ex

posu

re fr

omth

e pl

ant

and

aero

sol m

onit

orin

g re

sult

s in

dica

ted

that

leve

ls

John

son

et a

l 19

80

Jaku

bow

ski

1986

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

110

Abou

t th

is P

DF

file

Thi

s ne

w d

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age

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tyle

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ay h

ave

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acc

iden

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rted

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prin

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of m

icro

orga

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the

air

in th

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in th

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cini

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f th

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ere

sim

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ound

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rati

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spec

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hea

lth

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popu

lati

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=2

378)

livi

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nS

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naly

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dm

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ta w

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lect

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ress

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anal

yses

per

form

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etw

een

tota

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xpos

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indi

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and

self

-rep

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body

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alys

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illne

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ates

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expo

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indi

ces

wer

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n w

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refe

renc

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leng

th o

f re

side

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res

pira

tory

dis

ease

and

chro

nic

gast

roin

test

inal

illn

ess

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thro

p et

al

1980

Ja

kubo

wsk

i 19

86

Sew

age

Tre

atm

ent P

lant

Wor

kers

Cro

ss-s

ecti

onal

Hea

lth

surv

ey o

f w

orke

rs a

t a s

ewag

e tr

eatm

ent

plan

t in

Tor

onto

Can

ada

(n=

50)

Lun

g fu

ncti

onte

sts

and

anal

yses

of

PC

Bs

in b

lood

sam

ples

wer

e al

so c

ondu

cted

(T

he p

lant

rec

eive

dco

ntro

lled

dis

char

ges

of P

CB

s fr

om a

nel

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ical

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ufac

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mon

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port

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clud

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ough

spu

tum

pro

duct

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kin

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plai

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hav

e sl

ight

ly r

educ

ed lu

ngfu

ncti

on S

erum

con

cent

rati

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of P

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s co

uld

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e re

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sym

ptom

s or

cli

nica

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s

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herc

ott a

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patit

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eval

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prev

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2000

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

111

Abou

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is P

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Thi

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ay h

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Ple

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his

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orke

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le

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5 c

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e n

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atis

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ific

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omet

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sts

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ults

wer

e co

mpa

red

wit

h th

ose

of n

onse

wag

ew

orke

rs (

n=35

)

Rep

orts

of

nasa

l irr

itat

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s a

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iarr

hea

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gnif

ican

tly

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er in

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age

wor

kers

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pare

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cont

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way

res

pons

iven

ess

was

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ease

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ew

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iffe

renc

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spi

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res

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auth

ors

sugg

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at th

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wer

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kely

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doto

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whi

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as d

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betw

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38

and

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99

Cro

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ecti

onal

Wor

kers

(n=

189)

fro

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6 se

wag

e tr

eatm

ent

plan

ts in

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k w

ere

surv

eyed

for

wor

king

habi

ts l

ife

styl

e a

nd s

ympt

oms

of il

lnes

s R

esul

tsw

ere

com

pare

d w

ith

wor

kers

at a

wat

er tr

eatm

ent

plan

t (n=

82)

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fre

quen

cy o

f he

adac

he d

izzi

ness

sor

e th

roat

sk

in ir

rita

tion

and

dia

rrhe

a w

as s

igni

fica

ntly

high

er a

mon

g th

e se

wag

e w

orke

rs

Sca

rlet

t-K

ranz

et a

l 19

87

Cro

ss-s

ectio

nal

Pat

ient

s (n

=5)

rep

airi

ng a

dec

ante

r fo

r se

wag

esl

udge

con

cent

ratio

n de

velo

ped

illne

sses

cons

iste

nt w

ith

Pont

iac

feve

r

Ser

olog

ical

con

firm

atio

n of

Pon

tiac

fev

er in

all

five

wor

kers

and

rec

over

y of

Leg

ione

lla

pneu

mop

hila

fro

m s

ewag

e sl

udge

Gre

gers

en e

t al

1999

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

112

Abou

t th

is P

DF

file

Thi

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igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Cro

ss-s

ectio

nal

Was

tew

ater

wor

kers

(n=

359)

and

dri

nkin

g-w

ater

wor

kers

(n=

89)

wer

e ex

amin

ed f

or a

nti-

HA

V

Ant

i-H

AV

was

det

ecte

d in

28

4 o

f w

aste

wat

erw

orke

rs a

nd in

23

6 o

f dr

inki

ng-w

ater

wor

kers

A

fter

adj

ustm

ent f

or a

ge a

nd o

ther

var

iabl

es t

heod

ds r

atio

for

ant

i-H

AV

was

2 (

CI

1ndash3

8)

Add

itio

nal r

isk

fact

ors

incl

uded

yea

rs in

indu

stry

ne

ver

wea

ring

fac

e pr

otec

tion

and

ski

n co

ntac

t

Wel

don

et a

l 20

00

Cro

ss-s

ecti

onal

Stu

dy o

f em

ploy

ees

in w

ater

and

sew

age

com

pany

(n=

241)

E

xpos

ure

to r

aw s

ewag

e w

as a

ris

k fa

ctor

for

HA

Vin

fect

ion

(odd

s ra

tio

37

(CI

15

ndash94

) 6

0 o

fw

orke

rs r

epor

ting

exp

osur

e to

raw

sew

age

had

HA

V in

fect

ion

Bru

gha

et a

l 19

98

Cro

ss-s

ecti

onal

Uri

ne a

ssay

for

pes

tici

de a

mon

g w

aste

wat

er tr

eatm

ent

wor

kers

pro

cess

ing

effl

uent

fro

m p

esti

cide

pla

nt a

ndam

ong

com

pari

son

wor

kers

in w

ater

sys

tem

69

of e

xpos

ed w

orke

rs e

xcee

ded

urin

e cu

t-of

fva

lue

com

pare

d w

ith

10

in c

ompa

riso

n pl

ant

Shi

ft c

hang

es w

ere

cons

iste

nt w

ith

occu

pati

onal

expo

sure

Eli

a et

al

1983

Cro

ss-s

ecti

onal

Exa

min

atio

n of

sew

age

trea

tmen

t pla

nt w

orke

rs(n

=14

5) a

fter

hex

achl

oroc

yclo

-pen

tadi

ene

was

dum

ped

into

a m

unic

ipal

sew

age

syst

em

Exa

min

atio

n of

41

empl

oyee

s sh

owed

pro

tein

uria

and

incr

ease

d se

rum

lact

ic d

ehyd

ogen

ase

leve

ls 3

daf

ter

the

plan

t was

clo

sed

The

se f

indi

ngs

wer

e no

tfo

und

3 w

k la

ter

Mor

se e

t al

1979

Pro

spec

tive

Tw

elve

-mon

th s

tudy

of

infe

ctio

n ra

tes

in e

xper

ienc

edan

d in

expe

rien

ced

wor

kers

(n=

336)

exp

osed

tow

aste

wat

er a

nd n

onex

pose

d w

orke

rs in

Cin

cinn

ati

Chi

cago

and

Mem

phis

No

sign

ific

ant

diff

eren

ces

wer

e fo

und

in il

lnes

sra

tes

by w

orke

r ca

tego

ry o

r ci

ty i

n vi

rus

orba

cter

ial i

sola

tion

rat

es o

r in

ser

olog

ical

ana

lyse

sH

ighe

r ra

tes

of g

astr

oint

esti

nal

illn

ess

wer

e re

port

edby

inex

peri

ence

d w

orke

rs b

ut c

ould

not

be

rela

ted

to a

spe

cifi

c ag

ent o

r ex

posu

re

Cla

rk e

t al

1980

Ja

kubo

wsk

i 19

86

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

113

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Stu

dy T

ype

End

Poi

nts

Eva

luat

edF

indi

ngs

Ref

eren

ces

Sero

logi

cal a

naly

sis

for

rota

viru

s N

orw

alk

agen

t an

d P

roto

thec

a w

icke

rham

ii f

rom

seru

m a

rchi

ved

from

the

wor

ker

popu

lati

onab

ove

No

asso

ciat

ion

betw

een

was

tew

ater

exp

osur

ean

d an

tibo

dies

to e

ithe

r ro

tavi

rus

or P

roto

thec

aIn

expe

rien

ced

wor

kers

had

hig

her

leve

ls o

fan

tibo

dies

to N

orw

alk

agen

tE

valu

atio

n of

815

dea

th c

erti

fica

tes

from

form

er w

aste

wat

er w

orke

rs in

Chi

cago

D

eath

s fr

om le

ukem

ia (

p=0

04)

and

pneu

mon

ia(p

=0

02)

wer

e gr

eate

r th

an e

xpec

ted

Cro

ss-s

ecti

onal

Com

pari

son

of p

roto

zoan

par

asit

ic in

fect

ion

amon

g se

wer

wor

kers

(n=

126)

in F

ranc

eco

mpa

red

wit

h 36

3 fo

od h

andl

ers

(n=

363)

Rat

es o

f in

fect

ion

wer

e hi

gher

am

ong

sew

erw

orke

rs f

or a

ll 6

yr F

orei

gn tr

avel

was

cons

ider

ed b

ut n

o ot

her

poss

ible

dif

fere

nces

wer

e fo

und

amon

g ex

pose

d an

d co

mpa

riso

ngr

oups

Sch

loss

er e

t al

1999

Ret

rosp

ecti

veH

isto

rica

l coh

ort s

tudy

of

was

tew

ater

trea

tmen

t wor

kers

(n=

242)

and

com

pari

son

grou

p of

col

lege

mai

nten

ance

wor

kers

(n=

54)

follo

wed

for

12

mo

Sig

nifi

cant

ly h

ighe

r pr

eval

ence

of

gast

roen

teri

tis

and

gast

roin

test

inal

sym

ptom

s (p

lt0

05)

and

head

ache

s (p

lt0

05)

but n

ot re

spir

ator

ysy

mpt

oms

No

diff

eren

ce w

as f

ound

bet

wee

nhi

gh a

nd lo

w e

xpos

ure

cate

gori

es

Khu

der

et a

l 19

98

Cro

ss-s

ectio

nal

Hea

lth

surv

ey a

nd c

lini

cal t

ests

of w

orke

rs a

tsi

x se

wag

e tr

eatm

ent p

lant

s (n

=19

9) in

Sw

eden

com

pare

d w

ith

cont

rol w

orke

rs a

t adr

inki

ng w

ater

pla

nt (

n=41

)

Rep

orts

of

skin

dis

orde

rs d

iarr

hea

and

oth

erga

stro

inte

stin

al s

ympt

oms

wer

e si

gnif

ican

tly

grea

ter

amon

g th

e se

wag

e-tr

eatm

ent

wor

kers

No

diff

eren

ces

wer

e fo

und

in w

hite

-blo

od-c

ell

coun

tor

ser

um I

g co

ncen

trat

ions

bet

wee

n th

e gr

oups

ex

cept

for

sli

ghtl

y in

crea

sed

IgM

con

cent

rati

ons

amon

g

Lun

dhol

m a

nd R

ylan

der

1983

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

114

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

sew

age

wor

kers

The

mos

t lik

ely

caus

e of

sym

ptom

sw

as to

xins

fro

m g

ram

-neg

ativ

e ba

cter

ia

Cro

ss-s

ecti

onal

Wor

kers

in s

ewag

e tr

eatm

ent p

lant

(n=

30)

com

pare

d w

ith

age-

mat

ched

blo

od d

onor

sE

nvir

onm

enta

l m

easu

rem

ent

of d

ust a

nd a

irbo

rne

bact

eria

con

duct

ed E

leva

tion

s in

IgA

thr

ombo

cyte

sle

ukoc

ytes

end

otox

in a

ntib

odie

s c

-rea

ctiv

e pr

otei

nsco

nsid

ered

con

sist

ent w

ith

endo

toxi

n ex

posu

re

Ryl

ande

r et

al

1977

Com

post

Wor

kers

Cro

ss-s

ecti

onal

Hea

th c

ompl

aint

s an

d di

seas

es o

f co

mpo

st w

orke

rs(n

=58

) in

Ham

burg

Ger

man

y co

mpa

red

wit

hco

ntro

l sub

ject

s (n

=40

)

Sig

nifi

cant

ly m

ore

sym

ptom

s an

d di

seas

es o

f th

eai

rway

s (p

=0

003)

and

ski

n (p

=0

02)

wer

e re

port

edby

com

post

wor

kers

than

con

trol

s A

ntib

ody

conc

entr

atio

ns to

fun

gi a

nd a

ctin

omyc

etes

wer

esi

gnif

ican

tly

incr

ease

d in

com

post

wor

kers

Buumln

ger

et a

l 20

00

Pro

spec

tive

Infe

ctio

n ra

tes

amon

g co

mpo

st w

orke

rs in

Cam

den

NJ

Phi

lade

lphi

a P

A B

elts

vill

e M

D a

ndW

ashi

ngto

n D

C w

ith

high

exp

osur

e (n

=98

) an

din

term

edia

te e

xpos

ure

(n=

157)

and

wor

kers

not

invo

lved

in c

ompo

stin

g (n

=13

3) S

tudy

per

iod

was

betw

een

1979

and

198

1

Eye

and

ski

n ir

rita

tion

was

rep

orte

d m

ore

freq

uent

lyam

ong

com

post

-exp

osed

gro

ups

Asp

ergi

llus

fum

igat

us w

as d

etec

ted

in n

asal

and

thro

at s

wab

s(7

0 in

hig

h-ex

posu

re g

roup

20

in in

term

edia

te-

expo

sure

gro

up a

nd 5

in

low

-exp

osur

e gr

oup)

but

ther

e w

as n

o co

nsis

tent

incr

ease

in a

ntib

odie

s to

the

fung

al s

pore

s T

here

wer

e no

dif

fere

nces

in le

vels

of

anti

bodi

es to

Leg

ione

lla

pneu

mop

hila

bet

wee

nex

posu

re g

roup

s a

nd n

o an

tibo

dies

to H

isto

plas

ma

caps

ulat

um w

ere

dete

cted

Com

post

wor

kers

had

grea

ter

IgG

ant

ibod

y le

vels

aga

inst

com

post

-der

ived

endo

toxi

n e

leva

ted

C3

and

hem

olyt

ic c

ompl

emen

tle

vels

and

hig

her

whi

te-

Cla

rk e

t al

1984

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

115

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Stu

dy T

ype

End

Poi

nts

Eva

luat

edF

indi

ngs

Ref

eren

ces

bloo

d-ce

ll a

nd e

osin

ophi

lic c

ount

s I

n pu

lmon

ary

func

tion

test

s v

ital f

orce

d ca

paci

ty w

as g

reat

erat

the

end

of th

e w

eek

than

at t

he b

egin

ning

of

the

wee

k fo

r co

mpo

st w

orke

rs

Abb

revi

atio

ns C

I c

onfi

denc

e in

terv

al P

CB

s p

olyc

hlor

inat

ed b

iphe

nyls

VO

Cs

vol

atil

e or

gani

c co

mpo

unds

ppb

par

ts p

er b

illi

on m

met

er n

g n

anog

ram

HA

V

hepa

titi

s A

vir

us I

g im

mun

oglo

buli

n

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

116

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

bull gation conducted before current regulatory requirements for biosolidswere initiated demonstrates the possibility of chemical contaminationfrom biosolids No other studies of farm or nonfarm biosolids users werefound

bull Populations near agricultural application sites One study of apopulation near a biosolids land-application site was found (Dorn et al1985) That study reported no differences in symptoms or serologicalconversion between farm residents living near the application site and acomparison group

bull Workers in biosolids production andor application industry Onestudy by the National Institute for Occupational Safety and Health(NIOSH) reported a history of gastrointestinal illness in workers handlingClass B biosolids (Burton and Trout 1999) Environmental assessmentfound potential worker exposure to enteric bacteria After the study wasissued Lodor (2001) reported that the biosolids to which the workerswere exposed did not meet Class B requirements NIOSH (2002)subsequently released a guidance document for controlling potential risksto workers exposed to Class B biosolids that supercedes its earlier HazardID document on Class B biosolids

bull Populations near sewage treatment plants The committee evaluatedfour studies of populations living near sewage treatment plants Thesestudies cover a wide spectrum of outcomes and exposures and include oneto a few studies of any particular area Increases in gastrointestinal andrespiratory illnesses (Fannin et al 1980) an increase in diarrhea (Camannet al 1980) and decrease in school absenteeism (Camann et al 1980)were reported However these studies are not sufficient to evaluate thesafety of populations near sewage treatment plants

bull Sewage treatment plant workers Fourteen studies of sewage treatmentplant workers were evaluated These studies reported both increases(Brugha et al 1998 Weldon et al 2000) and no increases (Trout et al2000) in hepatitis A infection increased complaints of nasal irritationtiredness and diarrhea which were considered compatible with exposureto endotoxin (Rylander et al 1977) increased prevalence ofgastroenteritis (Khuder et al 1998) a confirmed outbreak of Pontiac fever(Gregersen et al 1999) evidence of pesticide absorption (Elia et al1983) no differences in illnesses rates nor isolation of virus or bacteria(Clark et al 1984) increased rates of protozoan infection (Scholsser et al1999) and increased rates of reports of skin disorders diarrhea andgastrointestinal symptoms (Lundholm and Rylander 1983) These studiesare sufficient to suggest transmission of specific infectious diseases tosewage treatment plant workers (eg Pontiac Fever) However no firmconclusions can be drawn at this time

bull Compost workers Studies of compost workers have reported significantincreases in diseases of the airways and skin and evidence of increased

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

117

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

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exposure to fungi and actinomycetes (Buumlnger et al 2000) and eye andskin irritation and fungal colonization but no serological evidence ofinfection (Clark et al 1984) These two studies provide suggestiveevidence of colonization of compost workers with fungi

Observed Health Outcomes

bull Toxic exposures Two studies (Baker et al 1980 Morse et al 1979)documented the potential for industrial chemicals to be present inwastewater Sewage workers can be exposed as can those who usebiosolids for agriculture or other land-application purposes Morse et al(1979) investigated occupational exposure resulting from a one-timecontamination of the wastewater and Baker et al (1980) studiedoccupational and residential exposure resulting from an ongoingcontamination of wastewater These two studies demonstrate that workersand community residents can be exposed to chemical hazards that enterinto the municipal waste stream

The epidemiological literature on exposure to toxic substances inbiosolids provides no information by which to gauge two issues The firstissue concerns the adequacy of routine monitoring of wastewater in orderto capture common toxicants and toxicants that might be idiosyncratic tothe industrial processes in a particular locale Although wastewater isperiodically examined for chemical contamination the number ofchemicals sought is much less compared with the number of chemicalsused commercially Second the periodicity of testing and the periodicityof discharge will determine the probability of identification of ahazardous chemical in a sample of effluent

bull Viral infection The potential for viral infection of wastewater workerswas documented in several studies (Brugha et al 1998 Weldon et al2000) and not in others (Clark et al 1980 Northrop et al 1980) Onestudy documented the absence of serological evidence of viral infectionamong populations near application sites (Dorn et al 1985) No studyexamined viral infection among workers in biosolids production orapplication sites

The epidemiological literature provides no evidence for or against thepotential for biosolids to serve as a vehicle for viral infection Theprobability that biosolids are a potential vector for infection might berevealed by other lines of research such as environmental viral studies

bull Bacterial and protozoan infection Some studies have documentedcomplaints of gastrointestinal illness related to sewage sludge (Fannin etal 1980 Johnson et al 1980 Burton and Trout 1999) and others have not(Dorn et al 1985) Similarly some studies have detected enteric bacteriain air and

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bulk samples (Burton and Trout 1999) and others have not (Johnson et al1980) One study found evidence of protozoan infection among sewerworkers (Schlosser et al 1999)

For bacterial and protozoan infection there is neither evidence ofinfection nor evidence of no infection Evidence of viable organisms inbiosolids would strengthen the biological plausibility of a causalassociation as would demonstration of the potential for exposure duringspecific aspects of production and application of biosolids

bull Irritation and allergic reaction Several studies reported allergy orirritation among sewer workers (Rylander 1999) and workers in compostproduction (Clark et al 1984 Buumlnger et al 2000) The role of endotoxinin these observations is strengthened by demonstration of endotoxincontent of biosolids but is weakened by lack of evidence showing arelationship between level of exposure and effect

Assessment of Causality

Assessment of causality requires judgment of epidemiological and otherinformation Conclusions that an association is causal rest on demonstration ofsuch factors as consistency of findings in independent studies strength ofassociation temporal sequence and biological plausibility (demonstration ofdose-response relationships) (Bradford-Hill 1966) There is a small body ofepidemiological literature on the potential adverse health effects of biosolidsThe literature is even more sparse considering the varying populations that arepotentially exposed to biosolids via wastewater treatment biosolids productionoccupational exposure during application and community exposure

For some exposures such as chemical exposure it is fairly clear thatchemical contamination of sewage with industrial chemicals can result inproduct contamination leading to exposure of workers and communityresidents It is unclear whether the system for preventing chemicalcontamination of sewage and monitoring sewage is sufficient to ensureprotection from chemical exposures

Although there is evidence of infection of sewage workers it is unclearbased on design criteria for production of biosolids or based on sampling fordetection of viable organisms whether viral bacterial or protozoal infection ofworkers or community residents exposed to biosolids is plausible There is arelative absence of evidence documenting infection and limited evidencedocumenting the lack of infection from biosolids A similar assessment can bemade for the evidence of a causal relationship of symptoms of irritation andallergy and exposure to endotoxins

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Some have contended that there is evidence of lack of health hazard fromoccupational exposure in wastewater treatment plants and that by extrapolationrisk from biosolids must be negligible This reasoning is problematic for severalreasons First as described earlier in this chapter the knowledge base regardingwastewater treatment workers is thin and contradictory Second the exposurecharacteristics will be quite different in the wastewater treatment industrycompared with biosolids land-application For example potential exposures toairborne contaminants from wet sewage sludge are quite different from thosefrom dried biosolids Third the routes of exposure may be different betweenpopulations exposed to raw sewage sludge compared with those exposed tobiosolids Fourth the populations exposed to biosolids may not be equivalent tothe occupational population exposed to sewage sludge Farm families andcommunity residents will include subpopulations unlikely to be found in theworkplace such as children and individuals with respiratory diseases Thuslack of compelling evidence of adverse health effects among wastewatertreatment workers should not be used to infer that there will be a lack of adversehealth effects from exposure to biosolids

There are two types of health studies that will reduce uncertainty regardinghealth effects of biosolids exposuremdashresponse studies and preplanned studiesResponse studies are initiated rapidly on notification that there has been eitheran unusual exposure or occurrence of disease among workers or communityresidents exposed to biosolids Such studies are intended to assess and attemptto relate measures of exposure with measures of disease Response studiesshould be conducted in a short time frame (weeks to months) Whether responsestudies are conducted by state or federal agencies or academia on behalf ofEPA a priority setting mechanism must be established so that limited resourcesare used to maximize the probability that the response studies will effectivelycontribute to the sparse information on the health consequences of exposure ofworkers andor residents to biosolids during production and manufacture

Preplanned studies on the other hand are conducted to test a specifichypothesis The hypothesis might be generated by researchers who compete forresearch funding or more specific questions may be formed by EPA or otheragencies Preplanned studies must be well designed and conducted to reduceuncertainty concerning issues of importance For example a preplannedepidemiological study must be sufficiently large characterize exposure includean adequate interval between exposure and observation to allow for occurrenceof disease if it were to occur measure confounders and be able to delineateadverse outcomes and evidence of their occurrence

There are two types of preplanned studiesmdashexposure assessment andcomplete epidemiological studies In exposure assessment studies the goal is

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to define the distribution and determinants of exposure to an agent or chemicalof interest This information may then be used in formal risk assessments

The second type of preplanned study is the complete epidemiologicalstudy The goal of this study is to assess the association of the occurrence anddistribution of disease with measurement of prior exposure (provided through aconcurrent or prior exposure assessment) The purpose of preplanned studies isto determine if exposure is related to increased occurrence of disease or itscorollary

In contrast with response studies preplanned studies are more expensivebecause they are larger require more effort in planning and involve moreextensive data analysis and more effort in assessment of exposureConsequently more effort will be expended in setting priorities in preplannedstudies Priorities should include probability of the study reducing uncertaintyseriousness of the disease outcome incidences of the disease outcome a priorilevel of uncertainty and importance of the results in protecting against adversehealth consequences

It is also important to recognize that worker populations and communitiesare not homogenous in their susceptibility to disease or subsequent adverseconsequences Thus in response and preplanned studies it is important toinclude all or a sample of the potentially susceptible subpopulations Examplesof susceptible subpopulations include children the elderly pregnant womenand individuals with chronic disease

In addition stakeholders should be involved in review of the designconduct and interpretation of studies Stakeholders may include representativesof workers and management community representatives health care providersand victims of disease

FINDINGS AND RECOMMENDATIONS

The committee concludes that because of the lack of epidemiological studyand the need to address the publicrsquos concerns about potential adverse healtheffects EPA should conduct studies that examine exposure and potential healthrisks to worker and community populations Studies of wastewater treatmentworkers should not be used as substitutes for studies of actual biosolidsexposure While routine human health surveillance of all populations exposedto biosolids is impractical the committee recommends that EPA promote andsupport a research effort to reduce uncertainty about the possible healthconsequences of exposure to biosolids Stakeholders should be involved inreview of the design conduct and interpretation of studies The committeerecommends the following types of study

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

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Response Studies

bull Studies in response to unusual exposure and unusual occurrence ofdisease On occasion unplanned events occur that can provideinformation on the agents of disease An example might be an outbreak ora symptom of disease following a known exposure or an unusualexposure scenario In both instances exposure and health outcomesshould be determined

Preplanned Studies

bull Biosolids exposure-assessment studies Such studies should characterizethe exposures of workers such as biosolids appliers and farmers and thegeneral public who come into contact with constituents of biosolids eitherdirectly or indirectly The studies would require identification ofmicroorganisms and chemicals to be measured selection of measurementmethods for field samples and collection of adequate samples inappropriate scenarios A possible exposure-assessment study would be tomeasure endotoxin exposure of workers at biosolids production andapplication sites and of communities nearby

bull Complete epidemiological studies of routine biosolids use These studiesshould be conducted to provide evidence of a causal association or a lackthereof between biosolids exposure and adverse human health effectsThey should include an assessment of the occurrence of disease and anassessment or measurement of potential exposures An example of alongitudinal epidemiological study would be an evaluation of healtheffects in a cohort of biosolids appliers these workers should becharacterized by duration and level of exposure with appropriate follow-up

REFERENCES

Baker Jr EL PJLandrigan CJGlueck MMZack Jr JALiddle VWBurse WJHousworthand LLNeedham 1980 Metabolic consequences of exposure to polychlorinatedbiphenyls (PCB) in sewage sludge Am J Epidemiol 112(4)553ndash563

Bradford-Hill A 1966 The environment and disease Association or causation Proc Royal SocMed 58295ndash300

Brugha R JHeptonstall PFarrington SAndren KPerry and JParry 1998 Risk of hepatits Ainfection in sewage workers Occup Environ Med 55(8)567ndash569

Buumlnger J MAntlauf-Lammers TGSchulz GAWestphal MMMuumlller P Ruhnau andEHallier 2000 Health complaints and immunological markers

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

122

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ork

has

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ompo

sed

from

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es c

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ed f

rom

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inal

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er b

ook

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heor

igin

al ty

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tting

file

s P

age

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ks a

re tr

ue to

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inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

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hic

erro

rs m

ay h

ave

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rted

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e au

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itativ

e ve

rsio

n fo

r attr

ibut

ion

of exposure to bioaerosols among biowaste collectors and compost workers OccupEnviron Med 57(7)458ndash464

Burton NC and DTrout 1999 NIOSH Health Hazard Evaluation Report BioSolids LandApplication Process LeSourdsville Ohio HETA 98ndash0118ndash2748 US Department ofHealth and Human Services Public Health Service Centers for Disease Control andPrevention National Institute for Occupational Safety and Health Cincinnati OH

Camann DE HJHarding and DEJohnson 1980 Wastewater aerosol and school attendancemonitoring at an advanced wastewater treatment facility Durham Plant Tigard OregonPp 160ndash179 in Wastewater Aerosols and Disease Proceedings of A SymposiumSeptember 19ndash21 1979 HRPahren and W Jakubowski eds EPA-6009ndash80ndash028 NTISPB81ndash169864 Health Effects Research Laboratory Office of Research and DevelopmentUS Environmental Protection Agency Cincinnati OH

Clark CS HSBjornson JSchwartz-Fulton JWHolland and PSGartside 1984 Biologicalhealth risks associated with the composting of wastewater treatment plant sludge J WaterPoll Control Fed 56(12)1269ndash1276

Clark CS GLVan Meer CCLinnemann ABBjornson PSGartside GM Schiff SETrimbleDAlexander EJCleary and JPPhair 1980 Health effects of occupational exposure towastewater Pp 239ndash264 in Wastewater Aerosols and Disease Proceedings of ASymposium September 19ndash21 1979 HRPahren and WJakubowski eds EPA-6009ndash80ndash028 NTIS PB81ndash169864 Health Effects Research Laboratory Office of Research andDevelopment US Environmental Protection Agency Cincinnati OH

Dorn CR CSReddy DNLamphere JVGaeuman and RLanese 1985 Municipal sewagesludge application on Ohio farms Health effects Environ Res 38(2)332ndash359

Elia VJ CSClark VAMajeti PSGartside TMacDonald NRichdale CR Meyer GLVanMeer and KHunninen 1983 Hazardous chemical exposure at a municipal wastewatertreatment plant Environ Res 32(2)360ndash371

Fannin KF KWCochran DELamphiear and ASMonto 1980 Acute illness differences withregard to distance from the Tecumseh Michigan Wastewater Treatment Plant Pp 117ndash135 in Wastewater Aerosols and Disease Proceedings of A Symposium September 19ndash211979 HRPahren and WJakubowski eds EPA-6009ndash80ndash028 NTIS PB81ndash169864Health Effects Research Laboratory Office of Research and Development USEnvironmental Protection Agency Cincinnati OH

Gregersen P KGrunnet SAUldum BHAndersen and HMadsen 1999 Pontiac fever at asewage treatment plant in the food industry Scand J Work Environ Health 25(3)291ndash295

Jakubowski W 1986 US EPA-sponsored epidemiological studies of health effects associated withthe treatment and disposal of wastewater and sewage sludge Pp 140ndash153 inEpidemiological Studies of Risks Associated with the Agricultural Use of Sewage SludgeKnowledge and Needs JCBlock AHHavelaar and P LrsquoHermite eds New York NYElsevier Applied Science Publishers

EPIDEMIOLOGICAL EVIDENCE OF HEALTH EFFECTS ASSOCIATED WITHBIOSOLIDS PRODUCTION AND APPLICATION

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from

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igin

al ty

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tting

file

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age

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ks a

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ue to

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e le

ngth

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ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

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erro

rs m

ay h

ave

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tally

inse

rted

Ple

ase

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sion

of t

his

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icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Johnson DE DECamann JWRegister RJPrevost JBTillery REThomas JMTaylor andJMHosenfeld 1980 Health effects from wastewater aerosols at a new activated sludgeplant John Egan Plant Schaumburg Illinois Pp 136ndash 159 in Wastewater Aerosols andDisease Proceedings of A Symposium September 19ndash21 1979 HRPahren andWJakubowski eds EPA-6009ndash80ndash028 NTIS PB81ndash169864 Health Effects ResearchLaboratory Office of Research and Development US Environmental Protection AgencyCincinnati OH

Khuder SA TArthur MSBisesi and EASchaub 1998 Prevalence of infectious diseases andassociated symptoms in wastewater treatment workers Am J Ind Med 33(6)571ndash577

Lodor ML 2001 NIOSH reports omits significant details in LeSourdsville case BiosolidsTechnical Bulletin 7(4)11ndash13

Lundholm M and RRylander 1983 Work related symptoms among sewage workers Br J IndMed 40(3)325ndash329

Morse DL JRKominsky CLWisseman III and PJLandrigan 1979 Occupational exposure tohexachlorocyclopentadiene How safe is sewage JAMA 241(20)2177ndash2179

Nethercott JR and DLHolness 1988 Health status of a group of sewage sludge treatmentworkers in Toronto Canada Am Ind Hyg Assoc J 49(7)346ndash350

NIOSH (National Institute for Occupational Safety and Health) 2002 Guidance for ControllingPotential Risks to Workers Exposed to Class B Biosolids DHHS (NIOSH) 2002ndash149National Institute for Occupational Safety and Health Centers for Disease Control andPrevention Public Health Service US Department of Health and Human ServicesPreprint June 12 2002

Northrop R BCarnow RWadden SRosenberg ANeal LSheaff JHolden S Meyer andPScheff 1980 Health effects of aerosols emitted from an activated sludge plant Pp 180ndash227 in Wastewater Aerosols and Disease Proceedings of A Symposium September 19ndash211979 HRPahren and WJakubowski eds EPA-6009ndash80ndash028 NTIS PB81ndash169864Health Effects Research Laboratory Office of Research and Development USEnvironmental Protection Agency Cincinnati OH

Rylander R 1999 Health effects among workers in sewage treatment plants Occup Environ Med56(5)354ndash357

Rylander R KAndersson LBelin GBerglund RBergstrom LHanson M Lundholm andIMattsby 1977 Studies on humans exposed to airborne sewage sludge Schweiz MedWochenschr 107(6)182ndash184

Scarlett-Kranz JM JGBabish DStrickland and DJLisk 1987 Health among municipal sewageand water treatment workers Toxicol Ind Health 3(3)311ndash 319

Schlosser O DGrall and MNLaurenceau 1999 Intestinal parasite carriage in workers exposedto sewage Eur J Epidemiol 15(3)261ndash265

Trout D CMueller LVenczel and AKrake 2000 Evaluation of occupational transmission ofhepatitis A virus among wastewater workers J Occup Environ Med 42(1)83ndash87

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ion

Weldon M MJVanEgdom KAHendricks GRegner BPBell and LMSehulster 2000Prevalence of antibody to hepatitis A virus in drinking water workers and wastewaterworkers in Texas from 1996 to 1997 J Occup Environ Med 42(8)821ndash826

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4

Advances in Risk Assessment Since theEstablishment of the Part 503 Rule

The committeersquos review of the risk assessment used to support the Part503 rule was carried out in the context of current and emerging practice in riskassessment The committee determined that its review of the risk assessmentshould communicate the committeersquos interpretation of how the risk-assessmentprocess has evolved from the time the Part 503 rule was issued until present Ofparticular interest to the committee were documents from EPA and the NationalResearch Council (NRC) that propose and encourage methods that differsubstantially from the methods used in the Part 503 risk assessment Thischapter provides a foundation and context for the following chapters

This chapter first describes new approaches and considerations in riskassessment since the Part 503 rule (Standards for Use or Disposal of SewageSludge) was established in 1993 (40 CFR Part 503) It focuses on the changingpriorities of cancer versus noncancer end points acute versus chronic endpoints probabilistic risk-assessment approaches and the need to addressaggregate exposures and cumulative risk A brief description is then given ofthe changes in risk-assessment approaches of EPA over this period

THE RISK-ASSESSMENT PROCESS

Risk assessment is a process for identifying potential adverseconsequences along with their severity and likelihood In contrast to other tools

ADVANCES IN RISK ASSESSMENT SINCE THE ESTABLISHMENT OF THE PART503 RULE

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used for environmental evaluation and policy the principal objective of the riskassessment and risk management approach is not to eliminate all risk but toquantify the risk and provide risk managers with tools to balance the level ofrisk against the cost of risk reduction against competing risks or against risksthat are generally accepted as trivial or acceptable Controlling the exposure ofhuman populations to environmental contaminants in biosolids using a risk-based approach requires a definition of both an appropriate metric for assessingthe impacts of contaminants on human health and a defensible process forassigning value to the predicted impacts The end product of a risk-basedapproach to environmental management is either to identify an acceptable levelof exposure or to prescribe the technical controls or political process needed toattain acceptable risk Intervention can be achieved through technical orpolitical controls

Components of the Risk-Analysis Process

The NRC (1982 1994) has divided and continues to divide the practice ofrisk analysis into two substantially different processesmdashrisk assessment andrisk management Along with these processes are concurrent efforts tocommunicate and evaluate risk (NRC 1989 1996) This section explores theevolution of the risk-assessment process over the last decade by considering thecomponent steps in the process

Risk assessment is the process of selecting and quantifying the adverseconsequences that result from an action such as application of biosolids tosoils or from inaction A risk assessment begins with efforts to identify thepotential hazards associated with a chemical or microbial agent and its use oroccurrence Hazard identification addresses the potential for harm but not thelikelihood of harm Risk characterization establishes the significance of anidentified hazard by quantifying the likelihood and severity of exposurescenarios linked to that hazard As applied to toxic agents risk characterizationhas five principal elements (1) quantification of sources and environmentalconcentrations in exposure media (2) quantification of exposure to the targetpopulation and distribution of the dose among the population (3)characterization of a dose-response function for all potential toxic agents thathave been identified (4) estimates of the number of people affected andseverity of consequences expected within the population at risk and (5) anassessment of the magnitude and sources of uncertainty that limit the precisionof the estimate of consequences

Risk management is the process of weighing policy alternatives andselecting the appropriate societal or institutional response Risk management is

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used to integrate the results of a risk characterization with social economic andpolitical valuation to reach a decision The goal of the risk-management processis to establish the significance of the estimated risk compare the costs ofreducing this risk with the benefits gained compare the estimated risks with thesocietal benefits derived from incurring the risk and carry out the political andinstitutional process of reducing risk

Linking the risk-assessment and risk-management processes are theconcurrent efforts to evaluate and communicate risk Risk evaluation is theprocess by which the risk-characterization and risk-management processes arereconciled with individual and societal valuations of risk (NRC 1996) A keystep in this link is effective risk communication According to the NRC (1989)risk communication has become more difficult in recent decades and commonmisconceptions often hamper communication efforts In considering theseissues the NRC (1989) emphasizes that solving the problems of riskcommunication is as much about improving procedures as improving thecontent of risk messages

Figure 4ndash1 provides a view of how the risk-analysis process might proceedfor assessing the health impacts of pollutants in biosolids Each of the majorsteps in this process involves one or more actions that are listed to the right ofeach major step

Confronting Uncertainty and Variability

An important and often ignored final step in the risk characterizationprocess is the characterization of uncertainties Important sources of uncertaintyand variability in risk assessments involve the data and models used Withincomplete data and models used to characterize contaminant transportrepresenting heterogeneous geographic and climate regions the variability anduncertainty associated with the resulting risk estimates are large

In evaluations of uncertainty in risk assessment Morgan et al (1990) andFinkel (1990) distinguish among parameter uncertainty model uncertaintydecision-rule uncertainty and natural variability in any of the parameters andcall for separate treatment of the different types of uncertainty Probabilisticmethods such as Monte Carlo analysis are available to evaluate uncertainty inparameters According to Finkel (1990) model uncertainty derives from anumber of actions including the use of simplifications that might excluderelevant variables from the analysis the use of surrogate variables that mightnot be appropriate for the variable of interest the appearance of abnormalconditions that might occur in nature but that might not be appropriate in themodel and the use of incorrect model forms Morgan et al (1990) noted that

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FIG

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relatively little research has been done on uncertainty or disagreementabout what form of model to use Decision-rule uncertainty applies to riskmanagement and arises whenever ambiguity or controversy exists aboutquantifying or comparing social objectives According to Finkel (1990 p 16)ldquoto take any actions using the outputs of a risk assessment including thedecision not to take action one must be prepared to make a series of potentiallycontroversial value judgmentsrdquo

An important source of uncertainty in risk characterization is thedevelopment and application of dose-response models Among the many issuesthat complicate the process of establishing a dose-response function is thevariation in human susceptibility In large heterogeneous populations there arelarge variations in susceptibility to toxic effects Those variations are due in partto variations in genetic predisposition to certain disease states variations in ageand large variations in physical stresses and other chemical or non-chemicalexposures that might be extant in the system of interest

NEW APPROACHES AND CONSIDERATIONS IN RISKASSESSMENT

This section reviews new approaches to risk assessment that weredeveloped since the Part 503 rule was issued A summary of key documentsfrom the NRC the PresidentialCongressional Commission on Risk Assessmentand Risk Management and EPA are provided Then consideration is given tohow those documents have altered the standard practice in each of the key stepsof the risk-assessment process

Recent Reports Define New Directions in Risk Assessment

Among the reports that have had particular impact are two reports issuedby the NRC The first report titled Science and Judgment in Risk Assessmentprovided an update on the process of risk assessment and management (NRC1994) This report made seventy-five specific recommendations but among itsoverarching recommendations are those to address explicitly uncertainty andvariability in risk assessment to address multimedia exposures and cumulativeintake through multiple exposure pathways to and foster more interactionamong risk assessors and risk managers The second report titledUnderstanding Risk Informing Decisions in a Democratic Society (NRC 1996)used several case studies to evaluate the emerging trends in risk-assessmentmethodology

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The PresidentialCongressional Commission on Risk Assessment and RiskManagement was created through the 1990 Clean Air Act amendments to makerecommendations for improving the risk-assessment and risk-managementprocess In 1997 the commission issued Framework for Environmental HealthRisk Management The report emphasizes how to present a risk assessment andhow to work with community concerns in an iterative fashion It identifies aclear need to modify the traditional approaches used to assess and reduce risksTraditional approaches rely on a chemical-by-chemical medium-by-mediumrisk-by-risk strategy The report states the need to focus less attention onrefining assumption-laden mathematical estimates of the small risks associatedwith exposures to specific chemicals and the need to focus instead on theoverall goal of reducing risk and improving health status There is strongemphasis on stakeholder participation Stakeholders are groups who arepotentially affected by the risk groups who will manage the risk and groupswho will be affected by efforts to manage the source of the risk Involvingstakeholders throughout the risk-assessment process provides opportunities togather information and to bridge gaps in understanding language values andperspectives

Over the last decade EPA issued a number of reports that are having animpact on the framework and process of regulatory risk assessment Ofparticular note are the 1992 Habicht memo which provides guidance to EPAmanagers on risk characterization (Habicht 1992) a journal report onbenchmark dose (Barnes et al 1995) which provides guidance for a moreharmonized approach for addressing cancer and noncancer health end pointsand the proposed guidelines for carcinogen risk assessment (EPA 1996a) TheHabicht memo emphasizes the need to avoid point estimates of risk and toprovide instead details on the scientific basis of decisions including clearstatement of assumptions and uncertainties Barnes et al (1995) recommend theuse of the benchmark-dose approach as an alternative to using the no-observed-adverse-effect level EPArsquos proposed guidelines for carcinogen risk assessmentput more emphasis on ldquomargin of exposurerdquo (relative to a benchmark dose)weight of evidence and the use of uncertainty factors in the riskcharacterization process Also of note is EPArsquos (1997a) Exposure FactorsHandbook which provides a large compendium of information on humanactivities that relate to exposuremdashincluding time-activity data exposureduration consumption of homegrown food and water ingestion

In addition there is an ongoing effort to address aggregate exposures to thesame substances from multiple sources and pathways and cumulative exposuresand risk from mixtures The 1996 Food Quality Protection Act (FQPA)explicitly calls for addressing aggregate exposure and cumulative risk in settingstandards for pesticide residues in food

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From a risk assessment perspective this report will clearly establish thatbiosolids are a complex mixture of chemical and biological agents the exactcomposition of which can change from time to time and place to placeMoreover it will never be possible to account for all the components of themixture although the stable components are well characterized As discussed indetail in various sections of this report considerable effort has been devoted toan enumeration of the hazardous constituents of biosolids During the course ofits study the committee found that it remains necessary to conduct riskassessments on biosolids based on their component parts

Figure 4ndash2 provides a time line showing when a number of significant risk-guidance documents have been issued relative to the year when the Part 503rule was issued

Advances in Hazard Identification

Since EPA issued cancer and mutagenicity risk-assessment guidelines in1986 (EPA 1986ac) the types and reliability of methods used to identifypotential hazard have advanced In the 1986 guidelines the stated goal of ahazard assessment was to provide a review of the relevant biological andchemical information on an agent that might pose cancer or other healthhazards At that time the recommended elements of the hazard identificationincluded (1) a summary of an agentrsquos physical-chemical properties and routesand patterns of exposure and (2) a review of toxic effects structure-activityindicators of toxicity metabolic and pharmacokinetic properties short-termanimal and cell tests long-term animal tests and human studies Theseelements have remained the core components of hazard identification but thearsenal of methods the reliability of techniques and the relative emphasis onthe various hazard identification elements have changed over the past decade Inparticular risk assessors can now make use of better markers of genetic damage(toxicogenomics) for rapid assessment improved structure-activityrelationships (SAR) and improved quantitative structure-activity relationships(QSAR) However to date these emerging methods have seen only limited usein regulatory risk assessment Health-effects research has focused more on earlyindicators of outcome making it possible to shorten the time between exposureand observation of an effect Use of measures of exposure as hazard indicators(eg Hertwich et al 2001) has increased and more-sophisticated measures ofhazard such as the human toxicity potential have been developed Humantoxicity potential includes emissions exposure potential and toxic hazardindicators in a single measure of potential harm It has been used as acumulative-exposure screening tool for multiple chemical agents

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FIG

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E 4

ndash2 T

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ule

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Public-health and environmental concerns about biosolids foster a need forhazard assessments that can address multiple and complex issues Among theseissues are health hazards from chemical mixtures and pathogens as well asconcerns about specific categories of chemical hazard such as metals persistentorganic pollutants (POPs) and high-production-volume chemicals (HPVs)Recent advances in hazard assessment provide EPA with better tools for thoseissues Community issues are not adequately addressed in the current risk-assessment paradigm (eg property intrusions odor and truck traffic) Otherissues have been addressed in EPA programs but have not been explicitlyaddressed in the risk-management goals of the biosolids program Thoseinclude potential health effects from added diesel exhaust and potentialenvironmental effects from added nitrogen burdens runoff damage toendangered species habitat and conversion of inorganic mercury to organicmercury in situ and in water bodies following runoff

Advances in the Dose-Response Characterization Process

A number of important changes have been proposed and in some casesapplied to dose-response characterization over the last decade In 1993 theNRC considered the scientific basis inference assumptions regulatory usesand research needs in risk assessment and focused on two dose-response issuesmdashthe use of maximum tolerated dose in animal bioassays and the use of two-stage models of carcinogenesis (NRC 1993) The report presented options forrevising those default procedures Recent EPA documents (EPA 1996a 2001a)proposed that dose-response characterization be handled differently from thatproposed in the 1986 risk-assessment guidelines (EPA 1986a) According to the1986 guidelines risk for carcinogens is modeled using potencymdashthe increase ofrisk per unit increase of dose or exposure Risk for noncarcinogens is addressedusing a hazard indexmdashthe ratio of the predicted dose to the reference doseMore recently efforts have been made to harmonize those two approaches byusing a margin of exposure (MOE) to characterize risk for both carcinogens andnoncarcinogens MOE is the ratio of a dose derived from a tumor bioassayepidemiologic study or biologic marker study to an actual or projected humanexposure

Changes in Dose-Response Methods

Several proposals within and outside EPA have been made to modify thestandard approach for building dose-response models on the basis of animal orhuman data The most important and comprehensive proposal is EPArsquos

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1996 proposed revisions to its carcinogen risk-assessment guidelines (EPA1996a) These guidelines which are still undergoing review and revision withinEPA propose a different weight-of-evidence classification and the option ofusing an MOE in place of potency to estimate risk Risk-assessment literaturehas provided proposals for the use of time-to-tumor models (Krewski et al1983) Bayesian methods for constructing and revising dose-response models(Taylor et al 1993 Evans et al 1994 Wilson 2001) and meta-analysis

EPArsquos Proposed 1996 Carcinogen Risk-Assessment Guidelines

In 1996 EPA issued its proposed Guidelines for Carcinogen RiskAssessment (EPA 1996a) for a 120-day public review and comment periodEPA issued the guidelines as a replacement for the 1986 Guidelines forCarcinogen Risk Assessment (EPA 1986a) The revised guidelines were issuedin part to address changes in the understanding of the variety of ways in whichcarcinogens can operate For example because many laboratories now use testprotocols aimed at mode of action the 1996 proposed guidelines provide aframework that allows for incorporation of all relevant biological informationand flexibility to consider future scientific advances

In contrast to the single default dose-response relationship (the linearizedmultistage model for extrapolating risk from upper-bound confidence intervals)used in the 1986 cancer guidelines the 1996 guidelines provide several optionsfor constructing the dose-response relationship Biologically basedextrapolation that is extrapolation from animals to humans based on a similarunderlying mechanism of action is the preferred approach for quantifying riskHowever because data for the parameters used in such models are not likely tobe available for most chemicals the 1996 guidelines allow for alternativequantitative methods including several default approaches In the defaultapproaches dose-response assessment is a two-step process In the first stepresponse data are modeled in the range of observation in the second step adetermination is made of the point of departure (benchmark) or the range ofextrapolation below the range of observation In addition to modeling tumordata the new guidelines call for the use and modeling of other kinds ofresponses if they are considered measures of carcinogenic risk Three defaultapproachesmdashlinear nonlinear or bothmdashare provided Curve fitting in theobserved range provides the effective dose corresponding to the lower 95limit on a dose associated with a 10 response (LED10) The LED10 is thenused as a point of departure for extrapolation to the origin as the linear defaultor for an MOE as the nonlinear default The LED10 is the standard point ofdeparture but other departure points can be used when the data justify it

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Other modifications of interest in the 1996 guidelines include the following

bull Emphasis is placed on all biological information rather than only tumorfindings in the hazard-assessment phase of risk assessment

bull Mode of action is emphasized to reduce the uncertainty in describing thelikelihood of harm and in determining the dose-response approaches

bull A weight-of-evidence narrative replaces the current alphanumericclassification categories (A B1 B2 C D E) from the 1986 cancerguidelines The narrative summarizes the key evidence describes theagentrsquos mode of action characterizes the conditions of hazard expressionand recommends appropriate dose-response approaches The overallconclusion on the likelihood of human carcinogenicity is given by routeof exposure Only three descriptors for classifying human carcinogenicpotential are now availablemdashknownlikely cannot be determined and notlikely

bull In contrast to the 1986 guidelines that provide very little guidance for riskcharacterization the 1996 guidelines provide direction on how the overallconclusion and the confidence of risk are presented for the risk managerand call for assumptions and uncertainties to be clearly explained

Time-to-Tumor Models

Because dose-response functions for many chemical substances arederived from lifetime animal-feeding studies results apply to lifetime risk ofcancer The most common dose-response model derived from suchtoxicological experiments describes the lifetime change in cancer incidencewith dose However the stage theory of cancer and other diseases emphasizesthat many harmful exposures can be more accurately characterized as reducingthe time to tumor induction rather than increasing the lifetime risk of tumor(Armitage and Doll 1954) In a time-to-tumor dose-response model importantinformation is disclosed by the time it takes for a fraction of the test subjects toget tumors (Krewski et al 1983) Some animal bioassay data indicate whenindividual bioassay animals died before scheduled terminal sacrifice andwhether they died with or without tumors In some human populations time totumor or other disease is also available Use of time-to-tumor data in theanalysis of the tumor dose-response relationship provides a credible estimate ofthe potency of the carcinogen by incorporating considerable information Thesemodels are not common but have much potential when data are substantial

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Use of Subjective Statistics Bayesian Methods

Bayesian analysis is an important tool now widely used in many domainsincluding some parts of risk analysis (Taylor et al 1993 Evans et al 1994) Itprovides the foundation for the technical field of decision analysis Bayesianapproaches have begun to be applied to assessments of exposure for humanhealth and environmental risks In 2000 Resources for the Future (RFF) inconjunction with EPA and other organizations held a workshop to discuss waysin which Bayesian approaches could be useful in improving techniques forestimating exposure-response functions Participants in the workshop agreedthat wider use of Bayesian approaches can improve human health risk-assessment practices (Wilson 2001) The areas judged to have the mostsignificant opportunities include estimating exposure-response functionsinferring causality especially when interpreting results of epidemiologicalstudies and performing complex exposure assessments

Use of Meta-Analysis in Place of Single-Species Data Sets

In the evaluation of chemical compounds for carcinogenic risk regulatoryagencies have traditionally fit a low-dose linear dose-response model to datafrom rodent bioassays Recently there is much interest in incorporatingadditional scientific information on the properties of the chemical underinvestigation into the risk-assessment process including biological mechanismsof cancer induction However few attempts have been made to investigate theoverall relationship between the shape of dose-response curves and mutagenicity

Assessment of Mixtures

In 1986 EPA issued risk-assessment guidelines for chemical mixtures(EPA 1986b) This framework described three approaches to conduct aquantitative risk assessment for the potential health effects associated withexposure to chemical mixtures First when data are available on the healthimpacts of the mixture of concern or similar mixtures these data should be usedin formulating the risk models When data are not available on the actualmixture or similar mixture of concern data from risk assessments of individualcomponents are then used to estimate the risk of the mixture of concern byapplying a dose-additivity model (second approach) for systemic toxicants and

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a response-additivity model (third approach) for carcinogens Both of thesemodels assume that no interaction occurs among chemicals The two mostaccepted dose-additivity models are the hazard-index (HI) model and thetoxicity-equivalency-factor (TEF) model The response-additivity model is usedprimarily in cancer risk assessment of chemical mixtures it is assumed that thecomponents in the mixture act independently on the same target site but bydifferent mechanisms of action thus the toxicological responses to eachcomponent in the mixture are summed

A significant advance in chemical-mixture risk assessment was the newlydeveloped interaction-based method in which Mumtaz and Durkin (1992) usedbinary interaction data to modify the dose-additive HI Recently EPA (2000a)issued a revised guidance document for chemical mixtures as a supplement tothe original guidelines of 1986 The document Supplementary Guidance forConducting Health Risk Assessments for Chemical Mixtures provides details onthe nature of mixtures and the procedures to use for data analyses It alsodescribes recent scientific advances in the area of chemical-mixture riskassessment including methods for using whole-mixture data on atoxicologically similar mixture methods for incorporating information ontoxicological interactions into an HI (modified from the original methoddeveloped by Mumtaz and Durkin [1992]) procedures for including carcinogeninteractions in mixture risk characterization and generalized procedures forassessing mixtures of similar chemicals

The incompleteness of the classic risk-assessment process as applied tobiosolids can be illustrated by reference to the EPA guidance document (EPA2000a) which details EPArsquos current thinking on the mixture issue A complexmixture is defined as ldquoa mixture containing so many components that anyestimation of its toxicity based on its componentsrsquo toxicities contains too muchuncertainty and error to be useful The chemical composition may vary overtime or with different conditions under which the mixture is produced Complexmixture components may be generated simultaneously as by-products from asingle source or process intentionally produced as a commercial product ormay coexist because of disposal practices Risk assessments of complexmixtures are preferably based on toxicity and exposure data on the complexmixturerdquo (EPA 2000a) Chapter 3 shows that health risk data on the completemixture are insufficient in the case of biosolids to provide the basis for a riskassessment Hence assessors are dependent on a component-based assessmentstrategy that while not containing ldquotoo much uncertainty and error to beusefulrdquo will be incomplete as a basis for defining a strictly prospective strategyfor risk management (EPA 2000a)

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Advances in the Exposure Characterization Process

There have been a number of important changes in the exposurecharacterization process over the past decade Among the changes of note areincreasing focus on indoor and residential environments methods formonitoring biological agents in exposure media (air water and soil) amovement away from simple bounding estimates to probabilistic assessmentsthat include explicit treatment of uncertainty and variability and the use ofmultimedia and multiple-pathway exposure assessments In the sections belowthe committee highlights the changes in exposure assessment methods that haveparticular relevance to biosolids risk assessments A review and evaluation ofspecific exposure pathways in the Part 503 rule risk assessment are provided inChapter 5

Ten years ago it was common to conduct an exposure assessment usingsimple models that define a maximum exposed individual (MEI) The MEI wasone who obtained all of his or her air water andor food from an areacontaminated by the pollutant of interest over a lifetime The implicit andunquantified overestimate of exposure in the MEI as well as the failure of theMEI to capture all exposure pathways led to a search for alternative schemesAt first there was an effort to define a highly exposed individual (HEI) assomeone who had a plausibly high exposure but less exposure than the MEIHowever the HEI was found to have many of the same limitations as the MEICurrent practice is to use a reasonable maximum exposure (RME) receptorEPA (1989) specifies that calculation of the RME requires a combination ofaverage and upper-bound values for various exposure parameters so that thefinal exposure estimate will represent an upper bound exposure that couldreasonably be expected to occur This is commonly interpreted to be a 90th to95th percentile of exposures for each pathway Due to its inconsistentcombination of upper percentile and mean values the RME approach can bearbitrary and fail to fully account for population exposure variabilityNevertheless the use of RME in place of HEI has fostered the increasing use ofprobabilistic methods in exposure assessments (EPA 2001b) In its recentassessment of exposures to dioxins in biosolids EPA partially makes use of aprobabilistic risk-assessment approach (EPA 2001c)

Increased Focus on Indoor and Residential Environments

One theme that is clear in the literature on exposure assessment is theimportance of the indoor environment and residential factors in understand

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ing human exposure to many agents Indoor and residential scenarios receivedlittle attention in the Part 503 rule risk assessment but those issues havereceived much greater attention in risk-assessment practice over the last decade

Assessments of the human health impact of airborne pollutants revealedthe importance of cumulative exposure to microenvironments such as indoorair and of household sources such as consumer products combustionappliances and tracked-in soil Efforts to better understand urban air pollutantssuch as particulate matter revealed the importance of increased indoorconcentrations of certain pollutants (Melia et al 1978 Dockery and Spengler1981 Spengler et al 1983) Subsequent studies most notably EPArsquos TotalExposure Assessment Methodology (TEAM) studies demonstrated that for avariety of contaminants residential indoor air is often a more significant sourceof exposure than outdoor air (Pellizzari et al 1986 Thomas et al 1993 Wallace1993)

Methods for Monitoring Biological Agents in Exposure Media

Although the issue of exposure to and risk from pathogens is addressed inChapter 6 it is of note here that methods available for monitoring exposure topathogens have improved greatly in the last decade Traditional detection ofmicroorganisms is performed using microscopy culture biochemistry orimmunoassay Microscopy is used to detect total microbial populations in agiven sample without regard to the physiological state of the organism bothviable and nonviable organisms can be detected Culture-based assay is limitedto detection of those organisms that will proliferate under the growth conditionsof the analysis design Biochemical and immunological-based analyses haveimproved the identification and enumeration of specific microbial contaminantsin environmental samples Improved detection and identification ofmicroorganisms have been achieved using advanced biotechnology-basedmethodologies including polymerase chain reaction (PCR) amplificationmicrochips molecular beacons electrochemiluminescence biosensors massspectrometry and flow cytometry

Explicit Treatment of Uncertainty and Variability

Estimating potential human exposures and source-to-dose relationships forharmful substances in biosolids involves the use of models and large amounts ofdata Because these data and models must be used to predict individualbehaviors engineered system performance contaminant transport humancontact and uptake and dose among large and often heterogeneous

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populations variability and uncertainty associated with these predictions arelarge

Over the last decade explicit assessment of sensitivity and uncertainty hasbecome common practice in many risk assessments This practice has beendriven in large part by the ready availability of software for uncertainty andsensitivity analysis improvements in computers that make it possible to runlarge numbers of repeated simulations and the availability of Monte Carloguidance from EPA (1997b) Also supporting this process is the wideravailability of summary statistics for exposure factors available in referencessuch as the EPA (1997a) Exposure Factors Handbook

One of the key issues in uncertainty analysis that has been addressed overthe last decade is how to distinguish between the relative contribution of trueuncertainty and that of interindividual variability (heterogeneity) to characterizethe predicted population risk (Bogen and Spear 1987 NRC 1994) Uncertaintyor model-specification error (eg statistical estimation error) can be modeledusing a random variable but the characteristics of this variable are oftensubjective In contrast variability refers to quantities that are distributedempirically within a defined population Such factors as food ingestion ratesexposure duration and expected lifetime are considered as variable but notuncertain The recognition of the difference between uncertainty and variabilityhas resulted in efforts to carry out assessments in which both uncertainty andvariability are characterized in the final results

The Habicht memo (1992) seems to have encouraged the growth in effortsto address uncertainty The recent Exposure Factors Handbook (EPA 1997a)the Monte Carlo guidance document (EPA 1997b) and the recent report onpolicy for use of probabilistic risk assessment (EPA 1997c) reveal that EPA hasand will continue to support and encourage more explicit treatment ofuncertainty and variability In its 1997 Monte Carlo guidelines and itsSuperfund guidance for conducting probabilistic risk assessment EPAidentified a tiered scheme for updating and calibrating a model as more databecome available (EPA 1997b 2001b) As a first step in this scheme thevariance of all input values should be clearly stated and the impact of thesevariances on the final estimates of risk should be assessed using sensitivityanalysis Here it helps to provide a clear summary and justification of theassumptions used for each aspect of a model In addition it should be statedwhether these assumptions are likely to result in representative values orconservative (upper bound) estimates The next step in this scheme is the use ofvariance propagation methods (including but not necessarily limited to MonteCarlo methods) to map how the overall precision of risk estimates is tied to thevariability and uncertainty associated with model choice inputs and scenarios

The risk assessment for the Part 503 rule does not provide a clear analysisof uncertainties and their potential impacts on the assessment of risks A

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quantitative analysis would allow identification of critical parameters that havea strong influence on the outcome of the calculations of risk However thelimits of time and resources at EPA mean that choices must be made whenplanning whether and how to update risk assessments and collect site-specificdata in support of the risk assessment calculations In making revisions to thebiosolids risk assessment EPA must strike a balance between expendingresources to carry out site-specific data collection and expending resources tomodel and assess risk using existing information

Multimedia and Multiple-Pathway Exposure Assessments

Efforts to assess human exposure to contaminants from multipleenvironmental media have been evolving over the past several decadesKnowledge of potential environmental pathways is an important component ofa health risk assessment for biosolids The need to assess human exposure toglobal fallout in the 1950s resulted in the development of a framework thatincluded transport of contaminants through air soil surface water vegetationand food chains More recently reported concentrations of semivolatile organiccompounds and mercury species in water vegetation soil and food productshave increased interest in more accurate characterizations of chemical transporton a local regional and global scale In response to the need for bettercharacterization a number of multimedia transport and transformation modelsfor organic chemicals and metal species have appeared Multimedia models arealso being developed for pathogens Over the past decade or so relativelydetailed single-domain transport and transformation models have beendeveloped to model aspects of chemical transport and transformation within asingle medium or domain (eg groundwater models vadose zone modelssurface-water mixing models and air-dispersion and transformation models)

Multimedia multipathway assessments have fostered increasing interestabout indirect exposure pathways But only limited efforts have been made todevelop source-to-dose relationships using multimedia models Moreover thesecomplex source-to-dose models are difficult to validate The increasingsophistication of mass-transfer models has as yet had almost no impact onhuman exposure models None of the exposure models available to dateprovides an integrated simulation of major transport processes and indoor andoutdoor relationships for toxic substances in air water food and soil

The Food Quality Protection Act (FQPA) of 1996 draws attention to theneed for methods to assess aggregate intake of agents with similar target organs

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Biological Markers

Outside of occupational settings or specific research studies most currentexposure-sampling strategies do not rely on biological markers Although thereare reasonable biomarker methods for several metals (eg mercury arseniccadmium chromium) and some organic compounds the lack of reliable andnonintrusive biomarkers continues to limit their widespread use in exposuretracking studies For example the Centers for Disease Control and Prevention(CDC) is exploring biomarkers for classes of organophosphate (OP) pesticidesIn some occupational settings biological markers (eg for lead) are part of thesurveillance process It is feasible that a set of biomarkers could be createdusing less invasive methods (eg urine saliva and hair sampling) Urinarybiomarkers have worked well for some metals tobacco smoke and some otherpollutants As new biomarkers are developed and existing ones improvedemerging sampling strategies will rely more on them It is conceivable that inthe future EPA will be able to evaluate more DNA adducts possibly even afterexposure of embedded personal DNA worn by individuals as a monitor Formany contaminants of concern in biosolids biomarker approaches may be bothfeasible and informative However for the near future it is not likely thatbiomarkers will be of great value for monitoring exposures near biosolids-application sites

Challenges to the Risk-Characterization Process for Biosolids

The emphasis here is on how the process of risk characterization ischanging and how those changes impact the Part 503 rule Particular challengesto the risk-characterization process are to better link risk assessment to riskmanagement consider risk perception and risk valuation more explicitly andprovide better risk communication between risk assessors and affectedpopulations

To examine the Part 503 rule risk assessment in the context of the evolvingrisk-assessment paradigm EPA must consider the objectives of the Part 503rule risk assessment Was it to convince the community that it is safe Was it tojustify what is being done or what has been decided Was it to organizeinformation on exposures and health effects to communicate what is known andwhat the information gaps and key uncertainties are

One key risk characterization and management issue that emerged duringthe committee discussions was whether quality-of-life issues that have thepotential to affect health such as odors should be considered a factor in

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setting standards for land application of biosolids In particular couldminimizing odors be an effective way to manage some potential risks

Acceptance of a risk assessment by regulators and community groups oftenrequires surveillance and monitoring to ensure that the assumptions used in therisk assessment are in place Many of the chemical substances in municipalwaste streams are also in biosolids The chemicals in municipal solid-wastelandfills are monitored Should the same chemicals be monitored followingbiosolids application Answers to these questions help to put the riskassessment in both a scientific and political context That is once the objectivesof the risk assessment are established what and whose decisions are beinginformed by the assessment and the level of scientific confidence needed can beidentified

Characterizing Exposures to Children as a Subpopulation

Organizations such as EPA and the National Institutes for Health aregiving special consideration to childrenrsquos risks from exposure to environmentalcontaminants In 1996 EPArsquos Office of the Administrator issuedEnvironmental Health Threats to Children (EPA 1996c) and set an agenda thatcalled for consideration of childrenrsquos risks in all EPA actions The report alsoemphasized the need for more research to support childrenrsquos risk assessmentsChildren are considered a special subpopulation because their health risks candiffer from those of adults because of their immature physiology metabolismand differing levels of exposure due to factors such as greater food consumptionper unit of body weight and outdoor play activities

Differing levels of exposure for children are typically considered in riskassessments but the underlying toxicity database often does not specificallyaddress effects on children Such limitations in toxicity data are typicallyaddressed by application of uncertainty factors to protect susceptiblepopulations such as children Additional research would allow an assessment ofthe adequacy of such uncertainty factors

Participation of the Affected Populations

Local opposition to land application of biosolids appears to be growing inpart because regulators such as EPA have failed to systematically addressconcerns and experiences of residents near land-application sites Because noprocess is in place to register complaints EPA might be unaware of complaintslodged with a local or state agency Public meetings held by the com

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mittee have identified residents near land-application sites and biosolidsappliers who believe that they have suffered health impacts and believe thatthey have been excluded from having input in the risk-assessment processHealth complaints include irritation of the eyes nose and throat headachesnausea cough chest tightness congestion shortness of breath drowsinessskin lesions and mood disorders (Schiffman et al 2000 Shields1) Thecommittee was not charged with the task of evaluating the legitimacy of thecomplaints nor of determining whether application of sewage biosolids isrelated to the complaints However it notes that the primary concerns ofneighbors to land-application sites and the alleged health impacts associatedwith land application of biosolids have not been addressed in the riskassessments upon which the Part 503 rule is based

A critical aspect of the risk-assessment process is ensuring that thoseassessing risks are asking the right questions Potentially affected people oftenhave knowledge to contribute to the accurate characterization of exposures andto the assessment of risks When such knowledge is not tapped the outcome ofthe process can be flawed rejected by stakeholders or both Tapping localknowledge is necessary but not sufficient to characterize risks Some risks suchas secondary exposures or effects with long periods of latency might not beapparent to those exposed

The risk assessment in support of the Part 503 rule was the product ofagency and academic experts including individuals with long-term associationswith land applications and awareness of community concerns As requiredunder federal law EPA took public comment on the proposed regulationsNevertheless there was no evidence of efforts to engage people living adjacentto sites where biosolids are being or could be applied at the level recommendedby the PresidentialCongressional Commission on Risk Assessment and RiskManagement (1997) EPA guidance such as the supplement to Risk AssessmentGuidance for Superfund Part A (EPA 1999a) provides information to improvecommunity involvement in the Superfund risk-assessment process Specificallythis document identifies where community input can augment and improveEPArsquos estimates of exposure and risk and illustrates why communityinvolvement is valuable during the human health risk-assessment process

1HShields Citizens for a Future New Hampshire and the New Hampshire SierraClub Sludge Victims May 2001 Update Materials provided to the committee on June 42001

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Link Between Risk Assessment and Management of Land-Application Sites

Risk assessments are conducted with the assumption that specificmanagement practices are in place and remain in force If these practices are notfollowed the estimated risks can differ from those estimated under the assumedmanagement practices The risk assessment for the Part 503 rule was conductedwith the assumption that specific management practices are followed Forexample complete incorporation of biosolids into the soil is assumed inassessing runoff impacts For many sites however surface application topastures is normal practice and is allowed under the Part 503 rule Surfaceapplication provides the potential for erosion and off-site movement ofbiosolids and their constituents in a form much different from that assumed inthe risk assessment

The risk assessment for the Part 503 rule included the assumption thatspecific management practices are followed However because the rule doesnot explicitly require some of these practices it is difficult to confirm the extentto which site operators employ these management practices Some are measuresthat may be useful in minimizing risks however most are not requirementsunder the Part 503 rule

It should be recognized that even in cases in which specific managementpractices are clearly delineated and required under regulations there can becases in which management practices are not followed through oversightnegligence or willful noncompliance Efforts to make risk assessment morerealistic are challenged by the issue of dealing with the likelihood ofnoncompliance For example risks of home-use pesticides are assessedassuming that label directions are followed yet experience shows that asignificant number of users disregard such directions In the case of landapplication of biosolids concerns have been raised about the ability of EPA toenforce the Part 503 rule (EPA 2000b) When there are such alleged violationsas applying biosolids within buffer zones and grazing of livestock on land lessthan 30 days after Class B biosolids were applied any risk assessment thatignores the likelihood of those violations will not be applicable where thoseconditions exist No information is available on the frequency and severity ofviolations of management requirements Moreover the committee is not awareof any risk assessment that was carried out under the assumption that one ormore violations had occurred An assessment of the risks both with and withoutthe specified management practices would indicate the significance ofnoncompliance This would provide information to be used in risk-managementdecision-making Without a system that provides for registration investigationenforcement and documentation of complaints concerning management

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practices EPA will not be able to compile relevant data on the level ofcompliance with biosolids management requirements in the Part 503 rule

Odors present a challenge to risk assessors and managers Until recentlyodors were assumed to be an aesthetic issue Odor control however is animportant focus of recommendations for good practice (NBP 2001) andSchiffman et al (2000) have suggested that odors can affect health Odors anddisease vectors as health issues are clearly within the scope of EPA Less clearis whether EPA may address quality-of-life issues such as enjoyment ofproperty where odors or flies might be objectionable but not an unacceptablehealth risk

CHANGES IN RISK-ASSESSMENT APPROACHES IN EPAOFFICES

A number of EPA offices and programs are involved in developing risk-assessment protocols for chemical releases to ambient air indoor air surfacewater soil and groundwater The methods developed in these programs and theevolution of risk-assessment methods within these offices and programs overthe past 10 years provide benchmarks against which the relevance andreliability of the Part 503 rule risk assessments can be evaluated The committeerecognizes that other government agencies such as the CDC the USDepartment of Agriculture and the National Institute of Environmental HealthSciences have also been involved in research of risk-assessment methods andin developing risk-assessment protocols In some cases those agencies have hada direct interest in biosolids risk Nevertheless the committee believes that it isbeyond the scope of this report to explore the evolution of the risk-assessmentprocess in all US government agencies Moreover because EPA has leadresponsibility for biosolids risk and works closely with other agencies on issuesof risk assessment the committee decided to focus on the offices of EPA in itsreview of risk-assessment methods in the US government

Office of Research and Development (ORD)

EPArsquos ORD is the principal scientific and research arm of EPA Itconducts research and fosters the use of science and technology in fulfillingEPArsquos mission ORDrsquos two major programs involved in developing guidanceon risk assessment are the National Center for Environmental Assessment andthe National Exposure Research Laboratory A brief description of some

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of the major risk-assessment developments in each of these programs isprovided below

National Center for Environmental Assessment (NCEA)

NCEA serves as the national resource center for the overall process ofhuman health and ecological risk assessments It develops methods that reduceuncertainties in risk assessments (eg dose-response models and exposuremodels) conducts assessment of contaminants and sites of nationalsignificance and provides guidance and support to risk assessors Two majorprogram areas with important developments since the risk assessments wereconducted for the Part 503 rule are exposure assessment and cancer assessment

Exposure Assessment

In 1992 EPA promulgated a new set of exposure-assessment guidelines toreplace the 1986 version (EPA 1992a) The new guidelines explicitly considerthe need to estimate the distribution of exposures among individuals andpopulations and discuss the need to incorporate uncertainty and variabilityanalysis into exposure assessments The guidelines discuss the roles of bothanalytic measurement and mathematical modeling in estimating concentrationsand durations of exposure They do not recommend specific models but suggestthat models match the objectives of the particular exposure assessment beingconducted and that they have the accuracy needed to achieve those objectivesThey also call for detailed explication of the choices and assumptions that oftenmust be made when faced with incomplete data and insufficient resources

In 1997 NCEA published a support document to the guidelines called theExposure Factors Handbook (EPA 1997a) It contains a summary of humanbehaviors and characteristics that affect exposure to environmentalcontaminants and recommends values to use for these factors A new exposurefactors handbook dealing specifically with children is in development EPAgives special consideration to children because they can be more heavilyexposed to environmental contaminants than adults EPA released an externalreview draft of the handbook in June 2000 (EPA 2000c)

NCEA has also developed a guidance document on how to conduct dermalexposure assessments (EPA 1992b) The dermal route of exposure is notunderstood as well as the other major routes of exposure (ingestion andinhalation) NCEArsquos guidelines discuss the principles of dermal absorption

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from exposures to water soil and vapor media and presents methods forapplying those principles to human exposure assessment The guidelines weredeveloped primarily for evaluations of waste-disposal sites or contaminatedsoils but are applicable to land-applied biosolids The Office of Solid Waste andEmergency Response has also developed guidance for dermal risk assessment(EPA 2001a)

Guidance is also being developed for approaches to modeling health risksfrom indirect exposures to environmental contaminants For exampleMethodology for Assessing Health Risks Associated with Multiple Pathways ofExposure to Combustor Emissions (EPA 1998b) presents procedures forestimating exposures resulting from atmospheric pollutants emitted fromstationary combustors transferred through the atmosphere and deposited onenvironmental media and biota It discusses ways to estimate indirect exposuresthat could result from uptake and transfer from atmospheric agents through theterrestrial or aquatic food chains This example also illustrates the need forconducting multimedia and multiple-pathway exposure assessments

Cancer Risk Assessment

In 1996 NCEA proposed a revision to the 1986 EPA Guidelines forCarcinogen Risk Assessment to reflect new developments in understandingcarcinogenesis (EPA 1996a) Revisions have been made since that proposaland work on the guidelines is still in progress (EPA 1999b) The proposedrevisions include placing greater emphasis on analyzing all the biologicalinformation on an agent rather than analyzing only the tumor dataunderstanding an agentrsquos mode of action taking a weight-of-evidence approachto drawing conclusions about hazard and providing guidance on assessing risksto children When finalized the guidelines will provide an analytical frameworkthat will allow the incorporation of all relevant biological informationrecognize a variety of situations regarding cancer hazard and be flexibleenough to allow consideration of future scientific advances

National Exposure Research Laboratory (NERL)

NERL is EPArsquos resource for guidance on exposure assessment for allenvironmental stressors (eg chemicals biological agents and radiation)NERL conducts research on stressor sources pollutant transporttransformation and exposure and source-to-receptor predictive exposuremodels NERL is also involved in the development of innovative exposure-assessment technologies

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National Exposure Surveys

One of NERLrsquos major efforts is to address the need to reduce uncertaintyand variability in exposure assessments and the need to develop realisticexposure scenarios and assumptions A key determinant of exposure variabilityis human activity Between October 1992 and September 1994 NERLconducted the National Human Activity Pattern Survey (NHAPS) to collectdata on activity patterns of subjects over a 24-hour period The survey wasintended to provide comprehensive exposure information over broadgeographical and temporal scales that can be used for detailed exposure studiestargeted to specific populations in the United States Detailed tables of thesurvey results have been compiled (EPA 1996d) and some of the data wereincorporated into the Exposure Factors Handbook (EPA 1997a)

NHAPS provides a broad description of individual activities for distinctcombinations of location and time (macroactivity [eg amount of time spent inan enclosed vehicle]) For specific risk assessments activity patterns can beanalyzed in even greater detail using microactivity models which can be usedto describe specific contacts with exposure media (eg frequency of a childrsquoshand contact with soil and mouth) Exposures from residential environmentshave been given greater attention in recent years

Another survey that was undertaken is the National Human ExposureAssessment Survey (NHEXAS) This survey was designed to evaluatecomprehensive human exposure to multiple chemicals on a community andregional scale The first phase of the survey involved measuring concentrationsof chemicals in various exposure media (eg air food drinking water soil anddust) and in biological samples (eg blood and urine) and administeringquestionnaires to identify possible sources of exposure to chemicals Thesample collection and laboratory analyses were completed in 1998 andstatistical analyses of the data are being performed As the database isdeveloped it will be possible to use the data as a baseline to determine whetherspecific populations are exposed to increased levels of environmentalcontaminants

Pharmacokinetic Models and Biomarker Data

NERLrsquos Exposure Methods and Monitoring Branch develops indicators ofhuman exposure to environmental stressors One set of indicators that providesa direct measure of exposure is biomarker data sets Biomarkers are indicatorsspecific to a contaminant of variation in cellular or biochemical components orprocesses structure or function that are measurable in biological systems orsamples When used with pharmacokinetic data and informa

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tion on the interval between exposure and collection of the biomarkerinformation biomarker data can be used to reduce uncertainties about exposure

The study of pharmacokinetics provides an understanding of a chemicalrsquosabsorption distribution metabolism and excretion that occurs between the timea chemical enters the body and when it leaves Pharmacokinetic models are amathematical representation of those processes and can be used to describe thequantitative differences between an exposure dose a delivered dose and whenpossible a biologically active dose at the target organ EPArsquos strategic plan forevaluating data from NHEXAS (EPA 2000d) discusses the need to considerpharmacokinetic models and parameters in evaluating the time course andassociations between exposure and dose

Office of Air and Radiation (OAR)

EPArsquos OAR is responsible for national programs technical policies andregulations for controlling air pollution and radiation exposure Currently thereare OAR programs to address pollution prevention indoor and outdoor airquality industrial air pollution pollution from vehicles and engines radon acidrain stratospheric ozone depletion and radiation protection Of particularinterest for considering applications of risk-assessment policy are the RadiationProtection Division Indoor Air Quality Programs and the Office of Air QualityPlanning and Standards within OAR

Radiation Protection Division

The Radiation Protection Programs within the Radiation ProtectionDivision provide the methods and scientific basis for EPArsquos radiation exposuredose and risk assessments These assessments in turn support the developmentof EPA policy guidance and rule-makings concerning radiation protection andrisk management Among other functions the Radiation Protection Programdevelops radionuclide fate and transport models dose and risk models and doseand risk coefficients

Indoor Air-Quality Programs

Because of the importance of understanding the sources and pathways ofexposure in indoor environments EPA has established and promoted indoor air-quality programs over the past decade These programs deal with indoor

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exposures to contaminants originating from both outdoor and indoor sourcesAmong the sources of indoor pollution addressed by EPA are combustionsources such as oil gas kerosene coal and wood-combustion and tobaccoproducts building materials and furnishings such as wet or damp carpet andcabinetry or furniture made of certain pressed-wood products householdcleaning and maintenance products central heating and cooling systems andhumidification devices and outdoor sources such as radon pesticides andoutdoor air pollution Of particular interest to the issue of biosolids riskassessment is the potential for indoor exposures to pathogens

Office of Air Quality Planning and Standards (OAQPS)

EPArsquos OAQPS directs national efforts to meet air-quality goalsparticularly for smog air toxics carbon monoxide lead particulate matter (sootand dust) sulfur dioxide and nitrogen dioxide OAQPS is responsible forimplementing major provisions of the Clean Air Act including those related tovisibility permitting and emissions standards for a wide variety of industrialfacilities Of particular interest in risk assessment is the OAQPS effort todevelop methods to assess human exposure and health risks for particulatematter (PM) and multimedia pollutants released in urban air sheds As part ofthat effort OAQPS has formulated advanced and novel methods for addressingmultimedia pollutants Those methods are being incorporated into the OAQPStotal risk integrated model (TRIM) TRIM provides a multimedia fate analysisand multipathway exposure assessment for toxic air pollutants and aerosols(PM)

OAQPS is also working on the National Air Toxics Assessment (NATA)a program to assess the cumulative exposures of the US population to toxic airpollutants through a combination of monitoring and models

The OAQPS effort to assess PM exposure has particular relevance tobiosolids risk PM exposure from biosolids application is raised as a concern oflocal communities and some public-health officials From biosolids-applicationsites PM is produced by numerous sources including diesel emissions trafficand dust suspensions A related issue is raftingmdashpathogens catching a ride ondust particles Whether and how allergen proteins are transported from site toreceptor is still poorly understood

Office of Solid Waste and Emergency Response (OSWER)

OSWER provides policy guidance and direction for EPArsquos solid-wasteand emergency-response programs Within OSWER the Office of Solid

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Waste (OSW) develops guidelines for the land disposal of municipal andhazardous waste and the Office of Underground Storage Tanks (OUST)develops guidance for limiting the risks from leaks of underground storagetanks OSWER provides technical assistance to all levels of government toestablish safe practices in waste management OSWER is also home to theSuperfund program which addresses health concerns of communities withabandoned and active hazardous waste sites and accidental oil and chemicalreleases Superfund also encourages innovative technologies to addresscontaminated soil and groundwater

Office of Solid Waste (OSW)

OSW is responsible for setting limits on the concentrations of chemicalsthat can be placed in municipal landfills Limits are set through a risk-assessment process that identifies and evaluates multiple exposure pathwaysOSW has identified a number of potential exposure pathways linked to landfillsand uses multimedia risk assessments to link human exposure and health risk tochemicals in the landfill waste The assessment is a forward-calculating analysisthat evaluates the risks of multiple exposure pathways to human and ecologicalreceptors One of the pathways that the OSW landfill risk assessments addressesis the advection of chemicals out of the landfill due to forced convection thatresults from methane and carbon dioxide generation in the waste pile

Office of Underground Storage Tanks (OUST)

OUST was created in 1985 to carry out a congressional mandate todevelop and implement a regulatory program for underground storage tank(UST) systems OUST works with EPA regional offices and state and localUST programs to promote the use of risk-based decision-making In OUSTrisk-based decision-making (RBDM) is a process by which decisions are madeabout contaminated sites using a site-specific assessment of the risk each siteposes to human health and the environment In cooperation with the AmericanSociety for Testing and Materials (ASTM) OUST is evaluating whether itsRBDM programs are achieving their stated agency management goals

Office of Emergency and Remedial Response (OERR)

The EPA Superfund program is administered by the OERR After a

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hazardous waste site is listed on the National Priorities List risk assessment hasan important role in the characterization and cleanup of Superfund sites OERRprovides general tools and specific tools to assist in the major steps of the risk-assessment process In 1989 Risk Assessment Guidance for Superfund (RAGS)Part A was issued (EPA 1989) This document provides recommendedalgorithms and data for calculating potential exposures to chemicalcontaminants found at Superfund sites In contrast to the OUST risk methodsRAGS are more generic in providing uniform national risk-assessment defaultsAdditional RAGS documents were issued in 1991 in Part B (EPA 1991b)which provides guidance on using EPA toxicity values and exposureinformation to derive risk-based preliminary remediation goals and Part C(EPA 1991c) which provides guidance on the human health risk evaluations ofremedial alternatives In 1998 OERR issued Part D (EPA 1998c) and in 1999it issued a supplement to Part A (EPA 1999a) This document is of interest tobiosolids risk assessors because the supplement provides information toimprove community involvement in the Superfund risk-assessment processSpecifically the supplement suggests ways for Superfund staff and communitymembers to work together during the early stages of Superfund cleanupidentifies where community input can augment and improve EPArsquos estimates ofexposure and risk recommends questions that the site team should ask thecommunity and illustrates why community involvement is valuable during thehuman health risk assessment at Superfund sites A review draft of Part Eprovides dermal risk assessment guidance (EPA 2001a) OERR has alsodeveloped probabilistic risk assessment guidance for Superfund (EPA 2001b)

Office of Water (OW)

EPArsquos OW is responsible for all national water-quality activities includingthe regulation of surface water and groundwater supplies to protect humanhealth and the environment OW is responsible for implementing the CleanWater Act Safe Drinking Water Act and portions of other environmental lawsand treaties that apply to water quality Several organizations make up the OWincluding the Office of Wetlands Oceans and Watersheds the Office ofScience and Technology the Office of Wastewater Management (whichoversees EPArsquos biosolids program) and the Office of Ground Water andDrinking Water

A major task of OW is to set drinking-water standards Risk assessmentprovides a key input to this process Since 1986 OW has more than tripled thenumber of contaminants for which it has published drinking-water stan

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dards bringing the total to 94 A current challenge for OW in its effort tominimize health risks from water supplies is to find the appropriate balancebetween the risks from naturally occurring microbial pathogens and thechemical by-products of disinfection processes used to remove the pathogens Itis important to provide protection from these microbial pathogens whileensuring decreasing health risks to the population from disinfection by-products

As part of its effort to protect watersheds OW has established the totalmaximum daily load (TMDL) program A TMDL is a calculation of themaximum amount of a pollutant that a body of water can receive and still meetstate water-quality requirements TMDLs are determined in part by consideringmultiple sources of pollutants (from point nonpoint and background sourcesincluding atmospheric deposition) seasonal variations and margins of safetyThe calculations of these programs provide benchmarks for the continuingevaluation of biosolids standards

Office of Prevention Pesticides and Toxic Substances(OPPTS)

EPArsquos OPPTS develops national strategies for toxic substance control andpromotes pollution prevention and the publicrsquos right to know about chemicalrisks OPPTS has an important role in protecting public health and theenvironment from potential risk from toxic chemicals and pesticides OPPTS isdealing with issues such as endocrine disruptors and lead poisoning prevention

Within OPPTS the Office of Pesticide Programs (OPP) regulates the useof all pesticides in the United States and establishes maximum concentrationsfor pesticide residues in food As part of this effort OPP is expanding access toinformation on risk-assessment and risk-management actions to help to increasetransparency of decision-making and facilitate consultation with the public andaffected stakeholders OPP has a mandate under the FQPA of 1996 to addressaggregate exposure and cumulative risk from multiple sources of pesticideexposure To address that issue OPP developed a framework for conductingcumulative risk assessments for organophosphates and other pesticides thathave a common mechanism of toxicity (that act in the same way in the body)Through its cumulative risk-assessment framework OPP will be able toconsider whether the risks posed by a group of pesticides that act the same wayin the body meet the FQPA safety standard of ldquoreasonable certainty of noharmrdquo As part of that framework OPP is developing new methods to assesscumulative risk to assess residential exposure and to aggregate exposures fromall nonoccupational sources

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FINDINGS AND RECOMMENDATIONS

The Part 503 rule risk assessments were carried out more than a decadeago In this chapter the committee considered the likely impact of changes inrisk-assessment practice in general and in various EPA offices in particular onthe risk-assessment process for biosolids The committee found that thedevelopment of methods in the broader academic community and the evolutionof risk-assessment methods within various EPA offices and programs provideimportant benchmarks for the committeersquos assessment of the relevance andreliability of the Part 503 rule risk assessments Of particular note are updates tothe risk-assessment framework recommended by the NRC the PresidentialCongressional Commission on Risk Assessment and various EPA offices

The risk-assessment methods and policies practiced and advocated at EPAhave changed significantly although not at the pace recommended by the NRCand the risk commission As a result the Part 503 rule which has not beenmodified to account for any new methods and policies is now inconsistent withcurrent NRC recommendations and EPA policies within various officesParticularly relevant examples of the inconsistency are the absence ofstakeholder participation and the lack of explicit treatment of uncertainty andvariability

Recommendation Because of the significant changes in risk-assessmentmethods and policies over the last decade EPA should revise and update thePart 503 rule risk assessments Important developments include recognition ofthe need to include stakeholders throughout the risk-assessment processimprovements in measuring and predicting adverse health effects advances inmeasuring and predicting exposure explicit treatment of uncertainty andvariability and improvements in describing and communicating risk EPA should consider how the updated risk assessments would change the risk-management process A similar approach can be taken with the issue ofbiological agent risks

In recent years health-effects research has made use of large-scale studiesof human health end points at multiple sites Health-effects research has alsofocused on early indicators of outcome making it possible to shorten the timebetween the exposure and the observation of an effect In addition more use hasbeen made of meta-analysis better modeling of dose-response relationshipsand more sophisticated regression models These improvements make possiblemore site-specific assessments of the impacts of biosolids land-applicationpractices

Managing exposure of human populations to environmental contaminantsusing a risk-based approach requires an accurate metric for the impacts of

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contaminants on human health and a reliable process for monitoring andrecording the exposures within populations assumed to be at risk Over the pastdecade the practitioners of exposure assessment have made importantimprovements in methods to measure and model source-to-dose relationshipsThese improvements have been made through greater use of time-activitysurveys personal monitors and biomarkers of exposure and they have made itpossible to confirm some of the exposures predicted in risk assessments

Recommendation Many of the measures of risk used in developing thePart 503 rule guidelines cannot be monitored Because of that inability tomonitor the committee acknowledges that EPA must perform theoretical riskassessments Nevertheless there is a continuing need to provide some measuresof performance that can be monitored (eg concentrations of selectedchemicals in exposure media such as indoor air house dust or tap water ofresidences near land-application sites and exposure biomarkers in the blood or urine of nearby residents) Recent improvements in health surveillance andexposure monitoring provide new opportunities for EPA to develop moreexplicit and measurable metrics of performance for biosolids land-applicationpractices

Advancements in monitoring health outcomes and exposure have resultedin improvements in the description and communication of risk In particularimproved exposure assessments have led to better exposure classification inhealth-effects studies Better descriptions of risk are available using benchmarkdose and margin of exposure to communicate hazard and risk in place of risk ofdeath hazard quotients or exposure-potency product relationships There havealso been improved methods for prioritizing compounds using measures of risk

Recommendation In making revisions to the Part 503 rule riskassessment EPA must strike a balance between expending resources to carryout site-specific data collection and expending resources to model and assessrisk using existing information In light of improvements in exposure and healthmonitoring the committee encourages EPA to consider options carefully forcollecting new data in support of risk-assessment assumptions before resortingto another risk assessment that relies only on existing data models and defaultassumptions Among the data that would be of value are data on proximity of receptors to land-application sites surveys of activities that could increasedirect and indirect exposures and samples of biosolids air vegetation runoffgroundwater and soil in environments surrounding land-application sites Inaddition EPA should conduct site-specific surveys of performance (egmonitor the extent to which rates and depth of application are consistent withrisk-assessment assumptions) and scientifically relevant studies of health complaints

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Risk assessments make use of a number of assumptions to define chemicalloading in biosolids that pose no undue risk to surrounding populations Implicitin this process is the premise that these assumptions and the associateddemographic and operational conditions will persist However there are noguidelines to ensure that these conditions persist

Recommendation Because there are no guidelines to ensure thatconditions assumed in the risk assessment actually transpire the committeerecommends that the Part 503 rule provide guidance for periodic reassessmentsthat will be used to ensure that the demographic and operational conditions ofbiosolids land application are consistent with the assumptions of the applicablerisk assessment

REFERENCES

Armitage P and RDoll 1954 The age distribution of cancer and a multistage theory ofcarcinogenesis Br J Cancer 8(March)1ndash12

Barnes DG GPDaston JSEvans AMJarabek RJKavlock CAKimmel CPark andHLSpitzer 1995 Benchmark Dose Workshop Criteria for use of a benchmark dose toestimate a reference dose Regul Toxicol Pharmacol 21(2)296ndash306

Bogen KT and RCSpear 1987 Integrating uncertainty and interindividual variability inenvironmental risk assessment Risk Anal 7(4)427ndash436

Dockery DW and JDSpengler 1981 Indoor-outdoor relationships of respirable sulfates andparticles Atmos Environ 15(3)335ndash343

EPA (US Environmental Protection Agency) 1986a The Risk Assessment Guidelines of 1986EPA6008ndash87045 Office of Health and Environmental Assessment US EnvironmentalProtection Agency Washington DC August 1986

EPA (US Environmental Protection Agency) 1986b Guidelines for the Health Risk Assessment ofChemical Mixtures EPA630R-98002 Risk Assessment Forum US EnvironmentalProtection Agency Washington DC Fed Regist 51(185)34014ndash34025 (September 241986) [Online] Available httpwwwepagovncearafrafguidhtm [December 27 2001]

EPA (US Environmental Protection Agency) 1986c Guidelines for Mutagenicity RiskAssessment EPA630R-98003 Office of Research and Development USEnvironmental Protection Agency Washington DC September 1986

EPA (US Environmental Protection Agency) 1989 Risk Assessment Guidance for SuperfundVol 1 Human Health Evaluation Manual (Part A) Interim Final EPA5401ndash89002Office of Emergency and Remedial Response US Environmental Protection AgencyWashington DC December 1989

EPA (US Environmental Protection Agency) 1991a Part V Guidelines for DevelopmentalToxicity Risk Assessment Notice EPA600R91001 Fed Regist

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from

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ed f

rom

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inal

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er b

ook

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m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

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tally

inse

rted

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ase

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the

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t ver

sion

of t

his

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icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

56(234)63798ndash63826 (December 5 1991)EPA (US Environmental Protection Agency) 1991b Risk Assessment Guidance for Superfund

Vol 1 Human Health Evaluation Manual (Part B Development of Risk-BasedPreliminary Remediation Goals) Interim EPA540R-92003 Office of Emergency andRemedial Response US Environmental Protection Agency Washington DC December1991

EPA (US Environmental Protection Agency) 1991c Risk Assessment Guidance for SuperfundVol 1 Human Health Evaluation Maual (Part C Risk Evaluation of RemedialAlternatives) Interim EPA540R-92004 Office of Emergency and Remedial ResponseUS Environmental Protection Agency Washington DC December 1991

EPA (US Environmental Protection Agency) 1992a Guidelines for Exposure AssessmentEPA600Z-92001 National Center for Environmental Assessment Office of Researchand Development US Environmental Protection Agency Washington DC Fed Regist57(May 29)22888ndash22938 [Online] Available httpwwwepagovnceawww1exposurehtm [August 1 2001]

EPA (US Environmental Protection Agency) 1992b Dermal Exposure Assessment Principles andApplications Interim Report EPA6008ndash91011B Office of Research and DevelopmentUS Environmental Protection Agency Washington DC [Online] Available httpwwwepagovnceadermalhtm [August 10 2001]

EPA (US Environmental Protection Agency) 1996a Proposed Guidelines for Carcinogen RiskAssessment EPA600P-92003C Fed Regist 61(79)17960ndash18011 (April 23 1996)[Online] Available httpwwwepagovnceawww1rafcra_prophtm [August 1 2001]

EPA (US Environmental Protection Agency) 1996b Guidelines for Reproductive Toxicity RiskAssessment EPA630R-96009 Office of Research and Development USEnvironmental Protection Agency Washington DC October 1996

EPA (US Environmental Protection Agency) 1996c Environmental Health Threats to ChildrenEPA175-F-96ndash001 Office of the Administrator US Environmental Protection AgencySeptember 1996 [Online] Available httpwwwepagovepadocschildhtm [August 12001]

EPA (US Environmental Protection Agency) 1996d Descriptive Statistics Tables from a DetailedAnalysis of the National Human Activity Pattern Survey (NHAPS) Data EPA600R-96148 Report prepared by AMTsang and NEKlepeis Lockhead MartinEnvironmental Service Company Las Vegas NV for National Exposure ResearchLaboratory Office of Research and Development US Environmental Protection AgencyLas Vegas NV July 1996

EPA (US Environmental Protection Agency) 1997a Exposure Factors Handbook Vol I II IIIEPA600P-95002Fa-c National Center for Environmental Assessment Office ofResearch and Development US Environmental Protection Agency [Online] Availablehttpwwwepagovnceaexposfachtm [July 31 2001]

EPA (US Environmental Protection Agency) 1997b Guiding Principles for Monte

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ompo

sed

from

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es c

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ed f

rom

the

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inal

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er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

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acc

iden

tally

inse

rted

Ple

ase

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the

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t ver

sion

of t

his

publ

icat

ion

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e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Carlo Analysis EPA630R-97001 March 1997 National Center for EnvironmentalAssessment Office of Research and Development US Environmental ProtectionAgency [Online] Available httpwwwepagovnceamonteabshtm [April 2 2001]

EPA (US Environmental Protection Agency) 1997c Policy for Use of Probabilitistic Analysis inRisk Assessment at the US Environmental Protection Agency May 15 1997 NationalCenter for Environmental Assessment Office of Research and Development USEnvironmental Protection Agency [Online] Available httpwwwepagovnceamcpolicyhtm [April 2 2001]

EPA (US Environmental Protection Agency) 1998a Guidelines for Neurotoxicity AssessmentEPA630R-95001F Risk Assessment Forum US Environmental Protection AgencyWashington DC April 1998

EPA (US Environmental Protection Agency) 1998b Methodology for Assessing Health RisksAssociated with Multiple Pathways of Exposure to Combustor Emissions EPA 600R-98137 National Center for Environmental Assessment Office of Research andDevelopment US Environmental Protection Agency Cincinnati OH [Online]Available httpwwwepagovnceawww1combusthtm [December 26 2001]

EPA (US Environmental Protection Agency) 1998c Risk Assessment Guidance for SuperfundVolume I Human Health Evaluation Manual (Part D Standardized Planning Reportingand Review of Superfund Risk Assessments) Interim OSWER 92857ndash01D Office ofEmergency and Remedial Response US Environmental Protection Agency WashingtonDC

EPA (US Environmental Protection Agency) 1999a Risk Assessment Guidance for SuperfundVol 1 Human Health Evaluation Manual Supplement to Part A Community Involvementin Superfund Risk Assessments EPA 540-R-98ndash042 Office of Solid Waste andEmergency Response US Environmental Protection Agency Washington DC March1999 [Online] Available httpwwwepagovsuperfundprogramsriskragsaci-rahtm[December 26 2001]

EPA (US Environmental Protection Agency) 1999b Guidelines for Carcinogen Risk AssessmentNCEA-F-0644 Review Draft July 1999 National Center for Environmental AssessmentRisk Assessment Forum US Environmental Protection Agency Washington DC[Online] Available httpwwwepagovncearafcrasabhtm [September 13 2001]

EPA (US Environmental Protection Agency) 2000a Supplementary Guidance for ConductingHealth Risk Assessment of Chemical Mixtures EPA630R-00002 National Center forEnvironmental Assessment Office of Research and Development US EnvironmentalProtection Agency Washington DC August 2000 [Online] Available httpwwwepagovnceawww1rafchem_mixhtm [December 26 2001]

EPA (US Environmental Protection Agency) 2000b Water Biosolids Management andEnforcement Audit Report No 2000-P-10 Office of Inspector General March 20 2000[Online] Available httpwwwepagovoigearthauditlist30000P0010pdf [December20 2001]

EPA (US Environmental Protection Agency) 2000c Child-Specific Exposure

ADVANCES IN RISK ASSESSMENT SINCE THE ESTABLISHMENT OF THE PART503 RULE

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inal

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heor

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al ty

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tting

file

s P

age

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ks a

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ue to

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inal

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e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

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tally

inse

rted

Ple

ase

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the

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t ver

sion

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his

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icat

ion

as th

e au

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itativ

e ve

rsio

n fo

r attr

ibut

ion

Factors Handbook (External Review Draft) NCEA-W-0853 National Center forEnvironmental Assessment Office of Research and Development US EnvironmentalProtection Agency Washington DC June 2000 [Online] Available httpwwwepagovnceawww1csefh2htm [December 26 2001]

EPA (US Environmental Protection Agency) 2000d Strategic Plan for the Analysis of theNational Human Exposure Assessment Survey (NHEXAS) Pilot Study Data EPA600R-00049 National Exposure Research Laboratory and National Center for EnvironmentalAssessment Office of Research and Development US Environmental ProtectionAgency Washington DC November 2000 [Online] Available httpwwwepagovNERLresearchnhexasstrategypdf [August 6 2001]

EPA (US Environmental Protection Agency) 2001a Risk Assessment Guidance for SuperfundVol 1 Human Health Evaluation Manual (Part E Supplemental Guidance for DermalRisk Assessment) Interim Review Draft EPA540R99005 OSWER 92857ndash02EPPB99ndash963312 Office of Emergency and Remedial Response US EnvironmentalProtection Agency Washington DC September 2001 [Online] Available httpwwwepagovsuperfundprogramsriskragseintroductionpdf [March 12 2002]

EPA (US Environmental Protection Agency) 2001b Risk Assessment Guidance for SuperfundVol 3- Part A Process for Conducting Probabilistic Risk Assessment EPA 530-R-02ndash002 PB2002 963302 Office of Emergency and Remedial Response US EnvironmentalProtection Agency Washington DC December 2001 [Online] Available httpwwwepagovoerrpagesuperfundprogramsriskrags3apdfcontprefpdf [May 21 2002]

EPA (US Environmental Protection Agency) 2001c Exposure Analysis for DioxinsDibenzofurans and CoPlanar Polychlorinated Biphenyls in Sewage Sludge TechnicalBackground Document Draft EPA Contract No 68-W6ndash0053 RTI 7600-OP3040Prepared by Center for Environmental Analysis Research Triangle Institute ResearchTriangle Park NC for the Office of Water US Environmental Protection AgencyWashington DC November 30 2001 [Online] Available httpwwwepagovwatersciencebiosolidsriskasdraftpdf [February 26 2002]

Evans JS JDGraham GMGray and RLSielken Jr 1994 A distributional approach tocharacterizing low-dose cancer risk Risk Anal 14(1)25ndash34

Finkel AM 1990 Confronting Uncertainty in Risk Management A Guide for Decision-MakersWashington DC Center for Risk Management Resources for the Future

Habicht HF 1992 Guidance on Risk Characterization for Risk Managers and Risk Assessors EPAMemorandum from EPA Deputy Administrator FHenry Habict III to AssistantAdministrators and Regional Adminstrators (Publish as pages 351ndash374 in Science andJudgment in Risk Assessment 1994 Washington DC National Academy Press)

Hertwich EG SFMateles WSPease and TEMcKone 2001 Human toxicity potentials for life-cycle analysis and toxics release inventory risk screening Environ Toxicol Chem 20(4)928ndash939

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from

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al ty

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tting

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s P

age

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ks a

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ue to

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inal

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e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

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the

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t ver

sion

of t

his

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icat

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as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Krewski D KSCrump JFarmer DWGaylor RHowe CPortier DSalsburg RLSielken andJVan Ryzin 1983 A comparison of statistical methods for low dose extrapolationutilizing time-to-tumor data Fundam Appl Toxicol 3(3)140ndash160

Melia RJW CDVFlorey SCDarby EDPalmes and BDGoldstein 1978 Differences in NO2levels in kitchens with gas or electric cookers Atmos Environ 12(6ndash7)1379ndash1381

Morgan GM MHenrion and MSmall 1990 Uncertainty A Guide to Dealing with Uncertaintyon Quantitative Risk and Policy Analysis Cambridge UK Cambridge University Press

Mumtaz MM and PRDurkin 1992 A weight-of-evidence approach for assessing interactions inchemical mixtures Toxicol Ind Health 8(6)377ndash406

NBP (National Biosolids Partnership) 2001 Manual of Good Practice for Biosolids Interim FinalDraft March 13 2001 [Online] Available httpbiosolids policynetproactivenewsroomreleasevtmlid=20961 [January 18 2002]

NRC (National Research Council) 1982 Risk and Decision Making Perspectives and ResearchWashington DC National Academy Press

NRC (National Research Council) 1989 Improving Risk Communication Washington DCNational Academy Press

NRC (National Research Council) 1993 Issues in Risk Assessment Washington DC NationalAcademy Press

NRC (National Research Council) 1994 Science and Judgement in Risk Assessment WashingtonDC National Academy Press

NRC (National Research Council) 1996 Understanding Risk Informing Decisions in a DemocraticSociety Washington DC National Academy Press

Pellizzari ED TDHartwell RLPerritt CMSparacino LSSheldon HSZelon RWWhitmoreJJBreen and LAWallace 1986 Comparison of indoor and outdoor residential levels ofvolatile organic chemicals in five US geographic areas Environ Int 12(6)619ndash623

PresidentialCongressional Commission on Risk Assessment and Risk Management 1997Framework for Environmental Health Risk Management Final Report Vol 1Washington DC The Commission

Schiffman SS JMWalker PDalton TSLorig JHRaymer DShusterman and CMWilliams2000 Potential health effects of odor from animal operations wastewater treatment andrecycling of byproducts J Agromed 7(1)7ndash81

Spengler JD CPDuffy RLetz TWTibbets and BGFerris Jr 1983 Nitrogen dioxide insideand outside 137 homes and implications for ambient air quality standards and healtheffects research Environ Sci Technol 17(3)164ndash168

Taylor AC JSEvans and TEMcKone 1993 The value of animal test information inenvironmental control decisions Risk Anal 13(4)403ndash412

Thomas KW EDPellizzari CAClayton RLPerritt RNDietz RWGoodrich WCNelsonand LAWallace 1993 Temporal variability of benzene exposures for residents in severalNew Jersey homes with attached garages or tobacco smoke J Expo Anal EnvironEpidemiol 3(1)49ndash73

ADVANCES IN RISK ASSESSMENT SINCE THE ESTABLISHMENT OF THE PART503 RULE

162

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tting

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type

setti

ng-s

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fic fo

rmat

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ever

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e ve

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n fo

r attr

ibut

ion

Wallace LA 1993 A decade of studies of human exposure What have we learned Risk Anal 13(2)135ndash139

Wilson JD 2001 Advanced Methods for Dose-Response Assessment Bayesian Approaches FinalReport based on a workshop held September 18ndash20 2000 Discussion Paper 01ndash15Resources for the Future Washington DC

ADVANCES IN RISK ASSESSMENT SINCE THE ESTABLISHMENT OF THE PART503 RULE

163

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5

Evaluation of EPArsquos Approach to Setting ChemicalStandards

The US Environmental Protection Agency used risk-assessment methodsto set biosolids chemical standards (termed ldquopollutant limitsrdquo under the Part 503rule) to be protective of human health and the environment Risk-basedstandards are generally maximum levels that should not be exceeded Risksexperienced by a typical receptor population are likely to be lower and in mostcases much lower than target risk levels used to derive risk-based standardsHowever the protectiveness of the risk-based standards is dependent on thedata and methods used to establish the standards as well as on compliance withspecified conditions of use

The risk-assessment methods for establishing the Part 503 rule weredeveloped in the mid-1980s Since that time EPA has refined risk-assessmentmethods and approaches and has issued a number of guidance documents tosupport standardized approaches to risk assessment (see Chapter 4) In thischapter the methods used for the Part 503 rule risk assessments are reevaluatedin light of the current practice of risk assessment Specific assumptions made inthe risk assessments are also reevaluated on the basis of available scientificinformation

Risk assessments typically include four steps hazard identificationexposure assessment toxicity (dose-response) assessment and riskcharacterization (NRC 1994) Elements of all four steps are considered in thefollowing sections The first section considers the hazard-identificationapproach used to select chemicals for inclusion in the risk assessment (EPA1985 1992ab) Subsequent sections address general issues for exposureassessment and risk

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 164

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characterization These sections are followed by a discussion of issues relevantto specific inorganic and organic chemicals including toxicity assessment

HAZARD ASSESSMENT AND CHEMICAL SELECTION

To date EPA has conducted two rounds of assessments to identifychemicals to regulate in the Part 503 rule Round 1 was conducted to identify aninitial set of chemical pollutants to regulate and Round 2 was conducted toidentify additional pollutants for regulation Standards for the Round 2pollutants have not been established but EPA is considering regulation ofdioxins (a category of compounds that has 29 specific congeners ofpolychlorinated dibenzo-p-dioxins polychlorinated dibenzofurans and coplanarpolychlorinated biphenyls) for land application Therefore although evaluationof EPArsquos dioxin risk assessments for biosolids is outside the scope of thecommitteersquos charge the committee believes that evaluating the selection ofdioxins for regulation is within the charge

Round 1 Pollutant Selection

EPA used a two-stage process to select its initial set of contaminants toregulate under the Part 503 rule First a list of chemicals was subjected to ahazard screening Second chemicals found to represent a potentially significantrisk were subject to formal risk assessment

In 1984 using available data on effects in humans plants domesticanimals wildlife and aquatic organisms and frequency of chemical occurrencein biosolids EPA identified 200 potential chemicals of concern in biosolids Apanel of scientific experts selected 50 chemicals of potential concern forevaluation by EPA A screening process was then used to select 22 pollutantsfor potential regulation (Table 5ndash1) The process involved developingenvironmental profiles for each pollutant for which data were readily availableon toxicity occurrence fate and pathway-specific hazards When relevantaggregate cancer risks from exposure via several pathways were assessed Risksposed by some of the pathways subsequently analyzed in the risk assessmentwere not used in the screening process (pathways 11ndash14 see Table 5ndash4 insummary of exposure pathways)

To determine whether a full risk assessment was warranted for a particularchemical via a specific exposure pathway a hazard index was calculated foreach contaminant and pathway that had sufficient data (EPA 1985) This indexis the ratio of the estimated concentration of the pollutant in the envi

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 165

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TABLE 5ndash1 Pollutants Selected for Potential Regulation

Inorganic Chemicals Organic ChemicalsArsenic Aldrin and dieldrinCadmium Benzo[a]pyreneChromium ChlordaneCopper DDT DDD DDELead HeptachlorMercury HexachlorobenzeneMolybdenum HexachlorobutadieneNickel LindaneSelenium N-NitrosodimethylamineZinc Polychlorinated biphenyls

ToxapheneTrichloroethylene

Abbreviations DDT 111-trichloro-22-bis(p-chlorophenyl)ethane DDE 11-dichloro-22-bis(p-chlorophenyl)ethylene DDD 11-dichloro-22-bis(p-chlorophenyl)-ethaneSource EPA 1992a

ronment (soil plant or animal tissue water or air) to the establishedhuman health or other regulatory criteria (eg acceptable daily intake fornoncarcinogens or a cancer risk-specific intake) The calculated soilconcentrations were based on ldquotypicalrdquo and ldquoworstrdquo concentrations of thecontaminant found in biosolids and were evaluated at application rates of 5 and50 metric tons per hectare (mtha) and a cumulative application of 500 mthabased on the assumption of 5 mtha per year for 100 years Data onconcentrations of pollutants in sewage sludge were obtained primarily fromsurvey data collected in a 40-city study (EPA 1982) Median values were usedto represent typical concentrations and the 95th percentile was used torepresent the worst-case concentrations It is not clear how calculations ontypical concentrations and low application rates were used in the screeningprocess because the hazard index was reportedly derived using worst-caseconditions

After the screening process pollutants with a hazard index equal to orgreater than 1 were evaluated further The hazard index for each of thesepollutants was adjusted so that it reflected the hazard attributable only to

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 166

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biosolids for the specific pathway of exposure being evaluated This adjustmentwas done by excluding background exposure to the pollutant from sources otherthan biosolids When adjusted values exceeded 1 the pollutant was evaluatedfor that particular pathway in a detailed risk assessment Thus backgroundexposure was eliminated and only pollutants for which the hazard index wasgreater than 1 for the increment contributed by biosolids were subjected tofurther analysis through risk assessment This analysis assessed exposure viaeach pathway to each chemical For human-health-related pathways thisprocedure resulted in the elimination of fluoride and lindane from considerationin several pathways

After the proposed Part 503 rule was issued in 1989 EPA completed aNational Sewage Sludge Survey (NSSS) (EPA 1990) The NSSS collected dataon more than 400 pollutants from approximately 180 sewage treatment plantsthroughout the country to produce national estimates of concentrations ofpollutants in sewage sludge Using the NSSS data and information from the riskassessments EPA conducted a further screening analysis to eliminate fromregulation any pollutant that was not present at concentrations deemed to pose asignificant public health or environmental risk On the basis of this screeninganalysis the 12 organic chemicals were exempted leaving only inorganicchemicals for regulation by the Part 503 rule The following criteria forexempting organic pollutants were used

1 The pollutant has been banned from use has restricted use or is nolonger manufactured for use in the United States

2 The pollutant has a low frequency of detection in sewage sludge(less than 5) based on data from the NSSS

3 The concentration of the pollutant in sewage sludge is already lowenough that the estimated annual loading to cropland soil wouldresult in an annual pollutant-loading rate within allowable risk-based levels

Aldrin and dieldrin chlordane 111-trichloro-22-bis(p-chlorophenyl)ethane 11-dichloro-22-bis(p-chlorophenyl)ethylene 11-dichloro-22-bis(p-chlorophenyl)ethane (DDT DDE DDD) heptachlor lindane N-nitrosodimethylamine polychlorinated biphenyls (PCBs) and toxaphene wereeliminated on the basis of criterion 1 All the organics except aldrin anddieldrin bis(2-ethylhexyl)phthalate and PCBs met criterion 2 On the basis ofagricultural application assumptions all the organics except benzo[a]pyrenehexachlorobenzene N-nitrosodimethylamine and PCBs met criterion 3 Underdifferent application scenarios some of these same organics might not meetcriterion

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 167

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3 For example EPA (1992b) noted that under scenarios for applications toforests and public contact sites toxaphene and the organics eliminated under theagricultural scenario do not meet criterion 3

Round 2 Pollutant Selection

Subsequent to the promulgation of biosolids regulations in 1993 anotherevaluation was conducted to develop a list of Round 2 pollutants to consider forregulation (EPA 1996a) As with the Round 1 pollutants EPA conducted apreliminary hazard identification followed by a risk assessment for thosecontaminants and pathways identified as potential hazards In this evaluationdegradation products of organic contaminants were assumed to be nontoxicThe list of 411 pollutants analyzed in the NSSS (EPA 1990) was the startingpoint of the Round 2 assessments Pollutants were eliminated fromconsideration if they were not detected (254 pollutants) or were detected in lessthan 10 of sewage sludge (69 pollutants) Pollutants present in more than 10of sewage sludge but with insufficient toxicity data were also eliminated fromRound 2 consideration (see Table 5ndash2) Some of these chemicals lack toxicityvalues due to a relative lack of toxicity Several pollutants were grouped intoclasses of congeners (eg PCBs chlorinated dioxins and furans)

The screening process identified 30 pollutants that had a frequency ofdetection of 10 or greater in the NSSS and that had data on human health andor ecological toxicity (Table 5ndash3) Asbestos which was not analyzed in theNSSS was added as another potential candidate for regulation because it istoxic persistent and can be in biosolids These 31 pollutants were subject tofurther analysis in a comprehensive hazard identification study The study useda mix of conservative and average value assumptions similar to those used inthe Round 1 risk assessments The aggregate exposure through more than onepathway was not assessed Analysis of a particular pathway of exposure forcertain candidate chemicals was not conducted when EPA determined thatchemical-specific data were insufficient for that pathway The result of theevaluation was that only dioxins furans and coplanar PCBs (considered as agroup) were subject to further risk assessment (EPA 1996a) That riskassessment led to a proposed standard in December 1999 (EPA 1999a) EPAsponsored a peer review of that risk assessment and proposed standard (Versar2000) On the basis of review comments and the agencyrsquos reassessment ofdioxin risks EPA decided to revise the risk assessment A peer-review draftwas released November 30 2001 (EPA 2001a) and a notice of data availabilitywas subsequently issued for public comment on June 12 2002 (EPA 2002)

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 168

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setti

ng-s

peci

fic fo

rmat

ting

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ever

can

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ome

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grap

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rs m

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TABLE 5ndash2 Chemicals Eliminated from Consideration in the Round 2 AssessmentsBecause of Lack of Toxicity DataCalcium MagnesiumDecane n- Octacosane n-Dodecane n- SodiumEicosane n- Tetracosane n-Hexacosane n- Tetradecane n-Hexadecane n- Triacontane n-Hexanoic acid YttriumIron

Source EPA 1996a

Limitations of the Assessment and Selection Process

Survey Data

Accurate data on pollutant concentrations in biosolids are crucial to theselection of chemicals to regulate under the Part 503 rule Many of the decisionsmade in the chemical selection process were based on concentration data fromthe NSSS (EPA 1990) The NSSS was an ambitious undertaking and providesthe most comprehensive data on the content of sewage sludge in the UnitedStates to date However the survey was conducted over a decade ago and thereis a need to conduct a new survey to characterize the concentrations anddistribution of chemicals now present in biosolids For example state surveydata presented in Chapter 2 show that concentrations of some of the regulatedinorganic elements have generally decreased over the past decade Furthermorethe accuracy of the NSSS data was called into question by an earlier NRCcommittee that was asked to evaluate the use of biosolids on croplands (NRC1996) That committee found inconsistencies in the surveyrsquos sampling analysesand data-reporting methods that undermined the reliability of the dataTherefore it recommended that another comprehensive survey be conducted torectify the NSSSrsquos sampling and analytical limitations To date no such surveyhas been done

Some chemicals that were undetected because of analytical problems ordetection limits that exceeded risk-based concentrations were likely eliminatedmistakenly Each of the chemicals in the NSSS was assigned a ldquodetectionlimitrdquo which was equivalent to the minimum concentration of pollutant thatcould be quantitated (EPA 1990) The detection limits are difficult to discern

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 169

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TABLE 5ndash3 Candidate Pollutants for Round 2 Regulationsa

Acetic acid (24-dichlorophenoxy) Methylene chlorideAluminumb NitrateAntimony NitriteAsbestosc PentachloronitrobenzeneBarium PhenolBeryllium Polychlorinated biphenyls-coplanarBis(2-ethylhexyl)phthalate Propanone 2-Boron Propionic acid 2-(245-trichlorophenoxy)Butanone 2- SilverCarbon disulfide ThalliumCresol p- TinCyanides (soluble salts and complexes) TitaniumDioxins and dibenzofurans TolueneEndosulfan-II Trichlorophenoxyacetic acid 245-Fluoride VanadiumManganese

aPollutants detected at a frequency of at least 10 with human health andor ecological toxicity dataavailablebAluminum does not have human health or ecological toxicity data available but is included becauseof its potential for phytotoxicitycAsbestos was not tested in the NSSS but is toxic persistent and can be in sewage sludgeSource EPA 1996a

from the NSSS data and actual detection limits for a given chemicalvaried over a wide range of concentrations among samples (Figures 5ndash1through 5ndash4) Data presented in the technical support document for the Round 2assessment (EPA 1996a) indicated that some detection limits exceeded severalhundred parts per million for some of the organic chemicals At the request ofthe committee detection limits of NSSS samples for eight chemicals four ofwhich were not detected in the NSSS (ideno[123-cd]pyrene N-nitrosodimethylamine pentachlorophenol and toxaphene) were provided byEPA (Charles White EPA personal communication February 2001) Beforeconducting a risk assessment the adequacy of the available chemicalconcentration data to support the risk assessment is typically evaluated (EPA1991) It is

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 170

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ng-s

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FIGURE 5ndash1 Detected concentrations ( ) and detection limits (times) fornondetects (as a function of solids content of sewage sludge) compared withsiol screening levels (A ingestion and dermal B inhalation) forhexachlorobenzene and mercury Source NSSS data from EPA 1990

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 171

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FIGURE 5ndash2 Detected concentrations ( ) and detection limits (times) fornondetects (as a function of solids content of sewage sludge) compared withsoil screening levels (A ingestion and dermal) for indeno(123-cd)pyrene andPCB-1254 Source NSSS data from EPA 1990

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FIGURE 5ndash3 Detected concentrations ( ) and detection limits (times) fornondetects (as a function of solids content of sewage sludge) compared withsoil screening levels (A ingestion and dermal) for toxaphene andpentachlorophenol Source NSSS data from EPA 1990

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FIGURE 5ndash4 Detected concentrations ( ) and detection limits (times) fornondetects (as a function of solids content of sewage sludge) compared withthe soil screening levels for dieldrin and the EPA Region 9 preliminaryremediation goal (A ingestion and dermal) and for N-nitrosodimethylamine(B ingestion) (EPA 2002b) Note The PRG for N-nitrosodimethylamine isapproximately 1 microgkg and could not be shown grapically on the figureSource NSSS data from EPA 1990

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current risk-assessment practice to evaluate the adequacy of analyticaldetection limits by comparing them with conservative risk-based screeningconcentrations (RBCs) For example EPA (2001b) has developed soilscreening levels (SSLs) which are based either on incidental ingestion of anddermal contact with soil or on inhalation of vapors or resuspended soilparticulates Figures 5ndash1 through 5ndash4 show chemical concentrations anddetection limits for selected chemicals in sewage sludge as a function of thepercent solids in the sample (elevated detection limits were sometimesassociated with low percent solids) These values compared with the SSLs1

show that for some of those chemicals most sample detection limits exceed thelowest SSL Thus the NSSS failed to achieve sufficient detection for four of theeight chemicals selected as examples to determine whether they were presentat concentrations requiring further evaluation in a risk assessment

Data regarding detection frequency were used to make critical decisions inRounds 1 and 2 For example chemicals were eliminated from consideration inRound 1 if they were detected at a frequency of less than 5 in the NSSS (EPA1992a) and in Round 2 if detected at a frequency of less than 10 (EPA 1996a)On a national scale a 10 elimination criterion might seem reasonablehowever because of the local use of most biosolids that criterion couldoverlook potentially significant site-specific risk

NSSS data were also used in calculating the hazard screening indexes thatdetermined whether a chemical would be evaluated in a risk assessment Forexample some organic chemicals were excluded from regulation because theirconcentrations in biosolids were already low enough and their estimated annualloading to cropland soil would result in an annual pollutant loading rate withinallowable risk-based levels EPA compared the annual pollutant loading rate(APLR) of a specific chemical based on its 99th percentile concentration in theNSSS with the annual pollutant loading concentrations calculated by the Part503 exposure assessment If the 99th percentile concentration of a pollutantresulted in an APLR less than the loading rate calculated through the risk-basedexposure assessment EPA did not regulate the pollutant However as noted bythe 1996 NRC committee the 99th percentile concentrations of four pollutants(PCBs benzo[a]pyrene hexachlorobenzene and N-nitrosodimethylamine)resulted in calculated APLRs higher than those calculated by the exposureassessment (NRC 1996) The four compounds were eliminated from regulationbecause they were either no longer manufactured

1When an SSL was unavailable the EPA Region 9 preliminary remediation goal wasused

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(PCBs and N-nitrosodimethylamine) or had a low frequency of detection in theNSSS (benzo[a]pyrene and hexachlorobenzene) If these pollutants are presentin biosolids at concentrations approaching the 99th percentile they can posemore of a risk than would be considered acceptable in the exposure assessment

Additional Chemicals of Potential Concern

A number of contaminants not included in the NSSS have since beenidentified as biosolids pollutants Some of these chemicals enter wastewaterfrom industrial releases but analyses for them are not routinely conductedwhereas other chemicals entering wastewater primarily from domestic releasesare not typically included in environmental analyses which usually focus onindustrial chemicals found at hazardous waste sites

Some categories of chemicals such as pharmaceuticals personal-careproducts and chemicals added to condition and dewater sewage sludge that areespecially likely to be present in domestic sewage remain unstudied inbiosolids Only a few studies have been conducted on the wide variety ofodorants present in sewage sludge New data described below and otherconsiderations demonstrate the need for a new hazard assessment of biosolids toexpand the suite of chemicals evaluated Some categories of pollutants inaddition to those mentioned above that should be considered in futureassessment are discussed later in this chapter in the section Organic Chemicals

The Toxics Release Inventory which tracks the release of over 600pollutants that are discharged by businesses meeting certain thresholdsdocuments that pollutants continue to be released to sewer systems fromindustrial and commercial sources Although data on a core set of chemicalstracked consistently between 1988 and 1999 show that transfers to publiclyowned treatment works (POTWs) substantially decreased (for example transferof metals decreased by 65) trend data between 1995 and 1999 indicate atransfer increase for all tracked chemicals of about 76 to POTWs withgreater increases for tracked metals2 (EPA 2001c) Over the same periodwastewater flows into sewage treatment plants and sewage sludge volumesincreased approximately 85 (calculated based on data in Appendix A of EPA[1999b])

2Transfers of tracked TRI metals increased 31 during this four-year period It shouldbe noted that the tracked metals are not the same as the inorganic chemicals regulatedunder the Part 503 rule

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This suggests that overall industrial discharges to POTWs are increasing at asimilar rate as sewage sludge volumes

Under the Clean Water Act EPA is required to review the regulations inPart 503 at least every 2 years to identify additional toxic pollutants andpromulgate regulations for such pollutants (33 USC Section 1345(d)(2)(C)) Anew hazard assessment should include review of new studies from the UnitedStates Canada Europe and elsewhere to identify additional pollutants to beevaluated In addition to evaluating more industrially used chemicalsconsideration must be given to identifying and characterizing nonindustrialchemicals that are released into sewer systems (eg pharmaceuticals andpersonal-care products) or added to wastewaters during treatment processes(eg dewatering agents)

Data Gaps

Some pollutants and exposure pathways were eliminated in the screeningprocesses and risk assessments when chemical-specific data were insufficient toperform pathway-specific calculations or when toxicity data were insufficientfor a given pollutant For example a plant uptake factor for lindane was notavailable so no assessments were conducted for any pathway that relied on thatfactor Thus the potential risks from lindane via those particular pathways werenot assessed The technical support documents for EPArsquos Round 1 and Round 2assessments do not provide a list of data gaps nor do they specify the chemicalsand pathways that were eliminated from consideration because of data gapsThe lack of that information makes it impossible to identify the implications ofthe data gaps Lack of information does not equate to lack of risk Thereforedata gaps should not be used as a criterion for eliminating chemicals fromconsideration but should be used to identify important areas for future research

In conclusion new studies of the contaminant concentrations in biosolidsshould include evaluation of pollutants such as surfactants flame retardantsand pharmaceuticals not included in previous surveys Biosolids should bemonitored periodically as new pollutants are identified and analytical methodsimproved As analytical methods are identified risk-based screeningconcentrations should be used to ensure that detection limits are adequate tosupport risk assessment Use of a lower frequency of detection to eliminatecontaminants from regulation should be considered Data gaps that result in theinability to assess risks need to be identified so that research can be conductedto fill those gaps

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EXPOSURE ASSESSMENT

As described in Chapter 4 exposure assessment is the identification andquantification of potential exposures For exposure to chemicals to occur acomplete exposure pathway must exist A complete pathway requires thefollowing elements (EPA 1989)

bull A source and mechanism for release of chemicalsbull A transport or retention mediumbull A point of potential human contact (exposure point) with the affected

mediumbull An exposure route at the exposure point

These elements are typically identified in a conceptual site model If anyone of these elements is missing the pathway is not considered complete Forexample if human activity patterns and the location of human populationsrelative to the location of an affected medium prevent human contact then thatexposure pathway is not complete One of the primary differences between thePart 503 rule risk assessment and current risk-assessment practice is that thePart 503 rule risk assessment derived separate risk-based levels for eachindividual exposure pathway evaluated whereas current practice is to performaggregate risk assessments in which risk-based standards are derived afteraggregation of exposures by all pathways to which a single individual is likelyto be exposed

EPA has used a conceptual site model in a new analysis of risks associatedwith dioxins in biosolids (EPA 2001a) The conceptual site model used by EPAfor agricultural application is shown in Figure 5ndash5 A number of importantassumptions that may be questioned are embedded in such a model (eg thenotion of the buffer zone) However this figure provides an example of how aconceptual site model illustrates the mechanisms by which contaminants inbiosolids are transported from the site of application to a point of contact with ahuman receptor For each category of receptor identified exposures from allidentified pathways are summed to provide an estimate of total exposures

This section reviews the approach used by EPA to select exposurepathways for the Round 1 Part 503 rule risk assessment describes current EPAexposure-assessment procedures (focusing on multipathway risk assessment)and then attempts to assess the implications of the differences in current versushistorical approaches The final section reviews and compares the historical andcurrent exposure assumptions for pathway-specific parameters and examinesmethodological issues for derivation of some chemical-specific parameters

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Summary of Approach Used to Select Exposure Pathways

The Part 503 risk assessment evaluated 14 exposure pathways 9 of whichincluded human pathways (Table 5ndash4) The human exposure pathways considerdirect ingestion of biosolids by a child ingestion of produce grown on biosolids-amended soil by either a home gardener or consumers buying the produce instores ingestion of animal products derived from livestock exposed via food orsoil ingestion inhalation by a farmer of dust or inhalation of vapors containingchemicals released from biosolids-amended soils and ingestion of fish andwater affected by release of chemicals from amended soils Although thesepathways may include the primary exposure pathways for a resident nearbiosolids-amended fields EPA did not identify a single common receptor andcalculate exposures in such a way that exposure via multiple pathways could beadded The conservatism in the exposure assumptions varies widely in the Part503 rule risk assessment The variability in the conservatism of the assumptionsfor the various pathways results in the highest risks being associated with thepathway with the most conservative assumptionsmdashthat is the child ingestingundiluted biosolidsmdashrather than the pathways most likely to contribute toexposures A more robust assessment of potential exposures to contaminants inbiosolids would be provided by an aggregate assessment of total exposuresfrom all pathways that a single receptor is likely to encounter Although it islikely that one or two pathways will be the dominant contributors to exposurefor any one chemical the dominant pathways may vary with chemicals and arenot always correctly predicted before conducting the risk assessment

Description of Conceptual Model and Exposure ScenarioApproach

For each biosolids-application scenario being evaluated a conceptualmodel should be developed to describe the scenarios under which exposurescould occur Agricultural forestry and land-reclamation applications may allresult in somewhat different conceptual models A conceptual site model shouldidentify the biosolids source (eg biosolids tilled into soil or applied to thesurface for agricultural soils) the pathways by which biosolids constituents maybe released and transported and the nature of human contacts with theconstituents The limitations of the assessment should be clearly articulated(eg whether exposures are evaluated only after land application) and anyexclusion of exposures associated with processing and transporting biosolidsshould be reported

The conceptual site model developed for the risk assessment for dioxins inbiosolids (EPA 2001a) provides an illustration of this approach for the

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agricultural application scenario Although some of the assumptions of thesite model are open to question the model is clearly laid out The dioxin riskassessment examines exposures of two primary kinds of human receptors afarm family living adjacent to and downhill from the land-application site (in anarea termed a buffer) and a recreational fisher catching fish from a streamdownhill from the land-application site For the farm family aggregateexposures by the following pathways are assessed

bull Incidental ingestion of soil in the bufferbull Ingestion of above- and below-ground produce grown on croplandbull Ingestion of beef and dairy products from a pasturebull Ingestion of home-produced poultry and eggs from the bufferbull Inhalation of ambient air (particulates and vapor)bull Ingestion of motherrsquos milk by an infant

Only chronic exposures to dioxins are evaluated and one pathway(groundwater ingestion) considered in setting the Part 503 standards isexcluded The inclusion of some pathways and exclusion of others in thisfocused risk assessment reflects both assumptions about the exposure such asthe absence of a farm pond used for fishing and the expected behavior of thechemicals being evaluated Dioxins dibenzofurans and coplanar PCBs arepersistent lipophilic chemicals that are expected to partition into meat eggs andmilk but are not expected to leach to groundwater Similarly the focus onchronic exposures is appropriate for persistent chemicals present in biosolids inlow concentrations

In developing a conceptual site model that could form the foundation for amultipathway risk assessment for a great variety of chemicals it is necessary tothink more broadly about the exposure pathways and exposure durations to beevaluated Consequently groundwater ingestion and short-term exposures tovolatile chemicals should be included in a biosolids risk assessment Similarlydifferent application practices such as forestry land reclamation or directapplication of biosolids to home gardens by consumers would require separateconceptual site models

Evaluation of Exposure Models and Parameters

Estimation of potential exposures to chemicals for the purpose of derivingrisk-based concentrations requires theoretical calculations based onunderstanding how people come into contact with chemicals in environmentalmedia and how chemicals move among various environmental media Thesecalculations include assumptions for many parameters beginning with fate and

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transport models for predicting chemical concentrations in the exposure mediaSome of the assumptions for each of the pathways evaluated in the Part 503 rulerisk assessment are presented in Table 5ndash5 Working backward from landapplication of biosolids it is necessary to predict chemical concentrations insoil in plants grown in the soil in livestock grazed in the fields or fed foragefrom the fields and in other media identified in the various exposure pathwaysOnce chemical concentrations in the exposure media are estimated assumptionsmust be made about the values of other parameters that control the degree ofexposure to the media Some of these parameters are specific to the exposurepathway being evaluated For example to evaluate incidental ingestion ofchemicals in soil an assumption must be made about the amount of soil aperson will ingest Other parameters are chemical specific such as the relativebioavailability of a chemical in soil

In addition several management requirements in the Part 503 rule couldaffect predicted chemical concentrations in exposure media The riskassessments assume compliance with those requirements Managementrequirements and compliance with them are discussed in more detail inChapter 2 The committee found that EPA does not have an adequate programfor ensuring compliance with those requirements Some of the criticalmanagement practices and assumptions are discussed in Box 5ndash1

As discussed in Chapter 4 there have been several important advances inrisk assessment since the Part 503 rule was promulgated One of the mostsignificant advances in exposure assessment has been the development ofprobabilistic risk assessment methods that provide a quantitative description ofvariability and uncertainties in exposure estimates (EPA 2001d) EPArsquos mostrecent risk assessment for dioxins in biosolids (EPA 2001a) includes bothdeterministic and probabilistic risk assessments In the following sections themethods and assumptions used to identify exposure parameters in the Part 503rule risk assessment are reviewed in light of those advances The assumptionsmake use of scientific data and knowledge but policy decisions are inherent inmaking choices about what estimates to use While general issues related toexposure parameters are addressed specific values are not recommendedbecause such values must be identified in the context of the risk assessmentbeing conducted Similarly no recommendation is made regarding usingdeterministic or probabilistic approaches because the relative utility of theseapproaches varies (EPA 2001d)

HEI Receptor Versus RME Receptor

One of the most critical policy decisions in conducting the biosolids riskassessments was the decision to use the highly exposed individual (HEI) as the

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EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 184

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BOX 5ndash1 MANAGEMENT PRACTICES AND ASSUMPTIONS

Management Practices

bull Biosolids shall not be applied to land if it is likely to adversely affect athreatened or endangered species or its designated critical habitat

bull Biosolids cannot be applied to flooded frozen or snow-covered land insuch a way that bulk biosolids enter a wetland or other waters of theUnited States unless allowed in a permit The implementation of thisrequirement is unclear

bull A 10-meter setback from watercourses is required for biosolids notmeeting Class A and vector attraction reduction requirements andpollutant-concentration limits

bull Regulations require that bulk biosolids be applied to agricultural fieldsforests and public contact sites at a rate equal to or less than thenitrogen-based agronomic rate This requirement also applies toreclamation sites unless otherwise approved by the permit authority Itis not applicable to bagged products or bulk application of Class Abiosolids meeting pollutant-concentration limits

Management Assumptions

bull EPA (1992a) states that surface application is normally limited toslopes of 6 or less to reduce surface runoff That is not arequirement and how or whether that slope limitation was used in thebiosolids risk assessments is unclear

bull Field storage of biosolids at the site of land application is a commonpractice that is allowed under the Part 503 rules Recognizing thepotential for stockpiling and field storage to cause problems includingodors EPA developed nonregulatory guidance (EPA 2000a) The Part503 risk assessments and rules do not address stockpiling

bull Tile drains (drainage pipes installed at shallow depths in agriculturalfields) are common in some portions of the United States Designed todry out soils these drains provide conduits for the rapid movement ofcontaminants from land-applied biosolids into surface waters The Part503 risk assessments and rules did not consider the potential for thistype of exposure

bull Different methods of biosolids application are not addressed and mayhave different implications for risks particularly those associated withairborne emissions

receptor of concern (EPA 1992a) The HEI is an individual who remainsfor an extended period at or adjacent to the site where maximum exposureoccurs Current practice is to use a reasonable maximum exposure (RME)receptor EPA (1989) specifies that calculation of the RME in a deterministicrisk assessment requires a combination of average and upper-bound values forvari

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ous exposure parameters so that the final exposure estimate will be an upper-bound exposure with a reasonable expectation of occurrence This calculation iscommonly interpreted to be a 90th to 95th percentile of exposures for eachpathway For some exposure pathways the use of more than one or two upper-bound exposure parameters might result in exposure estimates with noreasonable expectation of occurrence Thus the impact of multiple conservativeassumptions must be evaluated carefully For probabilistic risk assessmentrisks corresponding to the 90th to 999th percentiles of the risk distribution areconsidered plausible high-end risks for selection of the RME (EPA 2001d)However EPA notes that very high percentiles may be numerically unstableand should only be used if reproducible

The goal of the Part 503 rule is to establish pollutant limits that areprotective of reasonably anticipated adverse effects But this standard should beapplied to all settings to all biosolids and to all land-application practices thatare reasonably anticipated to occur That goal necessitates assessing risks underthe most sensitive exposure setting that is likely to occur For example a farmfamily living near a land-application site may produce much of their own foodand have exposures via multiple pathways In addition parameters that arelinked should be identified and those links should be maintained throughout therisk assessment For example in the revised risk assessment for dioxins inbiosolids (EPA 2001a) dioxin and PCB congener data were linked withinsamples and those links were maintained throughout the probabilistic riskassessment

Determination of Chemical Concentrations in Exposure Media

Most of the exposure pathways evaluated by EPA require that chemicalconcentrations be estimated in one or more exposure media The exposuremedia for which concentrations were estimated in the Part 503 rule riskassessment are soil plants livestock airborne dust vapors surface water fishand groundwater Estimates of chemical concentrations in those media arebased on a number of assumptions such as assumptions about chemical fateand transport This section reviews one of the more important assumptionsabout chemical fate (mass balance and distribution of contaminants) andevaluates EPArsquos approach to estimating concentrations in environmental mediaSpecial emphasis is given to the determination of soil and plant concentrationsThis section is followed by a brief assessment of assumptions about humanintake parameters

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Mass Balance and Distribution of Contaminants

For pathways involving exposure via surface water air or groundwater(Pathways 12ndash14 Table 5ndash5) losses of pollutant mass from soil due topartitioning to other media are assumed by EPA For example pollutant masslosses from soil are assumed to occur to surface water through erosion to airthrough volatilization and to groundwater through leaching For organicchemicals it is assumed that degradation occurs and that degradation productsare nontoxic an assumption that is not universally true In assessing risk viathese pathways the assumption is made that pollutant mass is conserved Thusfor example the amount of a pollutant in sediment eroded from a site isadjusted to account for the amount that is predicted to be removed because ofleaching degradation and volatilization Many of these estimates are based onmodels that make a number of assumptions on scant data resulting in a highdegree of uncertainty For example data on partition coefficients for specificchemicals were based on a single study of only one type of biosolids (seediscussion below)

Soil Concentrations

Most of EPArsquos exposure pathways begin with estimated soilconcentrations resulting from the mixing of biosolids into soil the exceptionsbeing Pathway 3 (inadvertent direct ingestion of biosolids) and Pathway 5(biosolids applied to pastures and not mixed with soil) Consequently theaccuracy of the exposure assessment is highly dependent on the accuracy of thepredicted soil concentrations These predictions are based on assumptionsregarding the incorporation of biosolids into soil and the depth of theincorporation chemical retention in soils and the frequency duration andloading rates of application

Incorporation In exposure scenarios in which biosolids are incorporatedinto soil EPArsquos risk assessment assumed a tillage depth of 15 centimeters (cm)The revised dioxin risk assessment assumes 20 cm (EPA 2001a) However 10cm has been proposed as a more realistic figure when biosolids are incorporatedby disking rather than plowing (Versar Inc 2000) and for home gardens handtillage could be shallower than 15 cm Surface application withoutincorporation is typical in some scenarios such as pasture-land application orconservation tillage

Retention Inorganic chemicals in biosolids were assumed to stay in soilfor all pathways except Pathways 12ndash14 where a mass-balance approach was

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used to predict soil concentrations Retention or release of metals and organiccontaminants in soils is highly dependent on the characteristics of thecontaminants the mineralogical composition of the biosolids and the soil towhich it is applied and the pH wetting and drying and ionic strength of thesoil solution

Soils that are sandy and that contain low amounts of clay and organicmatter (eg those in the Atlantic Coastal Plain Region) will have less capacityto retain metals and organic chemicals than those that have high amounts ofclay and organic matter The latter soils are often accompanied by metal oxidecoatings electrostatically bound to the clay minerals and organic matterenhancing the soilrsquos ability to retain contaminants In higher clay and organic-matter soils metals and organic chemicals can be strongly bound and resistantto release into groundwaters Organic matter is especially important in theretention of organic contaminants

In many instances an ldquoagingrdquo effect is observed with metals oxyanionsand organic chemicals in soilsmdashthat is the longer the time of contact betweenthe contaminant and the soil the more sequestered the contaminant It is welldocumented that with many organic chemicals the release of the chemical andits bioavailability is greatly diminished as time in soil increases (Alexander2000 Pignatello 1999 Young et al 2001) The aging effect with organicchemicals has been largely ascribed to interparticle diffusion into the organicmatter of the soil The aging effect has also been observed with such metals ascadmium zinc cobalt and nickel (Barrow 1998 McLaren et al 1998 Scheckelet al 2000) This effect has been attributed to diffusion into the inorganiccomponents of the soils inner-sphere complex interactions and surfaceprecipitation It should not be assumed that the aging effect precludes release ofchemicals from soil For example certain metals including cadmiummolybdenum and zinc show continued availability for plant uptake frombiosolids-amended sites despite aging (McBride et al 1997 McGrath et al2000 Broos et al 2001)

The aging effect must be considered when predicting the fate ofcontaminants in biosolids in soils and waters Traditionally partitioncoefficients (Kps) are based on a 24-h reaction time however if the rates ofretention and release are slow and a residence time effect is pronounced the Kpvalues can be greatly underestimated when a 24-h reaction time is assumed inthe calculation Consequently the mobility of the contaminant would beoverpredicted

Application Rates and Duration The Part 503 rule addresses severalapplication scenarios including agricultural use silvicultural use and landreclamation Different biosolids-application techniques are used in thesescenarios and can affect the resulting contaminant concentrations in soils Forexample the rate of application at reclamation sites is usually much higher

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TABLE 5ndash6 Estimated Biosolids Application Rates for Different Scenarios

Scenario Number ofObservations

MeanApplicationRate (metrictonshay ofDW)

StandardDeviation

75thPercentile(metrictons hayof DW)

Agricultural 87 68 105 16Forest 2 26 26 34Public contact 11 19 122 125Reclamation 7 74 148 101

Abbreviation DW dry weightSource EPA 1992b

than that at agricultural sites although reclamation applications typicallyinvolve one-time or limited-time applications rather than repeated applicationsEstimates of application rates were based on data from the NSSS (EPA 1990)and are presented in Table 5ndash6 The number of applications before regulatorycumulative pollutant loading rates are reached at these application rates isapproximately 13 32 55 and 100 years for reclamation public contact forestand agricultural uses respectively (EPA 1992a) EPA based its chemicalstandards on the scenario of biosolids application to agricultural land for 100years which was considered applicable to the other types of land applicationsthat would not occur as routinely or for as long a duration

Plant Concentrations

Plant uptake of metals from biosolids-amended soils is another importantfactor in several of the exposure pathways To determine plant uptake EPA(1992a) derived plant uptake coefficients (UCs) for each pollutant A UC is theuptake-response slope of a pollutant in plant tissue for each food group and isestimated by the increase in pollutant in plant tissue for each kilogram ofpollutant added to the soil from biosolids Five main steps were used to estimateUCs (1) the primary literature was reviewed and evaluated (2) the relevantdata were compiled in a database (3) the uptake slope for each study wascalculated by linear regression of the concentration of the pollutant in planttissue against the application rate of the pollutant (4) the plants were placed incategories (eg leafy vegetables and garden fruits) and (5) the uptake slope ofeach plant group was calculated for each pollutant by using the geometric meanof the uptake slopes from relevant studies

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The likely concentrations of the pollutant in food groups were thencalculated for the risk assessment by using information on the amount of soilcontamination and the UC Data for those calculations were derived from threecategories of studies (1) field studies of biosolids (2) non-field studies ofbiosolids (greenhouse or potted) or field studies with biosolids spiked withadditional metals and (3) studies of metal salts metal-contaminated soils ormine tailings Obviously the first category of studies was the most relevant tothe risk assessments Studies have unequivocally demonstrated that greenhouseor potted plants and added inorganic metal salts do not mimic the characteristicsof metals within biosolids Such studies are irrelevant to real land application ofbiosolids For the metals regulated on the basis of human health the UCs werebased on field studies for cadmium field and nonfield studies for selenium andmercury and primarily studies of metal salts metal-contaminated soils or minetailings for arsenic

Factors affecting the estimates of UCs and limitations in the UCs selecteddue to the variation in bioavailability of metals to plants in different situationsare discussed below

Plant Response to Metals Some field-plot experiments with biosolidsshow that plant concentrations of some metals do not increase with high rates ofbiosolids application (Corey et al 1987 Mahler et al 1987 Chancy and Ryan1994) EPA (1992a 1995) attributes that observation to the binding of metalsby biosolids and uses it to support the concept of a plateau response in plantuptake (The rate of pollutant uptake by plants in the biosolids-soil mixturedecreases with increasing biosolids loadings because adsorptive materials inthe biosolids become as important as or more important than the adsorptivematerials initially in the soil) One of the main limitations of the availabledatabase is that the data are insufficient to separately characterize the changes inuptake with the metal concentration at a constant biosolids loading rate ascompared with the changes in uptake with increasing biosolids loadingAccurate prediction of plant concentrations requires both characterizations

EPA used a linear-response rather than a plateau-response assumption forthe low biosolids loading linear portion of the uptake curve in its riskassessments because it was a conservative approach and assumed that the linearresponse would overestimate pollutant uptake by plants EPArsquos assertion thatmetals bind to biosolids and are thus less available for plant uptake should bevalidated using the latest direct molecular scale techniques That assumptiondoes not consider the extent to which the proposed binding is reversible (Bell etal 1991) If soil conditions and land use change such as the soil acidifyingwhen organic matter decays uptake could increase (Heckman et al 1987Mulchi et al 1987ab Bell et al 1988 Adamu et al 1989 Chaney

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1990) although this was not the case for cadmium uptake by lettuce after 13ndash15 years in one experiment (Brown et al 1998) Other researchers believe thatthe plateau effect could be due to plant physiological factors rather thanattenuation due to biosolids chemistry (Hamon et al 1999) If that is the casethe conservatism of the linear assumption will depend on the metalconcentration at the plateau as compared with the concentration used in thebiosolids standards For example Sloan et al (1997) show some evidence ofcurve linearity in uptake of cadmium by lettuce above about 8 mgkg ofcadmium in soil

EPA pointed out that the linear approach underestimates the UC at lowconcentrations As the metal concentrations in biosolids have been reduced andresult in low-end concentrations in soil EPArsquos approach may underestimateuptake Thus any further risk assessment should focus on plant uptake over thelikely loading rates and range of soil concentrations resulting from biosolidsapplications in practice In addition other explanations for a plateau effectshould be investigated For example higher rates of biosolids application mighthave other effects such as increasing soil pH or enhancing plant growth whichresults in the ldquogrowth dilutionrdquo effect on metal concentrations

Many studies on plant uptake of metals have been published since the riskassessments were conducted for the Part 503 rule Some of the most relevantstudies to review are those of Sauerbeck and Luumlbben (1991) McGrath et al(2000) Chang et al (1997) Logan et al (1997) Sloan et al (1997) Brown etal (1996 1998) and Chaudri et al (2001)

Older data on trace elements in soils and plants must be carefullyevaluated as most of those data were derived using analytical methods that hadhigher detection limits than those that are characteristic of methods used todayError in crop analyses of low-concentration cadmium mercury and lead is welldocumented (Tahvonen 1996) Those errors may be associated with the highvalues observed in crops grown on some control plots used for UC calculationsin the EPA database Erroneously high values for controls have the effect ofdecreasing the slope of the UC Real UCs may be higher if accuratemeasurements on control plots are used (McBride 1998)

Finally the observed concentration in plant materials used as foodincluding both above-and below-ground produce is assumed in the abovestudies to be derived from actual uptake into the tissues However dust and soilparticles can be deposited on plant surfaces by wind harvesting and soilldquosplashrdquo after rain In the case of metals especially those that are relativelyinsoluble in soil these particles may become included in the plant tissue (Preeret al 1984) This ldquoentrapmentrdquo can be a substantial proportion of theconcentration of leafy or root vegetables (eg up to 5 of dry weight of leafygreens may be soil particles) (Cary et al 1994) Although these particles maynot be

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 192

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strictly taken up into the tissues they strongly adhere and are not efficientlywashed off during food preparation Consequently the metals in soil embeddedin plant tissue will be included in estimated plant metal concentrations

Exposure to Plants In the database used by EPA (1992ab) to deriveUCs some experiments have concentrations measured in the topsoil of eachexperimental rate whereas others were not measured and only the loading ofmetal added to the soil was recorded EPA used metal loading rates to calculateplant uptake of metals for all studies necessitating conversion to loadings forthose with concentrations given by multiplying the concentration by the weightof topsoil The studies that gave loading rates rather than soil concentrationshave several problems associated with their use First loading assumes that allthe metals remain on the plot for the duration of the experiment Thatassumption ignores two factors leaching losses (McBride et al 1997 1999Barbarick et al 1998 Richards et al 1998) and physical movement of soillaterally due to cultivation Both factors have the effect of decreasing the actualconcentrations of metals that plants are exposed to and make the plant uptakeslopes less steep Only those studies in the database for which actual soilconcentrations were recorded avoid this underestimation Second in the mainlyshort-term experiments that constitute the majority of the evidence plant rootsrespond to the concentration of metals in their environment and not to loadingrates That factor is important for assessing exposure For example in the short-term studies typical of the experiments used for the risk assessment if biosolidswere surface applied and not incorporated into the soil the roots might not havebeen exposed to the full metal concentration Alternatively if the biosolids wereploughed deeper than the assumed 15 cm crop roots would be exposed to asmaller concentration than anticipated

Soil concentrations of metals are therefore better estimates of exposure toplants than loading rates However several additional factors must be taken intoconsideration when using soil concentrations or loadings The rate at whichmetal concentrations in experimental field plots decrease due to cultivation anddispersion is proportional to the plot size the repetition of application thenumber of cultivations and the amount of control soil surrounding each plotand the difference in concentration (Sibbesen and Andersen 1985 Sibbesen etal 1985 Sibbesen 1986 McGrath and Lane 1989 Berti and Jacobs 1998 Sloanet al 1998) If a metal is added once or only on a few occasions theconcentration within the original treated area declines particularly rapidly withincreasing number of cultivations on small experimental plots (McGrath andLane 1989 Berti and Jacobs 1998) Decreasing metal concentrations in soilshave the effect of making the dose-response curve for plant uptake steeper asillustrated in Figure 5ndash6 The data in Table 5ndash7 show

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 193

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FIGURE 5ndash6 Effect of dilution of soil zinc concentration by cultivation Datafrom Table 5ndash7

that 5050 mixing of a biosolids-treated soil results in a plant uptake slopethat is twice that when cultivation effects are ignored

Another effect of mixing due to cultivation is the increase in metalconcentrations in nearby control plots That effect might be another explanationfor the unusually high concentrations of metals in plants from some of thecontrol treatments in the database Lack of proper controls may have madesome of the reported UC curves shallower and underestimated the real UCvalues (McBride 1998) This may not be as important in the few experimentsthat used large treatment plots (eg 30times73 meter plots used by Sloan et al[1998])

Calculations Two basic methods were used for calculating plant uptakeslopes

1 For studies in which one metal application rate and one plant tissueconcentration were given the following algorithm was used

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 194

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TABLE 5ndash7 Effect of Soil Mixing on Actual Soil Concentrations Due to Cultivationof Field Experimental Plots

Biosolids rate 1 Biosolids rate 2Metal in plant (mgkg of dry weight) 44 56Soil (mgkg) calculated from the loadinga 75 300Soil (mgkg) actualb 575 170

aLoadings 150 and 600 kgha both divided by 2 to account for mixing to 15 cm in soil of 133density (EPA 1992a) UC=12(300`75)=005bLoadings assumed to be 5050 mixed with surrounding control soil with 40 mgkg backgroundconcentration so actual concentrations (75+40)2=575 and (300+ 40)2=170 UC=12(170`575)=011

2 For studies in which multiple application rates and tissueconcentrations were given the slope was determined by least-squares linear regression

The first method is not an accurate method of measuring an uptake slopeas a full response curve is not used The second method also has problems Forexample using data on cadmium in spinach EPA fitted a linear function forfive data points The ldquobest-fitrdquo line for those data points resulted in an interceptfor cadmium at nearly 10 mgkg in spinach The control (no biosolids added)was in fact only 5 mgkg The effect of that difference is to make the UC slope040 (less steep than if the four data points had been treated separately in thesame way as the single-point UC calculations) resulting in UCs of 175 175075 and 045

EPA grouped crop species into seven categories and used the geometricmean of all available UC data on metals from field experiments for each ofthose crop groups There are a number of reasons why the geometric mean maynot be the appropriate statistic to use to represent these data In many cases anarithmetic mean will best approximate exposure for use in risk assessment EPAshould reexamine the statistic used to represent the UC after considering therisk assessment goals (ie identifying a reasonable maximum exposure [RME])and the causes of variation in the data set The number of data points used byEPA to determine the geometric mean UC value varies significantly for eachpollutant with only four points available for arsenic and 167 available forcadmium Data included a range of study conditions including varied pHObviously if the data set is very small the causes of variation will be difficultto elucidate However for the large data sets such as the one for cadmium amore sophisticated evaluation of the causes of variation should

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 195

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be possible and should be used to derive the most appropriate statistic for therisk assessment

Within a category such as leafy vegetables results were not weightedaccording to the fraction of diet Thus for example cadmium uptake into leafyvegetables constitutes a major component of the potential dietary dose ofcadmium Data on crucifers compose a high proportion of the available data yetmost diets contain a lower fraction of crucifers than lettuce The UC forcadmium into crucifers is generally much lower than the UC for lettuce Thustaking the geometric mean of available data gives greater weight to the lower-UC crucifers than lettuce Weighting the UCs by the fraction of diet would givea more representative UC for dietary exposures

Environmental and Crop Considerations A variety of environmentalfactors affect contaminant bioavailability including soil organic matterbuffering capacity oxide content pH temperature and rainfall In additiondifferent crops and even different cultivars of the same crop type vary greatly intheir tendency to take up pollutants from the soil That variation highlights theimportance of considering regional variations in environmental conditions andcrop types when assessing plant uptake assumptions for national applications

EPA recognized that soil pH has a significant influence the uptake ofmetal cations generally being higher at lower pH and the uptake of such anionsas arsenate and molybdate being higher at higher pH EPA also indicated thatthe data set considered included studies with pH as low as 45 However pHdifferences between untreated controls and biosolids-treated plots might also beanother contributory reason for the apparent plateau effect in the relationshipbetween loading and crop uptake Compared with control soil pH biosolids soilpH frequently increases after initial application of biosolids especially whenlime is part of the treatment process However that effect does not persist andpH can fall by 1ndash15 units because of leaching of cations and the mineralizationof the added organic matter (Chaney et al 1977) In the database the durationof many of the experiments is restricted to a few years after biosolids areapplied and that might also underestimate the UC slopes for many metals

EPA stated that agricultural biosolids-applied soils rarely have a pH below55 That is true but taking the median calculated UC from the data collectedtends to have the effect of biasing the effective UC to the near-neutral pH range(Stern 1993) Because the risk assessment does not take into account pH andinstead sets allowable loading for all soils this approach relies on the practiceof maintaining pH at near neutral values for crop production reasons

Cadmium zinc and chloride in soil have important effects on crop uptakeand consequences for human or animal nutrition (Chaney et al 1998 Reevesand Chaney 2001) Zinc in soil has a competitive effect on cadmium uptake

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 196

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by crops thus reducing cadmium uptake whereas chloride ions (present insaline soils or derived from irrigation water) preferentially increase cadmiummobility and crop uptake compared with zinc (McLaughlin et al 1994 Chaneyet al 1998) In earlier experiments that were used in the original risk assessmentdatabase zinc was of course present when cadmium uptake was studied

Livestock Concentrations

EPA used assumptions about transfer of pollutants from biosolids tolivestock and resulting human exposures to contaminants in meat organ meatpoultry dairy products and eggs in its screening process for identifyingpollutants to regulate and in its risk assessments for Pathways 4 and 5 (humanconsumption of animal products affected by chemicals taken up into foragefrom biosolids or by direct ingestion of biosolids) It is not clear why these twopathways were not combined to estimate chemical concentrations in livestockbecause of both soil ingestion and plant ingestion A much more appropriateintegrated approach was used by EPA in the revised risk assessment for dioxinsin biosolids (EPA 2001a) and in the dioxin reassessment (EPA 2000b) Thisapproach developed by Fries and Paustenbach (1990) involves the predictionof chemical concentrations in livestock based on the proportions of soil grassand feed in dry-matter intake

In the initial screening process to select contaminants for detailed riskassessment biosolids intake by livestock was assumed to be 5 of diet(presumably dry matter) even though intake could be 10 from a combinationof adherence to forage crops and direct ingestion of treated soil (EPA 1985) Inthe pathway-specific risk assessments used to develop the Part 503 rule EPA(1992a) assumed that 15 of a grazing animalrsquos diet is biosolids That valuewas based on the assumption that biosolids are applied to pasture once every 3years and that biosolids intake is 25 of diet in the year of application and 1in the other 2 years

Assumptions about pollutant intake due to biosolids should be based onestimated pollutant concentrations in soil pollutant uptake into crops soilintake by livestock and the relative bioavailability of the pollutant in soilrelative to the bioavailability in forage The proportion of biosolids in ingestedsoil is variable depending on the type and form of biosolids applicationclimate grazing habits percent of time spent in pasture percent of diet obtainedfrom pasture season and management conditions Soil ingestion by cattlefeeding on pasture can range from 1 to 18 of the diet depending on thegrowing season and climate (Fries 1995) and sheep might ingest as much as30 depending on the seasonal supply of grass and grazing management

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 197

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(Thornton and Abrahams 1983) On average soil is estimated to comprise about6 of the total dry matter intake of most grazing stock (Fries 1995 Wild et al1994) In risk-assessment documents EPA (1998 2000b 2001a) assumed thatsoil ingested by cattle averages 4 of diet dry matter and soil ingested by dairycattle averages 2ndash3 of diet because dairy cows spend less time in pasture Foruptake of pollutants from soil into animal tissue a relative bioavailability factoris needed to adjust for differences in the relative bioavailability of a chemical insoil as compared with that in forage In 1998 EPA suggested using a defaultassumption of 1 (no difference in bioavailability) in the absence of morespecific supporting data In risk assessments for dioxins (EPA 2000b 2001a)default values of less than 1 were used (eg 065 for the relative bioavailabilityof dioxins in soil to cattle) In the Part 503 rule risk assessment bioavailabilitywas calculated as the geometric mean of values obtained from researchliterature The appropriate statistic to use should be selected in the context ofcharacterizing RME exposures

In addition to direct ingestion of biosolids applied to soil biosolids sprayedonto forage adhere to plant surfaces It is important that pollutants in biosolidssprayed onto and adhering to crops be included in the forage chemicalconcentrations

Air Concentrations

Exposure to biosolids pollutants in air is considered in Pathway 11(airborne dusts) and Pathway 13 (volatilization from soil) Critical parametersthat influence air concentrations of pollutants such as wind velocity andtemperature should be reconsidered EPA (1992a) used a ldquotypicalrdquo windspeedof 45 ms in its risk assessments but data from the National Oceanic andAtmospheric Administration (NOAA 2000a) show that at 115 of 275 locationsin the United States for which long-term data are collected average annualwindspeeds exceed 45 ms For air temperature EPA used a national annualaverage of 15degC but average daily temperatures are higher than that forapproximately one-third of the United States (NOAA 2000b) The revised riskassessment for dioxins in biosolids (EPA 2001a) addressed regional differencesby relying on a database that divides the country into 41 distinct regions on thebasis of climate and other factors Meteorological data from each region wereused in the risk assessment to predict a distribution of annual average airconcentrations Whether average values are appropriate in assessing risks issubject to question however the use of regional data as part of a probabilisticassessment is a useful approach

Biosolids are generally spread during the growing season and not underwinter conditions Therefore warmer temperatures and higher rates of volatil

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 198

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ization would be expected at the time biosolids are applied This issue will beparticularly important in the valuation of short-term exposures For theseexposures risks posed under high-wind and high-temperature conditions shouldbe assessed

Surface-Water Concentrations

Calculations of the concentration of contaminants in surface water rest onseveral assumptions including watershed ratio contaminant load fromsediments and dilution EPArsquos risk assessment for Pathway 12 (human drinkingwater and ingesting fish from surface water contaminated by biosolids) assumedthat the biosolids-amended area is 1074 ha which is based on data from theNSSS (90th percentile for the size of agricultural areas used by publicly ownedtreatment works) The water body for which risks were assessed was assumedto have a watershed of 440300 ha (mean watershed size for the United States)an area greater than the size of Rhode Island and representing a fifth- to sixth-order stream Only 024 of the watershed is thus assumed to receive biosolidsEPA (1998) protocol suggested that the impacts on farm ponds be assessedbecause the farm family might be exposed through fishing and swimming Inthe EPA (2001a) reassessment of risks for dioxins in biosolids a much smallerthird-order stream was assumed and chemicals were assumed to enter thestream via wet and dry deposition from air and via runoff and erosion from thelocal (farm with agricultural fields and a buffer zone) and regional watershedsIt is not clear however what proportion of the watershed was assumed toreceive biosolids

In the original assessment of exposures from surface water EPA assumedthat the entire watershed is agricultural and that soil loss is the same throughoutthe watershed It is also assumed that all pollutants in the receiving stream arefrom biosolids and that no other pollutants enter the stream For a watershed aslarge as that postulated significant portions are likely to be forested areas thathave lower erosion rates than agricultural areas and other areas will be pavedincreasing storm runoff and erosion Thus a higher proportion of the sedimentin receiving water would be from agricultural areas including those amendedwith biosolids For a large watershed other sources of pollutants would beexpected

The Part 503 rule risk assessment used an average soil loss estimated fromagricultural lands of 85 metric tons (mt)ha-y This rate appears to be low asthe average annual soil loss has been measured to be 357plusmn564 kgsquaremeters and loss of 85 mtha-year was below the 50th percentile for measuredrates (Risse et al 1993) Sand was used as a worst-case soil type in the Part 503risk assessment Although sand would be a worst case for leaching it

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 199

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would not necessarily be that for erosion (Brady and Weil 1999) Also noconsideration was given to heavy rainfall events Many of these issues could beappropriately addressed by using a probabilistic surface-water model

In estimating the amount of pollutant available via surface water the totalconcentration in biosolids is reduced by estimating the fractions lost throughleaching volatilization and degradation (see earlier discussion of massbalance) The eroded material thus adjusted is assumed to be biosolids dilutedwith soil because of tilling into the top 15 cm of soil For surface applicationsuch as that on pastures or in conservation tillage scenarios that assumptionwould not be valid In the draft revaluation of dioxins in biosolids EPA (2001a)assumed that over time biosolids are mixed with the top 2 cm of soil inpastures however it is not clear whether or how this assumption wasincorporated into the runoff and erosion model

Groundwater Concentrations

Prediction of groundwater concentrations that might result from biosolidsapplication requires modeling and making assumptions about criticalparameters such as the partition coefficient leaching and dilution andattenuation Partition coefficients are used in the Part 503 rule risk assessmentto estimate the proportion of a contaminant that dissolves and is thus leachablePartition coefficient values for the regulated contaminants were taken from thework of Gerritse et al (1982) who studied only one type of biosolids andseveral soil types Recent studies suggest that processing methods for biosolidshave an influence on metal mobilities (Richards et al 1997 2000) as does pHand soil type A single partition coefficient based on a single type of aerobicallydigested biosolids and on a sandy loam soil of pH 8 was used for eachcontaminant in the risk assessment Some contaminants such as cadmiumshow much greater movement at lower pH and in sands Thus the partitioncoefficients used by EPA are not necessarily representative of the range ofconditions that exist in the United States

Leaching calculations are based on a model of contaminant movementthrough soil However there are several limitations of the model usedincluding failure to account for rapid transport through preferential flow pathsand for facilitated transport of contaminants in association with organicconstituents (McCarthy and Zachara 1989) For a number of inorganic andorganic contaminants evidence indicates that leaching might be greatestimmediately after application (Beck et al 1996 Richards et al 2000) Moreaccurate modeling is needed to estimate rates of leaching Soil-screeningguidance (EPA 1996b) pertaining to groundwater impacts from leachingsuggests a dilution

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 200

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and attenuation factor (DAF) of 1 or 20 in initial screening evaluations EPAnoted that those values can be used at sites with shallow water tables fracturedmedia or karst topography However in the Part 503 rule risk assessmentmuch higher dilution factors appear to have been used In the example given byEPA a DAF of 152 was used in evaluating arsenic in groundwater

Groundwater conditions vary greatly throughout the United States For thePart 503 rule to be applicable nationwide reasonable worst-case scenarios suchas areas with karst or gravel conditions need to be evaluated Groundwater wasnot evaluated in the reassessment of dioxins in biosolids (EPA 2001a) becausedioxins are unlikely to leach to groundwater to an appreciable degree howeverthe regional climate and soils database developed for that risk assessment couldbe adapted to support a more robust groundwater model

Human Intake Parameters

Assumptions regarding the intake behavior and characteristics of thehuman receptor should be updated using the most recent EPA (1997) guidanceon exposure factors (see Chapter 4 for more details) as well as newly publishedstudies One broad issue for both deterministic and probabilistic risk assessmentapplies to many of the intake parameters This issue is the reliability ofidentified distributions and upper percentile values for many intake parametersestimated from short-term studies with observations occurring over a period ofdays (EPA 1997) Upper percentiles identified in such studies are values forshort-term intakes only It is not appropriate to apply these values to representvariability in chronic intakes without assessing the potential for bias due toshort survey periods (Wallace et al 1994 Buck et al 1997) A number offactors contribute to overestimation bias in the upper percentiles of suchdistributions (Chaisson et al 1999) The various approaches proposed to correctthese biases (Wallace et al 1994 Buck et al 1997 Chaisson et al 1999) shouldbe considered prior to using biased distributions or upper percentile values inrisk assessments If the biases cannot be corrected use of extreme upperpercentile values should be avoided and the impact of the biases should beexamined in an uncertainty assessment This issue is an important considerationin assessing intakes of soil food and water The potential impacts are describedin greater detail below for soil ingestion The uncertainty and variabilityassociated with many of these parameters might be characterized by usingprobabilistic risk-assessment approaches (Stern 1993)

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Some important parameters and special considerations that should be givento biosolids exposures are duration of exposure bioavailability soil ingestiondietary intake of vegetables and animal products water consumption inhalationrate and body weight

Duration of Exposure Default assumptions about length of residence arebased on data on the amount of time people reside in one home Data on lengthof residence in one location vary among different populations Farm residentshave an average residence time nearly four times that of other households(Israeli and Nelson 1992) In performing a risk assessment pertaining to landapplication of biosolids the human receptor for many of the exposure pathwaysis a farm family member Residence times also vary regionally the northeasternregion having residence times nearly twice those in the western United States(Israeli and Nelson 1992)

Bioavailability The relative bioavailability of individual chemicals tohuman receptors can vary with exposure medium and should be accounted forin risk assessments if sufficient supporting data are available (EPA 1989) Soil-ingested chemicals typically are less bioavailable than soluble forms ofdrinking-water-ingested chemicals (NEPI 2000ab) Even for a given exposuremedium such as soil many factors can affect relative bioavailability includingthe characteristics of the biosolids matrix and the form of the contaminant (egmetal salt and organic complex) The contaminantrsquos form and relativebioavailability can change over time and with environmental conditions ThePart 503 rule risk assessment did not make adjustments to reflect differences inthe relative bioavailability of chemicals in different exposure media There is noEPA guidance regarding relative bioavailability but the default assumption istypically 10 The reassessment of dioxins in biosolids (EPA 2001a) is silent onthis issue

Soil Ingestion Incidental soil ingestion by children and adults is assumedto occur primarily from adherence of fine soil particles to hands or objects thatare subsequently placed in the mouth (EPA 1997) In the Part 503 rule riskassessment soil ingestion was considered only for children who were assumedto ingest 200 mgday of pure biosolids for 5 years It was calculated as the mostlimiting pathway for four of the regulated contaminants This pathway shouldbe revised to use estimated soil concentrations rather than biosolidsconcentrations and should use the same exposure duration as other exposurepathways Estimates of soil intakes should include intakes by teenagers andadults and particularly for home gardeners and farm family members whoseingestion of soil might be relatively high

The assumption that children ingest 200 mg of soil per day is consistentwith current EPA guidance that describes this value as a conservative estimateof the mean (EPA 1997) More recent studies suggest that this value might

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exceed a 95th percentile for long-term average daily exposure (Stanek andCalabrese 2000 Stanek et al 2001) Reported upper percentiles in soil-ingestion studies typically represent the upper percentiles among theobservations reported for all subjects during a short study period (eg among64 children observed for 7 days) Estimates of true average 95th percentile soilingestion over longer periods might be much lower (Table 5ndash8) It is criticalthat new more reliable information on the distributions of soil ingestion beconsidered in new risk assessments

Pica behavior for soil was considered in the screening process to selectchemicals for regulation but the child with pica was not used as a receptor inthe risk assessments There is no evidence that geophagia occurs routinely inchildren over long periods however many children might occasionally ingest1ndash10 g or more of soil (EPA 1997) This finding suggests that consideration ofpica behavior is most important when assessing acute exposures (EPA 1997)

The average amount of soil ingested by adults was estimated to be 10 mgday (Stanek et al 1997) EPA recommended that 50 mgday be used as aldquoreasonable central estimate of adult soil ingestionrdquo (EPA 1997) however theestimate was based on an earlier study by Calabrese et al (1990) and did notinclude this grouprsquos more recent analysis (Stanek et al 1997) Given the highdegree of uncertainty in soil-ingestion data EPA should make further researchon soil ingestion among children and adults a high priority Probabilisticassessments might also be useful for characterizing uncertainty and variabilityof this parameter

Dietary Intake of Vegetables The risk assessment of vegetable intakeevaluated risks based on an average nonmetropolitan diet around 1980 (USDA1982) A limitation of the 3-day food-consumption survey in this study is that 3days is insufficient to ascertain typical dietary intake (Anderson 1986) and islikely to overestimate long-term average upper-percentile intake Vegetableconsumption varies greatly and surveys suggest that vegetable intake has beenincreasing in the general population (EPA 1997) Biosolids exposure of thevegetarian home gardener would be a reasonable maximum exposure Dataused by EPA in its risk assessment for developing the biosolids standards showthat farm households on average consume 25 times more vegetables than thenonmetropolitan population (EPA 1997) Consumption also varies within aparticular population Unfortunately no data could be found that addressvegetarians who would be expected to have high rates of intake Considerationshould also be given to regional differences in production and assessment of thefraction of homegrown and nonhomegrown crops that are grown on biosolids-amended soils for the RME receptor

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TABLE 5ndash8 Estimates of True Average 95th Percentile Soil Ingestion for ChildrenOver Various Time Periods

95th Percentile Soil Ingestion Per Day (mg)Time (days) Anacondaa Amherstb

1 141 2107 133 17730 112 13590 108 127365 106 124

aStudy of 64 children aged 1ndash4 years residing in Anaconda MT mean soil ingestion =31 mgdaybStudy of 64 children aged 1ndash4 years residing in Amherst MA mean soil ingestion= 57 mgdaySource Data from Stanek and Calabrese 2000

Dietary Intake of Animal Products The risk assessment of animal-product intake (not including poultry or eggs) is based on an averagenonmetropolitan diet from around 1980 (USDA 1982) and is limited by itsshort-term surveys that do not adequately predict long-term average upper-percentile intake Consumption of animal products varies greatly An RMEreceptor would be represented by a livestock farm family consuming home-raised products (meat poultry and dairy) Data show that those householdsconsume far more animal products than the average nonmetropolitan consumerFarm resident mean meat intake is approximately four times that ofnonmetropolitan residents and mean dairy intake is approximately nine timesgreater for farm residents (EPA 1997) Consideration should be given to theassumptions made for the RME receptor about the fraction of the animalproducts coming from animals exposed to biosolids

Water Consumption Water-consumption rates should reflect more recentstudies and account for variations in expected activity and climate The studythat forms the basis for EPArsquos default water-ingestion rates was conducted over20 years ago Consequently the distribution of tap-water-ingestion rates used inthe model does not reflect expected reductions in tap-water ingestion because ofincreases in consumption of soft drinks and bottled water An analysis based ona 1994ndash1996 food consumption survey suggested as much as a 30 drop inmean tap-water consumption during the last two decades (EPA 2000c) Inaddition the tap-water-intake data reported by Ershow and Cantor (1989) werecollected for only a 3-day period therefore the extrapolation to chronic intakeis uncertain particularly for the upper percentiles (EPA 1997)

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Inhalation Rate Assumptions about inhalation rates should be based onthe specific RME receptor and likely activities by the receptor during exposureAssessment of acute exposures should reflect the higher inhalation rates thatmay be sustained for shorter periods whereas assessment of chronic exposuresshould reflect the variation in average population breathing rates over longerperiods Age-related variations in inhalation rate should also be part of theevaluation

DERIVATION OF RISK-BASED STANDARDS

The risk assessment conducted to support the Part 503 rule was designed tosupport the development of risk-based standardsmdashthat is to identifyconcentrations of specific chemicals in biosolids that could be applied to land inthe manner specified by the rule without posing unacceptable risks Four typesof standards were developed (1) cumulative pollutant loading rates (2) annualpollutant loading rates (3) pollutant concentration limits and (4) ceilingpollutant concentration limits A deterministic approach was used to calculatethe various standards (see Table 5ndash9) for the nine regulated metals EPAidentified an allowable dose for each chemical as a starting point and then usedpathway-specific algorithms that incorporate a number of exposure parameters(discussed previously in this chapter) to calculate the biosolids standards Theexposure pathway with the lowest pollutant limit was considered the ldquolimitingrdquopathway and this lowest value was used to establish the cumulative pollutantloading rates annual pollutant loading rates and pollutant concentration limitsThe ceiling concentration limits were set at either the 99th percentile levelfound in the NSSS or the risk-based number whichever was greater The majoraspects of the process are discussed below

Toxicity Assessment

The starting point of EPArsquos calculations was to identify a chemical dosethat is not expected to cause unacceptable adverse effects in humans For mostof the chemicals the starting point was an EPA-established measure of eithertoxicity (reference dose [RfD] or reference concentration [RfC]) orcarcinogenicity (cancer potency value [q1]) For two chemicals copper andzinc a recommended daily allowance (RDA) was the starting point This wasdone for copper because EPA has not established toxicity or carcinogenicityvalues for it An RfD is available for zinc but that value was consideredinsufficient to meet daily nutritional requirements so the higher RDA value

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TABLE 5ndash9 Pollutant Concentration Limits and Loading Rates for Land Applicationin the United States Dry Weight BasisContaminant Ceiling

ConcentrationLimit (mgkg)

CumulativePollutantLoadingRate Limit(kgha)

PollutantConcentrationLimit (mgkg)

AnnualPollutantLoadingRate (kgha-yr)

Arsenic 75 41 41 20Cadmium 85 39 39 19Copper 4300 1500 1500 75Lead 840 300 300 15Mercury 57 17 17 085Molybdenuma 75 mdash mdash mdashNickel 420 420 420 21Selenium 100 100 100 50Zinc 7500 2800 2800 140

aStandards for molybdenum were dropped from the original regulation Currently only a ceilingconcentration limit is available for molybdenum and a decision about establishing new pollutantlimits for this metal has not been madeSource 40 CFR Part 503

was used (EPA 1992a) None of the regulated contaminants were assessedas carcinogens

All the starting points are based on chronic exposure scenarios EPA riskassessments typically focus on chronic exposures because long-term exposureis generally a more sensitive end point than acute or short-term exposures (Theuse of chronic toxicity data will yield a lower or more protective standard) EPAperiodically reviews the literature and updates the dose-response assessmentsfor individual chemicals Thus any reassessment of risks associated with landapplication of biosolids should include verification that the most recent toxicityvalues are used Consideration should also be given to evaluating risks fromshort-term episodic exposures which may be important for volatile chemicals

Calculations

In deriving the risk-based standards a number of calculations andalgorithms were used to determine the concentration of a specific chemical thatcan be present in biosolids and not result in exceedance of the acceptable doseBecause EPArsquos acceptable doses include consideration of chemical

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 206

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exposures to the evaluated inorganic contaminants from all sources the firststep was to determine the dose of the chemical from biosolids alone bysubtracting total background in take (TBI) of a chemical from the EPA-established acceptable dose The adjusted health parameter was then used inalgorithms specific to each exposure pathway The algorithms incorporatedpathway-specific information and assumptions regarding chemical intake suchas plant uptake of the pollutant to derive a pollutant limit In most casescalculation of the pollutant limit involved two or more algorithms

Target Risks

Selection of target risks is a policy decision made by EPA For carcinogensin biosolids EPA used a target incremental cancer risk of 1 in 10000 (1 times10`4)the high end of the 1times10`6 to 1times10`4 risk used by EPA in establishing variousregulations For noncancer health effects a hazard index of 1 (the ratio of thepredicted exposure either to the threshold dose for toxicity or to the predictedcancer risk) was used It was beyond the committeersquos charge to assess theadequacy of target risks used to derive risk-based standards however actualrisks might be substantially less than the target risks because in many cases theconcentrations of the regulated contaminants in biosolids are generally less thanthe regulatory limits

In developing the Part 503 rule EPA sought to develop one standard foreach chemical that would be protective in all circumstances that could bereasonably anticipated to occur Thus a standard derived for use nationwidemust provide adequate protection for all reasonably anticipated environmentalconditions biosolids types and application practices anywhere that biosolidsapplication might occur This goal necessitates assessing risks for exposureconditions that might occur anywhere in the United States

The Part 503 rule standards were derived to be protective for landapplication in accordance with the regulations Exposures that might occur dueto failure to comply with the regulations were not considered during thedevelopment of the biosolids standards An assessment of risks associated withnoncompliance is an enforcement issue and is not related to a determination ofthe adequacy of the methods used to derive risk-based standardsNoncompliance associated with risk assessment is thus beyond the scope of thisreport

INORGANIC CHEMICALS

In light of the advances made in risk-assessment methods discussed inChapter 4 and the need to update many of the exposure parameters used in

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 207

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ion

the risk assessment process the existing biosolids standards for inorganicchemicals clearly need to be reevaluated As noted in Chapter 2 averageconcentrations of some regulated inorganics in biosolids decreased substantiallythroughout the 1980s and early 1990s and have stabilized since that time (seeTables 2ndash23 and 2ndash24) Recent survey data from Pennsylvania that includes95th percentile values as well as median values suggest that in Pennsylvaniaand perhaps in other states pollutant limits will only rarely be exceeded formost inorganics (Table 5ndash10)

In order to assess the potential impacts of reevaluating the standards it isinstructive to compare the pollutant limits for biosolids with current risk-basedsoil screening levels (SSLs) for residential scenarios Such a comparison ispredicated on the assumption that inorganic chemical concentrations in soil towhich biosolids are added will never exceed the pollutant limits EPA (1995)has projected that at such time as the cumulative loading rate (kgha) has beenachieved the risk-based limit of acceptable soil concentration (mgkg) will alsohave been reached and would be 50 of the cumulative loading rate plus theinitial background concentration of the pollutant As can be seen fromTable 5ndash11 most of the pollutant limits are lower (ie more conservative) thanthe EPA residential SSLs based only on dermal and direct ingestion pathways

A limitation of such a comparison is that the residential SSLs are based onexposures via a limited number of exposure pathways including soil ingestiondermal contact with soil and inhalation of resuspended particulates The SSLsmay not be adequately protective for chemicals for which other exposurepathways may be especially important This limitation is of particular concernfor cadmium due to potential uptake into plants and for mercury due to thepotential for mercury entering surface water via runoff from soil to be convertedto methylmercury and bioaccumulated in aquatic organisms For this reasonTable 5ndash11 also shows risk-based screening levels developed by the British(UK Environment Agency 2002) that include consideration of home gardenexposure The importance of differing assumptions in assessing risk is pointedout by comparing the UK and EPA values (columns 2 and 3) which for someelements are significantly different The potential impact of including the plantuptake pathway on risk-based soil concentrations for some pollutants (egcadmium) is demonstrated by comparing the values in columns 3 and 4 ofTable 5ndash11

In addition to SSLs based on exposure pathways involving direct contactwith chemicals EPA has also devised soil SSLs for the protection ofgroundwater (EPA 2001b) A comparison of selected pollutant concentrationlimits

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 208

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t th

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s ne

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igita

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of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

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orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

TABLE 5ndash10 Median and 95th Percentile Trace Element Concentrations inPennsylvania Sewage Sludge Produced in 1996 and 1997 Compared with LimitsContained in the Part 503 RuleTrace Element Concentration in Sewage Sludge (mg

kg)Pollutant ConcentrationLimit (mgkg)

Median 95th PercentileArsenic 360 187 41a

Cadmium 226 739 39a

Chromium 351 314 1200bc

Copper 511 1382 1500c

Mercury 154 601 17a

Molybdenum 818 360 18bd

Nickel 226 845 420c

Lead 649 202 300a

Selenium 428 847 100a

Zinc 705 1985 2800c

aBased on risks for child eating biosolidsbThe current Part 503 rule does not include chromium and there is no cumulative pollutant loadinglimit or pollutant concentration limit for molybdenum The values given in this table were includedin the original Part 503 rulecBased on plant phytotoxicitydBased on animal eating feedSource Adapted from Stehouwer et al 2000

in biosolids with US background soil concentrations and soil screeninglevels for groundwater are presented in Table 5ndash12

A comparison of the biosolids pollutant limits with risk-based SSLssuggests that the pollutant standards are adequately protective for someexposure pathways (ie soilbiosolids ingestion) but may need to bereevaluated for others (ie ingestion of homegrown produce grown onbiosolids-amended soil) In this section two factors that are important forassessing human exposure to inorganic compounds and their toxicitymdashbioavailability to human receptors and metal speciationmdashare discussed Otherfactorsmdashplant uptake of metals and bioavailability of metals to plantsmdashwereaddressed earlier in the section on exposure parameters The general discussionis followed by a description of issues specific to several of the regulated metals

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 209

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t th

is P

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w d

igita

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ntat

ion

of t

he o

rigin

al w

ork

has

been

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ompo

sed

from

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L fil

es c

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ed f

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inal

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ng-s

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tally

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rted

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t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

TA

BL

E 5

ndash11

Pol

luta

nt C

once

ntra

tion

Lim

its

in S

ewag

e S

ludg

e C

ompa

red

wit

h R

isk-

Bas

ed S

oil C

once

ntra

tion

s (I

tali

c nu

mbe

rs r

epre

sent

ris

k-ba

sed

soil

conc

entr

atio

ns b

elow

the

Par

t 503

rul

e po

llut

ant c

once

ntra

tion

lim

its

)T

race

Ele

men

tP

art 5

03 P

ollu

tant

Con

cent

rati

on L

imita

(mg

kgD

W)

EP

A R

esid

enti

al S

SL

s(i

nges

tion

and

der

mal

) (m

gkg

DW

)

UK

Res

iden

tial S

GV

s(i

nges

tion

) w

itho

ut p

lant

upta

keb

(mg

kg D

W)

UK

Res

iden

tial S

GV

s(i

nges

tion

) w

ith

plan

tup

take

c (m

gkg

DW

)A

rsen

ic41

04

(40)

d20

20C

adm

ium

3970

301

(pH

6)

2 (p

H 7

)8

(pH

8)

Chr

omiu

mN

Ae

230

120

000f

200g

130g

Lea

d30

040

045

045

0M

ercu

ry17

231

0h15

8N

icke

l42

01

600

7550

Sel

eniu

m10

039

026

035

a Pol

luta

nt c

once

ntra

tion

lim

its

for

bios

olid

s ba

sed

on h

uman

hea

lth

risk

s e

xcep

t for

nic

kel (

plan

t phy

toto

xici

ty)

b Hou

se o

r ap

artm

ent w

ith

no p

riva

te g

arde

n ar

ea

c Hou

se w

ith

a ga

rden

wit

h th

e po

ssib

ilit

y of

inge

stio

n of

hom

egro

wn

vege

tabl

es

d Ars

enic

SSL

is 0

4 m

gkg

bas

ed o

n a

1 in

10

000

00 c

ance

r ri

sk V

alue

of

40 in

par

enth

eses

ref

lect

s th

e ca

ncer

ris

k of

1 in

10

000

used

for

the

Part

503

rul

ee C

hrom

ium

was

del

eted

fro

m th

e Pa

rt 5

03 r

ule

beca

use

of a

cou

rt s

uit

f Chr

omiu

m S

SL a

ssum

es th

at a

ll ch

rom

ium

is C

r(V

I) V

alue

for

Cr(

III)

is 1

200

00

g The

UK

SG

V f

or c

hrom

ium

ass

umes

that

all

chro

miu

m is

CR

(VI)

h M

ercu

ry S

SL is

bas

ed o

n th

e re

fere

nce

dose

for

mer

curi

c ch

lori

de S

SL f

or in

hala

tion

is 1

0 m

gkg

A

bbre

viat

ions

DW

dry

wei

ght

NA

not

app

lica

ble

SG

V s

oil g

uide

line

val

ue S

SL s

oil s

cree

ning

leve

l U

K U

nite

d K

ingd

om

Sour

ces

40

CFR

Par

t 503

EPA

200

1b U

K E

nvir

onm

ent A

genc

y 20

02

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 210

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tally

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rted

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t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

TA

BL

E 5

ndash12

Pol

luta

nt C

once

ntra

tion

Lim

its

in B

ioso

lids

Com

pare

d w

ith

Bac

kgro

und

Con

cent

rati

ons

and

Soi

l Scr

eeni

ng L

evel

s fo

r G

roun

dwat

er

Bac

kgro

und

Con

cent

rati

onsb

SS

L f

or G

roun

dwat

erc

Tra

ce E

lem

ents

Par

t 503

Pol

luta

ntC

once

ntra

tion

Lim

it (

mg

kg D

W)a

Ari

thm

etic

mea

n (m

gkg

)G

eom

etri

cm

ean

(mg

kg)

Geo

met

ric

stan

dard

devi

atio

n (m

gkg

)

Ran

ge (

mg

kg)

DA

F=

20 (

mg

kg)

DA

F=

1 (m

gkg

)

Ars

enic

417

25

22

23lt

01ndash

9729

1C

adm

ium

390

02ndash1

67d

017

52

70N

D-1

1d8

04

Chr

omiu

mN

Ae

5437

237

1ndash2

000

38f

2f

Lea

d30

019

161

86lt

10ndash7

00-g

-g

Mer

cury

170

090

058

252

lt0

01ndash4

62

01

Nic

kel

420

1913

231

lt5ndash

700

130

7S

elen

ium

100

039

026

246

lt0

1ndash4

35

03

a CFR

40

Part

503

Pol

luta

nt c

once

ntra

tion

lim

its

for

bios

olid

s ba

sed

on h

uman

hea

lth

risk

s e

xcep

t for

nic

kel (

plan

t phy

toto

xici

ty)

b Dat

a fo

r U

S s

oils

Sha

ckle

tte

et a

l 19

84

c EPA

200

1b

d Ran

ge o

f m

eans

rep

orte

d in

Dra

gun

and

Cha

isso

n (1

991)

for

var

ious

sta

tes

and

soil

type

s S

ingl

e U

S m

ean

not r

epor

ted

e Chr

omiu

m w

as d

elet

ed f

rom

the

Part

503

rul

e be

caus

e of

a c

ourt

sui

tf S

SL f

or to

tal C

r an

d C

r(V

I) T

his

path

way

is n

ot o

f co

ncer

n fo

r C

r(II

I)

g A s

cree

ning

leve

l of

400

mg

kg h

as b

een

set f

or le

ad

Abb

revi

atio

ns D

AF

dil

utio

n at

tenu

atio

n fa

ctor

NA

not

app

lica

b le

ND

not

det

ecte

d S

SL s

oil s

cree

ning

leve

l

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 211

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t ver

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of t

his

publ

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as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Bioavailability to Humans

The term ldquobioavailabilityrdquo may have different meanings in differentcontexts In the context of human exposures to chemicals in environmentalmedia bioavailability is the degree to which a chemical present in anenvironmental medium is capable of being absorbed into the systemiccirculation Bioavailability depends on the release of the chemical from themedium and the absorption efficiency of the released chemical Oral toxicityassessments of metals are often based on studies in which a metal salt isdissolved in water or mixed with food If the toxicity factors (reference dosesand cancer slope factors) used in risk assessments in soil or other heterogeneousexposure media are based on studies using soluble forms of the metals theimpacts of soil exposures could be overestimated

Reduced absorption of metals from biosolids-amended soils ingested byhuman receptors might be due to sorption and precipitation reactions of themetals with soil components such as metal oxides and humic substances anddue to the presence of metals in compounds with limited water solubility (Rubyet al 1999) For example it is well established that metals such as cobaltmanganese nickel and zinc can form metal hydroxide surface precipitates onmetal oxides clay minerals and soils The formation of these surfaceprecipitates significantly reduces the release of the metal even when strongacids and complexing organic ligands are used as dissolution agents(Scheidegger et al 1997 1998 Ford et al 1999 Scheckel et al 2000) Arseniclead mercury and nickel also occur in soils in compounds exhibiting a widerange of water solubility Thus metal dissolution from ingested soil could belimited during movement through the gastrointestinal tract Accordinglyabsorption will be reduced as the major mode of absorption of many metals ispassage of dissolved metal species across the small intestine epithelium(Whitehead et al 1996)

Risk-assessment guidance from EPA (1989) acknowledges the need tomake adjustments in exposure assessments to account for differences in relativebioavailability between the exposure medium in toxicity studies and theexposure medium in risk assessments These adjustments for reducedbioavailability of chemicals from such media as soils are typically termedrelative absorption factors (RAF) RAFs typically take the form of a fractionaladjustment in the exposure algorithms used to estimate intake or dose

In the Part 503 risk assessment EPA considered making such adjustmentsfor relative bioavailability (using the term rdquorelative effectivenessldquo) butconcluded that available data were inadequate to support default adjustments forthe metals being evaluated During the past decade substantial research bettercharacterizing the occurrence of reduced metal bioavailability in soils has been

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 212

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as th

e au

thor

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rsio

n fo

r attr

ibut

ion

published (NEPI 2000a) Reduced metal bioavailability in biosolids-amendedsoils is very likely and several laboratories have active research programs onthe use of biosolids amendments as a method of reducing metal bioavailabilityin contaminated soils (Basta and Sloan 1999 Henry and Brown 1997)

Metal Speciation and Availability

The lack of direct information on the speciation of metals and metalloids inbiosolids and soil-biosolids mixtures complicates attempts to assess bothtoxicity and bioavailability of these chemicals Although a great deal ofinformation on metal contents of biosolids and soils exists the total content isnot indicative of the forms or species of the metals For several of the regulatedmetals toxicity varies with different forms of the metal and it is important todistinguish differences in the nature of toxicity from differences in solubilityand bioavailability of different metal forms

Mercury may be present in three forms with varying toxicity (ieelemental mercury inorganic mercury compounds and methylmercury) Theexposure routes of concern are different for the different mercury formsInhalation is the primary route of exposure to elemental mercury released fromsoil and ingestion is the exposure route of concern for inorganic andmethylmercury Consequently for evaluation in risk assessment the forms ofmercury in soil and other exposure media must be known or assumptions mustbe made regarding the forms present Arsenic compounds also exhibit markedvariation in toxicity The organic forms are practically nontoxic and inorganicforms are quite toxic Typically only inorganic arsenic compounds are assumedto be present in soil but for the reasons described below that assumption mightnot apply to biosolids In contrast the toxicity of inorganic cadmium and leadcompounds expected to be present in biosolids does not vary althoughsolubility and bioavailability can be highly variable

Most bioavailability studies of metals in soil have relied on animal speciesthat have anatomical and physiological characteristics different from humansOnly a few studies have assessed metal absorption from ingested soil byhumans The relative bioavailability of metals in soil is dependent on speciationof the metal size distribution of soil particles and composition of the soil

Chemical extractions (eg sequential extractions) can provide someinformation on the extraction ease such as readily exchangeable or occludedfrom various phases but the order of extractions and extractants that are usedcan create artifacts Such extractions also do not mimic dissolution rates likelyto occur in the human gastrointestinal tract Sequential extractions do notprovide direct speciation analyses For example many metals can exist as inor

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 213

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his

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e au

thor

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rsio

n fo

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ibut

ion

ganic and organic species and in multiple oxidation states and can be associatedwith multiple solid phases (eg metal oxides phyllosilicates and humicsubstances) Metals primarily form strong inner-sphere chemical bonds withmetal oxides clay minerals and humic substances that substantially restricttheir mobility in natural environments Moreover with time metals canundergo transformations with soils that often render them less prone toleaching In laboratory experiments such metals as nickel and zinc can formsurface precipitates on soils aluminum oxides and clay minerals that transformover time to more stable mixed metal hydroxide phyllosilicate phases Somefraction of the metals is sequestered even with treatment with acids and organicligands such as ethylenediaminetetraacetate (Scheidegger et al 1997 1998Ford et al 1999 Roberts et al 1999 Scheckel et al 2000 Scheckel and Sparks2001) Furthermore metal speciation and thus bioavailability is not static inthe natural environment Changes may result from weathering reactions andmicrobiological activity in soils (Hooda and Alloway 1994 Sadovnikova et al1996 Basta and Sloan 1999 Kamaludeen et al 2001)

The speciation of metals and metalloids in biosolids and biosolids-amended soils is critical in determining the mobility and bioavailability of thetoxic metals (Ruby et al 1999) In the last decade important advances haveoccurred in the use of in situ molecular-scale techniques that can provide directinformation on chemical speciation of metals and metalloids in model systemssuch as metal oxides and clay minerals and in soils One major innovation hasbeen the use of synchrotron-based spectroscopies such as x-ray absorption fine-structure spectroscopy (XAFS) to determine oxidative states and local chemicalenvironment of metals and metalloids at natural particle interfaces Thus metalspecies in heterogeneous materials can be determined in the presence of waterwithout having to dry the sample and subject it to desiccation Numerousstudies have appeared in the scientific literature on the application of XAFS andother in situ spectroscopic techniques to speciate metals in natural systemsRecent changes are the use of micro-focused XAFS and micro-x-rayfluorescence spectroscopy to speciate and map metal distributions in soils(Manceau et al 2000 Roberts 2001) With these techniques an area of squaremicrons can be chemically mapped and the chemical associations of variousmetals can be determined certain spots can be zoomed in on and via XAFSdata analyses the species of the metals at different locations can be determinedIn addition the quantitative associations of the metals with various componentsof the solid can be determined (eg metal oxides clays and humic substances)Scientists have applied micro-XAFS and micro-x-ray absorption near-edgestructure (XANES) to phosphorus and arsenic speciation in poultry-litter andpoultry-litter amended soils (Arai and Sparks 2001 Peak et al 2001) bothextremely heterogeneous

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 214

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materials Biosolids-applied soils will also be heterogeneous in regard to thedistribution of biosolids-borne metals Application of such techniques tobiosolids would allow for direct speciation of the metals and metalloids and abetter understanding of the mechanisms affecting bioavailability

Regulated Metals and Metalloids

The inorganic chemicals regulated on the basis of human health(specifically risks to children from direct ingestion of biosolids) are arseniccadmium lead mercury and selenium Specific issues to consider in updatingthe risk assessments for the first four of these metals are described below

Arsenic

The primary issue related to arsenic is EPArsquos treatment of arsenic in soil asnoncarcinogenic in the Part 503 rule risk assessment However ingestion ofinorganic arsenic in drinking water is an established cause of skin cancer andrecent studies strengthen the evidence that arsenic can also cause cancers of thelung and urinary bladder (NRC 1999 2001) In the Part 503 rule riskassessment EPA justified using the arsenic reference dose on the grounds thatthere was no evidence that soil arsenic is carcinogenic Although that assertionis true there is no evidence that arsenic absorbed into the body from ingestedsoil and arsenic absorbed from drinking water behave any differentlyConsequently current EPA risk-assessment practice is to treat inorganic arsenicin all media as potentially carcinogenic

However if arsenic is treated as a carcinogen it will be necessary toconfirm that it is present in biosolids as inorganic arsenic rather than organicforms that are much less toxic and noncarcinogenic As with many toxic metalsand metalloids the speciation of arsenic in biosolids is not well characterizedAlthough organic arsenicals are generally not present in soils in measurablequantities the extent of their presence in biosolids is not known Thus theforms of arsenic present in biosolids should be assessed and only the fractionthat is inorganic should be regulated

Total arsenic in soils has been reported to range from 01 to 97 ppm withan arithmetic mean concentration of 72 ppm and a geometic mean of 52 ppmfor surface soils in the United States (Shacklette and Boerngen 1984)Gustavsson et al (2001) reported that US soils have a mean arsenicconcentration of 557 ppm and 25th and 75th percentile concentrations of 421ppm and 706 ppm respectively Arsenic occurs in two major oxidative states

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arsenous acid (AsIII) and arsenic acid (AsV) AsIII is primarily present in anoxicenvironments and AsV is found in oxic soils Both arsenic species occurprimarily as oxyanions in the natural environment and strongly complex withmetal oxides such as aluminum and iron oxides as inner-sphere productsThese oxides and particularly manganese oxides can affect oxidation of AsIII

to AsV which reduces the toxicity of arsenic Arsenic can also occur as sulfideminerals such as arsenopyrite (FeAsS) and enargite (Cu3AsS4) at mining sites

There is reason to suspect that some of the arsenic in biosolids is in organicforms however no studies testing this hypothesis were found Ingestedinorganic arsenic is methylated and excreted primarily as monomethylarsonicacid (MMA) and dimethylarsinic acid (DMA) (NRC 2001) Farmer andJohnson (1990) examined the speciation of arsenic in urine excreted by workersexposed to inorganic arsenic compounds and found 1ndash6 AsV 11ndash14 AsIII14ndash18 MMA and 63ndash70 DMA Most dietary arsenic is organic arsenic andmany of these organic forms are excreted unchanged in the urine Thus mostarsenic from domestic sources in wastewater may be organic Under certainenvironmental conditions however organic arsenic has the potential tomineralize The possibility that biosolids-borne arsenic can be transformed fromorganic to inorganic forms should be evaluated The greater water solubility oforganic arsenic compounds makes it unlikely that these compounds willpreferentially segregate to biosolids and makes it difficult to predict thepredominant speciation of arsenic in biosolids

Studies of the relative bioavailability of soil arsenic have been limitedprimarily to soils from mining and smelting sites and from arsenic pesticidemanufacturing or application (NEPI 2000a Kelley et al 2002) Those studiesyielded relative bioavailability estimates of soil arsenic of 10 to 50 ascompared with bioavailability of soluble arsenic forms It might not be practicalto determine the relative bioavailability of arsenic in biosolids in animalexperiments because of the low arsenic concentrations typically present inbiosolids However in vitro approaches are available that may be used toestimate relative bioavailability of arsenic in biosolids Ruby et al (1999) notedthat the particle-size distribution and the chemical composition of the arsenicspecies greatly affect bioavailability Dissolution rates (and bioavailability)increase as particle size decreases In vivo and in vitro studies show that for aconstant particle size soil-arsenic phases such as arsenic sulfides and arsenicfound in slag have a lower bioavailability than iron manganese and lead-arsenic oxides (Ruby et al 1999) Bioavailability data also suggest thatbioavailable arsenic from soil occurs primarily from dissolution of surface-bound arsenic fractions or the exterior part of individual arsenic-containinggrains rather than from complete dissolution of discrete arsenic mineral phases(Ruby et al 1999)

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Cadmium

The most limiting exposure pathway for cadmium in the Part 503 rule riskassessment was exposure to a child from direct ingestion of biosolids To deriveconcentration limits for cadmium in biosolids EPA used the oral RfD andconsidered only a childhood exposure rate However the oral RfD is based on alifetime accumulation of cadmium in the kidney to the point where the toxicitythreshold which is associated with toxicity to the kidney cortex is reachedConsequently it is more appropriate to average child and adult exposure ratesover the course of a lifetime Children are expected to ingest greater quantitiesof soil per unit of body weight than adults but do so over a shorter period Thusa safe average daily dose will typically be an average of the child daily dose for6 years and an adult dose for 24 years or more

Conducting a multiplepathway risk assessment that aggregates exposuresfrom all pathways is particularly important for cadmium Because plants take upcadmium more efficiently than most other metals dietary cadmium is likely tobe an important exposure pathway in a revised risk assessment

A number of dietary factors are known to affect cadmium toxicity mostnotably dietary deficiencies in iron calcium and zinc may be associated withincreased cadmium body burden and toxicity (ATSDR 1999) There have alsobeen studies demonstrating a protective effect of zinc at overtly toxic doses ofcadmium (ATSDR 1999) More recent studies suggest that even when dietarycadmium intakes are only slightly increased increased zinc intake may limitincreases in cadmium body burden (Vahter et al 1996 Reeves and Chaney2001) Thus it may be useful to consider predicted dietary zinc intake whenevaluating predicted dietary intake of cadmium

Lead

The bioavailability of lead in biosolids-amended soils is an importantfactor in assessing lead exposures Absorption of lead in the gastrointestinaltract varies with age diet nutritional status and the chemical species andparticle size of lead that is ingested (Ruby et al 1999) Adults absorb 7ndash15 oflead ingested by dietary means and dietary absorption by infants and childrenranges from 40 to 53 (Ziegler et al 1978) In the Part 503 rule riskassessment EPA used a version of the integrated exposure uptake biokinetic(IEUBK) model to assess lead exposures of children EPA revised that model in1994 The Part 503 rule limit for lead was also set more restrictively than theIEUBK-based value for policy reasons

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The revised model includes a default assumption that children absorb 30of lead from soil as compared with 50 of lead from diet and drinking waterRecent reviews have summarized studies of soil lead from many kinds of sitesand show that soil lead bioavailability ranges from near zero to somewhathigher than the EPA default value of 30 (NEPI 2000a Ruby et al 1999) Thegreat variability in soil lead bioavailability reflects the great variation insolubility of different lead compounds For example soil lead from mine siteswith sulfidic ores exhibits low bioavailability and soil lead from mine siteswith carbonate ores exhibits much more bioavailability

Dissolution rate-controlling processes are important in determining orallead bioavailability because lead must dissolve in the gastrointestinal tract tobecome bioaccessible (Ruby et al 1992) Less-soluble lead minerals such aslead in calcium phosphates dissolve by surface-reaction controlled kineticsThe bioavailability of metals that dissolve via a transport-controlled mechanismis dependent on the mixing that occurs in the gastrointestinal tract anddissolution via surface-controlled phenomena is sensitive to transit times (Rubyet al 1999)

A number of studies have been conducted on the bioavailability of lead inbiosolids to livestock A study at the University of Maryland (1980) used 033 and 10 sewage-sludge compost in diet that had lead at 215 mgg of dryweight for 180 days No significant change occurred in the indicator tissue leadconcentrations despite the finding that fecal analyses show that the animalsingested greatly increased amounts of lead In similar studies Keinholz et al(1979) found that tissue lead was significantly increased by ingesting 12sewage sludge containing lead at 780 mgg These studies are suggestive of lowbioavailability but do not provide quantitative information that can be used in arisk assessment

Mercury

The speciation of mercury in land-applied biosolids is a critical factor inassessing its fate and transport EPA assumed that mercury in soil from landapplication of biosolids was similar in toxicity and bioavailability to mercuricchloride a highly water-soluble form of inorganic mercury Howevermethylmercury has been shown to be present in biosolids-amended soils(Cappon 1981 1984 Carpi et al 1997)

The formation of methylmercury is much greater in aquatic systems owingto biomagnification in aquatic food chains For this reason the potentialtransport from application sites to surface water is of greater concern formercury than for other metals Several studies have also reported emission of

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mercury vapors from biosolids Sunlight and heat can cause reduction of HgII toelemental mercury (Hg0) and volatilization from surface soils (Carpi andLindberg 1997 1998 Carpi et al 1997) That was observed when biosolidswere applied to a soil in which the vegetative cover had been removed and thebiosolids were incorporated in the soils to a small depth (Carpi and Lindberg1997 Carpi et al 1997) Methylmercury was also shown to be emitted to theatmosphere (Carpi et al 1997)

Other Regulated Inorganic Chemicals

Copper molybdenum nickel selenium and zinc are also regulated underthe Part 503 rule These metals are much less toxic when ingested as comparedwith the four metals described above suggesting that it is appropriate that theyare regulated on the basis of ecological or plant effects Standards for coppernickel and zinc were based on effects on plants the standard for selenium isbased on human health and the standard for molybdenum is a non-risk-basedceiling limit Nickel is the most toxic to humans when inhaled so it is importantthat inhalation of resuspended particulates be considered in any risk assessmentfor this metal

ORGANIC CHEMICALS

Biosolids are likely to include many categories of chemicals that differfrom the categories of chemicals of concern in industrial discharges Although itis impossible to identify all of these pollutants it is important that EPAcontinually think about the types of chemicals released into wastewaters andadded during wastewater and sewage-sludge treatment processes as part of itsprocess for updating the Part 503 rule Because some organic chemicals such asorganochlorines are persistent in the environment consideration should begiven to their tendency for trophic transfer and biomagnification which is alongstanding public-health concern (Svensson et al 1991) Particular attentionshould also be paid to chemicals that are lipophilic or that have lipophilicmetabolites or degradation products because those chemicals are more likely topartition to sewage sludge Consideration should also be given to toxic endpoints that might not have been evaluated adequately in the earlier assessment(eg potential interactions of chemicals with the endocrine system) (Colborn etal 1993 Safe 2000)

As discussed previously in the section Hazard Assessment and ChemicalSelection all organic chemicals considered by EPA were originally exempted

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from regulation In 1999 EPA proposed to add dioxins (a category ofcompounds that includes 29 specific congeners of polychlorinated dibenzo-p-dioxins polychlorinated dibenzofurans and coplanar polychlorinated biphenyls[PCBs]) to the regulation in response to its Round 2 assessment of additionalchemicals to regulate under the Part 503 rule No standard for dioxins has yetbeen finalized This section reviews some of the important considerations thatshould be given to dioxins and other organic chemicals and provides examplesof some of the types of chemical categories EPA should be assessing in thefuture

Environmental Fate and Transport

A variety of factors jointly determine which organic pollutants willpartition from wastewater to sewage sludge and how human receptors mightcome into contact with these chemicals in biosolids These factors includetreatment processes for wastewaters and sewage sludge the concentration of thepollutant in the wastewater and biosolids the method of biosolids applicationthe physicochemical properties of the chemical and environmental conditionsSome factors that are particularly important for organic pollutants are theirpersistence in the environment their potential for transport from soil to otherenvironmental media and their potential for uptake into plant and animal foods

Degradation rates vary among chemicals their half-lives ranging fromdays to years For individual chemicals degradation rates may also vary withenvironmental conditions and measures of persistence may be substantiallyaffected by the experimental design and analytical capabilities (Beck et al1996) It is also noteworthy that degradation of parent compound may not leadto loss of toxic potential if persistent toxic breakdown products are formed Thebreakdown of DDT (111-trichloro-22-bis(p-chlorophenyl)-ethane) to DDE(11-dichloro-22-bis(p-chlorophenyl)ethylene) and DDD (11-dichloro-22-bis(p-chlorophenyl)ethane) is an example of this phenomenon

Decreases in organic contaminant concentrations in biosolids-amendedsoils is usually not a linear function of time (Beck et al 1996) Chlorobenzeneconcentrations initially decline rapidly from biosolids-amended soil but about10 of the residues become recalcitrant and remain in soil up to 30 years afterapplication (Wang et al 1995) Reports of persistence of polyaromatichydrocarbons (PAHs) in biosolids-amended soil vary widely In a review of theavailable literature Beck et al (1996) found one study reporting a decline intotal soil PAHs of 80ndash100 20 years after biosolids application and anotherreporting 60 of benzo[a]pyrene (a persistent PAH) remaining 30 years after

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25 biosolids applications to a sandy loam soil In a study of biosolids-associateddi-(2-ethylhexyl)phthalate in a laboratory microcosm approximately halfremained after 1 year (Madsen et al 1999) A study of flocculent polymers usedas dewatering agents in wastewater treatment processes reported that thepolymer is partially degradable under both aerobic and anaerobic conditions(Chang et al 2001) however no data were available on the persistence of thesecompounds in environmental media

Half-lives for organic contaminants are also influenced by sewage sludge-treatment processes For example the half-life of linear alkylbenzene sulfonatescan be over a year under anaerobic conditions but they degrade with half-livesof 7ndash30 days under aerobic conditions (Cavalli and Valtorta 1999 Scott andJones 2000) Climatic conditions especially temperature and rainfall alsoinfluence degradation volatilization and leaching rates for organic chemicals inmixtures of biosolids and soil

Contaminants in biosolids are typically most available to plants andpotentially to animals immediately after application and before degradation mayhave reduced concentrations For both organic and inorganic contaminants inbiosolids the greatest potential for leaching which may also be related tobioavailability appears to occur immediately after application (Marcomini et al1988 Beck et al 1996) Sorption of organic contaminants from biosolids to soilparticles is another important determinant of mobility and availability Soilcomposition and moisture interact to influence sorption capacity for organiccontaminants (Chiou and Shoup 1985) In moist soils organic matter is thedominant constituent to which sorption occurs In dry soils where wateroccupies little of clay particle surfaces clay can absorb large amounts oforganic contaminants However the ability of a soil to sorb organiccontaminants generally increases with organic matter content Sorbed organiccontaminants may degrade by chemical biochemical or photochemicalreactions Desorption may occur from solid-to-solid solid-to-liquid or solid-to-gas phases

Mobilization into air may be an important route for transport of organiccontaminants to plants The rate of degradation and bioavailability of organiccontaminants in soils decreases with time (Alexander 2000) Sequestration intothe solid phase or nanopores of soil may explain this phenomenon Thissequestration should be considered when evaluating data on total chemicalconcentration in soil and may be addressed by studies of relative bioavailability

The relative importance of specific routes of exposure will vary with theorganic contaminant of concern climate and soil type For example volatilechemicals will be released from soil to air and hydrophobic persistent organicsare more likely to be retained in soil

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Dioxin and Dioxin-like Chemicals

The dioxins category includes seven chlorinated dibenzo-p-dioxins(CDDs) 10 chlorinated dibenzofurans (CDFs) and 12 coplanar PCB congenersThese compounds share common modes of toxic action and are considered agroup for risk assessment (Van den Berg et al 1998) Although the toxicity ofthese chemicals varies up to 5 orders of magnitude 2378-tetrachlorodibenzo-p-dioxin (TCDD) is the most potent All the dioxins bind and activate the arylhydrocarbon receptor (AhR) The AhR is a ligand-activated transcription factorthat participates in regulating a battery of genes (Gu et al 2000) A change inexpression of AhR-regulated genes is the current explanation for much of thetoxicity of TCDD and dioxin-like compounds The CDDs CDFs and PCBs thatactivate the AhR are approximate stereoisomers of TCDD Because thestereoisomers of TCDD are all less potent than TCDD each is assigned apotency relative to TCDD for AhR activation (Van den Berg et al 1998) Theassigned potency is referred to as a toxic equivalency factor (TEF) Bydefinition the TEF for TCDD is 1 Multiplying the concentrations of eachCDD CDF or dioxin-like PCB in biosolids by their TEFs and summing theproducts yields the toxic equivalents (TEQs) in that material

EPA (1999a) has proposed application of TEQs in biosolids for settingregulatory standards The validity of this approach is supported by reviews ofrecent literature that consider tissue concentrations (Van den Berg et al 1998Gu et al 2000) There is at least one major limitation to application of the TEQconcept to estimating risks of dioxins in biosolids-amended soil Bioavailabilityof all CDDs CDFs and PCBs that contribute to TEQs is not equivalent (Jonesand Sewart 1997) A particular chlorination pattern distinguishes each of over400 potential CDD (75) CDF (135) and PCB (209) congeners Extent andpattern of chlorination markedly influences hydrophobicity and hence thetendency for sorption to and desorption from organic matter in a biosolids-amended soil Biodegradation rates water solubility (an inverse function ofhydrophobicity) and volatility generally decrease with an increase inchlorination for aromatic hydrocarbons Theoretically each CDD CDF andPCB congener processes a specific half-life and bioavailability in a biosolids-amended soil Complete characterization requires data on each congenerBecause of the impracticality of that requirement environmental chemistry datafor the most toxic congener (TCCD) typically provide the basis for riskassessment

EPA (1999a) has proposed a TEQ limit of 300 parts per trillion (ppt) inbiosolids applied to land which is well above the means of 32 or 48 pptdetected in recent biosolids surveys (Alvarado et al 2001 EPA 2002a) In the

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Alvarado survey 14 of 201 biosolids samples contained dioxin TEQs greaterthan 60 ppt Thirteen of those samples were in the range of 62ndash256 ppt and onesample contained dioxins at 3590 ppt The one unusually high dioxin level hasbeen verified by two laboratories the source of the dioxin has been identifiedthe sewage sludge is being land filled and investigation into the high dioxinlevel continues (RDominak AMSA Co-chair Biosolids ManagementCommittee personal communication with GKester Wisconsin Department ofNatural Resources May 24 2002)

Eljarrat et al (1997) reported that soil concentrations of CDDs CDFs anddioxin-like PCBs in biosolids-amended soil were 12 to 116 times greater thanthose in control soils one year after application of biosolids containing 56ndash260ppt TEQs Biosolids were applied in four consecutive years at rates thatexceeded the nitrogen-based Spanish annual application recommendations foragriculture (5ndash10 tonha) by 4- to 15-fold In soils with low initial TEQs (03ppt) concentrations remained suitable for agriculture In soil with high initialTEQs (31 ppt) concentrations increased to levels (86 picograms [pg]g TEQ)that would trigger German crop restrictions Molina et al (2000) concluded thatCDD and CDF concentrations in biosolids-amended soils are directly related toloading 1 year after application

Both atmospheric transport and biosolids application contribute to totalTEQ loading in agricultural soils (Jones and Sewart 1997) Atmosphericloading was more significant in urban sites than in rural sites The half-life ofCDDs and CDFs in soils is generally accepted to be about 10 years (Jones andSewart 1997) Therefore the history of contamination and atmospheric loadingin addition to biosolids application are worthy of consideration in siteevaluation For example assuming (1) biosolids with dioxins at 300 ppt (2) abiosolids application rate of 10000 kgha (3) biosolids incorporation into 15cm of soil (4) soil mass of 1200 kgm3 and (5) a dioxin half-life of 10 yearswith exponential decay rough estimates of dioxin concentrations are 165 ppt inagricultural soil after a single application and 1257 ppt after annualapplications for 10 consecutive years For biosolids containing dioxins at 50ppt the corresponding concentrations are 028 and 210 ppt

EPA (2001a) released a peer-review draft of a revised risk assessment fordioxins in biosolids that reflects responses to comments on the earlier riskassessment supporting the proposed TEQ limit of 300 ppt The revised riskassessment uses data from a recent biosolids survey and both deterministic andprobabilistic approaches to estimate dioxin concentrations in soil and otherexposure media near land-application sites Risks were evaluated for a farmfamily residing in an area receiving runoff from cropland and for a recreationalfisher For the farm family risk results were presented for specific pathways(soil ingestion air inhalation produce ingestion ingestion of poultry

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eggs beef and milk and breast-milk ingestion for an infant) and for totalmultiple-pathway risks Beef and milk ingestion were the primary contributorsto risks for both adults and children The risk results did not change whensurvey samples exceeding 300 ppt TEQ (the proposed standard) were excludedfrom the database because of low frequency of occurrence of increasedconcentrations A notice of data availability on EPArsquos revised risk assessmentwas released for public comment on June 12 2002 (EPA 2002a)

Other Organic Chemicals

Data regarding the occurrence of organic chemicals in biosolids is neededfor additional chemical categories and they should be given consideration infuture risk assessments Among these are flame retardants (eg brominateddiphenyl ethers) surfactants chlorinated paraffins nitro and polycyclic muskspharmaceuticals odorants and chemicals used to treat sewage sludge (egdewatering agents) Evaluation of these types of chemicals in risk assessmentwill depend on the characteristics of the compound their occurrence inbiosolids and the availability of toxicity data In this section brominateddiphenyl ethers are used as an example to illustrate a specific class of chemicalsidentified as a potential hazard in biosolids Other categories of compounds arereviewed briefly special consideration is given to pharmaceuticals and odorants

Brominated Diphenyl Ethers

Brominated diphenyl ethers (BDEs) are flame retardants used in thefurniture electrical and computer component and housing industries Onlypenta- octa- and deca-BDEs are of commercial interest (WHO 1994) Thecomposition and production estimates in 1994 for these BDEs are presented inTable 5ndash13 Environmental concerns about BDEs have arisen because theyhave been detected in various environmental media are highly persistent in theenvironment and bioaccumulate in aquatic food webs (de Boer et al 1998Hale et al 2001)

BDE formulations differ in their toxicological properties (WHO 1994)The acute toxicity of the deca- octa- and penta-BDEs is low There are noapparent adverse effects in rats fed deca-BDE at 50 gkg for 13 weeks Thatresponse is largely explained by very low absorption of deca-BDE across thegastrointestinal tract (about 03) There is evidence of toxic effects fromexposure to the less highly brominated BDE formulations For example rats

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TABLE 5ndash13 Composition and Approximate Annual Use of Brominated DiphenylEster FormulationsPreparation Composition Annual Worldwide Production (ton)Deca-BDE 97ndash98 deca-BDE

03ndash3 nona-BDE30000

Octa-BDE 43ndash44 hepta-BDE31ndash35 octa-BDE10ndash12 hexa-BDE9ndash11 nona-BDE0ndash1 deca-BDE

6000

Penta-BDE 50ndash62 penta-BDE24ndash38 tetra-BDE4ndash8 hexa-BDE0ndash1 tri-BDE

4000

Source Data from WHO 1994

fed a diet containing octa-BDE at 1 or 10 gkg for 13 weeks had reducedbody weight at both doses and decreased red-blood-cell count at the high doseAn increase in liver weight and no changes in body weight or blood-cell countswere found in rats fed a diet containing octa-BDE at 01 gkg for 13 weeks Ratsfed penta-BDE at 01 or 1 gkg for 4 weeks had increased liver weight without achange in body weight Histopathology analyses indicate that higher doses ofocta- and penta-BDE alter liver and thyroid tissue

More recent work focused on actions of BDEs on liver enzymes andthyroid hormones in rats Octa- and penta-BDE formulations increased theactivities of hepatic enzymes that metabolize thyroid hormone whereas deca-BDE did not (Zhou et al 2001) These increased enzyme activities wereassociated with reduced serum concentrations of thyroxin Because thyroid-stimulating hormone was not altered by BDEs increased elimination by theliver rather than decreased secretion by the thyroid appeared to explain thereduced serum thyroxin The potential for BDE metabolites to interact withtransthyretin (a protein that carries thyroxin in blood) was demonstrated byMeerts et al (2001) Three hydroxylated BDEs effectively displaced thyroxinfrom this protein Eriksson et al (2001) reported neurotoxic actions of a tetra-BDE and a penta-BDE congener in mice Neonatal exposure to both congenersaltered spontaneous behavior and the penta-BDE reduced memory

Despite the evidence of the toxic potential of BDEs a review of the abovestudies and other toxicological studies estimated that current human

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dietary intakes of BDEs were a million times lower than the lowest-observed-adverse-effect levels in animal studies (Darnerud et al 2001) Concentrations ofBDEs in human breast milk and fish have increased over time BDEconcentrations in breast milk from Swedish women have been reported toincrease exponentially over the past 25 years as commercial use of thesechemicals has increased (Hooper and McDonald 2000) Preliminary dataindicated that concentrations in milk from North American women were 10- to40-fold higher than those from Swedish women (Betts 2001) Noreacuten andMeironyteacute (2000) reported that BDEs in the breast milk of Swedish womenranged from 007 to 048 ngg of lipid between 1972 and 1980 and from 072 to401 ngg of lipid between 1984 and 1997

Few data are available on concentrations of BDEs in biosolids One studyreported that the sum of penta- and deca-brominated BDEs in biosolids rangedfrom 1 to 7 ppm in the United States (Hale et al 2001) The extent to whichBDEs in biosolids are related to current human body burdens is unclear

Surfactants

Surfactants used in laundry detergents and other cleaning products enterwastewater in large quantities from domestic and commercial wastewatersources Linear alkylbenzene sulfonates (LAS) alkyl phenol ethoxylates (APE)and alcohol ethoxylates (AE) are high-production surfactants that haverespective US annual consumptions of 415 322 and 208 million kg in 1990(McAvoy et al 1998) Standards for LAS and APE established in someEuropean countries are largely based on ecotoxicological impacts and nothuman health (Cavalli and Valtorta 1999) Use of nonylphenol-basedsurfactants is banned in Switzerland

Studies of LAS dominate the literature on degradation of surfactants Thetype of sewage-sludge treatment will have a strong impact on the presence ofsurfactants LAS for example is readily degraded in an aerobic environmentbut not in an anaerobic environment (Scott and Jones 2000) The half-life ofLAS in aerobic soils is 7ndash30 days (Cavalli and Valtorta 1999 Scott and Jones2000) and over a year under anaerobic conditions (Cavalli and Valtorta 1999)Soil concentrations of LAS immediately after biosolids applications range from05 to 664 ppm (Scott and Jones 2000) Differences in amounts of aerobic andanaerobic treatment before application might at least partially explain this widerange A 2-year feeding and reproduction study in rats with a LAS preparation(hydrocarbon-chain-length distribution of 10 to 14 carbons) revealed little or notoxicity (Buehler et al 1971) Rats fed LAS at a concentration of 5 gkg gainedbody weight and consumed food at the same

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rate as controls Hematology and visceral organ histology were normal OralLAS dosing of rhesus monkeys also indicated very low toxicity (Heywood et al1978) Some studies reported that these anionic surfactants are rapidly degradedin soils and risk assessments suggested that they pose little threat to the foodchain (de Wolf and Feijtel 1998 Jensen 1999)

Talmage (1994) reviewed the biodegradation and toxicology of thenonionic surfactant AEs and APEs Most AEs are mixtures of 8 to 18 carbonlinear primary alcohols but linear secondary and branched AEs are also usedAbout 90 of AEs undergoing activated sewage-sludge treatment degradeindicating rapid aerobic metabolism Feeding rats a medium-chain-length AEfor 2 years at 10 gkg reduced food consumption and body-weight gain butthese effects were not seen at 1 gkg A dose-dependent increase in myocarditiswas the only effect observed Direct attachment of a branched alkyl chain(usually 9 carbons) and ester linkage of a polyethoxy chain (4ndash40 carbons) tophenol yields APEs Although activated sewage-sludge treatment removes up to97 of APEs substantial adsorption to sewage sludge occurs APEconcentrations of tens to hundreds parts per million occur in sewage sludgeThe concentrations of potentially toxic metabolites especially nonylphenolrange from an approximate equivalent to the parent compound to several timeshigher Survival and growth of rats fed a long polyethoxy chain (40 carbons)APE at 14 gkg for 2 years were the same as those of controls No pathologicallesions were associated with treatment Reduced body weight and enlargedlivers occurred in rats fed a short polyethoxy chain (4 carbons) APE at 1 gkgday At lower doses (30 and 140 mgkgday) no growth reduction or evidenceof histopathological changes were found after 2 years of feeding APEs degradeto nonylphenols and octylphenols in aerobic environments and that increasestoxicity of the material up to 10-fold (Scott and Jones 2000) For example themono- and di-ethoxylates degrade to 4-nonylphenol Studies from the UnitedStates (LaGuardia et al 2001) and Switzerland (Giger et al 1984) detectednonylphenol polyethoxylates in sewage sludge A nonylphenol concentration of47 ppm was reported in soil soon after biosolids application (Scott and Jones2000) Concentrations of nonylphenols in anaerobically digested sewage sludgemay be as high as 4000 mgkg (Bennie 1999) They may be rapidly degraded insoil limiting the potential transfer into the food chain but there are few field-based data Although recent evidence suggests that nonylphenols spiked intouncontaminated biosolids are degraded over several months a significantportion of the nonylphenols in aged biosolids is recalcitrant to biologicaltransformation (Topp and Starratt 2000) In addition to persistence in the soilthe sorption of nonylphenol onto organic matter may give rise to the facilitatedtransport of these compounds into groundwater (Nelson et al 1998)Nonylphenol and other alkylphenolics activity as endocrine disruptors is ofsome concern The

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risk from environmental exposure is most clear for fish in surface watersreceiving wastewater treatment plant (WWTP) effluents (Jobling et al 1996)

Chlorinated Paraffins

Chlorinated paraffins or polychlorinated n-alkanes (PCAs) are used asadditives in lubricants plastics flame retardants paints sealants and cuttingand lubricating oils These chemicals are actively produced in large tonnagesand have numerous uses and sources When dissolved in a polymer theyprobably leak slowly into the environment and almost half of the oils used inmanufacturing might enter wastewater streams (Alcock et al 1999) Thereforeindustrial effluents are much more likely sources of chlorinated paraffins inbiosolids than in domestic wastewater

High doses of chlorinated paraffins (100ndash1000 mgkgday for 14 days)increased liver size and peroxisomal enzyme activity in rats and mice (Wyatt etal 1993) They also reduced plasma thyroid hormone concentrations in rats atthe highest dose in that study Chlorinated paraffins induced liver and thyroidtumors in rats and mice and are probable human carcinogens (NTP 1986)These materials deserve attention in future analytical work on biosolids

Nitro and Polycyclic Musks

Nitro and polycyclic musks are fragrances in a variety of personal-careproducts including shampoos soaps detergents perfumes and skin lotionsFeeding mice musk xylol at 15 gkg for 80 weeks increased liver tumorincidence (Maekawa et al 1990) Although sewage treatment markedly reducesnitro musk concentrations in wastewater amino metabolites that are more toxicthan parent compounds occurred in effluents at 1ndash250 ppt (Daughton andTernes 1999) Herren and Berset (2000) reported concentrations of nitro muskstheir amino metabolites and polycyclic musks in sewage sludge from 12 SwissWWTPs Nitro-musk concentrations in sewage sludge ranged from less than 01to 7 ppb dry weight Amino metabolites ranged from less than 01 to 49 ppb dryweight Much higher concentrations of polycyclic musks in sewage sludgeoccurred at up to 12 ppm dry weight for galaxolide and 4 ppm dry weight fortonalide Those concentrations can be explained by the phase out of nitro musksand the increased production of polycyclic musks (reviewed in Daughton andTernes 1999) and slow rates of degradation One estimate of half-life forpolycyclic musks in soils is 180 days (Balk and Ford 1999) Future riskassessment on biosolids should consider polycyclic musks

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Pharmaceuticals

Since the early 1980s there have been increasingly frequent reports ofpharmaceuticals detected in wastewater treatment effluent or surface water intrace concentrations (typically in nanograms per liter) (Daughton and Ternes1999 Ayscough et al 2000) These reports have become more frequent asanalytical techniques have improved to enable identification of very lowconcentrations of these chemicals in complex mixtures Many of thesechemicals are produced in very high volumes and they or their metabolites areadded directly to wastewater after use Most of the concern regarding thepotential effects of these chemicals particularly the potential endocrine-disrupting effects of hormones has been for the impact on aquatic receptorsThe majority of drugs are water soluble and metabolism after ingestiongenerally increases the solubility further Consequently most drugs and theirmetabolites are unlikely to be present in significant quantities in biosolidsNevertheless more lipophilic compounds will have a greater tendency topartition to biosolids

Since 1969 the National Environmental Policy Act has required theassessment of risk to the environment from use of drugs Environmentalassessments are part of the registration procedure for new humanpharmaceuticals (PDA 1985 Eirkson 1987) The procedure in place since 1995calls for estimation of an expected introductory concentration (EIC) based ondividing the expected annual production volume by the number of liters ofwastewater entering publicly owned treatment works per year (US Center forDrug Evaluation and Research 1995) When the predicted EIC in wastewatereffluent is less than 1 mgliter a detailed environmental assessment is notneeded

Active pharmaceutical compounds and a wide variety of metabolites enterwastewater after personal use at home and work (Ayscough et al 2000) Asomewhat different spectrum of chemicals will enter wastewater after use inhospitals and medical centers The parent compounds may also be disposed ofdirectly to wastewater These chemicals may be further degraded orbiodegraded in wastewater and during treatment at wastewater treatment plantsAnalytical methods to characterize the resulting complex mixtures of chemicalsare useful for research but are not currently adequate for routine screening(Daughton and Ternes 1999) Standard reference materials are often not readilyavailable and many of these substances are not included in environmentallyoriented mass spectral libraries

The efficiency of removal of drugs in wastewater treatment plants hasmainly been determined by measuring influent and effluent concentrationsRemoval efficiency varies greatly among different pharmaceuticals and variesover time at any single treatment plant (Daughton and Ternes 1999) Removalof a drug could reflect either degradation and biodegradation or sequestration

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in biosolids no data on drug concentrations in sewage sludge or biosolids wereidentified for this review Partition coefficients between organic matter andwater vary up to 500-fold for different drugs (Tolls 2001) Since thousands ofdrugs are approved for use any attempt to determine whether drugs areroutinely present in biosolids would require a carefully focused approachperhaps looking for the highest volume drugs that have lipophilic properties andare not predominantly metabolized to water-soluble forms

Toxicity studies have been conducted for most drugs but the results ofsuch studies are often not reported in the peer-reviewed literature If drugs aredetected in biosolids approaches for evaluating potential adverse health effectswill need to be considered Typically effects of toxicity would be limited todoses exceeding the therapeutic doses However therapeutic dose effects in anon-target population might be considered adverse effects Therefore health-based screening could rely on toxicity values that are a specific fraction oftherapeutic dose levels

In summary pharmaceuticals and personal care products are produced inhigh volumes and they and their metabolites are excreted directly towastewater where they have been detected in very low (generally nanogramsper liter) concentrations The potential for most of these chemicals to partitionto biosolids is limited by their generally high water solubility however somedrugs may be sufficiently lipophilic to partition preferentially to biosolids Atpresent there is not adequate evidence that pharmaceuticals are likely to occurin biosolids at concentrations sufficient to warrant their inclusion in a biosolidsrisk assessment however EPA should continue to monitor research in this area

Volatile Emissions and Odorants

The chemical selection process used for the Part 503 rule risk assessmentincluded consideration of volatile organic chemicals (VOCs) that are prioritypollutants These VOCs are generally limited to chlorinated and aromaticvolatiles which might be present in biosolids as a result of industrial or otherdischarges to sewer systems Because the majority of these VOCs will bereleased to the air during wastewater processing VOCs were ruled out aschemicals of concern for land application of biosolids

Sewage sludge also emits many VOCs not included in the EPA prioritypollutant list These VOCs include sulfur and nitrogen-containing chemicalsthat are strong odorants as well as acids aldehydes and ketones that are alsoodorants A review by Gostelow et al (2001) provides an overview of odorantgeneration during wastewater treatment and describes measurement methodsMany of these chemicals are generated during the biodegradation of waste-

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water and sewage-sludge components and the protein breakdown contributes tothe generation of sulfur and nitrogen-containing compounds (Gostelow et al2001) Sufonates from detergents are additional sources of sulfur and urine andamino acids contribute to formation of nitrogen-containing compoundsCarbohydrate fermentation during anaerobic sewage sludge treatmentcontributes to the formation of volatile fatty acids aldehydes alcohols andketones

The mixture of odorants in biosolids will differ from that in sewage sludgeand the relative concentrations will differ between the two mixtures forodorants present in both Table 5ndash14 lists odorants associated with wastewatertreatment their characteristic odors and their odor thresholds As noted in thetable many of these odorants have been detected in biosolids

Although hydrogen disulfide is the predominant odorant associated withwastewater treatment it is less of a factor in the odors of biosolids (Striebig1999) In an unpublished laboratory study the predominant odorants varieddepending on treatment methods used to reduce pathogens in the biosolidsOverall odor increased with lime treatment and increasing temperature (Striebig1999) Additional studies are needed to provide a more robust database ofodorants released from biosolids Potential risks associated with odorantscannot be properly assessed until such a database is developed

Noxious odors are one of the primary causes of complaints from the publicabout land application of biosolids Odor perception consists of two stepsphysiological reception and psychological interpretation (Gostelow et al 2001)Although odorants may cause toxic effects perception of an odor as noxious isnot directly linked to toxicity Perception of sewage odors as unpleasant mightbe due to an association with decaying material that needs to be avoided Asnoted by Schiffman et al (2000) foul environmental odors frequently engenderconcerns for safety Odor perception has been shown to affect mood in eludinglevels of tension depression anger fatigue and confusion (Schiffman et al1995) Mood impairments and stress can potentially lead to physiological andbiochemical changes with subsequent health consequences (Shusterman et al1991 Cohen and Herbert 1986) In addition conditioned responses (behavioraland physiological) can be developed to odors perceived to be associated withhealth symptoms (Bolla-Wilson et al 1988 Shusterman et al 1988)

Odors associated with biosolids are due to complex mixtures of odorouschemicals that vary greatly in toxicity and in odor thresholds The olfactorysystem processes stimuli from the chemicals in these mixtures perceiving oneoverall odor There are two primary approaches to measuring odors analyticalmeasurements of individual odorants in a mixture and sensory studies in whichhuman subjects provide subjective evaluations of odors (reviewed in Gostelowet al 2001) Fully characterizing an odor requires the use of both

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 231

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EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 234

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approaches Although analytical measurements allow for identification ofthe chemicals present sensory studies may provide assessments of the intensitycharacter and hedonic tone (pleasantness or unpleasantness) of an odorAnalytical measurements are crucial for an assessment of the potential toxicityof odorous chemicals because toxicity thresholds often do not correlate withodor thresholds

In assessing odorants it is important to distinguish between symptoms orhealth complaints due to odor perception and irritant effects and other forms oftoxicity Participants at a workshop held at Duke University in 1998 defined aset of odor levels to clarify the intensities associated with potential healthimpacts (Schiffman et al 2000) (see Table 5ndash15) These levels begin with odordetection and progress through odor intolerance (defined as physical symptomsoccurring at a nonirritant concentration) irritant effects and chronic and acutetoxicity

Identification of these levels does not imply that consistent increases inconcentrations trigger each level of response For example some odorantsmight have minimal irritant effects but produce chronic or acute toxicity Strongodorants might be detected at concentrations far less than those that causetoxicity whereas weak odorants might cause toxicity at concentrations close toodor detection thresholds Table 5ndash16 provides a comparison of odor thresholdsand thresholds for toxicity of odorants detected in biosolids Toxicity thresholdvalues for airborne chemicals are derived by a variety of organizations EPAand the Agency for Toxic Substances and Disease Registry are the primarysources of toxicity values for evaluating effects of chronic exposure EPA isalso overseeing the development of acute exposure guideline levels (AEGLs) toevaluate acute exposures of the general public and the National Institute forOccupational Safety Health the American Conference of GovernmentalIndustrial Hygienists and the Occupational Safety and Health Administrationderive acute exposure guidelines for occupational exposures The divergence ofodor threshold and toxicity is illustrated by comparing values for hydrogensulfide and carbon disulfide The odor thresholds for the two chemicals aresimilar but the reference concentrations suggest that the chronic toxicity ofhydrogen sulfide is more than 100 times greater than that of carbon disulfide

As can be seen in Table 5ndash16 toxicity values are available for only a smallnumber of odorants found in biosolids Evaluation of risks of exposure toodorants will depend on the availability of appropriate toxicity values for thesechemicals Appropriate toxicity values will need to be based on the likelyexposure duration (short-term vs chronic) Consequently initial efforts toevaluate the potential hazards of odorants identified in biosolids should focuson dose-response assessment for exposure durations likely to occur in the

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 235

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TABLE 5ndash15 Perception of Odors and Health Complaints

Level Description1 Odor detection The level of odor that can first be

differentiated from ambient air2 Odor recognition The level of odor at which the odor

quality can be characterized (eg thelevel at which a person can detect that anodor is apple or manure)

3 Odor annoyance The level at which a person is annoyed byan odor but does not show or perceive aphysical reactionNote Health symptoms are not expectedat these first three levels unless the odoroccurs with a copollutant such as dust asin Paradigm 3 or the level of annoyance isintense or prolonged

4 Odor intolerance (causing somaticsymptoms)

The level at which an individual mayshow or perceive physical (somatic)symptoms to an odorNote This level corresponds to Paradigm2 in which the odor induces symptomseven thought the odorant concentration islower than that known to cause irritation

5 Perceived irritant The level at which a person reportsirritation or physical symptoms as a resultof stimulation of nerve endings in therespiratory tract

6 Somatic irritant The level at which an odorant (not anodor) results in a negative physicalreaction regardless of an individualrsquospredisposition This can occur when anodorous compound (eg chlorine)damages tissueNote Perceived and somatic irritationcorrespond to Paradigm 1

7 Chronic toxicity The level at which an odorant can resultin long-term health impact

8 Acute toxicity The level at which an immediate toxicimpact is experienced (eg a single eventmay evoke an acute health impact)Note In the case of chronic or acutetoxicity the compound should not beconsidered an odorant but rather acompound with toxic effects that happensto have an odor

Source Schiffman et al 2000 Reprinted with permission from Journal of Agromedicine copyright2000 Haworth Press Inc

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 236

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E 5

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Com

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Lev

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Ref

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ce C

once

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000

8110

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EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 237

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exposed populations Because many of these chemicals are structurallysimilar quantitative structure activity analysis (QSAR) might be a useful tool toaugment the limited toxicity database In conclusion a wide variety of odorantsare present in wastewater effluents and the chemical compositions andconcentrations of odorants in biosolids vary with the treatment processes aswell as the origin of the effluents Inhalation is the only exposure pathway ofconcern for VOCs and both acute and chronic exposures should be consideredAdditional studies are needed to identify odorants typically released frombiosolids and to determine the range of likely air concentrations near biosolids-application sites Acute and chronic toxicity values (air concentrationsdetermined to be safe for specified kinds of exposures) should be developed forthe predominant odorants and a hazard analysis should be conducted todetermine whether air concentrations generated near application sites are highenough to warrant more detailed risk assessment for this category of chemicalsResearch is also needed on the impacts of odors Particular attention should bepaid to the degree to which effective biosolids treatment reduces odorantconcentrations and impacts

FINDINGS AND RECOMMENDATIONS

In responding to the committeersquos charge to evaluate the technical basis ofthe biosolids chemical standards it is important to distinguish between theappropriate risk-assessment methods at the time the standards were developedversus the most appropriate methods now The committee did not attempt todetermine whether the methods used at that time were appropriate and thecommitteersquos findings and recommendations should not be construed as eithercriticism or approval of the standards when issued Instead the findings andrecommendations focus on how current risk-assessment practices and currentknowledge regarding chemicals in biosolids can be used to update andstrengthen the scientific credibility of EPArsquos chemical standards

In light of the advances made in risk-assessment methods and the need toupdate many of the exposure parameters used in the risk assessment processthe existing biosolids standards for inorganic pollutants clearly need to bereevaluated A comparison of the pollutant limits with risk-based soil screeninglevels suggests that the pollutant standards are adequately protective for someexposure pathways (ie soilbiosolids ingestion) but may need to bereevaluated for others (ie ingestion of homegrown produce grown onbiosolids-amended soil groundwater) Reevaluating the standards is not thesame as saying that the standards should be lower In fact some standardsmight increase after a reevaluation A lower standard for a particular pollutantalso would not necessarily indicate the presence of a health risk The risk

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would depend on the actual concentrations of the pollutant in biosolids to whichpeople were exposed Nonetheless the current limits cannot with confidence bestated to be adequately protective for all of the regulated pollutantsAdditionally limitations in the chemical selection process apply to inorganic aswell as organic pollutants

Recommendation A revised multipathway risk assessment should beperformed for the currently regulated pollutants with particular attention paidto arsenic and to indirect exposure pathways for cadmium and mercury Inaddition new survey data should be used to identify any additional inorganic ororganic pollutants that might need to be included in a risk assessment

The science and body of knowledge underlying the practice of riskassessment have evolved substantially since the risk assessment supporting thePart 503 rule was conducted Consequently different approaches andsupporting data would be used if the Part 503 rule risk assessment wereconducted again today or in the future One important development has been therecognition of the importance of engaging stakeholders in the risk-assessmentprocess to help characterize potential exposures Stakeholders are groupspotentially affected by the risk risk managers and groups affected by efforts tomanage the source of the risk Involving stakeholders throughout the risk-assessment process provides opportunities to bridge gaps in understandinglanguage values and perspectives and to address concerns of affectedcommunities

Recommendation Risk-based standards for land application of biosolidsshould be reevaluated on a regular basis to take into account new informationregarding the identity and properties of chemicals present in these mixtures andcurrent approaches to evaluating the risks of exposure to such mixturesStakeholders should be included in the process particularly in the developmentof the exposure assessments

The chemical selection process used to identify chemicals of concern forthe risk assessment is now outdated Data from the NSSS that was used in theselection process are over a decade old and there is a need to characterize theconcentrations and distribution of chemicals now present in biosolidsAdditional chemicals not included in the NSSS analyses have now beenidentified as new concerns Analytical methods have improved since the NSSSwas conducted

Recommendation The committee endorses the recommendation of theprevious NRC committee (NRC 1996) that a new national survey of chemicalsin biosolids be conducted It recognises that more recent survey data areavailable through many state programs and recommends that EPA considerthose databases in the course of designing a

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 239

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new national survey Other elements that should be included in a new surveyare the following evaluation of the adequacy of analytical methods anddetection limits to support risk assessment consideration of categories ofchemicals of current concern that were not previously evaluated (eg odorantssurfactants and pharmaceutical) and assessment of the possible presence ofmultiple species of mercury arsenic and other metals that have different toxicend points

EPArsquos decision to eliminate all chemicals detected at less than 5 or 10frequency in the NSSS is unjustified Data gaps may now be filled for toxicityand fate and transport characteristics that were previously used to eliminatechemicals from the risk assessment In addition uncertainties associated withthe chemical selection process have not been adequately evaluated

Recommendation Selected persistent bioaccumulative and highly toxicchemicals should be retained in the risk assessment even if they are detectedrelatively infrequently or if some chemical-specific fate and transportparameters are missing An uncertainty assessment should be performed toevaluate the significance of eliminating chemicals from the risk assessmentbecause of lack of toxicity data or other parameters

The Part 503 rule risk assessment focused on agricultural land-applicationscenarios Conceptual site models documenting the exposure pathways judgedto be major and minor are not available for the scenarios evaluatedConsequently it is difficult to determine whether all relevant pathways wereidentified Although the pathways evaluated are likely to be the major exposurepathways for chronic exposures in agricultural scenarios there might bedifferences in the significance of pathways for short-term exposures and fordifferent scenarios

Recommendation A new risk assessment should include separateexposure scenarios that represent substantial differences in exposure potential(eg land reclamation and forestry applications) For each scenario aconceptual site model approach should be used to identify major and minorexposure pathways and routes of exposure Risks from short-term episodicexposures should also be evaluated for volatile chemicals such as odorants

The degree of realism varies by exposure pathway The pathways were notevaluated in a consistent manner (ie it is not apparent that exposure estimateswere comparably conservative for all pathways) Exposures also were not addedfor multiple pathways affecting a single receptor For the indirect pathways theuse of multiple highly conservative assumptions could result in unrealisticoverestimates of risk However because of the diversity

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 240

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of exposed populations environmental conditions and agricultural practices inthe United States exposure analyses based on a nationwide range of exposuresmight not be adequately protective for all cases

Recommendation A comparable reasonable maximum exposure (RME)should be evaluated for each exposure pathway in each exposure scenario andwhere the same receptor is likely to be exposed to more than one pathwayexposures should be added across pathways Such considerations areapplicable for both deterministic and probabilistic exposure assessmentapproaches Multiple highly conservative assumptions should be avoided however care should be taken to ensure that the risks are assessed for the high-end population and that the most sensitive conditions for biosolids applicationare considered For example for the groundwater infiltration pathway ifbiosolids application is likely to occur in areas of sandy soil or karsttopography with shallow groundwater those conditions should be used in therisk assessment

As described above and in Chapter 4 new scientific data are now availablethat could be used to support alternative assumptions for many of the exposureparameters used in the risk assessment Comprehensive reviews and updatedrecommendations for many parameters have been compiled in several EPAguidance documents Fate and transport models used to estimate exposure pointconcentrations for many pathways have also been updated

Recommendation The most recent EPA reviews and new studies reportedin the literature should be used to identify updated assumptions for exposureparameters for use in risk assessment Updated fate and transport modelsshould be used to estimate exposure point concentrations For each exposurepathway fate and transport models and exposure parameter assumptionsshould be selected so that pathway exposures reflect the RME

Biosolids are likely to include many categories of chemicals that differfrom the categories of chemicals of concern in industrial discharges Although itis impossible to identify all of these pollutants it is important that EPAcontinually think about the types of chemicals released into wastewaters andadded during wastewater and sewage-sludge treatment processes as part of itsprocess for updating the Part 503 rule EPA eliminated certain chemicals ofconcern from further assessment when there was an absence of data on fatetransport and toxicity New data on some of these chemicals might now beavailable for determining whether risk assessments for those chemicals areneeded Because some organic chemicals such as organochlorines arepersistent in the environment consideration should be given to their tendencyfor trophic transfer and biomagnification EPA has already undertaken such anevaluation for dioxins Consideration should also be given to toxic end points

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 241

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that might not have been evaluated adequately in the earlier assessment (egpotential interactions of chemicals with the endocrine system) Two categoriesof chemicals deserving special attention are pharmaceuticals and odorantsConsidering the amounts discharged to sewage systems the presence ofpharmaceuticals in biosolids has not been adequately investigated For odorantsthe need for further evaluation is driven by the high level of public concern aswell as very limited characterization of the odorants present in biosolids andtheir toxicity

Recommendation In addition to the recommendation above for a newbiosolids survey and chemical selection process it is recommended that aresearch program be developed for pharmaceuticals and other chemicals likelyto be present in biosolids that are not currently included in routine monitoringprograms This includes chemicals eliminated from Round 1 and Round 2evaluations because of data gaps The research program should have the goalof identifying additional chemicals that should be included in routine biosolidssurveys and in future risk assessments For odorants research in needed toidentify the odorants present in various kinds of biosolids For odorantscommonly present in biosolids EPA should move aggressively to develop acutetoxicity values for use in assessing the risks posed by these chemicals andshould support research on the interaction between these chemicals and pathogens in causing human disease

REFERENCES

ACGIH (American Conference of Governmental Industrial Hygienists) 2001a Documentation ofthe Threshold Limit Values for Chemical Substances 7th Ed ACGIH Cincinnati OH

ACGIH (American Conference of Governmental Industrial Hygienists) 2001b Documentation ofthe Physical Agents Threshold Limit Values 7th Ed ACGIH Cincinnati OH

ACGIH (American Conference of Governmental Industrial Hygienists) 2001c Documentation ofthe Threshold Limit Values and Biological Exposure Indices 7th Ed ACGIH CincinnatiOH

Adamu CA PFBell CMulchi and RChaney 1989 Residual metal concentrations in soils andleaf accumulations in tobacco a decade following farmland application of municipalsludge Environ Pollut 56(2)113ndash126

Alcock RE ASweetman and KCJones 1999 Assessment of organic contaminant fate inwastewater treatment plants I Selected compounds and physicochemical propertiesChemosphere 38(10)2247ndash2262

Alexander M 2000 Aging bioavailability and overestimation of risk from environmentalpollutants Environ Sci Technol 34(20)4259ndash4265

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 242

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from

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ed f

rom

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inal

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er b

ook

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igin

al ty

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tting

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s P

age

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ks a

re tr

ue to

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inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

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erro

rs m

ay h

ave

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rted

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his

publ

icat

ion

as th

e au

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itativ

e ve

rsio

n fo

r attr

ibut

ion

Alvarado MJ SArmstrong and ECrouch 2001 The AMSA 20002001 Survey of Dioxin-LikeCompounds in Biosolids Statistical Analyses Prepared for Association of MetropolitanSewage Agencies (AMSA) by Cambridge Environmental Inc Cambridge MA October30 2001 [Online] Available httpwwwamsa-cleanwaterorgadvocacydioxinfinal_reportpdf [May 17 2002]

Amoore JH and EHautala 1983 Odor as an aid to chemical safety odor thresholds comparedwith threshold limit values and volatilities for 214 industrial chemicals in air and waterdilution J Appl Toxicol 3(6)272ndash290

Anderson SA 1986 Guidelines for Use of Dietary Intake Data Bethesda MD life SciencesResearch Office Federation of American Societies for Experimental Biology 89ppArai Y and DLSparks 2001 Microscale Arsenic (AS) Chemical Speciation in Poultry Litter

Presentation at Soil Science of America Annual Meeting Charlotte NC Oct 21ndash25 2001[Online] Available httpagudeledusoilchempublicationshtml [April 17 2002]

ATSDR (Agency for Toxic Substances and Disease Registry) 1999 Toxicological Profile forCadmium (Update) US Dept of Health and Human Services Public Health ServiceAgency for Toxic Substances and Disease Registry Atlanta GA

Ayscough NJ JFawell GFranklin and WYoung 2000 Review of Human Pharmaceuticals inthe Environment RampD Tech Report P390 WRc Report No EA4761 WRc-NSF LtdBuckinghamshire Bristol Environment Agency

Balk F and RAFord 1999 Environmental risk assessment for the polycyclic musks AHTN andHHCB in the EU I Fate and exposure assessment Toxicol Lett 111(1ndash2)57ndash59

Barbarick KA JAIppolito and DGWestfall 1998 Extractable trace elements in the soil profileafter years of biosolids application J Environ Qualit 27(4)801ndash805

Barrow NJ 1998 Effects of time and temperature on the sorption of cadmium zinc cobalt andnickel by soil Aust J Soil Res 36(6)941ndash950

Basta NT and JJSloan 1999 Bioavailability of heavy metals in strongly acidic soils treated withexceptional quality biosolids J Environ Qual 28(2)633ndash638

Beck AJ DLJohnson and KCJones 1996 The form and bioavailability of nonionic organicchemicals in sewage sludge-amended agricultural soils Sci Total Environ 185(1ndash3)125ndash149

Bell PF CAAdamu CLMulchi MMcIntosh and RLChaney 1988 Residual effects of landapplied municipal sludge on tobacco 1 Effects on heavy metal concentrations in soils andplants Tob Sci 3246ndash51

Bell PF BRJames and RLChaney 1991 Heavy metal extractability in longterm sewage sludgeand metal salt-amended soils J Environ Qual 20481ndash486

Bennie DT 1999 Review of the environmental occurrence of alkylphenols and alkylphenolethoxylates Water Qual Res J Can 34(1)79ndash122

Berti WR and LWJacobs 1998 Distribution of trace elements in soil from repeated sewagesludge applications J Environ Qual 27(6)1280ndash1286

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 243

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n fo

r attr

ibut

ion

Betts K 2001 Mounting concern over brominated flame retardants Environmental Science andTechnology Online Science News June 1 2001 Available httpwwwacsorg [March 12002]

Bolla-Wilson K RJWilson and MLBleecker 1988 Conditioning of physical symptoms afterneurotoxic exposure J Occup Med 30(9)684ndash686

Brady NC and RRWeil 1999 The Nature and Properties of Soils 12th Ed Upper Saddle RiverNJ Prentice Hall

Broos K FDegryse and ESmolders 2001 Cadmium and Zinc Availability and Toxicity toSymbiotic Nitrogen Fixation in Soils Contaminated by Various Sources GP100Presentation at the 6th International Conference on the Biogeochemistry of TraceElements Guelph Ontario Canada July 29-August 2 2001 [Online] Available httpwwwuoguelphca~gparkinICOBTEICOBTEprogrampdf [February 25 2002]

Brown SL RLChaney JSAngle and JARyan 1998 The phytoavailability of cadmium tolettuce in long-term biosolids-amended soils J Environ Qual 27(5)1071ndash1078

Brown SL RLChaney CALloyd JSAngle and JARyan 1996 Relative uptake by gardenvegetables and fruits grown on long-term biosolids-amended soils Environ Sci Technol30(12)3508ndash3511

Buck RJ KAHammerstrom and PBRyan 1997 Bias in population estimates of long-termexposure from short-term measurements of individual exposure Risk Anal 17(4)455ndash466

Buehler EV EANewmann and WRKing 1971 Two-year feeding and reproduction study inrats with linear alkylbenzene sulfonate (LAS) Toxicol Appl Pharmacol 18(1)83ndash91

Calabrese EJ EJStanek CEGilbert and RMBarnes 1990 Preliminary adult soil ingestionestimates results of a pilot study Regul Toxicol Pharmacol 12(1)88ndash95

Cappon CJ 1981 Mercury and selenium content and chemical form in vegetable crops grown onsludge-amended soil Arch Environ Contam Toxicol 10(6)673ndash689

Cappon CJ 1984 Content and chemical form of mercury and selenium in soil sludge andfertilizer materials Water Air Soil Pollut 2295ndash104

Carpi A and SELindberg 1997 Sunlight-mediated emission of elemental mercury from soilamended with municipal sewage sludge Environ Sci Technol 31(7)2085ndash2091

Carpi A and SELindberg 1998 Application of a Teflon dynamic flux chamber for quantifyingsoil mercury flux tests and results over background soil Atmos Environ 32(5)873ndash882

Carpi A SELindberg EMPrestbo and NSBloom 1997 Methyl mercury contamination andemission to the atmosphere from soil amended with municipal sewage sludge J EnvironQual 26(NovDec)1650ndash1654

Cary EE DLGrunes SLDallyn GAPearson NHPeck and RSHulme 1994 Plant Fe Aland Cr concentration in vegetables as influenced by soil inclusion J Food Qual 17467ndash476

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 244

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type

setti

ng-s

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fic fo

rmat

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how

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can

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ome

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ay h

ave

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of t

his

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icat

ion

as th

e au

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itativ

e ve

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n fo

r attr

ibut

ion

Cavalli L and LValtorta 1999 Surfactants in sludge-amended soil Tenside Surf Det 36(1)22ndash28

Chaisson CF RLSielken Jr and DKWaylett 1999 Overestimation bias and other pitfallsassociated with the estimated 999th percentile in acute dietary exposure assessmentsRegul Toxicol Pharmacol 29(2 Pt 1)102ndash127

Chaney RL 1990 Twenty years of land application research BioCycle 31 (9)54ndash59Chaney RL and JARyan 1994 Risk Based Standards for Arsenic Lead and Cadmium in Urban

Soils Summary of Information and Methods Developed to Estimate Standards for Cd Pdand As in Urban Soils Frankfurt DECHEMA

Chaney RL SLBrown and JSAngle 1998 Soil-root interface ecoystem health and humanfood-chain protection Pp 279ndash311 in Soil Chemistry and Ecosystem Health PMHuangDCAdriano TJLogan and RTCheckai eds Madison WI Soil Science Society ofAmerica

Chaney RL SBHornick and PWSimon 1977 Heavy metal relationships during land utilizationof sewage sludge in the Northeast Pp 283ndash314 in Land as a Waste ManagementAlternative Proceedings of the 1976 Cornell Agricultural Waste Management ConferenceRCLoehr ed Ann Arbor MI Ann Arbor Science Pub

Chang AC HNHyun and ALPage 1997 Cadmium uptake for Swiss chard grown oncomposed sewage sludge treated field plots plateau or time bomb J Environ Qual 26(1)11ndash19

Chang LL DLRaudenbush and SKDentel 2001 Aerobic and anaerobic biodegradability of aflocculant polymer Water Sci Technol 44(2ndash3)461ndash468

Chaudri AM CMAllain SHBadawy MLAdams SPMcGrath and BJChambers 2001Cadmium content of wheat grain from a long-term field experiment with sewage sludge JEnviron Qual 30(5)1575ndash1580

Chiou CT and TDShoup 1985 Soil sorption of organic vapors and effects of humidity onsorptive mechanism and capacity Environ Sci Technol 19(12)1196ndash1200

Cohen S and TBHerbert 1996 Health psychology psychological factors and physical diseasefrom the perspective of human psychoneuroimmunology Annu Rev Psychol 47113ndash142

Colborn T FSvom Saal and AMSoto 1993 Developmental effects of endocrine-disruptingchemicals in wildlife and humans Environ Health Perspect 101(5)378ndash384

Corey RB LDKing CLue-Hing DSFanning JJStreet and JMWalker 1987 Effects ofsludge properties on accumulation of trace elements by crops Pp 25ndash 51 in LandApplication of Sludge Food Chain Implications ALPage TJ Logan and JARyan edsChelsea MI Lewis

Darnerud PO GSEriksen TJohannesson PBLarsen and MViluksela 2001 Polybrominateddiphenyl ethers occurrence dietary exposure and toxicology Environ Health Perspect109(Suppl 1)49ndash68

Daughton CG and TATernes 1999 Pharmaceuticals and personal care products in theenvironment agents of subtle change [Review] Environ Health Perspect 107(Suppl6)907ndash938

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 245

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e ve

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n fo

r attr

ibut

ion

de Boer J PGWester HJKlamer WELewis and JPBoon 1998 Do flame retardants threatenocean life Nature 394(6688)28ndash29

de Wolf W and TFeijtel 1998 Terrestrial risk assessment for linear alkyl benzene sulfonate(LAS) in sludge-amended soils Chemosphere 36(6)1319ndash1343

Dragun J and ADChiasson 1991 Elements in North American Soils Hazardous MaterialsControl Resources Institute Greenbelt MD

Eirkson C 1987 Environmental Assessment Technical Assistance Handbook FDACFSAN-8730 PB87ndash175345 Washington DC Food and Drug Administration

Eljarrat E JCaixach and JRivera 1997 Effects of sewage sludges contaminated withpolychlorinated benzo-p-dioxins dibenzofurans and biphenyls on agricultural soilsEnviron Sci Technol 31(10)2765ndash2771

EPA (US Environmental Protection Agency) 1982 Fate of Priority Pollutants in Publicly OwnedTreatment Works Vol 1 Final Report EPA4401ndash82303 Effluent Guidelines DivisionWater and Waste Management US Environmental Protection Agency Washington DCSeptember

EPA (US Environmental Protection Agency) 1985 Summary of Environmental Profiles andHazard Indices for Constituents of Municipal Sludge Methods and Results EPA 822S-85ndash001 NTIS PB95ndash156436 Office of Water Regulations and Standards WastewaterCriteria Branch US Environmental Protection Agency Washington DC July

EPA (US Environmental Protection Agency) 1989 Risk Assessment Guidance for SuperfundVol 1 Human Health Evaluation Manual (Part A) Interim Final EPA5401ndash89002Office of Emergency and Remedial Response US Environmental Protection AgencyWashington DC December 1989

EPA (US Environmental Protection Agency) 1990 National sewage sludge survey availability ofinformation and data and anticipated impacts on proposed regulations Fed Regist 55(218)47210ndash47283 (November 9 1990)

EPA (US Environmental Protection Agency) 1991 Guidance for Data Useability in RiskAssessment (Part A) Final EPA540R-92003 Office of Research and DevelopmentUS Environmental Protection Agency Washington DC December 1991

EPA (US Environmental Protection Agency) 1992a Technical Support Document for LandApplication of Sewage Sludge Vol I EPA 822R-93ndash001A Prepared for Office of WaterUS Environmental Protection Agency Washington DC by Eastern Research GroupLexington MA November 1992

EPA (US Environmental Protection Agency) 1992b Technical Support Document for LandApplication of Sewage Sludge Vol II Appendices EPA 822R-93ndash 001b Prepared forOffice of Water US Environmental Protection Agency Washington DC by EasternResearch Group Lexington MA November 1992

EPA (US Environmental Protection Agency) 1995 A Guide to the Biosolids Risk Assessmentsfor the EPA Part 503 Rule EPA 832-B-93ndash005 Office of Wastewater Management USEnvironmental Protection Agency Washington DC September 1995

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 246

Abou

t th

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ion

of t

he o

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al w

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rom

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inal

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ook

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igin

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tting

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inal

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ng-s

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ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

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iden

tally

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rted

Ple

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icat

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as th

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thor

itativ

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rsio

n fo

r attr

ibut

ion

EPA (US Environmental Protection Agency) 1996a Technical Support Document for the RoundTwo Sewage Sludge Pollutants EPA-822-R-96ndash003 Office of Water Office of Scienceand Technology Health and Ecological Criteria Division US Environmental ProtectionAgency Washington DC August 1996

EPA (US Environmental Protection Agency) 1996b Soil Screening Guidance TechnicalBackground Document EPA540R-95128 PB96ndash963502 Office of Emergency andRemedial Response US Environmental Protection Agency Washington DC May 1996

EPA (US Environmental Protection Agency) 1997 Exposure Factors Handbook Vol I II IIIEPA600P-95002Fa-c National Center for Environmental Assessment Office ofResearch and Development US Environmental Protection Agency [Online] Availablehttpwwwepagovnceaexposfachtm [July 31 2001]

EPA (US Environmental Protection Agency) 1998 Human Health Risk Assessment Protocol forHazardous Waste Combustion Facilities Vol 1 Peer Review Draft EPA530-D-98ndash001AOffice of Solid Waste and Emergency Response Washington DC July 1998 [Online]Available httpwwwepagovepaoswerhazwastecombustriskvolhtmvolume1[February 14 2002]

EPA (US Environmental Protection Agency) 1999a Standards for the use or disposal of sewagesludge Proposed rule Fed Regist 64(246)72045ndash72062 (December 23 1999)

EPA (US Environmental Protection Agency) 1999b Biosolids Generation Use and Disposal inthe United States EPA530-R-99ndash009 Municipal and Industrial Solid Waste DivisionOffice of Solid Waste US Environmental Protection Agency Washington DCSeptember 1999

EPA (US Environmental Protection Agency) 2000a Guide to Field Storage of BiosolidsEPA832-B-00ndash007 Office of Wastewater Management US Environmental ProtectionAgency Washington DC July 2000

EPA (US Environmental Protection Agency) 2000b Exposure and Human Health Reassessmentof 2378-Tetrachlorodibenzo-p-Dioxin (TCDD) and Related Compounds EPA600P-00001 National Center for Environmental Assessment Office of Research andDevelopment Washington DC [Online] Available httpwwwepagovNCEApdfsdioxinindexhtm [February 26 2002]

EPA (US Environmental Protection Agency) 2000c Estimated Per Capita Water Ingestion in theUnited States Based on Data Collected by the United States Department of Agriculturersquos1994ndash96 Continuing Survey of Food Intakes by Individuals EPA-822-R-00ndash008 Officeof Water US Environmental Protection Agency Washington DC April 2000 [Online]Available httpwwwepagovwatersciencedrinkingpercapita [February 26 2002]

EPA (US Environmental Protection Agency) 2001a Exposure Analysis for DioxinsDibenzofurans and CoPlanar Polychlorinated Biphenyls in Sewage Sludge RTI ProjectNo 92U-7600OP3040 Prepared by Center for Environmental Analysis ResearchTriangle Institute Research Triangle Park NC for Office of Water US EnvironmentalProtection Agency Washington DC November 30

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 247

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t th

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ome

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ave

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icat

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e ve

rsio

n fo

r attr

ibut

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2001 [Online] Available httpwwwepagovwatersciencebiosolidsriskasdraftpdf[February 26 2002]

EPA (US Environmental Protection Agency) 2001b Supplemental Guidance for Developing SoilScreening Levels for Superfund Sites Peer Review Draft OSWER 93554ndash24 Office ofEmergency and Remedial Response US Environmental Protection Agency WashingtonDC March 2001

EPA (US Environmental Protection Agency) 2001c 1999 Public Data Release Report ToxicRelease Inventory (TRI) Program EPA 260R-01001 US Environmental ProtectionAgency [Online] Available httpwwwepagovtriintertridatatri99indexhtm [May 212002]

EPA (US Environmental Protection Agency) 2001d Risk Assessment Guidance for SuperfundVol 3- Part A Process for Conducting Probabilistic Risk Assessment EPA 530-R-02ndash002 PB2002 963302 Office of Emergency and Remedial Response US EnvironmentalProtection Agency Washington DC December 2001 [Online] Available httpwwwepagovoerrpagesuperfundprogramsriskrags3apdfcontprefpdf [May 21 2002]

EPA (US Environmental Protection Agency) 2002a Standards for the Use or Disposal of SewageSludge Notice Fed Regist 67(113)40554ndash40576 June 12 2002

EPA (US Environmental Protection Agency) 2002b PRG Tables Preliminary Remediation GoalsSolid and Hazardous Waste Programs Region 9 US Environmental Protection Agency[Online] Available httpwwwepagovRegion9wastesfundprgs1_01htm [May 212002]

EPA (US Environmental Protection Agency) 2002c Integrated Risk Information System (IRIS)[Online] Available httpwwwepagoviris [February 26 2002]

Eriksson P EJakobsson and AFredriksson 2001 Brominated flame retardants A novel class ofdevelopmental neurotoxicants in our environment Environ Health Perspect 109(9)903ndash908

Ershow AG and KPCantor 1989 Total Water and Tapwater Intake in the United StatesPopulation-Based Estimates of Quantities and Sources Bethesda MD Life SciencesResearch Office Federation of American Societies for Experimental Biology

Farmer JG and LRJohnson 1990 Assessment of occupational exposure to inorganic arsenicbased on urinary concentrations and speciation of arsenic Br J Ind Med 47(5)342ndash348

FDA (Food and Drug Administration) 1985 FDA Final rule for compliance with NEPA Policyand Procedures Fed Regist 50FR 16636 21CFR 25 (April 26 1985)

Ford RG ACScheinost KGScheckel and DLSparks 1999 The link between clay mineralweathering and the stabilization of Ni surface precipitates Environ Sci Technol 33(18)3140ndash3144

Fries GF 1995 Transport of organic environmental contaminants to animal products RevEnviron Contam Toxicol 14171ndash109

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 248

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t th

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has

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ompo

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from

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reat

ed f

rom

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inal

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ook

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igin

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tting

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ks a

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ue to

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ks h

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ng s

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nd o

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setti

ng-s

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fic fo

rmat

ting

how

ever

can

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tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

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rted

Ple

ase

use

the

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t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Fries GF and DJPaustenbach 1990 Evaluation of potential transmission 2378-tetrachlorodibenzo-p-dioxin-contaminated incinerator emissions to humans via food JToxicol Environ Health 29(1)1ndash43

Gerritse RG RVriesema JWDalenberg and HPDe Roos 1982 Effect of sewage sludge ontrace element mobility in soils J Environ Qual 11 (3)359ndash364

Giger W PHBrunner and CSchaffner 1984 4-nonylphenol in sewage sludge Accumulation oftoxic metabolites from nonionic surfactants Science 225(4662)623ndash625

Gostelow P SAParsons and RMStuetz 2001 Odour measurements for sewage treatmentworks Wat Res 35(3)579ndash597

Gu YZ JBHogenesch and CABradfield 2000 The PAS superfamily Sensors ofenvironmental and developmental signals Annu Rev Pharmacol Toxicol 40519ndash561

Gustavsson NBBolviken DBSmith and RCSeverson 2001 Geochemical Landscapes of theConterminous United States-New Map Presentations for 22 Elements US GeologicalSurvey Professional Paper 1648 Denver CO US Dept of the Interior US GeologicalSurvey [Online] Available httpgeologycrusgsgovpubppaperspl648 [March 8 2002]

Hale RC MJLaGuardia EPHarvey MOGaylor TMMainor and WHDuff 2001 Flameretardants Persistent pollutants in land-applied sludges Nature 412(6843)140ndash141

Hamon RE PEHolm SELorenz SPMcGrath and THChristensen 1999 Metal uptake byplants from sludge-amended soil Caution is required in the plateau interpretation PlantSoil 216(12)53ndash64

Heckman JR JSAngle and RLChaney 1987 Residual effects of sewage sludge on soybean 1Accumulation of heavy metals J Environ Qual 16(2)113ndash117

Henry C and SBrown 1997 Restoring superfund site with biosolids and fly ash BioCycle 3879ndash80

Herren D and JDBerset 2000 Nitro musks nitro mush amino metabolites and polycyclic musksin sewage sludges Quantitative determination by HRGC-iontrap-MSMS and massspectral characterization of the amino metabolites Chemosphere 40(5)565ndash574

Heywood R RWJames and RJSortwell 1978 Toxicology studies of linear alkylbenzenesulphonate (LAS) in rhesus monkeys I Simultaneous oral and subcutaneousadministration for 28 days Toxicology 11(3)245ndash250

Hooda PS and BJAlloway 1994 The plant avaqilability and DTPA extractability of trace metalsin sludge-amended soils Sci Total Environ 149(1ndash2)39ndash51

Hooper K and TAMcDonald 2000 The PBDEs An emerging environmental challenge andanother reason for breast-milk monitoring programs [Review] Environ Health Perspect108(5)387ndash392

Israeli M and CBNelson 1992 Distribution and expected time of residence for US householdsRisk Anal 12(1)65ndash72

Jensen J 1999 Fate and effects of linear alkylbenzene sulponates (LAS) in the terrestrialenvironment Sci Total Environ 226(2ndash3)93ndash111

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 249

Abou

t th

is P

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igita

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rese

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ion

of t

he o

rigin

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ork

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tting

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ks a

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ue to

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inal

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ng-s

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rmat

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can

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tain

ed a

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ome

typo

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erro

rs m

ay h

ave

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acc

iden

tally

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rted

Ple

ase

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the

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t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Jobling S DSheahan JAOsborne PMatthiessen and JPSumpter 1996 Inhibition of testiculargrowth in rainbow trout (Oncorhynchus mykiss) exposed to estrogenic alkylphenolicchemicals Environ Toxicol Chem 15(2)194ndash202

Jones KC and APSewart 1997 Dioxins and furans in sewage sludges A review of theiroccurrence and sources in sludge and of their environmental fate behavior andsignificance in sludge-amended agricultural systems Crit Rev Environ Sci Technol 27(1)1ndash86

Kamaludeen SPB RNaidu MMegharaj ALJuhasz and GMerrinston 2001 Do MicrobialManganese Oxides Aid Chromium (III) Oxidation in Long-term Tannery WasteContaminated Soils GP208 Presentation at the 6th International Conference on theBiogeochemistry of Trace Elements Guelph Ontario Canada July 29-August 2 2001[Online] Available httpwwwuoguelphca~gparkinICOBTEICOBTEprogrampdf[February 25 2002]

Keinholtz EW GMWard DEJohnson JBaxter GBraude and GStern 1979 MetropolitanDenver sewage sludge fed to feedlot steers J Anim Sci 48(4)735ndash741

Kelley M SBrauning RSchoof and MRuby 2002 Assessing Oral Bioavailability of Metals inSoil Columbus OH Battelle Press 136 pp

LaGuardia MJ RCHale EHarvey and TMMainor 2001 Alkylphenol ethoxylate degradationproducts in land-applied sewage sludge (biosolids) Environ Sci Techol 35(24)4798ndash4804

Logan TJ BJLindsay LEGoins and JARyan 1997 Assessment of sludge metalbioavailability to crops Sludge rate response J Environ Qual 26(2)534ndash 550

Madsen PL JBThyme KHenriksen PMoldrup and PRoslev 1999 Kinetics of di-(2-ethylhexyl) phthalate mineralization in sludge-amended soil Environ Sci Technol 33(15)2601ndash2606

Maekawa A YMatsushima HOnodera MShibutani HOgasawara YKodama YKurokawaand YHayashi 1990 Long-term toxicitycarcinogenicity of musk xylol in B6C3F1 miceFood Chem Toxicol 28(8)581ndash586

Mahler RJ JARyan and TReed 1987 Cadmium sulfate application to sludge-amended soils IEffect on yield and cadmium availability to plants Sci Total Environ 67(2ndash3)117ndash132

Manceau A BLanson and GMLamble 2000 Quantitative Zn speciation in smelter-contaminated soils by EXAFS spectroscopy Am J Sci 300(4)289ndash343

Marcomini A PDCapel WGiger and HHaeni 1988 Residues of detergent-derived organicpollutants and polychlorinated biphenyls in sludge-amended soil Naturwiss 75(9)460ndash462

McAvoy DC SDDyer NJFendinger WSEckhoff DLLawrence and WM Begley 1998Removal of alcohol ethoxylates alkyl ethoxylate sulfates and linear alkylbenzenesulfonates in wastewater treatment Environ Toxicol Chem 17(9)1705ndash1711

McBride MB 1998 Growing food crops on sludge-amended soils Problems with the USEnvironmental Protection Agency method of estimating toxic metal transfer EnvironToxicol Chem 17(11)2274ndash2281

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 250

Abou

t th

is P

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ion

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rigin

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ork

has

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ompo

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from

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reat

ed f

rom

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inal

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ook

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heor

igin

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tting

file

s P

age

brea

ks a

re tr

ue to

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orig

inal

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e le

ngth

s w

ord

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ks h

eadi

ng s

tyle

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ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

McBride MB BKRichards TSteenhuis JJRusso and SSauve 1997 Mobility and solubility oftoxic metals and nutrients in soil fifteen years after sludge application Soil Sci 162(7)487ndash500

McBride MB BKRichards TSteenhuis and GSpiers 1999 Long term leaching of traceelements in a heavily sludge-amended silty clay loam soil Soil Sci 164(9)613ndash623

McCarthy JF and JMZachara 1989 Subsurface transport of contaminants Environ SciTechnol 23(5)496ndash503

McGrath SP and PWLane 1989 An explanation for the apparent losses of metals in a long-termfield experiment with sewage sludge Environ Pollut 60(3ndash4)235ndash 256

McGrath SP FJZhao SJDunham ARCrosland and KColeman 2000 Long-term changes inthe extractability and bioavailability of zinc and cadmium after sludge application JEnviron Qual 29(3)875ndash883

McLaren RG CABackes AWRate and RSSwift 1998 Cadmium and cobalt desorptionkinetics from soil clays Effect of sorption period Soil Sci Soc Am J 62(2)332ndash337

McLaughlin MJ LTPalmer KGTiller TABeech and MKSmart 1994 Increased soil salinitycauses elevated cadmium concentration in field-grown potato tubers J Environ Qualit 23(5)1013ndash1018

Meerts IA RJLetcher SHoving GMarsh ABergman JGLemmen Bvan der Burg andABrouwer 2001 In vitro estrogenicity of polybrominated diphenyl ethers hydroxylatedPDBEs and polybrominated bisphenol A compounds Environ Health Perspect 109(4)399ndash407

Molina L JDiaz-Ferrero MColl RMarti FBroto-Puig LCornellas and MC Rodriguez-Larena 2000 Study of evolution of PCDDF in sewage sludge-amended soils for landrestoration purposes Chemosphere 40(9ndash11)1173ndash1178

Mulchi CL PFBell CAdamu and RChaney 1987a Long term availability of metals in sludgeamended acid soils J Plant Nutr 10(9116)1149ndash1161

Mulchi CL PFBell CAdamu and JRHeckman 1987b Bioavailability of heavy metals insludge-amended soils ten years after treatment Recent Adv Phytochem 21235ndash259

Nelson SD JLetey WJFarmer CFWilliams and MBen-Hur 1998 Facilitated transport ofnapropamide by dissolved organic matter in sewage sludge-amended soil J EnvironQual 27(5)1194ndash1200

NEPI (National Environmental Policy Institute) 2000a Assessing the Bioavailability of Metals inSoil for Use in Human Health Risk Assessments Bioavailability Policy Project Phase IIMetals Task Force Report Summer 2000 Washington DC National EnvironmentalPolicy Institute [Online] Available httpwwwnepiorgpubshtmBioavail [January 252002]

NEPI (National Environmental Policy Institute) 2000b Assessing the Bioavailability of OrganicChemicals in Soil for Use in Human Health Risk Assessments Bioavailability PolicyProject Phase II Organic Task Force Report Fall 2000 Washington DC NationalEnvironmental Policy Institute [Online] Available httpwwwnepiorgpubshtmBioavail [April 16 2002]

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 251

Abou

t th

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reat

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inal

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ther

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ng-s

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rmat

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ever

can

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ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

NOAA (National Oceanic and Atmospheric Administration) 2000a Wind-Average Speed NationalClimatic Data Center National Oceanic and Atmospheric Administration [Online]Available httplwfncdcnoaagovoaclimateonlineccdavgwindhtml [December 192001]

NOAA (National Oceanic and Atmospheric Administration) 2000b Normal Daily MeanTemperature National Climatic Data Center National Oceanic and AtmosphericAdministration [Online] Available httplwfncdcnoaagovoaclimateonlineccdmeantemphtml [December 19 2001]

Noreacuten K and DMeironyteacute 2000 Certain organochlorine and organobromine contaminants inSwedish human milk in perspective of past 20ndash30 years Chemosphere 40(9ndash11)1111ndash1123

NRC (National Research Council) 1994 Science and Judgment in Risk Assessment WashingtonDC National Academy Press

NRC (National Research Council) 1996 Use of Reclaimed Water and Sludge in Food CropProduction Washington DC National Academy Press

NRC (National Research Council) 1999 Arsenic in Drinking Water Washington DC NationalAcademy Press

NRC (National Research Council) 2001 Arsenic in Drinking Water 2001 Update WashingtonDC National Academy Press

NTP (National Toxicology Program) 1986 NTP Technical Report on the Toxicology andCarcinogenesis Studies of Chlorinated Paraffins (C12 60 chlorine) (CAS No 63449ndash39ndash8) in F344N Rats and B6C3F1 Mice (Gavage Studies) NTP TR 308 NIH Pub No 86ndash2564 National Toxicology Program Public Health Service Research Triangle Park NCMay 1986

Peak JD TJSims and DLSparks 2001 Direct Determination of Phosphate Species in Alum-amended Poultry Litter Presentation at Soil Science of America Annual MeetingCharlotte NC Oct 21ndash25 2001 [Online] Available httpagudeledusoilchempublicationshtml [April 17 2002]

Pignatello JJ 1999 The measurement and interpretation of sorption and desorption rates fororganic compounds in soil media Pp 1ndash73 in Advances in Agronomy Vol 69DLSparks ed San Diego CA Academic Press

Preer JR JOAkintoye and MLMartin 1984 Metals in downtown Washington DC gardensBiol Trace Elem Res 6(1)79ndash91

Reeves PG and RLChaney 2001 Mineral status of female rats affects the absorption and organdistribution of dietary cadmium derived from edible sunflower kernels (Helianthus annuusL) Environ Res 85(3)215ndash225

Richards BK JPPeverly TSSteenhuis and BNLiebowitz 1997 Effect of processing mode ontrace elements in dewatered sludge products J Environ Qual 26(3)782ndash788

Richards BK TSSteenhuis JHPeverly and MBMcBride 1998 Metal mobility at an oldheavily loaded sludge application site Environ Pollut 99(3)365ndash377

Richards BK TSSteenhuis JHPeverly and MBMcBride 2000 Effect of sludge-processingmode soil texture and soil pH on metal mobility in undisturbed soil columns underaccelerated loading Environ Pollut 109(2)327ndash346

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 252

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t th

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reat

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tting

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ks a

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ue to

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inal

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ngth

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ord

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ks h

eadi

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tyle

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nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Risse LM MANearing ADNicks and JMLaflen 1993 Error assessment in the Universal SoilLoss Equation Soil Sci Soc Am J 57(3)825ndash833

Roberts DR 2001 Speciation and Sorption Mechanisms of Metals in Soils Using Bulk and Micro-Focused and Microscopic Techniques PhD Thesis University of Delaware

Roberts DR AMScheidegger and DLSparks 1999 Kinetics of mixed Ni-Al precipitateformation on a soil clay fraction Environ Sci Technol 33(21)3749ndash 3754

Ruby MV ADavis JHKempton JWDrexler and PDBergstrom 1992 Lead bioavailabilityDissolution kinetics under simulated gastric conditions Environ Sci Technol 26(6)1242ndash1248

Ruby MV RSchoof WBrattin MGoldade GPost MHarnois DEMosby SWCasteelWBerti MCarpenter DEdwards DCragin and WChappel 1999 Advances inevaluating the oral bioavailability of inorganics in soil for use in human health riskassessment Environ Sci Technol 33(21)3697ndash3705

Ruth JH 1986 Odor thresholds and irritation levels of several chemical substances A review AmInd Hyg Assoc J 47(3)A142ndash151

Sadovnikova L EOtabbong OIakimenko INilsson JPersson and DOrlov 1996 Dynamictransformation of sewage sludge and farmyard manure components 2 Copper lead andcadmium forms in incubated soils Agric Ecosyst Environ 58(2ndash3)127ndash132

Safe SH 2000 Endocrine disruptors and human healthmdashis there a problem An update EnvironHealth Perspect 108(6)487ndash493

Sauerbeck D and SLuumlbben 1991 Auswirkungen von Siedlungsabfaumlllen auf BoumldenBodenorganismen und Pflanzen Berichte aus der Okologischen Forschung 6 JuumllichForschungszentrum Juumllich

Scheckel KG and DLSparks 2001 Dissolution kinetics of nickel surface precipitates on mineralclay and oxide surfaces Soil Sci Soc Am J 65(3)685ndash694

Scheckel KG ACScheinost RGFord and DLSparks 2000 Stability of layered Ni hydroxidesurface precipitatesmdasha dissolution kinetics study Geochim Cosmochim Acta 64(16)2727ndash2735

Scheidegger AM GMLamble and DLSparks 1997 Spectroscopic evidence for the formationof mixed-cation hydroxide phases upon metal sorption on clays and aluminum oxides JColloid Interf Sci 186(1)118ndash128

Scheidegger AM DGStrawn GMLamble and DLSparks 1998 The kinetics of mixed Ni-AlHydroxide formation on clay and aluminum oxide minerals A time-resolved XAFS studyGeochim Cosmochim Acta 62(13)2233ndash2245

Schiffman SS EAMiller MSSuggs and BGGraham 1995 The effect of environmental odorsemanating from commercial swine operations on the mood of nearby residents Brain ResBull 37(4)369ndash375

Schiffman SS JMWalker PDalton TSLorig JHRaymer DShusterman and CMWilliams2000 Potential health effects of odor from animal operations wastewater treatment andrecycling of byproducts J Agromed 7(1)7ndash81

Scott MJ and MNJones 2000 The biodegradation of surfactants in the environment BiochemBiophys Acta 1508(1ndash2)235ndash251

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 253

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ion

Shacklette HT and JGBoerngen 1984 Element Concentrations in Soils and Other SurficialMaterials of the Conterminous United States An Account of the Concentrations of 50Chemical Elements in Samples of Soils and Other Regoliths US Geological SurveyProfessional Paper No 1270 Washington DC US Government Pringting Office 105 pp

Shusterman D JBalmes and JCone 1988 Behavioral sensitization to irritantsodorants afteracute overexposures J Occup Med 30(7)565ndash567

Shusterman D JLipscomb RNeutra and KSatin 1991 Symptom prevalence and odor-worryinteraction near hazardous waste sites Environ Health Perspect 9425ndash30

Sibbesen E 1986 Soil movement in long term field experiments Plant Soil 91(1)73ndash85Sibbesen E CEAndersen SAndersen and MFlensted-Jensen 1985 Soil movement in long-term

field experiments as a result of cultivations I A model for approximating soil movementin one horizontal dimension by repeated tillage Exp Agric 21(2)101ndash107

Sibbesen E and CEAndersen 1985 Soil movement in long term field experiments as a result ofcultivations II How to estimate the two dimensional movement of substancesaccumulating in the soil Exp Agric 21(2)107ndash117

Sloan JJ RHDowdy and MSDolan 1997 Long-term effects of biosolids applications on heavymetal bioavailability in agricultural soils J Environ Qual 26(JulyAug)966ndash974

Sloan JJ RHDowdy and MSDolan 1998 Recovery of biosolids-applied heavy metals sixteenyears after application J Environ Qual 27(NovDec)1312ndash1317

Stanek III EJ and EJCalabrese 2000 Daily soil ingestion estimates for children at a superfundsite Risk Anal 20(5)627ndash635

Stanek III EJ EJCalabrese and MZorn 2001 Biasing factors for simple soil ingestion estimatesin mass balance studies of soil ingestion Hum Ecol Risk Assess 7(2)329ndash355

Stanek III EJ EJCalabrese RBurnes and PPekow 1997 Soil ingestion in adults-results of asecond pilot study Ecotoxicol Environ Saf 36(3)249ndash257

Stehouwer RC AMWolf and WTDoty 2000 Chemical monitoring of sewage sludge inPennsylvania Variability and application uncertainty J Environ Qual 291686ndash1695

Stern AH 1993 Monte Carlo analysis of the US EPA model of human exposure to cadmium insewage sludge through consumption of garden crops J Exp Anal Environ Epidemiol 3(4)449ndash469

Striebig B 1999 Quantifying the Emission Rate of Ammonia and Trimethyl Amine FromBiosolids for Bioset Inc Draft Final Report Bioset Inc Houston TX November 301999

Svensson BG ANilsson MHansson CRappe BAkesson and SSkerfving 1991 Exposure todioxins and dibenzofurans through the consumption of fish N Engl J Med 324(1)8ndash12

Tahvonen R 1996 Contents of lead and cadmium in foods and diets Food Rev Int 12(1)1ndash70

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 254

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tting

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ks a

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ng-s

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fic fo

rmat

ting

how

ever

can

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nd s

ome

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erro

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e au

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e ve

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n fo

r attr

ibut

ion

Talmage SS 1994 Environmental and Human Safety of Major Surfactants Alcohol Ethoxylatesand Alkyphenol Ethoxylates Boca Raton Lewis 374 pp

Thornton I and PAbrahams 1983 Soil ingestion-a major pathway of heavy metals into livestockgrazing contaminated land Sci Total Environ 28287ndash294

Tolls J 2001 Sorption of veterinary pharmaceuticals in soils A review Environ Sci Technol 35(17)3397ndash3406

Topp E and AStarratt 2000 Rapid mineralization of the endocrine-disrupting chemical 4-nonylphenol in soil Environ Toxicol Chem 19(2)313ndash318

UK Environment Agency 2002 Soil Guideline Values for Chromium Contamination RampDPublication SGV 4 UK Department for Environment Food and Rural Affairs TheEnvironmental Agency Bristol

University of Maryland 1980 Feasibility of Using Sewage Sludge for Plant and AnimalProduction Final Report 1978ndash1979 University of Maryland College Park MD 222pp

US Center for Drug Evaluation and Research 1995 Guidance for Industry for the Submission ofAn Environmental Assessment in Human Drug Applications and Supplements CMC 6Rockville MD US Center for Drug Evaluation and Research

USDA (US Department of Agriculture) 1982 Food Consumption Households in the UnitedStates Season and Year 1977ndash78 Nationwide Food Consumption Survey 1977ndash78 ReportNo H-6 (as cited in EPA 1992)

Vahter M MBerglund BNermell and AAkesson 1996 Bioavailability of cadmium fromshellfish and mixed diet in women Toxicol Appl Pharmacol 136(2)332ndash341

Van den Berg M LBirnbaum ATBosveld BBrunstrom PCook MFeeley JP GiesyAHanberg RHasegawa SWKennedy TKubiak JCLarsen FXvan LeeuwenAKLiem CNolt REPeterson LPoellinger SSafe DSchrenk DTillitt MTysklindMYounes FWaern and TZacharewski 1998 Toxic equivalency factors for PCBsPCDDs PCDFs for humans and wildlife Environ Health Perspect 106(12)775ndash792

Versar 2000 Peer Review of Risk Analysis for the Round Two Biosolids Pollutants SummaryReport Prepared for US Environmental Protection Agency Office of Water Office ofScience and Technology Health and Ecological Criteria Division Washington DC byVersar Inc Springfield VA June 2000

Wallace LA NDuan and RZiegenfus 1994 Can long-term exposure distributions be predictedfrom short-term measurements Risk Anal 14(1)75ndash85

Wang MJ SPMcGrath and KCJones 1995 Chlorobenzenes in field soil with a history ofmultiple sewage sludge applications Environ Sci Technol 29(2)356ndash362

WEFASCE (Water Environmental Federation and American Society of Civil Engineers) 1995Odor Control in Wastewater Treatment Plants WEF Manual of Practice No 22Alexandria VA Water Environment Federation

Whitehead MW RPThompson and JJPowell 1996 Regulation of metal absorption in thegastrointestinal tract Gut 39(5)625ndash628

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 255

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WHO (World Health Organization) 1994 Brominated Diphenyl Ethers Environmental HealthCriteria 162 Geneva World Health Organization

Wild SR MLBerrow and KCJones 1994 The persistence of polynuclear aromatichydrocarbons (PAHs) in sewage sludge amended agricultural soils Environ Pollut 72(2)141ndash158

Wyatt I CTCourts and CRElcombe 1993 The effect of chlorinated paraffins on hepaticenzymes and thyroid hormones Toxicology 77(1ndash2)81ndash90

Young S ATye and NCrout 2001 Rates of Metal Ion Fixation in Soils Determined by IsotopicDilution S0202 Presentation at the 6th International Conference on the Biogeochemistryof Trace Elements Guelph Ontario Canada July 29-August 2 2001 [Online] Availablehttpwwwuoguelphca~gparkinICOBTEICOBTEprogrampdf [February 25 2002]

Zhou T DGRoss MJDeVito and KMCrofton 2001 Effects of short-term in vivo exposure topolybrominated diphenyl ethers on thyroid hormones and hepatic enzyme activities inweanling rats Toxicol Sci 61(1)76ndash82

Ziegler EE BBEdwards RLJensen KRMahaffey and SJFomon 1978 Absorption andretention of lead by infants Pediatr Res 12(1)29ndash34

EVALUATION OF EPArsquoS APPROACH TO SETTING CHEMICAL STANDARDS 256

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6

Evaluation of EPArsquos Approach to Setting PathogenStandards

Treatment of domestic sewage sludge is required to minimize the risk ofadverse health effects from pathogens in biosolids applied to land In 1993EPA published regulations establishing the processes and conditions it deemednecessary to minimize these risks Unlike the chemical standards the pathogenregulations are not risk-based standards but are operational standards intendedto reduce the presence of pathogens to concentrations that are not expected tocause adverse health effects The standards include treatment requirements siterestrictions and monitoring requirements

This chapter reviews the pathogen standards for land-applied biosolids inlight of current knowledge of the potential pathogens in biosolids how humansmight be exposed to those pathogens and factors that affect exposure(environmental fate regional variations and host factors) It also reviewsapproaches for conducting microbial risk assessments and discusses how thoseapproaches might be used to improve EPArsquos pathogens standards for biosolidsThis chapter does not review health effects studies (see Chapter 3)

PATHOGEN STANDARDS

EPA established two categories of biosolids Class A biosolids whichhave no detectable concentrations of pathogens and Class B biosolids whichhave detectable concentrations of pathogens With the goal of providing

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 257

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equivalent levels of public-health protection from pathogen exposure EPAapplied different use restrictions to each biosolids category

Class B Requirements

A combination of treatment and site restrictions for Class B biosolids areintended to result in a reduction of pathogenic and indicator microorganisms(certain species of organisms believed to indicate the presence of a larger set ofpathogens) to undetectable concentrations prior to public contact (Southworth2001) Bulk biosolids applied to land must meet both treatment and userequirements (40 CFR 50315[a]) EPA (1993) recognizes that thoserequirements do not necessarily consider risks to workers applying the biosolidsat a site

Treatment Requirements

Class B biosolids must be treated to meet one of three criteria a fecalcoliform count of less than 2times106gram (g) of dry solids at the time of disposaltreatment by a process to significantly reduce pathogens (PSRP) or treatmentby a process that is equivalent to a PSRP In the 1993 regulations fiveprocesses were listed as PSRPs (and thus sufficient to meet the Class Btreatment requirements)

1 Aerobic digestion at defined time and temperature combinations2 Air drying for 3 months with at least 2 months at average ambient

daily temperatures above freezing3 Anaerobic digestion under defined time and temperature conditions4 Composting under defined time and temperature conditions5 Lime stabilization so that the pH is greater than 12 after 2 h of

contact

These PSRPs were selected because they result in fecal-coliformconcentrations of less than 2times106g of dry solids and they reduce Salmonellaand enteric virus concentrations by a factor of 10 (EPA 1999)

The third treatment criterion requires that the permit authority approve theprocesses being used as equivalent to a PSRP In practice permit authoritieshave relied on the recommendations of the EPA Pathogen EquivalencyCommittee (PEC) (Cook and Hanlon 1993) when determining whether aparticular treatment system should be designated PSRP As of October 1999PEC had recommended that two additional processes be designated PSRPs

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 258

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Site Restrictions

The site restrictions for Class B biosolids (listed in Box 6ndash1) weredeveloped on the basis of the time attenuation required to reduce the levels ofpathogens (bacteria viruses and helminths) to below detectable concentrationsat the time of public exposure (equivalent to those achieved by Class Abiosolids) (Southworth 2001) The use restrictions correspond to importantexposure pathways (Table 6ndash1)

Several potential exposure routes do not appear to have been consideredwhen those use restrictions were developed For example inhalation of dustwas presumed to occur only on-site and controlling access to the site wasintended to prevent such inhalation The potential for off-site exposure to wind-blown dust and aerosols does not appear to have been considered Nor was thepotential transport of pathogens in runoff from the site to neighboring propertiesconsidered

In addition regulations require that public access to the site be restrictedfor either 30 days or 1 year depending on the probability of public exposureThis restriction is vague however and has been interpreted by some stateagencies as a requirement for posting warnings but not necessarily providingaccess barriers In other contexts such as municipal solid-waste landfills EPAhas been more specific about access controls ldquoOwners or operators [oflandfills] must control public accesshellipby using artificial barriers naturalbarriers or both as appropriate to protect human health and the environmentrdquo(40 CFR 25825) Furthermore there is no requirement that on-sitemeasurements be taken to confirm that the treatment and site restrictions forClass B biosolids result in pathogens concentrations below detection

Class A Requirements

For biosolids to be categorized as Class A with respect to pathogens theymust meet one of six criteria

1 Time and temperature requirements based on percentage of solidsin the material

2 pH adjustment accompanied by high temperature and solids drying3 Monitoring of enteric viruses and helminths after a treatment

process to ensure below-detection concentrations4 Monitoring of enteric viruses and helminths in the biosolids at the

time they are distributed or applied to land5 Treatment by a process for the further reduction of pathogens

(PFRP)

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 259

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BOX 6ndash1 SITE RESTRICTIONS FOR CLASS B BIOSOLIDS

bull Food crops with harvested parts that touch the biosolidssoil mixtureand are totally above the land surface shall not be harvested for 14months after application of biosolids

bull Food crops with harvested parts below the surface of the land shall notbe harvested for 20 months after application of biosolids when thebiosolids remain on the land surface for four months or longer prior toincorporation into the soil

bull Food crops with harvested parts below the surface of the land shall notbe harvested for 38 months after application of biosolids when thebiosolids remain on the land surface for less than four months prior toincorporation into the soil

bull Food crops feed crops and fiber crops shall not be harvested for 30days after application of biosolids

bull Animals shall not be grazed on the land for 30 days after application ofbiosolids

bull Turf grown on land where biosolids is applied shall not be harvested forone year after application of the biosolids when the harvested turf isplaced on either land with a high potential for public exposure or alawn unless otherwise specified by the permitting authority

bull Public access to land with a high potential for public exposure shall berestricted for one year after application of biosolids

bull Public access to land with a low potential for public exposure shall berestricted for 30 days after application of biosolids

Source Adapted from 40 CFR 50332(b)(5)

6 Treatment in a process deemed equivalent to a PFRP There areseven processes that are designated PFRPs for Class A biosolids(a) composting with minimum time and temperature conditions (b)heat drying with specified temperature and moisture conditions (c)high-temperature heat treatment (no moisture content condition)(d) thermophilic aerobic digestion at specified time andtemperature (e) beta irradiation at specified dosage (f) gammairradiation at specified dosage and (g) pasteurization As withClass B biosolids PEC has the authority to recommend to permitauthorities that additional processes be designated PFRP As ofOctober 1999 nine additional processes were granted PFRP statusby PEC (EPA 1999)

The goal of the treatment processes to achieve Class A biosolids is toreduce pathogen densities to below the following detection limits for theseorganisms less than 3 most probable number (MPN) per 4 g of total solids forSalmonella sp less than 1 plaque-forming unit (PFU) per 4 g of total solids

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 260

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TABLE 6ndash1 Pathways of Exposure and Applicable Use Restrictions (Class BBiosolids Only)Pathways Part 503 Required Use RestrictionHandling soil from fields wherebiosolids have been applied

No public accessa to application until atleast 1 year after Class B biosolidsapplication

Handling soil or food from homegardens where biosolids have beenapplied

Class B biosolids may not be applied onhome gardens

Inhaling dustb No public access to application sitesuntil at least 1 year after Class Bbiosolids application

Walking through fields where biosolidshave been appliedb

No public access to fields until at least 1year after Class B biosolids application

Consuming crops from fields on whichbiosolids have been applied

Site restrictions that prevent theharvesting of crops until environmentalattenuation has taken place

Consuming milk or animal productsfrom animals grazing on fields wherebiosolids have been applied

No animal grazing for 30 days afterClass B biosolids have been applied

Ingesting surface water contaminatedby runoff from fields where biosolidshave been applied

Class B biosolids may not be appliedwithin 10 meters of any waters toprevent runoff from biosolids-amendedland

Ingesting inadequately cooked fishfrom water contaminated by runofffrom fields where biosolids have beenapplied affecting the surface water

Class B biosolids may not be appliedwith 10 meters of any waters preventrunoff from biosolids-amended land

Contact with vectors that have been incontact with biosolids

All land-applied biosolids must meetone of the vector-attraction-reductionoptions

aPublic-access restrictions do not apply to farm workers If there is low probability of publicexposure to an application site the public-access restrictions apply for only 30 days Howeverapplication sites that are likely to be accessed by the public such as ballfields are subject to 1-yearpublic-access restrictionsbAgricultural land is private property and not considered to have a high potential for public accessNonetheless public-access restrictions are appliedSource Adapted from EPA 1999

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for enteric viruses and less than 1 viable ova per 4 g of total solids forhelminths When the Part 503 regulations were developed Class A certificationwas generally based on the presence of either Salmonella or fecal coliforms(indicator bacteria) (Southworth 2001) because only a few laboratories werecapable of conducting virus and helminth analyses and more time was requiredfor these analyses (2ndash4 weeks) Since then the number of laboratories capableof such analyses has increased dramatically and analysis time has decreased

Class A pathogens requirements must be met before or at the same timethat vector-attraction reduction requirements are met For any criteria themicrobial agents are measured when the biosolids are used disposed of orprepared for distribution At that time Class A biosolids must meet one of tworequirements either the density of fecal coliforms is less than 1000 MPN pergram of total solids or the density of Salmonella sp is less than 3 MPN per 4 gof total solids

EPArsquos Approach to Assessing Microbial Risks

The Part 503 standards for pathogens were not developed using a risk-based framework nor were they intended to be In 1989 the Cooperative StateResearch Service Technical Committee W-170 (1989) reviewed the proposedPart 503 standards and stated rdquoThere is some concern regarding EPArsquostreatment of pathogens While it was stated that the state of the art was such thata risk assessment for pathogens was not possible we feel that this point wasglossed over rather quickly and needs greater justificationrdquo The W-170committee also noted that EPA was developing risk-based criteria for exposureto viruses in drinking water at the time of the proposed Part 503 standards

A few years before the Part 503 rule was proposed EPA stated thefollowing (Venosa 1985) on the use of PSRPs for the operative Part 257 sewagesludge regulations

For a sludge treatment process to qualify as a lsquoprocess to significantly reducepathogensrsquo (PSRP) it must produce a pathogen reduction equivalent to thatobtained by a good anaerobic digestion The logic of the definition rests on theobservation that agricultural use of anaerobically digested sludge as a fertilizerhas been practiced for many years with no evidence that the practice hascaused human illness provided that the digestion is adequate Since thesefarming operations were on land with limited access and clearly defined usethis same restriction was applied to the use of PSRP sludge Unfortu

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 262

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nately this definition is not based on sound scientific information related to thesurvival and transport of pathogens in sludge amended soils Further thepaucity of documented health problems associated with the land application ofsludge may reflect the lack of sufficiently sensitive epidemiological tools todetect small scale incidents of disease

The committee notes however that the lack of such studies does notsuggest that there is a risk from pathogens

The lack of a risk-assessment approach means that there is no explicitdelineation of acceptable risk concentrations for Class A or Class B biosolids inthe Part 503 rule Before promulgation of the regulations EPA fundeddevelopment of preliminary risk assessments for exposure to parasites (EPA1991a) bacteria (EPA 1991b) and viruses (EPA 1992) in biosolids Howeverit is not clear to what extent these preliminary assessments were used in thedevelopment or revision of the Part 503 rule The exposure assessments wouldbe useful for more substantial risk-assessment development

Although a risk-based approach might have been problematic when thePart 503 rule was proposed it is clearly an appropriate approach to use atpresent A risk-based approach to assessing pathogens in biosolids offersseveral distinct advantages over the present framework First a risk-basedapproach would help to address the lack of sufficient epidemiological study ofmicrobial risk from biosolids exposure See Chapter 3 for discussion of the needfor more epidemiological investigation

Second as noted by Venosa (1985) the fundamental basis of biosolidsregulations with respect to protection against pathogens rests on the assertionthat historically agricultural use of anaerobically digested biosolids on fields(with protection from public access) results in no discernable human healtheffects In promulgating the Part 503 rule for pathogens EPA made a judgmentthat the treatment and disposal practices for Class A and Class B biosolidsprovided public-health protection equal to that of the traditional use ofanaerobically digested biosolids That judgment was in effect an implicit riskassessment If EPA performed an explicit risk assessment the levels of public-health protection for Class A and Class B biosolids could be more consistentlycompared

Third EPA explicitly excluded risk to on-site workers from itsconsideration of appropriate levels of treatment This exclusion might beparticularly important for Class B biosolids which have less stringent treatmentbefore land application In addition EPA did not consider the potential forairborne and waterborne release and dispersal of microorganisms for off-siteexposure (although it did consider the potential for on-site exposure tomicroorgan

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 263

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isms) The use of a risk-assessment approach can allow a systematicconsideration of these pathways

Fourth the basis for the EPA definitions of Class A biosolids relies on anumeric fecal coliform or Salmonella standard and a below-detection standardfor viruses and helminths in a defined amount of biosolids (criteria 3 and 4)EPA reasoned that the combination of Class B treatment requirements and site-management restrictions resulted in an acceptable level of public-healthprotection The use of below-detection criteria in some defined amount ofbiosolids originates from the use of a particular sample size in analysis (forlogistical reasons) The absence of microorganisms in a small amount ofmaterial does not ensure that microorganisms are absent in a larger sample fromthe same source In addition as has been suggested in the case of re-use ofwastewater for agricultural purposes a below-detection standard might beunnecessarily stringent (Blumenthal et al 2000) A risk-assessment approachcan establish numerical limits to achieve a defined level of human health risk

Evaluation of Operational Standards

Techniques for Reducing Pathogens

As discussed above and in Chapter 2 techniques that combine physicalchemical and biological processes are used to optimize pathogen reduction inbiosolids Two of the physical factors for reduction are heating and cavitation Itis difficult to examine the impact of only one physical factor such astemperature on reduction Some studies have isolated temperature effects onAscaris egg inactivation Table 6ndash2 gives predicted detention times forcomplete (100) inactivation of Ascaris eggs at different temperatures (Mbela1988) At 52degC complete inactivation of the eggs requires approximately 20days Inactivation with thermophilic alkaline processes and composting ofbiosolids requires approximately 3 to 5 days Inactivation will also be affectedby other factors such as ammonia organic constituents dissolved solids andhydroxide anions (Evans and Puskas 1986 Reimers et al 1986a)

Cavitation processes are also used to inactivate resistant microorganismsCavitation is a term for processes that impart high mechanical energy to a fluidresulting in local transient microzones of high temperature and pressure Full-scale installation of such systems has not been done However cavitationprocesses such as ultrasound or pulse power have inactivated protozoanoocysts and assisted in enhancing anaerobic digestion processes (Reimers et al1985 Arrowood 1995 Patel 1996)

Chemical disinfection of biosolids has been used for over 50 years Thechemicals are classified on the basis of the mode of disinfection and stabiliza

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 264

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TABLE 6ndash2 Detention Times for Complete Inactivation of Ascaris Eggs in Aerobicand Anaerobic Digestion Processes

Detention TimeTemperature(degC) Aerobic Digestion Anaerobic Digestion25 130 d 74 d35 90 d 53 d45 50 d 30 d55 10 d 9 d57 2 d 4 d58 lt1 h 3 d59 lt1 h 12 h60 lt1 h lt1 h70 lt1 h lt1 h

Source Mbela 1988 Reprinted with permission from the author

tion (see Table 6ndash3) At present only alkaline stabilization is used on alarge-scale basis Alkaline stabilization agents include lime cement kiln dustPortland cement and alkaline fly ash (C-fly ash) Alkaline stabilizationprocesses produce Class B biosolids To yield Class A biosolids increasedtemperatures or ammonia are necessary to inactivate highly resistant virusesprotozoan spores and helminth eggs Alkaline processes coupled with increasedtemperature yield a stable Class A product within 3 days By increasing thetemperature to 50degC the effectiveness of ammonia and noncharged ammonia isincreased by 5-fold and 10-fold respectively (Bujoczek 2001) Yang (1996)confirmed this interrelationship (Table 6ndash4) As the solids content of thebiosolids increases the effectiveness of the alkaline disinfection increases(Yang 1996) Acid trimming enhances the exothermic reaction because theacids generally release 10 times more heat than pulverized quicklime

Biological processing has been effective in the digesting composting andstorage of biosolids In these processes there is mechanical or autothermalheating Biocidal inactivation has been observed in lagoon storage Anaerobicbiosolids required 40 less inactivation time than aerobic biosolids althoughabove 50ndash55degC thermal inactivation is predominant Furthermore as the solidscontent of anaerobic biosolids increases the inactivation rates increase Anincrease in solids from 4 to 24 resulted in a 5-fold increase in parasite andbacteria die-off and a 25-fold increase in virus die-off Soils tend to reduce therate of die-off of parasites and viruses by 3 to 5 times in nontreated

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 265

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TABLE 6ndash3 Chemicals Used for Disinfecting Biosolids

Alkaline Agents Acid TrimmingAgents

ORP ControllingAgents

NonchargedDisinfectants

LimeCement kiln dust

Sulfuric acidNitric acid

OzonePeroxide

Ammonia (alkalinetreatment)

Portland cementalkaline Fly ash

Phosphoric acidsulfamic acid

Amines (alkalinetreatment andcomposting)

SilicatesSpent bauxitehydroxide anions

Organic acidsaldehydes andketones (anaerobicdigestion andcomposting)Nitrous acid (acidictreatment)

Abbreviation ORP oxidation reduction potentialSource Reimers et al 1999 Reprinted with permission from the author

or lagoon-stored biosolids (Reimers et al 2001) The impacts of pathogeninactivation factors on biosolids processing are shown in Table 6ndash5

Reliability of Processes

In assessing the risk associated with biosolids management the reliabilityof the treatment processes is important to consider because adverse effectsmight result from a single exposure to an infectious agent Reliability may bedefined as the frequency (or probability) at which a certain concentration orlower of a pathogen is attained in the effluent of a process To assess the riskdistribution from pathogen disinfection processes data collection is required

As an example Figure 6ndash1 presents the probability distribution for virusand helminth counts in raw sewage sludge at the Metropolitan WaterReclamation District of Greater Chicago (Lue-Hing et al 1998) The treatmentsequence included anaerobic digestion dewatering and long-term lagoonstorage All treated virus samples were below detection The data are plottedusing a Kaplan-Meir approach to impute values for the below-detectionsamples For example in the finished solids 95 of the time the helminthconcentrations were below 005 organisms per 4 g of solids

In setting standards both the typical (eg mean) performance and theproportion of time that a specific numerical level is exceeded are appropriate

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 266

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TABLE 6ndash4 Relationship Between Ammonia Concentration and Temperature inAscaris Inactivation

Ammonia Dosage for Ascaris Inactivation (days)Temperature 01 10 4025degC 180 10 lt135degC 10 3 lt152degC lt1 lt1 lt1

Source Data from Yang 1996

metrics to be considered For example EPA-recommended water-qualitycriteria for micoorganisms in recreational waters are specified according togeometric mean levels (over 7 d) and not-to-exceed levels No such metricshave been established for pathogens in biosolids

Reliability of Use Controls

For Class B biosolids use requirements (described earlier in Box 6ndash1) arerelied on as impediments to exposure at least for the general public Theresulting risk reductions can be assessed if the pathogen die-off rates are knownand if the degree to which the use controls prevent exposure are knownUnfortunately the reliability of these controls has not been studied on asystematic basis

PATHOGENS IN BIOSOLIDS

Four major types of human pathogens can be found in biosolids bacteriaviruses protozoa and helminths EPA reviewed a broad spectrum of theseagents in establishing its biosolids standards Some of the principal pathogensconsidered by EPA are listed in Box 6ndash2 Since the development of the Part 503rule many new pathogens have been recognized and the importance of othershas increased A selection of these pathogens are discussed below It must benoted that despite the ability to isolate pathogens from raw sewage sludge andpartially and fully treated biosolids the mere isolation of pathogens does not inand of itself indicate that a risk exists There are no scientifically documentedoutbreaks or excess illnesses that have occurred from microorganisms in treatedbiosolids As will be discussed in detail later risk is a function of the level ofexposure not simply the occurrence of an organism per se

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 267

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TA

BL

E 6

ndash5 P

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s fo

r P

atho

gen

Inac

tiva

tion

in B

ioso

lids

Bio

soli

ds D

isin

fect

ion

Proc

ess

Irra

diat

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Tem

pera

ture

Sol

ids

Con

tent

NH

3O

rgan

ic B

y-P

rodu

cts

Des

icca

nts

Com

post

ing

-+

-plusmn

+-

Ana

erob

ic d

iges

tion

-+

+-

+-

Aer

obic

dig

esti

on-

++

--

-L

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n st

orag

e-

++

-+

-A

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ryin

g+

++

--

+A

lkal

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stab

iliz

atio

n-

++

+-

+Ir

radi

atio

n+

--

--

-N

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+

the

effe

ct o

f th

e pa

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eter

s in

the

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of i

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in t

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t of

the

se p

aram

eter

s do

not

infl

uenc

e th

e in

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vati

on p

roce

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Sour

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Rei

mer

s et

al

1986

a 1

999

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g 19

96 R

ohw

er 1

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EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 268

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FIGURE 6ndash1 Virus and helminths in raw and treated sludge at theMetropolitan Water Reclamation District of Greater Chicago Source Lue-Hing et al 1998

Viral Pathogens

More than 140 enteric viruses can be transmitted by biosolids Thecaliciviruses adenoviruses hepatitis A and E viruses astroviruses androtaviruses are of particular concern These viruses are discussed below but itmust be emphasized that there are other viruses of potential health concern inbiosolids

Caliciviruses

Caliciviruses infect both humans and animals but no evidence suggeststhat they infect across species Human caliciviruses have been divided into twogeneramdashthe Norwalk viruses and the Sapporo viruses (Green et al 2000)These viruses are believed to be a major cause of viral gastroenteritis (Deneenet al 2000 Monroe et al 2000) and are common causes of foodborne andwaterborne disease Little is known about the occurrence and environmentalfate of these viruses because they cannot be grown in cell culture Methodsusing polymerase chain reaction (PCR) are available for their detection inenvironmental samples but a viability assay is not available (Huang et al

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 269

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BOX 6ndash2 PRINCIPAL PATHOGENS OF CONCERN INDOMESTIC SEWAGE AND SEWAGE SLUDGE CONSIDERED

IN ESTABLISHING THE PART 503 RULE

Bacteria Protozoa Salmonella sp CryptosporidiumShigella sp Entamoeba histolyticaYersinia sp Vibrio cholerae Giardia lambliaCampylobacter jejuni Balantidium coliEscherichia coli Toxoplasma gondii Enteric Viruses Helminth Worms Hepatitis A virus Ascaris lumbricoidesAdenovirus Ascaris suumNorwalk virus Trichuris trichiruaCaliciviruses Toxocara canisRotaviruses Taenia saginataEnteroviruses Taenia solium-Polioviruses-Coxsackieviruses-Echoviruses

Necator americanusHymenolepis nana

ReovirusesAstroviruses Source Adapted from EPA 1999

2000) Feline caliciviruses (FCV) and a primate calicivirus (PAN-1) can begrown in cell culture and have been used as models for human calicivirussurvival and removal by water-treatment processes (Dawson et al 1993)

Adenoviruses

Adenoviruses are one of the most common and persistent viruses detectedin wastewater (Enriquez et al 1995) They are heat resistant Entericadenoviruses have been detected in Class B biosolids (Sabalos 1998) andadenovirus type 40 has been detected in anaerobically digested biosolids Someadenoviruses cause primarily respiratory diseases and others appear to be onlyenteric pathogens They are a common cause of diarrhea and respiratoryinfections in children In immunosuppressed cancer patients entericadenoviruses cause serious infections resulting in case fatalities of up to 50(Gerba et al 1996) Adenoviruses have been transmitted by recreational anddrinking waters (Kukkula et al 1997 Papapetropoulou and Vantarakis 1998)

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Hepatitis A and E Viruses

These viruses are now classified as two distinct groups of picornavirusesHepatitis E has caused major waterborne-disease outbreaks in developingcountries but is not believed to be a serious problem in the United States It hasbeen reported to grow in cell culture (Wei et al 2000) Hepatitis A has longbeen known to be transmitted by food and water but no work has been done onits occurrence in biosolids Cell-culture methods are available for its growth inthe laboratory and detection in the environment It is very stable at hightemperatures (Croci et al 1999) and has prolonged survival in the environment(Enriquez et al 1995)

Astroviruses and Rotaviruses

Astroviruses are a cause of gastroenteritis primarily in children and havebeen associated with foodborne and waterborne outbreaks They have beendetected in water wastewater and more recently in biosolids (Chapron et al2000) Rotaviruses are a leading cause of gastroenteritis in children and a majorcause of hospitalization of children in the United States (Gerba et al 1996)Rotaviruses are responsible for waterborne and foodborne outbreaks in theUnited States They have been detected in wastewater but few data areavailable on their occurrence in biosolids Rotaviruses are the only double-stranded RNA viruses transmitted through water to humans Both astrovirusesand rotaviruses can be grown in cell culture

Bacterial Pathogens

Escherichia coli 0157H7

Several types of E coli are pathogenic to human Enterohaemorrhagic E coli of the serotype 0157H7 has been of the greatest concern in the UnitedStates Exposure to contaminated drinking water recreational water and foodhas resulted in numerous outbreaks of diarrhea and in some cases mortality inyoung children because of hemolytic uremic syndrome Exposure to bothhuman and animal wastes have been associated with outbreaks (Rice 1999)Many of the outbreaks have resulted in some mortality E coli 0157H7 occursin domestic wastewater and has been detected in biosolids (Lytle et al 1999)Because E coli is common in biosolids and has the potential for regrowth(Pepper et al 1993) it is important to assess its survival in biosolids A quan

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titative risk-assessment model is available to assess the risk of infection fromexposure to this pathogen (Haas et al 2000)

Listeria montocytogenes

L montocytogenes is primarily a foodborne pathogen that causes aninvasive disease in immunocompromised people It has a predilection forpregnant women and has potentially lethal consequences for the fetus and thenewborn Animals are also infected by the organism Transmission of theorganism has been linked to the use of biosolids on agricultural land potentiallycontaminating crops and domestic animals L montocytogenes has beendetected frequently in sewage sludge and in inactivated and anaerobicallydigested biosolids (Watkins and Sleath 1981 De Luca et al 1998) For thatreason De Luca et al (1998) suggested that biosolids not be applied tovegetable crops Crop contamination was observed in Iraq where sewage-sludgecake was applied (Al-Ghazali and Al-Azawi 1990) A risk-assessment model isavailable to evaluate the health risks associated with L montocytogenes incontaminated food (Lindqvist and Westoo 2000)

Helicobacter pylori

H pylori is a major cause of stomach ulcers in humans and is associatedwith an increased risk of stomach cancer Epidemiological evidence indicatesthat contaminated water and uncooked foods particularly vegetables irrigatedwith untreated wastewater are associated with increased risk of infection(Brown 2000) No culture methods are available for its detection in theenvironment Molecular methods are available to determine its occurrence butnot its viability (Hegarty et al 1999)

Legionella spp

Legionella spp are associated with a potentially life-threateningrespiratory illness in older people Legionella is also associated with a milderfever and flulike illness called Pontiac fever Outbreaks usually occur followingthe growth of the organism in cooling towers of buildings or thermally heatedwater However outbreaks also have been associated with composted pottingmixes (Okazaki et al 1998) Recently an outbreak of Pontiac fever wasreported among sewage treatment plant workers repairing a decanter for sewage

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sludge concentration (Gregersen et al 1999) Positive antibody titers to L pneumophilia were found in all the ill workers and high concentrations wereisolated from biosolids Legionella has been detected in aerosols at sewagetreatment plants (Stampi et al 2000) Legionella spp will grow at temperaturesof 40degC and survival at higher temperatures is possible Methods are availablefor its detection in environmental samples

Staphylococcus aureus

Speculation has arisen about the possibility of S aureus illness from land-applied biosolids Although not always considered normal human microflora Saureus is nonetheless found on the skin of a large number of people (Voss1975 Welbourn et al 1976 McGinley el al 1988 Noble 1998) Some skinconditions associated with this bacteria include atopic dermatitis a superficialinflammation of the skin (Nishijima et al 1995) It is uncertain whether Saureus has a specific pathogenic role in atopic dermatitis or whether itspresence represents an opportunistic colonization at a site rendered moresusceptible by an underlying condition thus complicating the clinicalmanagement of this condition (Lever 1996) Eczema is another inflammatoryskin condition that may have a bacterial link Eczema is characterized byredness itching and oozing lesions that can become scaly crusted or hardenedIncreased severity and spreading of the condition has been associated with acytotoxic effect of antibacterial antibody and complement reacting withbacterial antigens on skin cells (Welbourn et al 1976)

It is possible that Staphylococcus is present in raw wastewater as a resultof washing and personal hygiene Indeed Casanova et al (2001) found Saureus in graywaters from households and Ashbolt et al (1993) isolated Saureus from primary wastewater although chlorinated tertiary wastewater hadonly sporadic occurrences of these organisms However there are nopublications documenting S aureus in biosolids Recent work at the Universityof Arizona optimized culture media for S aureus which was then used toevaluate the presence of the organism in biosolids Biosolids from TucsonArizona were negative for S aureus (CGerba University of Arizona personalcommunication June 2002)

Protozoan Pathogens

Cryptosporidium and Giardia are the protozoan parasites most oftenassociated with biosolids They are parasites of the small intestine that cause diar

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rhea Cryptosporidium oocysts and Giardia cysts have been detected inproducts of wastewater treatment and anaerobic sewage sludge digestion(Chauret et al 1999) and in biosolids (Bean and Brabants 2001b) Thesepathogens have been observed to die within days of Class B biosolids treatment(Bowman et al 2000) However there is little research on the survival of theseorganisms in biosolids-amended soil

Microsporidia are obligate intracellular parasites (eg Encephalitozoonspp) that have been associated with gastrointestinal illness in patients withacquired immunodeficiency syndrome (AIDS) and in some healthy individualsOne waterborne outbreak has been described (Cotte et al 1999) Of over 1200species described only 14 have been associated with human infections At leastthree of the species that infect humans will grow in animal cell culture (Wolk etal 2000) No method is available to assess infectivity in environmental samplesThe spores of the microsporidia are not unusually resistant to heat (Koudela etal 1999)

Helminths

EPA considered the human pathogens Ascaris lumbricoides Trichuris trichiura Taenia saginata Taenia solium Necator americanus andHymenolepsis nana in establishing the pathogen standards of the Part 503 ruleAlso included were two animal pathogens Ascaris suum (of pigs) and Toxocaracanis (of dogs) Human infections with A lumbricoides T trichiura and Hnana are obtained through direct consumption of embryonated eggs T saginatainfections in people are typically acquired from the ingestion of beef The eggsof this organism have been detected in some biosolids (Barbier et al 1990) Theeggs of Taenia solium are infectious to pigs but also are capable of producinglarvae that infect people and can cause central nervous system disease (Bale2000) People are infected with N americanus by the larvae penetrating theskin People who ingest the eggs of A suum of pigs can develop pneumonicasthma-like signs and can develop a few single adult worms People who eat theeggs of T canis can develop visceral or ocular larva migrans syndromes thatoccur mainly in children who eat contaminated dirt (Overgaauw 1997 Taylor2001)

Recently concerns have been raised about roundworm Baylisascaris procyonis The egg of this worm is similar to that of the related Ascaris sppand the ingestion of the eggs of this parasite can cause severe neurological andocular disease in humans and has been linked to some fatalities (Sorvillo et al2002) However eggs of B procyonis have not as yet been identified inbiosolids samples

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TABLE 6ndash6 Inactivation of Scrapie Prions

Disinfectant 1 5 min (log reduction) 60 min (log reduction)Hypochlorite (5250 mgL) 3 4Sodium metaperiodate 15 3Iodine 1 2I2 (20000 mgL)NaI (24000 mgL)Phenol (5000 mgL) 03 1Hydrogen peroxide 25 4Potassium permanganate 03 1Formaldehyde (200000 mgL) 0 1Lime treatment - 1

Sources Rohwer 1984 EPA 2001

Prions

Concern about prions has arisen with the advent of prion animal diseasessuch as bovine spongiform encephalopathy (BSE) in the United Kingdom andother parts of Europe The BSE prions concentrate in an animalrsquos brain andspinal cord but they have been detected only in sheep blood at lowconcentrations Animal manure would have no or low concentrations of BSEprions except possibly for wastes from slaughterhouses (Ward et al 1984)however the presence of prions in such wastes is uncertain (EPA 2001) Prionsare generally transmitted from animal to animal (cow to cow sheep to sheep)The risk of prion transmission to biosolids from animals is low but can increasewith the presence of small amounts of neural tissues or placenta coming fromslaughter houses At present there has been little evidence of prion-contaminated manures in the United States

Prions are very difficult to inactivate and require rigorous treatment(Godfree 2001) The higher the solids content of the waste the more rigorousthe treatment required (EPA 2001) Table 6ndash6 presents inactivation data forscrapie prions under a variety of disinfection treatments

Prions are resistant to high temperatures scrapie prions are inactivated attemperatures of 100degC or above At 121degC 001 of the prions were resistantto thermal inactivation (Rohwer 1984) Prions have been reported to survive

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boiling and autoclaving (DMTaylor et al 1999 EPA 2001) Prion survival atincreased temperatures coupled with chemical or biological treatmentassociated with biosolids processing has not been studied nor are data availableto directly assess prion survival through sewage-sludge treatment processes

In addition to chemical treatment (shown in Table 6ndash6) gamma radiationis also used to inactivate prions The required irradiation dose is related topathogen size As the size decreases the gamma dose increases because it isharder for the gamma irradiation to hit the specific sensitive targets in thesmaller infectious agents The inactivation dose for helminth eggs viruses andprions was found to be 200 kilorad (unit of absorbed dose) (McDonell 1985) 1megarad (Ward et al 1984) and 5 megarad (Rohwer 1984) respectively

Rationale for Selecting Emerging Organisms

In the current regulations the only pathogens considered are entericviruses helminths and Salmonella (or coliforms) In this section the committeeoutlines criteria that should be used to identify other pathogens that EPA shouldreview and for which information on occurrence persistence and risk should beobtained Once that information is obtained a decision can be made on whetherbiosolids regulations need to be modified to control the risk from these agentsor whether the existing regulations suffice to control these agents at anacceptably low level of risk

The selection of microorganisms for analysis in biosolids or wastewatershould based on the following criteria (CGerba University of Arizonapersonal communication September 2001)

bull Reliable viability assay Availability of a reliable and relativelyconsistent assay is critical for the study of a pathogen

bull Water-related disease-causing agents All selected pathogens must befound in wastewater and should be capable of transmission via exposure(airborne waterborne or contact) to biosolids

bull Extent of existing data on probability of surviving biosolids treatments The pathogens that have the greatest probability of survivingbiosolids treatment processes are increasingly of concern for landapplication The pathogens that can survive at high pH (above 11ndash12) andare heat resistant are of most concern

bull Extent of survival in the environment The longer a pathogen survivesin the environment the greater the chance of its transmission to asusceptible host

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Table 6ndash7 shows the criteria and a list of the pathogens that can beconsidered for analysis On the basis of these criteria adenovirus 40 astrovirushepatitis A virus rotavirus and E coli 0157H7 are potential target organismsfor analysis In addition caliciviruses including Norwalk viruses areimportant but methods of analyzing viability are not currently available Theprotozoan parasites were not selected because they are unlikely to survive theheat treatment and viability methods are not available for their detectionAlthough the bacterial pathogens Legionella spp probably deserve furtherstudy they were not included because the current detection methods have lowefficiency are difficult to use and are costly

Role of Indicator Organisms

The routine examination of biosolids for the presence of human pathogensis often tedious difficult and time consuming Therefore considerable efforthas been made to identify indicator microorganisms whose presence wouldsuggest that human pathogens might also be present A benefit of usingindicator organisms is that tests for them should be simpler and more routine

In the Part 503 regulation fecal coliforms are used as indicator organismsin two ways First as an indicator of health hazards fecal coliform density canbe used to classify Class A biosolids Second as an indicator of wastewater-treatment efficiency fecal coliform density is used to evaluate whetherSalmonella sp has repopulated when Class A biosolids are stored before landapplication Fecal coliforms are an appropriate indicator of treatment efficiencybut because they have the potential for regrowth (Pepper et al 1993) their useas an indicator for public-health hazards is less justified In addition somepathogens are more hardy than fecal coliforms highlighting the potential forunderestimating a specific health hazard

Clostridium perfringens has been suggested as another possible indicatororganism to assess the efficiency of biosolids disinfection processes Cperfringens a spore-forming bacteria is a good monitoring organism forprocesses using noncharged biocides (molecules that do not carry a netelectrical charge such as NO2 and NH3) or temperatures greater than 120degC(Blanker et al 1992) It has been suggested as a tracer for less hardy indicatorsand for the absence of protozoan parasites or viruses during wastewatertreatment (Payment and Franco 1993) Because C perfringens is typicallyfound at densities of 106 colony-forming units (CFUs) per gram of solids in rawor untreated biosolids its spores might be an excellent surrogate for the eggs ofAscaris suum (Reimers et al 1991 Sobsey et al 1991) in the f ollowingsystems oxy

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TABLE 6ndash7 Emerging Pathogens Likely to Be Present in Biosolids

Organism ReliableViabilityAssay

WaterborneOutbreaks

Probabilityof SurvivingBiosolidTreatment

Survival in theEnvironment

Adenovirus Yes Yes High heatLow pH

Months

Norwalk virus No Yes Unknown UnknownAstrovirus Yes Yes Moderate WeeksHepatitis A Yes Yes High heat

Moderate pHMonths

Rotavirus Yes Yes Moderate MonthsHepatitis E No Yes Unknown UnknownMycobacterium Yes Yes High DaysE coli 0157H7 Yes Yes High Months

regrowthpossible

Legionella Yes Yes Unknown YesListeria No No High WeeksMicrosporidia Yes Yes Low Unknown

ozone thermophilic alkaline treatment two-stage anaerobic digestioncomposting anaerobic digestion and lagoon storage C perfringens sporeswere selected for monitoring Ascaris egg survival in chemically processedmunicipal sewage sludge because both organisms appear to exhibit similarresistance to physical and chemical agents (heat alkaline pH hydroxideconcentration and nitrous acid content) The external structures of bothmicroorganisms may account for some similarities in resistance andinactivation however the Ascaris egg is more sensitive to high temperatures(gt45degC) (Blanker et al 1992) whereas C perfringens spores unlike otherindicator microbes are not inactivated in thermophilic processed sewagesludge Furthermore C perfringens is susceptible to hydroxide whereasAscaris eggs are resistant to high concentrations Ascaris is very sensitive tohigh concentrations of ammonia (005 to 2) depending on temperature(Blanker et al 1992) Detection of airborne clostridia is dependent on a methodfor analyzing biosolids-generated bioaerosols (Pillai et al 1996 Dowd et al1997) Unlike most microbial bioaerosols spore-forming bacteria are resistantto desiccation

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Other anaerobic bacteria such as Bifidobacterium and Bacteroides havealso been suggested as potential indicators However better standard methodsfor detecting anaerobic bacteria are needed before they can be routinelymonitored

Bacteriophages have also been suggested as indicators of fecal matter andviruses because they are consistently found in sewage Somatic coliphageinfects E coli strains and can be detected by simple and inexpensive techniqueswithin 18 h

A concern with the parasite criteria in the Part 503 regulations is the lackof a timely method to monitor indirectly for the inactivation of Ascaris eggsAscaris inactivation is used to determine whether a disinfection processproduces Class A biosolids The direct method of studying Ascaris egginactivation requires recovering the eggs from biosolids and placing them inculture for 3 to 4 weeks and then examining the culture microscopically Thismethod is costly and few laboratories accurately perform the assay A reliableindirect method requiring only a few days would be beneficial as wouldinexpensive simple and viable techniques to monitor helminth eggs bysurrogate microbes C perfringens could possibly be a good indicator organismfor Ascaris inactivation where noncharged chemical species are utilized asdisinfection agents (eg ammonia) However when temperature is thecontrolling inactivating factor a different type of indicator organism ormonitoring of temperature and time directly would be needed

EXPOSURE TO PATHOGENS

The major routes of potential human exposure to pathogens in biosolidsare air soil water and vectors Factors that affect exposure by each of theseroutes are discussed below

Air

Land application of biosolids may result in the formation of infectiousbioaerosols Bioaerosols are defined as aerosolized biological particles rangingin diameter from 002 to 100 micrometers (microm) (Dowd and Maier 2000) Thecomposition size and concentration of the microbial bioaerosols vary with thesource dispersal mechanisms and most important the environmentalconditions at a particular site Bioaerosols generated from water sources duringsplashing and wave action often consist of aggregates of several micro

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organisms (Wickman 1994) and usually have a thin layer of moisturesurrounding them Bioaerosols released into the air from soil surfaces such asthose surrounding biosolids and composting facilities are often singleorganisms or are associated with particles In many instances these particlesserve as ldquoraftsrdquo for microorganisms (Lighthart and Stetzenbach 1994)

The dispersal and settling of bioaerosols is affected by their physicalproperties and the environment in which they are airborne The most importantphysical characteristics are the size density and shape of the droplets orparticles and the most important environmental characteristics are air currentsrelative humidity and temperature (Lighthart and Mohr 1987 Pedgley 1991)Nonspecific open-air factors have also been reported to play a role (Cox 1987)

Aerosols can originate from point (eg a biosolids pile) or area (eg anagricultural field spread with biosolids) sources (Dowd et al 2000) Pointsources can be further categorized into instantaneous (eg sneezes) orcontinuous sources (eg release of bioaerosols from a biosolids pile) Thelaunch patterns of bioaerosols from point sources have a conical dispersionpattern whereas bioaerosols from area sources have a particulate-wave type ofdispersion Bioaerosol transport can be defined in terms of distance and timesubmicroscale transport being less than 10 min and distance less than 100meters (m) as is common in indoor environments Microscale transport rangesfrom 10 min to 1 h and from 100 m to 1 kilometer (km) Mesoscale andmacroscale transport are greater than 1 h (Hugh-Jones and Wright 1970)Atmospheric turbulence influences the diffusion and thus the concentration ofbioaerosols Bioaerosol stability varies among bacteria viruses and othermicroorganisms

Although there are reports on pathogen occurrence and survival onagricultural lands and waterways exposed to biosolids there is surprisingly littleinformation on airborne pathogen occurrence during land application ofbiosolids Most aerosol studies have been conducted near water treatmentplants at effluent spray irrigation sites within waste-handling facilities and atcomposting facilities (Lembke et al 1981 Brenner et al 1988 Millner et al1994) Different bioaerosol-sampling methods can lead to recoveries ofdifferent organisms Sorber et al (1984) used a large volume electrostaticprecipitator air sampler to study bioaerosols from the land application ofbiosolids They showed that bioaerosols are generated during the application ofbiosolids by tanker trucks and at spray irrigation sites However enteric viruseswere not detected in the bioaerosol samples that were analyzed In studiesconducted at a large land-application site in Texas Pillai et al (1996) used anAGI-30 impingement-based sampler to detect bioaerosolized micro

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bial populations including bacteriophages Under low-wind conditions none ofthe samples contained any presumptive Salmonella spp although some of thesamples were positive for hydrogen sulfide-producing organisms andpathogenic clostridia In subsequent monitoring during high-wind conditionsfecally associated male-specific coliphages thermotolerant clostridia andpresumptive Salmonella spp were also detected (Dowd et al1997) Bioaerosolconcentrations were higher at sites where biosolids material was physicallyagitated as compared with sites where ldquomanure applicatorsrdquo were used Thesestudies were used to generate microbial release rates from biosolids to modelbioaerosol transport (Dowd et al 2000) and in conjunction with assumed dose-response relationships to compute an estimated risk

Exposed people might develop allergic and toxic reactions to highconcentrations of noninfectious microorganisms The health effects fromexposure to such agents have been well documented in sewage treatment plantsanimal housing facilities and biowaste collection sites Studies using culture-based and nonculture-based methods have indicated that workers at the sites canbe exposed to concentrations of microorganisms as high as 102ndash109 CFUm3

and 104ndash1010 microorganisms per cubic meter respectively Such exposures aresubstantially higher than those generally found indoors (Eduard and Heederik1998)

Several studies have documented that microbial bioaerosols are stronglylinked to waste-application practices biosolids handling wind patterns andmicrometeorological fluctuations (Brenner et al 1988 Lighthart and Schaffer1995 Pillai et al 1996 Dowd et al 1997) Studies conducted on land-appliedClass B biosolids have shown that physical agitation of biosolids materialreleases Salmonella and fecal indicator viruses (Dowd et al 1997) Bioaerosolsaveraging 300 most probable number of presumptive Salmonella spp per cubicmeter were detected at biosolids loading and application sites at an arid locationin the United States The detection of microbial pathogens at distances from thepoint source is indicative of how wind gusts and wind patterns can transportbioaerosols over distances

Mathematical models have been designed to predict the transport ofmicroorganism-associated bioaerosols Pasquill (1962) described a classicmodel of particulate airborne transport of aerosols launched from a continualpoint source Lighthart and Frisch (1976) modified Pasquillrsquos equation toinclude a microbial inactivation constant to account for ultraviolet radiationinactivation and desiccation during transport Bioaerosol sampling used inconjunction with aerosol transport models can be used to estimate inhalationexposure These estimates in turn can be used in microorganism-specific dose-response models to determine the risks of infection (Haas et al 1999a)

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On the basis of field-sampling data Dowd et al (2000) modeled microorganismconcentrations based on point and area sources at a biosolids application site inthe arid western United States at distances ranging from 100 to 10000 m andwindspeeds ranging from 1 to 20 ms (45 ms is the average US windspeed)As expected the projected risk of infection from exposure to a single organismwas greater at higher windspeeds and closer to the source and was correlatedwith duration of exposure The risk of infection at 1000 m was predicted to below however at 100 m the potential risks of bacterial and viral infectionsranged between 1 and 29 (between 1100 and 29100) It is important tonote that this is a worst-case situation based on the method of applicationwhich tossed biosolids into the air Application was done in this mannerbecause there were no towns or human populations in close proximity to theland-application site

Soil

Pathogen survival in and transport through soil are considered together inthis section Environmental factors that affect survival of pathogens aresummarized in Table 6ndash8 Human pathogens that are routinely found indomestic sewage sludge include viruses bacteria protozoan parasites andhelminths Of those pathogens viruses are the smallest and least complexgenerally have a short survival in soil and have the greatest potential fortransport in soil Using a plaque-forming-unit method Straub et al (1993a)evaluated the survival of three viruses in a biosolids-amended desert soilpoliovirus type 1 and two bacteriophages (MS2 and PRD-1) Survival wastemperature-dependent and decreased as temperature increased Soil typeaffected virus survival longer survival occurring on clay loam biosolids-amended soils compared with sandy loam biosolids-amended soils (Straub et al1993b) Rapid loss of soil moisture also limited virus survival Whenconventional plaque-forming methods were used virus survival ranged from 3days to greater than 10 days depending on soil type temperature and moisture(Straub et al 1992 1993a) When molecular polymerase chain reaction (PCR)-based methods were used enteroviruses were detected in soil 3 months afterland application (Straub et al 1995) However PCR by itself only detects viralnucleic acid and does not indicate that viable viruses were actually present

Like virus survival bacteria survival in soil is affected by temperature pHand moisture (Gerba et al 1975) Soil nutrient availability also plays a role inbacteria survival Lower temperatures usually increase survival as do a neutralsoil pH and soil at field capacity (Straub et al 1993b) Of the pathogenicbacteria Salmonella and E coli (Newby et al 2000b) can survive for a long time

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TABLE 6ndash8 Environmental Factors Affecting the Survival of Pathogenic Microbes

Survival TimeParameter Virus Bacteria ProtozoaTemperature increasing ` ` `Soil moisture decreasing ` ` `Rate of desiccation increasing ` ` `Clay content increasing + + Not knownpH range of 6ndash8 + + 0

Note ` decreasing survival time + increasing survival timeSources Gerba et al 1975 Straub et al 1993ab 1995 Jenkins et al 1999

in biosolids-amended soilmdashup to 16 months for Salmonella (Hess andBreer 1975) In contrast Shigella has a shorter survival time than eitherSalmonella or E coli (Feachem et al 1983) Studies on indicator organismshave shown that total and fecal coliforms as well as fecal streptococci cansurvive for weeks to several months depending on soil moisture andtemperature conditions (Pepper et al 1993)

Regrowth is also important when evaluating the survival of pathogenic andindicator bacteria in soil and biosolids compost Salmonella E coli and fecalcoliforms are all capable of regrowth Following land application of biosolids orcomposting of biosolids with soil pathogen concentrations decrease below thedetection limit but subsequently increase after rainfall (Pepper et al 1993Soares et al 1995 Gibbs et al 1997)

The protozoan parasites often associated with biosolids include Giardiaand Cryptosporidium spp However little research has been conducted on thesurvival of these parasites in biosolids-amended soil One report documentedincreased inactivation of Cryptosporidium parvum as temperature increasedfrom 35degC to 50degC and water potential decreased (Jenkins et al 1999) Little isknown about the viability of these parasites following land application ofbiosolids and research in this area should be encouraged Helminths areperhaps the most persistent of enteric pathogens Ascaris eggs survive severalyears in soils although very dry or very wet soils decrease survival (Straub etal 1993b)

The transport of microorganisms through soils or vadose zone materials isaffected by a complex array of abiotic and biotic factors including adhesionprocesses filtration effects physiological state of the cells soil characteristics

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water flow rates predation and intrinsic mobility of the cells (Newby et al2000a) as well as the presence of biosolids For viruses the potential fortransport is large although viruses can adsorb to soil colloidal particles and tothe biosolids themselves thus limiting transport (Schijven and Rietveld 1996)Virus sorption is controlled by the soil pH Most viruses are negatively charged(isoelectric point 3ndash6) so that at a neutral soil pH soil sorption is reducedwhereas at more acidic soil pH values the viruses are positively chargedincreasing sorption Dowd et al (1998) confirmed that the isoelectric point wasthe predominant factor controlling viral transport through soil however forvirus particles greater than 60 nanometers (nm) in diameter size began to limittransport The sorption of bacteriophages and viruses to nine soil types wasexamined by Goyal and Gerba (1979) who confirmed that sorption is greatestat soil pH values of less than 5

There are few field studies on the transport of viruses from biosolidsthrough soil Most studies on virus transport have been conducted in laboratorycolumns using pure virus cultures Straub et al (1995) evaluated transport ofenteroviruses from land-applied anaerobically digested biosolids Viruses weredetected at soil depths of 200 centimeters (cm) indicating greater transport thanthat reported in previous studies (Damgaard-Larsen et al 1977 Bitton et al1984) In the Straub study a more modern PCR-based detection method wasused rather than the conventional cell-culture methods used in earlier studiesHowever PCR alone does not indicate viability of the viruses

The larger size of bacteria means that soil acts as a filter limiting bacterialtransport Soil would also limit the transport of the even larger protozoa andhelminths (Newby et al 2000a) However microorganisms may be transportedthrough soil cracks and macrochannels via preferential flow Transport ofindicator organisms from land-applied anaerobically digested biosolids wasevaluated by Pepper et al (1993) who found occasional fecal coliforms at soildepths of 300 cm presumably due to preferential flow

Pathogen survival and transport in soil should be evaluated from a public-health perspective Pathogens are routinely present in Class B biosolids and arecapable of surviving for days weeks or even months depending on theorganism and environment Therefore site restrictions with durations based onsubsequent land use are necessary following land application For many soilscontamination of underground aquifers due to vertical migration of pathogensfrom land-applied biosolids is unlikely because of the sorption of viruses andthe soil filtration potential for larger pathogens However in coarse texturedsandy soil or high permeability karst topography groundwater contaminationevents are possible For example surface-water contamination can occur fromland-applied biosolids because of soil runoff In the US groundwater sourcesunrelated to biosolids have been associated with 58 of

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 284

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total waterborne-disease outbreaks compared with 33 from surface-watersources (Schijven 2001) The committee notes that there is a dearth ofcontemporary information on pathogen transport through and on soil from land-applied biosolids in field situations The transport of pathogens throughbiosolids-amended soil is different than from soil alone because of sorption andbinding to the biosolids

Water

In principle pathogens present in biosolids can contaminate surface orgroundwaters if runoff and leachate are not controlled When municipal solidwaste is landfilled microbial contamination of groundwater from leachate ispossible albeit at low levels (Sobsey et al 1975 Sobsey 1978 Pahren 1987)Ritter et al (1992) found that lime-treated septage applied to land did notdeteriorate groundwater quality in regard to pathogens The committee did notidentify any studies of microbial contamination of surface or groundwater nearland where either Class A or Class B biosolids had been applied

Vectors

There are no published reports that specifically implicate vectors in thetransmission of infectious organisms from land-applied biosolids to humansHowever there have been reports of fly proliferation and mosquitos in standingwater bodies such as sewage effluent and septic tanks (Carlson and Knight1987 DSTaylor et al 1999 Learner 2000) A number of studies indicate thatvectors such as flies rodents and birds harbor infectious agents commonlyassociated with animal and poultry wastes Butterfield et al (1983) reported thatherring gulls carry Salmonella and Juris et al (1995) reported that fliesdisseminate helminth eggs from sewage treatment plants Although data(Grubel et al 1997) suggest that houseflies harbor Helicobacter pylori directtransmission of the organism from flies to humans has not been demonstratedAlthough flying insects are usually attracted to odors (Morris et al 1997) thereare no published data on whether land application of biosolids results in anincrease in flies mosquitoes or birds If biosolids application is not managedproperly heavy rainfall in conjunction with biosolids application could result inpools of biosolids-contaminated runoff that could attract vectors Land-application practices as specified in the Part 503 rule are designed to reducevector attraction but it is unclear whether these practices discourage vectorsAlthough flies and other vectors have been detected on biosolids-

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 285

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applied lands the extent to which these vectors are involved in the transmissionof infectious organisms to humans or the food chain is unknown

Regional Differences

The extent and routes of human exposure to biosolids vary greatly acrossthe United States depending on the overall ldquoexperience with biosolids userdquoFour exposure factors that vary by region are methods of biosolids applicationclimate soils and land availability for biosolids application versus populationdensity

bull Methods of Biosolids Application Biosolids-application methods varydepending on region type of biosolids and individual site For examplein the southwestern desert liquid anaerobic-digested biosolids aregenerally injected into soil subsurface On pastures biosolids aregenerally applied to the soil surface In other areas biosolids ldquocakesrdquo areadded and disked into soil The application method directly affects thepotential for bioaerosol generation chemical odors and ultravioletinactivation of pathogens It is important to note that incorporation ofbiosolids is more difficult with pastureland than cropland

bull Climate Regional differences in climate affect the fate and transport ofpathogens in biosolids-amended soil In general moist cool soils such asthose in the northeastern region of the United States favor survivalwhereas hot dry soils such as those in the southwestern region adverselyaffect pathogens Differences in rainfall are not as important astemperature because application of biosolids on desert agricultural landsis often followed by irrigation

bull Soils Although climate affects regional soil types texturally all soil typescan be found throughout the United States Of all soil characteristics soilpH differences are perhaps the most important Typically more acidic pHranges and more organic matter are in soils east of the Mississippi than inthe more arid western states

bull Land Availability and Population Density Land availability andpopulation densityare the most important factors for acceptability of theldquoexperience with biosolids userdquo In the desert Southwest agriculturalareas are often located far from urban centers so that there are fewersurrounding residents who may be affected by biosolids applications Inthe Northeast the potential impact of land application is much greaterbecause of the magnitude of land application and the proximity of thatland to people For example in areas such as Rhode Island almost allland would need to receive biosolids to

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 286

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accommodate use and disposal In high-density urban centers there is anincreased potential for nuisance odors and for increased exposure topathogens Thus the regional differences in land availability for biosolidsapplication relative to the proximity of urban centers mean thatldquoexperience with biosolids userdquo is not uniform nationwide

HOST FACTORS

Assessing potential risks from exposure to pathogens is complicated by theneed to consider a variety of factors that affect an individualrsquos susceptibility topathogens Three of these factors concomitant exposures genetic factors andacquired immunity are discussed below

Concomitant Exposures

Studies have shown that concomitant exposures to infectious organismsnoninfectious organisms cellular components irritants and odors can causesynergistic effects especially in humans in highly contaminated environments(Schiffman et al 2000) For example the adverse health effects from exposureto a combination of ammonia and particles were greater than the additive effectsof ammonia and particles by a factor of 15 to 20 (Bottcher 1998 as cited inSchiffman et al 2000)

Particles allergenic constituents and microbial metabolites such asendotoxins (lipopolysaccharides [LPS]) glucans and aflatoxins can have a rolein the development of various respiratory diseases and systemic effects (Eduardand Heederick 1998) Chromogenic end point and kinetic endotoxin assays areused to estimate the relative biological activity of LPS rather than measure theexact amount of LPS present However there are accuracy and reproducibilityconcerns with these assays (Hollander et al 1993) Carbohydrate components ofmolds such as glucans and mannans are known to act as inflammatory agentsand can function as biomarkers for exposure to molds (Murphy 1990)

Because endotoxins and glucans are cellular components ofmicroorganisms anaerobic digestion would not be expected to totally destroy orinactivate those compounds The detection of viable cells in land-appliedbiosolids implies that endotoxins should also be present However localclimatic and biosolids-management practices dictate the extent of endotoxinaerosolization Van Tongeren et al (1997) reported considerable variation inendotoxin concentrations in municipal wastes at a compost plant withconcentrations rang

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ing from 02 ngm3 at a compost plant to 3536 ngm3 at a waste-resourcerecovery operation Nielsen et al (2000) found seasonal variations in endotoxinconcentrations around operations involving containers of biosolidsconcentrations ranged from 03 ngm3 in spring to a maximum of 100 ngm3 inautumn Ivens et al (1999) reported a direct relationship between bioaerosolconcentrations of endotoxins and nausea and diarrhea among waste collectorsEndotoxin concentrations ranged from 036 enzyme unit (EU)m3 to 92 EUm3

(003 ngm3 to 077 ngm3 assuming 1 EU=12 ngm3) Melbostad et al (1994)reported that municipal sewage workers in Norway were exposed to endotoxinconcentrations of 0ndash370 ngm3 over 8 h (median level 30 ngm3) however norelationship was seen between endotoxin concentrations and such symptoms asnausea tiredness and headaches

People with atopic asthma have increased sensitivity to respirableendotoxins resulting in a variety of immune responses including increasedeosinophils in the airways (Peden et al 1999) Studies suggest that asthmaticindividuals exposed to allergens will have greater nasal inflammations ifexposed to endotoxins (Gavett and Koren 2001 Liu and Redmon 2001 Reedand Milton 2001)

Genetic Factors

Data suggest that host genetic factors (eg predisposition to asthmaattacks) have a key role in the manifestation of a health effect from infectiousorganisms particles odors endotoxins or allergens (Lacey and Crook 1988Michel et al 1991 1992 1996 George et al 2001) These studies have beenconducted on biowaste collectors compost workers sewage treatment plantworkers and animal house workers who are constantly exposed to highconcentrations of these agents There are no data on the roles of genetic factorsin health effects due to bioaerosols from land-applied biosolids Furthermorealthough particles allergens and microorganisms can cause health effects inoccupationally exposed workers data are lacking on whether the concentrationsobserved at land-application sites are sufficient to cause health effects insurrounding populations

Acquired Immunity

A potential factor modulating the risk from exposure to infectious agents isacquired immunity which can reduce the extent of illness in a populationexposed to microbial contamination or alter the dynamics of disease occur

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rence For most agents of concern the existence extent and duration of anyacquired immunity is not well understood For a number of infectionsimmunity may be highly short-lived (Anderson and May 1991 Bailey 1975) Inthe case of Salmonella only partial immunity appears to occur resulting inreduced severity (McCullough and Eisele 1951) In the case ofCryptosporidium there is also some reduction in susceptibility following aninfection although in some cases the severity of the infection in individualsrechallenged may be more severe (Chappel et al 1999)

If information on the extent and duration of immunity is found it can beincorporated into population models of infectious disease as described inChapter 7

EXPOSURE TO WORKERS

Sewage sludge and biosolids are used in a number of ways includingapplication to agricultural fields recreational fields lawns and home gardensand reclamation of mines and other disturbed lands The process of preparingand applying biosolids involves workers who are potentially at risk of exposureto infectious pathogens in the sewage sludge during preparation in the treatmentplant transportation of the biosolids to places of application application toland and following application in the fields The worker populations were notconsidered in setting EPArsquos standard for pathogens in biosolids As reported inChapter 3 there are few studies of worker exposure to biosolids Howeverthere are a few studies of exposure and effects observed in workers atwastewater and sewage treatment plants Although these studies are notsubstitutes for studies of biosolids exposure they are useful for identifyingpotential health concerns and pathogens that might be relevant to biosolids

The presence of human pathogens in raw sewage sludge has been welldocumented Ayres et al (1993) reported on the accumulation and viability ofhuman nematode eggs (primarily Ascaris lumbricoides) in the sewage sludge ofa waste-stabilization pond Cryptosporidium oocysts and Giardia cysts wererecovered from products of wastewater treatment and anaerobic sewage sludgedigestion (Chauret et al 1999) Specific infectious agents have been recoveredfrom biosolids applied to land including eggs of the helminth Taenia saginata(Barbier et al 1990) Thermotolerant clostridia were detected in aerosols from alarge commercial application site (Dowd et al 1997) In a multiyear study 21Salmonella serotypes were isolated from sewage sludge from four treatmentplants in different geographic areas of Ohio (Ottolenghi and Hamparian 1987)In the same study family members residing on farms showed antibodies tosalmonellae but the investigators were unable to deter

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mine whether there was a significant difference between exposed and controlsubjects

Immunoglobulin G antibodies to molds and actinomycetes were found inbiowaste collectors and compost workers exposed to bioaerosols (Buumlnger et al2000) Higher exposures to rod-shaped and total bacteria were found in sewageworkers with airway symptoms headache tiredness and nausea than inworkers not reporting these symptoms (Melbostad et al 1994) Hepatitis A wasreported in workers from a wastewater treatment plant during a smallcommunity outbreak (De Serres and Laliberteacute 1997)

ANTIBIOTIC RESISTANCE

There is constant acquisition and loss of genetic sequences among bacteria(Ochman et al 2000) Bacteria can acquire antibiotic resistance through pointmutations plasmid transfer events transposons and integrons Mobile DNAsequences make up a substantial portion of the transferred sequences in E coli(Lawrence and Ochman 1998) There are reports that antibiotic-resistantorganisms can be isolated from biosolids (Pillai et al 1996 1997) andantibiotic resistance transfer events have been documented under laboratoryconditions in sewage effluent (Arana et al 2001) A recent study foundtetracycline-resistance genes in waste lagoons and groundwater at two swineproduction facilities (Chee-Sanford et al 2001) This study also suggested thatthe resistance genes can be mobilized into soil inhabitants However there areno data to suggest that land application of biosolids will preferentially promotesuch transfer events Assuming that biosolids contain a number of potentialdonors and recipients of antibiotic resistance genes it is important to keep inmind that multiple processes should occur for the stable incorporation andexpression of new traits in the recipient cells The donor DNA must bedelivered to the recipient cells the transferred genes should be incorporated intothe recipientrsquos genome or plasmid and finally the incorporated genes should beexpressed in a manner that benefits the recipient cells (Ochman et al 2000) AGerman study suggests that there is minimal likelihood of functional antibioticcompounds persisting in biosolids (Hirsch et al 1999) therefore it is doubtfulwhether the incorporation and maintenance of antibiotic resistance genes inrecipient cells would provide them with any selective advantage Antibioticsare however present in raw sewage sludge and sewage treatment plant effluentResistant bacteria can therefore be present in biosolids without a selectiveadvantage in that medium and without specific gene transfer in that mediumPillai et al (1997) reported no significant differences in the antibiotic resistanceindex of E coli isolates obtained from undigested and digested

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municipal sewage from rural and urban environments when 13 antibiotics werescreened The ability of biosolids-related organisms to transfer their resistancemarkers to indigenous soil bacteria would depend on the survival of theintroduced strains in addition to the factors mentioned above On the basis ofthis information the committee does not believe that land-applied biosolidshave any substantial potential to alter the prevalence of antibiotic resistanceamong pathogenic microorganisms

PATHOGEN RISK ASSESSMENT

Risk assessment has been used in several environmental and public-healthapplications to determine (or reduce) exposure to pathogenic microorganismsIn this section available approaches to conducting microbial risk assessmentare briefly reviewed and their applicability to biosolids is assessed Thecommittee was aware that methodology for assessing risks to human healthfrom pathogens via exposure to biosolids is being developed by researchers atthe University of California at Berkeley The methodology has an exposure-assessment component for quantifying pathogen levels and a health-riskcomponent that accounts for special infectious disease considerations(secondary transmission and immunity) (JEisenberg University of CaliforniaBerkeley personal communication May 24 2002) However the methodologywas not finalized in time for the committee to evaluate it and include it in thisreport

Drinking Water

Historically the acceptable levels of microorganisms in drinking watercontact recreational waters and shellfish harvesting waters have been set usingindicator organisms most often either total or fecal coliforms With the adventof better methods for direct measurement of pathogens in water (Leong 1983Ongerth 1989 Gerba and Rose 1990 Gregory 1994 Rose 1990 Rose et al1991a) and the development of risk-assessment paradigms for settingenvironmental standards (NRC 1983 1989 Silbergeld 1993) these methodscan now be applied to the development of microbial standards for acceptablewater quality to supplement or replace traditional indicator measurements

The quantitative microbiological risk assessment (QMRA) approach thathas been used in the development of the Surface Water Treatment Rule(SWTR) and the Enhanced SWTR follows the framework proposed forchemical risk assessment by the National Research Council (NRC 1983) Theframework has the same steps as those for chemical risk assessment hazard

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 291

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assessment exposure assessment dose-response analysis risk characterizationand risk management

Alternative protocols specific to microbial risk assessment have beenproposed by such groups as the International Life Sciences Institute (ILSI)Pathogen Risk Assessment Working Group (1996) A schematic of the ILSIprotocol is shown in Figure 6ndash2 This protocol emphasizes the interrelationshipsbetween the technical and policy-making components surrounding the risk-assessment process particularly at the problem-formulation stage

A quantitative microbial risk-assessment approach has in part been usedby EPA Using data from human volunteer studies Regli et al (1991)developed a dose-response relationship for infection from the ingestion ofGiardia lamblia The result was compared with infection rates observed fromwaterborne outbreaks to assess the likelihood that an infected person wouldbecome ill (Regli et al 1991 Rose et al 1991b) Using a target risk of oneinfection per 10000 persons per year which was regarded as acceptable byEPA in the SWTR and a daily average water consumption of 2 liters (L) perperson per day EPA estimated that an acceptable finished water concentrationwould be 675times10`6 organism per L (one organism in 148000 L) Verificationof such low microbial occurrence represents a technological impossibilitytherefore it is necessary to use an estimated finished water concentration basedon the microbial quality of source water and the reduction of microorganismsachieved by a particular set of treatment processes

In the proposed SWTR a tiered treatment requirement incorporated thisapproach however the final promulgated regulation required a single fixed-value reduction (in logs) which was based on an estimated upper value ofsource-water microbial concentrations across the United States

Under the Long-Term Enhanced Surface Water Treatment Rule(LT2ESWTR) surface-water treatment plants will be required to use controlstrategies based on the concentrations of Cryptosporidium oocysts found intheir source water Although not explicitly founded on risk assessment therelationship between the oocyst concentrations in source water and the requireddegree of control is predicated on achieving a minimal degree of public-healthprotection regardless of source-water quality

Food and Air

The methods for assessing risks from exposure to pathogens in food andair are still in their infancy Several modeling approaches have been used butmodeling pathogens pose specific challenges such as how to model dose-response relationships (Coleman and Marks 1998) and pathogen reduction or

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 292

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FIG

UR

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ndash2 S

chem

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ILS

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icro

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6

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 293

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multiplication in food There are also the issues of susceptibilityparticularly for sensitive subpopulations such as children the elderly pregnantwomen and immunocompromised individuals (Balbus et al 2000) and thepotential for secondary transmission of disease

A general framework for microbial food-safety risk assessment has beenproposed by McNab (1998) but this framework requires refinement ofappropriate distributions and mathematical relationships before it can be appliedto a specific pathogen In the past 10 years the US Department of Agriculturehas developed risk-assessment models for pathogens in foods of animal originfocusing on Salmonella in eggs (FSIS 1998a) and E coli in beef (FSIS 1998b)Another study (Marks et al 1998) used E coli 0157H7 to demonstratedynamic-flow tree modeling In an assessment of bioaerosol transport andbiosolids placement and the risk of bacterial and viral pathogens both point-andarea-source risk-assessment modeling approaches were used (Dowd et al 2000)

Applicability of Available Approaches to Biosolids Standards

Methods for conducting microbial risk assessment have advancedsubstantially since the promulgation of the Part 503 rule Although thesemethods have not progressed as far as those for chemical risk assessment thecommittee believes that they can be used by EPA as a basis to develop criteriafor biosolids to maintain acceptable levels of risk from microbial exposure

The committee envisions an approach conceptually similar to that used indeveloping the SWTR and LT2ESWTR From stipulation by EPA of anacceptable risk level for a particular pathogen the concentrations in biosolidseither at the time of disposal (where there is immediate potential for exposure)or after a required holding period can be computed by application of QMRAmethods EPA can then develop experimentally based relationships betweenprocess conditions (eg time temperature pH chemical doses and holdingtimes) and indicator organism concentrations (either density or reductionthrough treatment) that can ensure consistent attainment of the target maximumacceptable pathogen concentrations A regulation can then be crafted tomandate achievement of particular process conditions and indicator densities orreductions to produce acceptable biosolids for the designated use

The committee does not recommend that QMRA methods be required byregulation to monitor potential risks at any particular site Such monitoringshould be conducted by using indicator organisms and controlling operationalparameters and practices such as temperature time buffer zones and pH sothat tolerable risk levels are not exceeded

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 294

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To conduct microbial risk assessments a variety of information is neededincluding concentrations of the pathogen in biosolids its fate and transport inenvironmental media and its infectivity (dose-response relationship) Theextent of the available data on specific pathogens varies and there are a numberof difficulties with obtaining the needed information and conducting the riskassessments Some of the obstacles include limitations with available samplingand detection methods lack of dose-response data inadequate information oninfectivity from inhalation and dermal routes of exposure and difficulties withpopulation-level modeling These obstacles are discussed in more detail below

Potential Limitations in Sampling and Detection Methods

Bacteria

Better sampling and detection methods are needed for pathogens inbioaerosols Impaction impingement filtration and electrostatic precipitationare some of the methods routinely used to concentrate microorganisms frombioaerosols There are important differences in the equipment and collectionefficiencies of these methods The ASTM (2001) standard (E-884ndash82) forassessing occupational exposures to bioaerosols in indoor facilities uses animpinger (AGI-30) to sample a total volume of 240 L of air in 20 minCurrently there is no standard for assessing occupational exposures frombioaerosols in outdoor environments such as biosolids-application sitesAlthough specific microbial pathogens and fecal indicator organisms frombiosolids-application sites have been detected using the AGI-30 sampler thereare studies showing that the AGI-30 is relatively inefficient at concentratingbacterial cells from bioaerosols Samplers with improved airflow rates (up to400 Lmin) concentration efficiency and portability have been developed todetect bioaerosols primarily for biological weapons research and arecommercially available Although many of these samplers have been reportedlyfield tested for their efficacy in detecting biological weapons peer-reviewedpublished data on their efficacy are not available The limitations ofcommercially available bioaerosol samplers include considerable variation insampling efficacy (Juozaitis et al 1994) ability to culture some microbialsamples and ability to characterize the microbial populations beyond platecounts During transport deposition and sampling bacteria can be inactivatedor desiccated The ldquoinjuredrdquo cells might be incapable of being cultured onroutine microbiological media thus underestimating the actual number of viablecells within a bioaerosol For example the Anderson sampler which relies onan impac

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tion-based sampling approach has provided a large amount of data on indoorbioaerosols Because the Anderson sampler is based on impaction and themicrobial population estimates are based on direct plate counts the impaction-based sampling approach can lead to an underestimation of the actualbioaerosol load for the following reasons First bioaerosolized organisms maybe in a viable but non-culturable state thereby not forming colonies on theplates Second the larger cut-off size of the sixth stage of the Anderson samplermay make it inefficient at collecting very small bioaerosolized particles(Terzieva et al 1996) A key limitation in bioaerosol sampling is the portabilityof the samplers for use in remote field sites Many of the samplers such as theAGI-30 that rely on external vacuum and power sources cannot be easily usedat remote sites The hand-held highly portable SAS surface impaction-basedsampler has been used for monitoring however the samples are impacted on asolid surface which can be extremely detrimental to their survival and culture

Some molecular-biology-based assays such as gene-probe hybridizationand gene amplifications have promise for detecting and characterizing specificmicrobial groups within bioaerosols However those methods have sometechnical shortcomings such as inhibitory sample effects sample processingdeficiencies laborious protocols and possible laboratory-based contamination(Alvarez et al 1995 Pena et al 1999) Droffner and Brinton (1995) havedetected Salmonella-specific nucleic acids within thermophilic compost pilessuggesting that microbial nucleic acids can be resistant to degradation even atthe raised temperatures found in compost piles However the detection of stablenucleic acid sequences does not imply the presence of viable organismstherefore molecular analyses such as gene probe hybridizations and geneamplifications should be interpreted with caution Furthermore becausenoninfectious microorganisms and microbial components (eg cells sporesendotoxins glucans chemical markers antigens and allergens) might causeallergic and toxic reactions independent of cell viability nonviability-basedassays are also necessary (Eduard 1996)

Another concern in assessing the potential impacts of pathogen-ladenbioaerosols from biosolids-application sites is the sampling scheme Land-application programs may involve tens of acres with highly variablemicrometeorological conditions within the same general site The fluctuationscan be due to topography vegetation and mechanical agitation Wind directionand speed also can fluctuate even within a 20-min sampling time Because nostandards exist for bioaerosol sampling in outdoor environments the exactnumber of replicate samples needed to get a fair representation is unclear Thechoice of an appropriate statistical analysis to give environmentally significantconclusions is also important Spicer and Gangloff (2000) reported

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 296

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on the limitations of using data on nonparametric statistical treatments ofbioaerosols A further concern is that the definition of upwind and downwindsampling locations at sites may be too broad for bioaerosol samplers withsampling orifices of only a few centimeters in diameter

Thus there are challenges to developing and implementing an effectivebioaerosol-monitoring program including the need for a rigorous samplingscheme integrated sampling to account for micrometeorological fluctuations(which may be the most important challenge from a public-health standpoint)and the lack of efficient and portable bioaerosol samplers Other than theASTM standard sampling protocol for evaluating the microbiological quality ofmunicipal solid wastes (ASTM 2001) there are no standardized samplingschemes for determining the bacteriological and viral quality for biosolids land-application programs Standards are needed for bioaerosol sampling thataccount for outdoor site characteristics especially variations in site size

The environmental conditions under which microbial pathogens areaerosolized from biosolids piles at field sites and from biosolids applied toagricultural land need to be accurately determined The precise composition ofbiosolids material and bioaerosols from those sites also need to be studied usingconventional and contemporary molecular tools such as qualitative andquantitative PCR assays and the bacterial isolates archived Archived isolatespermit the use of DNA fingerprinting methods to determine whether the isolatesoriginate from land-applied biosolids (Dowd and Pillai 1999)

Viruses

Sewage sludge and biosolids particularly Class B biosolids contain avariety of human pathogenic viruses (Straub et al 1993b) Sufficient viruses arenormally present so that sampling and detection are relatively simple Thechoice of detection method is critical however when documenting theelimination of viruses Standard-cell-culture methods for viruses inenvironmental samples are expensive and time consuming requiring up to amonth for confirmed positive results (Reynolds et al 1997) Cell-culture assaysare further complicated by the presence of toxic organic and inorganic materialsfound in sewage sludge An alternative detection method is PCR which usingspecific oligonucleotide primers relies on in vitro enzymatic amplification oftarget nucleic acids (Saiki et al 1988) PCR analyses are quicker less costlyand more sensitive than other cell-culture methods Direct reverse transcriptasePCR (RT-PCR) can potentially detect intact nucleic acid sequences in viralprotein coats even when the viral particles have been inactivated In that caseinactive viruses can be detected and the potential risk from their presence

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 297

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overstated PCR is positive for virus detection long after cell-culture results arenegative

The issue of virus viability versus virus detection with PCR has led to adebate on the efficacy of the PCR method However development of theintegrated-cell-culture-PCR (ICC-PCR) has defused the debate (Reynolds et al1996) ICC-PCR combines biological amplification of viruses in cell cultureand enzymatic amplification of viral RNA via PCR There are many advantagesto this method particularly the prerequisite that the virus grow in cell culturefor positive PCR amplification thus detecting only viable viruses Acomparison of all three virus detection methods (Table 6ndash9) shows that for viralrisk assessment analysis ICC-PCR is the method of choice Cell culture couldpotentially underestimate exposure while RT-PCR could easily overestimateexposure

Protozoa and Helminths

Over the past 20 years various assays for helminth eggs in biosolids havebeen developed but no assay has been universally accepted primarily becausethere are few published quality-assurance and quality-control (QA-QC) data forthe various protocols that have been used Die-off studies with Ascaris eggscollected at different seasons showed that a consistent protocol for eggcollection storage and use in spiking biosolids must be addressed When sucha protocol is developed consistent QA-QC data can be obtained for helmintheggs spike studies (Reimers et al 1981 1986b 1990) When detectinghelminths sample preservation and pretreatment is often overlooked ForAscaris eggs a neutralization and cooling process is necessary to assess thealkaline and acidic disinfection and stabilization of biosolids (Meehan et al1986) Several methods can be used to detect Ascaris eggs including those ofBean and Brabants (2001a) Huyard et al (2000) EPA (1999) and Yanko(1987) Each of those methods has a different percent recovery of eggs and QA-QC data are available for only the Tulane Ascaris assay The Tulane assay isaccurate for anoxic and acidic biosolids at 75ndash80 with a precision ofapproximately 10ndash15 A summary of the Tulane Ascaris assay is presented inTable 6ndash10

This Ascaris assay gives no indication of QA-QC data relative to otherhelminth eggs or protozoa and helminth eggs other than Ascaris are liable torequire assay modifications The process should work well for the eggs of thecanine and feline ascarids Toxocara canis Toxocara cati and Toxascarisleonina which can enter wastestreams through toilets or storm runoff becausethese eggs are slightly larger than the eggs of Ascaris and have similar densitiesThis method may not be as effective for eggs of the human whipworm Trichuris

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TABLE 6ndash9 Comparisons of Methods for Detection of Virus

Method of DetectionIssue Cell Culture RT-PCR ICC-PCRReduced time of detection No Yes YesInfectious virus detected Yes YesNo YesIncreased sensitivity Yes No YesAffected by PCR inhibitory substances No Yes NoReduced costs No Yes YesDetects only viable organisms Yes No YesDetects viable but nonculturable virus No Yes Yes

Source Marlowe et al 2000 Reprinted with permission from Environmental Microbiologycopyright 2000 Elsevier Science

trichiura and the different human taeniid tapeworms The technique isinappropriate for protozoa because those of primary concern Giardia andCryptosporidium will pass through the final sieve Thus for those pathogensanother form of final sample processing is required At this time the processdescribed for Ascaris is good for verifying inactivation of pathogens in variousspiked samples but further work is required to verify recovery methods forroutine samples when other pathogens are of equal or greater concern

There is substantial concern over the reliability and accuracy of viabilityassays Currently the helminth egg assay for Ascaris is much more accurateprecise and efficient than the Cryptosporidium oocyst assay possibly becauseCryptosporidium parvum is much more sensitive to temperature cavitation andnoncharged biocidal constituents than Ascaris (Reimers et al 1999) In generalCryptosporidium can be inactivated with properly operated Class Bdisinfection even though Cryptosporidium have been reported to survive ClassB disinfection with lime stabilization (Bean and Brabants 2001b) In alkalinestabilization the ammonia content generally controls the inactivation ofhelminth eggs and protozoan oocysts Ascaris eggs require 1ndash3 ammonia forinactivation instead of the 01 required for Cryptosporidium Cavitation iseffective in inactivation of Cryptosporidium but is not as effective for Ascariseggs and the inactivation of Cryptosporidium occurs at 15degC less than that ofAscaris (Reimers et al 1999 Bowman et al 2000)

The preservation and pretreatment techniques for protozoan oocysts havenot been developed to the level of those for helminth eggs The viability andinfectivity assays typically use one of the following techniques (Jakubowski et

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TABLE 6ndash10 Summary of Tulane Ascaris Assay for Viability and Determination inPercent Recovery or Percent Variation from the Mean DensityBiosolids Matrix Recovery

(Accuracy) Variation(Precision)

Reference

Acid treated 805ndash790 102ndash38 Reimers et al1991

Anaerobicdigested andlagoon stored

755 148 Reimers et al1990

Soil blends 755 325 Leftwich et al1987

Alkalinetreatment

585 344 Meehan et al1986

EPA WhiteHouse document

lt500 - Bean andBrabants 2001a

In-vivo assay lt100 - Burnham 1988

al 1996) vital dye staining animal infectivity cell culture or polymerasechain reactions (B-tubulin messenger RNA or RT-PCR) The animal viabilityassay would be useful for Cryptosporidium of human origin Cell culture andmRNA testing also appear to have merit Cryptosporidium recoveries frombiosolids appear to be far less efficient than those from helminths having arecovery efficiency of about 10 for the sedimentation technique and less than3 for the flotation technique (Bean and Brabants 2001b) Recoveries ofCryptosporidium oocysts and Giardia cysts from biosolids varied from 32 to163 and 24 to 417 respectively These data illustrate the need to optimizethe techniques for protozoan preservation pretreatment and analysis becauserecovery efficiencies vary depending on the sampling matrix

Potential Limitations in Dose-Response Information

One intrinsic feature of risk assessment is that the data used to define adose-response relationship for both chemicals and microbial agents are mostoften obtained at relatively high doses A mathematical relationship is then usedto extrapolate the risk at lower exposure levels It has long been knownhowever that dose-response relationships may yield quite different low-doserisk levels (eg see Van Ryzin 1980) Thus it is important to develop theappropriate specifications for plausible dose-response models for infectiousmicroorganisms Initial attempts at expressing such characteristics have beenmade (Holcomb et al 1999) The two most successful models are theexponential and the beta-Poisson models both of which express the risk at low

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doses as a linear function of dose This linear function has been demonstratedwith outbreak data on Shigella and Giardia and with risks extrapolated fromhuman volunteer trials (Crockett et al 1996 Rose et al 1991b)

A second important aspect of dose-response assessment is the relationshipbetween the ingested dose and the severity and duration of effects For somepathogens the severity of the outcome depends on the initial ingested dose(Teunis et al 1999) There may also be species and subspecies differences ininfectivity (and in the severity of illness) Ideally a dose-response relationshipfor the particular subspecies (or ldquostrainrdquo) should be obtained however thatmight not be possible in practice

The differences in infectivity of different species of Salmonella andShigella have been demonstrated (Crockett et al 1996 Fazil 1996)Cryptosporidium parvum and different subspecies of E coli manifest differentdose-response relationships (Haas et al 1999b Okhuysen et al 1999)Infectivity differences likely result from differences in pathogenicity Thedegree to which biochemical markers may be used to predict infectivityquantitatively is an important research area

A number of human dose-response relationships have been developed forbacteria viruses and protozoa (Regli et al 1991 Rose et al 1991b Haas et al1993 1996 1999a Crockett et al 1996 Fazil 1996 Medema et al 1996Teunis et al 1999) However human or animal dose-response relationships forinfection or illness from sewage sludge helminths (eg Ascaria Tanenia) donot appear to have been identified

Although it would be best to use human dose-response data it is notpossible for many organisms and extrapolations must be made from animalstudies Studies on Listeria monocytogenes a foodborne pathogen and E coliO157H7 have used animal dose-response data to develop human dose-responseinformation (Haas et al 1999a 2000) Exposures estimated from humaninfection rates during outbreaks were comparable to the estimated infection ratebased on animal dose-response data thus validating the use of animal data as aquantitative predictor of human response However such validation needs to beconducted in the case of each particular pathogen when an inference fromanimal dose-response information is to be made

Protection of sensitive or susceptible subpopulations is frequently desiredalthough the definition of these subpopulations has not been rigorously definedIn a recent expert working group (Balbus et al 2000) one definition wascrafted erdquoSusceptibility is a capacity characterizable by a set of intrinsic andextrinsic factors that modify the impacts of a specific exposure upon risksseverity of outcomes in an individual or populationrdquo Under that definitionsusceptible subpopulations could include the immunocompromised (includingHIV-infected persons and persons taking immunosuppressive

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drugs) pregnant women the elderly and children (Gerba et al 1996) Inaddition susceptible subpopulations could include persons with less access tohealth care or with concomitant factors such as diet or use of illicit drugswhich might enhance risk or infectivity As yet there is no validated way toincorporate altered susceptibility for infectious microorganisms into a riskassessment Such incorporation will probably require animal models to assessdose-response alterations associated with differing susceptibility

Exposure Routes Other Than Ingestion

Microbial risk assessment is usually based on ingestion of contaminatedfood or water however biosolids exposure might occur by inhalation or directdermal contact Outbreak reports suggest that microorganisms found inbiosolids might be transmitted by inhalation (Giubileo et al 1998 Gregersen etal 1999 Marks et al 2000) Dose-response relationships and exposure modelsfor these microorganisms are needed In some cases for example forpathogenic fungi there are no ingestion analogs on which to base infectivity viainhalation Some animal models have been developed for inhalation exposure tobiotoxins (including bacterial endotoxins and other microbial inflammatoryagents) (Thorne 2000) A research program is needed to develop methods forthe risk assessment of these agents

Population Level Modeling

Two considerations of pathogen risk assessment that have no analog inchemical risk assessment is the need to address the potential for secondarytransmission and acquired immunity Secondary cases of infection may arise bya variety of mechanisms such as transmission among close family membersHousehold secondary cases can arise by direct or indirect (eg surfacecontamination) contact particularly when the primary case or one householdsecondary case is a child (Heun et al 1987 Griffin and Tauxe 1991 MacKenzie et al 1995) Presumably secondary cases may also arise from closecontact with an asymptomatic individual (in the ldquocarrierrdquo state) This iswellknown for highly acute and now uncommon illnesses such as typhoidExcretion of Norwalk virus following recovery and resulting in additional caseshas been documented to occur for as long as 48 h after recovery (White et al1986)

There is evidence that transmission of organisms at least for someillnesses may occur before as well as after symptoms appear In studying day-care rotavirus infections Pickering et al (1988) noted that more than 10 of

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the children excreted rotavirus up to 5 days before the onset of symptomaticillness This pre-symptom excretion of rotavirus represents one route oftransmission

The impact of secondary infections may be considered in at least twoways A first approximation may be made by multiplying the estimated numberof primary cases by a secondary-case ratio A second estimate may be made byusing population-based models as discussed in Chapter 7 These models havebeen documented in a number of reports (eg Eisenberg et al 1996 1998 Haaset al 1999b) However the models are still at the research stage as certainparameters (eg incubation time duration and intensity of immunity andeffectiveness of person-to-person contact) are poorly characterized forwaterborne diseases Furthermore there might be an underlying endemicbaseline of illness on which an outbreak can be superimposed (Morris et al1998) As additional data become available it might be possible for population-based risk assessments to assess the impact of control options for infectiousorganisms

FINDINGS AND RECOMMENDATIONS

The pathogen standards of the Part 503 rule are technologically basedrequirements intended to reduce the presence of pathogens The standardsconsist of treatment use and monitoring requirements Classification of ClassA and Class B biosolids are based largely on fecal coliforms as indicatororganisms Class A biosolids do not have detectable concentrations ofpathogens (determined by indicator organisms) and therefore risks from themare expected to be lower than those from Class B Pathogens are normallypresent in Class B biosolids but the risk they pose is unknown because no riskassessment has been performed

In determining the pathogen standards for biosolids EPA considered avariety of potential bacteria viruses protozoa and helminths that might bepresent in biosolids their fate and transport in the environment and thepotential for human contact The committee found that EPA considered anappropriate spectrum of pathogens and indicator organisms in setting itsstandards but new information on those and other pathogens not considered isnow available for conducting a national sewage sludge survey of pathogens andupdating hazard identification Because of the variety of pathogens that have thepotential to be in biosolids the committee supports EPArsquos use of pathogen-reduction requirements use restrictions and monitoring of indicator organismsrather than pathogen-specific concentration limits in its regulations

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 303

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Recommendations

bull EPA should conduct a national survey of pathogen occurrence in raw andtreated sewage sludges Important elements in conducting the surveyinclude use of consistent sampling methods analysis of a broad spectrumof pathogens that could be in sewage sludge and use of the best available(preferably validated) pathogen measurement techniques

bull Additional indicator organisms such as Clostridium perfringens shouldbe considered for potential use in regulation of land-applied biosolidsSuch indicators and other operational parameters (eg timetemperature pH and chemical dose) may be suitable for assessing day-to-day compliance with the regulations

As with the chemical standards EPA based its pathogen standards onselected pathogens and exposure conditions that were expected to berepresentative and conservative enough to be applicable to all areas of theUnited States and for all types of land applications However pathogen survivalin soils may range from hours to years depending on the specific pathogensbiosolids-application methods and rates initial pathogen concentrations soilcomposition and meteorological and geological conditions In addition veryfew data are available to estimate the occurrence transport and decay rates ofpathogens and endotoxins in bioaerosols

Recommendation Site restrictions buffer zones and holding periods forland-applied Class B biosolids should consider geographic and site-specificconditions that affect pathogen fate and transport

Regulations for Class B biosolids include use restrictions Theserestrictions are intended to limit animal and human contact with land-appliedbiosolids until environmental factors reduce pathogens to concentrations thatare not expected to cause adverse effects Because there are no requirements foron-site monitoring of pathogens there is little information available to evaluatethe reliability of use restrictions in achieving their intended minimum exposurelevels or to verify that those desired levels are maintained over an extended time

In addition the committee found that some potential exposure pathwayswere not sufficiently considered when the use restrictions were developed Forexample potential off-site inhalation of dust and aerosols does not appear tohave been considered The potential for groundwater contamination bypathogens was not sufficiently addressed This is a concern in geologicallysensitive areas where there is the potential for leachate from application sites tocontaminate subsurface-water resources In addition the potential for runoff tocontaminate surface waters was not adequately addressed

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Recommendations

bull Studies should be conducted to determine whether the site restrictionsspecified for Class B biosolids in the Part 503 rule actually achieve theirintended effect with regard to pathogen levels

bull As recommended in Chapter 5 for chemicals EPA should develop aconceptual site model to identify the major and minor exposure pathways(including secondary transmission) by which humans might come intocontact with pathogens in biosolids

Substantial advances in detection and quantification of pathogens in theenvironment have been made since the promulgation of the Part 503 rule Forexample new molecular techniques for detecting pathogens such as PCR arenow available In addition new approaches to environmental sample collectionand processing are available However no consensus standards have beendeveloped for pathogen measurements in biosolids and bioaerosols

Recommendation EPA should foster development of standardizedmethods for measurement of pathogens in biosolids and bioaerosols EPAshould include round-robin laboratory testing to establish method accuraciesand precisions at the various pathogen concentrations expected in raw sewagesludge and partially and fully treated biosolids These new detection methodsshould be used to verify that EPArsquos prescribed pathogen reduction techniquesare reliable in achieving their intended goals Mechanisms should be developed for incorporating new methodologies into the verification process as theybecome available

Microbial risk-assessment methods similar to those used in chemical riskassessments have been developed for pathogens in drinking water and foodThese methods are not as well-established as those for chemicals and there areimportant differences between the two For example a microbial riskassessment must include the possibility of secondary infections either throughperson-to-person contact or from transmission of the pathogen to others throughair food or water The importance of secondary transmission depends in parton the level of acquired immunity to the pathogen in the community aphenomenon that has no analog in chemical risk assessment

The committee believes quantitative microbial risk assessment (QMRA) isa feasible approach to setting standards for pathogens in biosolids Thecommittee does not recommend that QMRA be used to establish pathogen-specific regulatory concentration limits but recommends that it be used as a toolfor developing treatment use and monitoring requirements (or for validatingcurrent requirements) to meet acceptable risk levels However there are stillsubstantial data gaps such as characterization of dose-response relationshipsand transport and fate of pathogens and endotoxins in biosolids and

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bioaerosols Monitoring of compliance with the regulations should continue tobe conducted using indicator organisms and operational parameters andpractices (eg temperature buffer zones and pH) to ensure that tolerable risklevels are not exceeded

Recommendation QMRAs should be developed and used to establish (or validate) regulatory criteria (treatment processes use restrictions andmonitoring) for pathogens in biosolids They can also be used for sensitivityanalyses and identifying critical information that is needed to reduceuncertainty about the risks from pathogens in biosolids To conduct these riskassessments consideration must be given to assessing risks from all potentialroutes of exposure (eg bioaerosols groundwater) dose-responserelationships pathogen survival and secondary transmission of disease Insome cases research will be needed to fill gaps in knowledge of those inputs Asadditional information is gathered on exposure dose-response relationshipand pathogen survival the risk assessments should be reviewed and updated asnecessary

REFERENCES

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Alvarez AJ MPButtner and LDStetzenbach 1995 PCR for bioaerosol monitoring Sensitivityand environmental interference Appl Environ Microbiol 61(10)3639ndash3644

Anderson RM and RMMay 1991 Infectious Diseases in Humans Dynamics and ControlOxford Oxford University Press

Arana I JIJusto AMuela and IBarcina 2001 Survival and plasmid transfer ability ofEscherichia coli in wastewater Water Air Soil Pollut 126(34)223ndash238

Arrowood MJ 1995 Assessment of Pulse Power System to Inactivate Cryptosporidium parvumoocysts Report to Scientific Utilization Inc Huntsville AL by Centers for DiseaseControl Atlanta GA January 11 1995

Ashbolt NJ GSGrohmann and CSWKueh 1993 Significance of specific bacterial pathogensin the assessment of polluted receiving waters of Sydney Australia Water Sci Technol 27(3ndash4)449ndash452

ASTM (American Society for Testing and Materials) 2001 E884ndash82(2001) Standard Practice forSampling Airborne Microorganisms at Municipal Solid-Waste Processing FacilitiesAmerican Society for Testing and Materials West Conshohocken PA

Ayres RM DLLee DDMara and SASilva 1993 The accumulation distribution and viabilityof human parasitic nematode eggs in the sludge of a primary

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 306

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t th

is P

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ntat

ion

of t

he o

rigin

al w

ork

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been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

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fro

m t

heor

igin

al ty

pese

tting

file

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age

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ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

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ord

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ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

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ere

tain

ed a

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ome

typo

grap

hic

erro

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iden

tally

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rted

Ple

ase

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the

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t ver

sion

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his

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icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

facultative waste stabilization pond Trans R Soc Trop Med Hyg 87(3)256ndash 258Balbus J RParkin and MEmbrey 2000 Susceptibility in microbial risk assessment Definitions

and research needs Environ Health Perspect 108(9)901ndash905Barbier D DPerrine CDuhamel RDoublet and PGeorges 1990 Parasitic hazard with sewage

sludge applied to land Appl Environ Microbiol 56(5)1420ndash1422Bailey NTJ 1975 The Mathematical Theory of Infectious Diseases and Its Applications 2nd Ed

New York Oxford University PressBale Jr JF 2000 Cysticercosis Curr Treat Options Neurol 2(4)355ndash360Bean CL and JJBrabants 2001a Lab analyzes Ascaris ova recovery rates using revised

protocols Biosolids Technical Bulletin 7(1)12ndash14Bean CL and JJBrabants 2001b A Survey of Wastewater Solids to Assess the Prevalence of

Cryptosporidium Giardia Species and Ascaris lumbricoides An Evaluation of RisksAssociated with Land Application of Biosolids Poster presented at the 101st GeneralMeeting of the American Society of Microbiology Orlando FL May 23 2001

Bitton G OCPancorbo and SRFarrah 1984 Virus transport and survival after land applicationof sewage sludge Appl Environ Microbiol 47(5)905ndash909

Blanker EM MDLittle RSReimers and TGAkers 1992 Evaluating the use of Clostridiumperfringens spores as indicator of the presence of viable Ascaris eggs in chemically treatedmunicipal sludges Pp 201ndash215 in The Future Direction of Municipal Sludge (Biosolids)Management Where We Are and Where Wersquore Going Proceedings SpecialtyConference Portland OR July 26ndash30 1992 Vol 1 Portland OR Water EnvironmentFederation

Blumenthal UJ DDMara APeasey GRuiz-Palacios and RStott 2000 Guidelines for themicrobiological quality of treated wastewater used in agriculture Recommendations forrevising WHO guidelines Bull World Health Organ 78(9)1104ndash1116

Bottcher RW 1998 Dust in livestock and poultry buildings Health effects interactions withodors and control options In Schiffman SS Walker JM Small R Millner P(Organizing Committee) Participant Reviews and Opinions Workshop on Health Effectsof Odors Duke University 1998 (Cited in Schiffman et al 2000)

Bowman DD RSReimers MDLittle MBJenkins WSBankston and MM Atique 2000Assessment and Comparison of Ascaris Egg and Cryptosporidium Oocyst InactivationWith Respect to Biosolids Processing 14th Annual Residuals and Biosolids ManagementConference FebruaryMarch 2000 Specialty Conf Paper Water Environment FederationAlexandria VA

Brenner KP PVScarpino and SCClark 1988 Animal viruses coliphages and bacteria inaerosols and wastewater at a spray irrigation site Appl Environ Microbiol 54(2)409ndash415

Brown LM 2000 Helicobacter pylori Epidemiology and routes of transmission Epidemiol Rev22(2)283ndash297

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 307

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t th

is P

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igita

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rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

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the

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t ver

sion

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icat

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itativ

e ve

rsio

n fo

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ibut

ion

Bujoczek G 2001 Influence of Ammonia and Other Abiotic Factors on Microbial Activity andPathogen Inactivation During Processing of High-Solid Residues PhD DissertationUniversity of Manitoba Winnipeg MB Canada

Buumlnger J MAntlauf-Lammers TGSchulz GAWestphal MMMuumlller P Ruhnau andEHallier 2000 Health complaints and immunological markers of exposure to bioaerosolsamong biowaste collectors and compost workers Occup Environ Med 57(7)458ndash464

Burnham JC 1988 The alkaline stabilization and disinfection of municipal wastewater sludgeToledo Ohio A Case of Governmental Business and Academic Cooperation Pp 112ndash123 in Residuals Management Proceedings of Residuals Management SpecialtyConference Atlanta GA April 19ndash20 1988 Alexandria VA Water Pollution ControlFederation

Butterfield J JCCoulson SVKearsey PMonaghan JHMcCoy and GESpain 1983 Theherring gull Larus argentatus as a carrier of salmonella J Hyg (Lond) 91(3)429ndash436

Carlson DB and RLKnight 1987 Mosquito production and hydrological capacity of southeastFlorida impoundments used for wastewater retention J Am Mosq Control Assoc 3(1)74ndash83

Casanova LM CPGerba and MKarpiscak 2001 Chemical and microbial characteristics ofhousehold graywater J Environ Sci Health Part A 36(4)395ndash402

Chappell CL PCOkhuysen CRSterling CWang WJakubowski and HL Dupont 1999Infectivity of Cryptosporidium parvum in healthy adults with pre-existing anti-C parvumserum immunoglobulin G Am J Trop Med Hyg 60(1)157ndash164

Chapron CD NABallester and ABMargolin 2000 The detection of astrovirus in sludgebiosolids using an integrated cell culture nested PCR technique J Appl Microbiol 89(1)11ndash15

Chauret C SSpringthorpe and SSattar 1999 Fate of Cryptosporidium oocysts Giardia cysts andmicrobial inidicators during wastewater treatment and anaerobic sludge digestion Can JMicrobiol 45(3)257ndash262

Chee-SanfordJC RIAminov IJKrapac NGarrigues-Jeanjean and RIMackie 2001Occurrence and diversity of tetracycline resistance genes in lagoons and groundwaterunderlying two swine production facilities Appl Environ Microbiol 67(4)1494ndash1502

Coleman M and HMarks 1998 Topics in dose-response modeling J Food Prot 61(11)1550ndash1559

Cook MB and JAHanlon 1993 The role of the pathogen equivalency committee under the Part503 standards for the use or disposal of sewage sludge Memorandum to Water DivisionDirectors Regions IndashX from Michael BCook Director Office of WastewaterEnforcement and James AHanlon Acting Director Office of Science and TechnologyWashington DC dated June 15 1993 Pp 62ndash65 in Environmental Regulations andTechnology Control of Pathogens and Vector Attraction in Sewage Sludge EPA625R-92013 Office of Research and Development US Environmental Protection AgencyWashington DC

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 308

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t th

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rese

ntat

ion

of t

he o

rigin

al w

ork

has

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rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

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acc

iden

tally

inse

rted

Ple

ase

use

the

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t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Cooperative State Research Service Technical Committee W-170 1989 Peer Review Standards forthe Disposal of Sewage Sludge US EPA Proposed Rule 40 CFR Parts-257 and 503(February 6 1989 Federal Register pp 5746ndash5902) Submitted to William RDiamondCriteria and Standards Division US Environmental Protection Agency Washington DCUS Dept of Agriculture Cooperative State Research Service

Cotte L MRabodonirina FChapuis FBailly FBissuel CRaynal PGelas F Persar MAPiens and CTrepo 1999 Waterborne outbreak of intestinal microsporifiosis in personswith and without human immunoodeficiency virus infection J Infect Dis 180(6)2003ndash2008

Cox CS 1987 The Aerobiological Pathway of Microorganisms Chichester WileyCroci L MCiccozzi DDe Medici SDiPasquale AFiore AMele and LToti 1999 Inactivation

of hepatitis A virus in heat-treated mussels J Appl Microbiol 87(6)884ndash888Crockett CS CNHaas AFazil JBRose and CPGerba 1996 Prevalence of shigellosis in the

US Consistency with dose-response Information Int J Food Microbiol 30(1ndash2)87ndash99Damgaard-Larsen S KOJensen ELund and BNissen 1977 Survival and movement of

enterovirus in connection with land disposal of sludges Water Res 11(6)503ndash509Dawson S FMcArdle DBennett SDCarter MBennett RRyvar and RM Gaskell 1993

Investigation of vaccine reactions and breakdowns after feline calicivirus vaccination VetRec 132(16)346ndash350

DeLuca G FZanetti PFateh-Moghadm and SStampi 1998 Occurrence of Listeriamonocytogenes in sewage sludge Zentralbl Hyg Umweeltmed 201(3)269ndash277

Deneen VC JM Hunt CRPaule RIJames RGJohnson MJRaymond and CWHedberg2000 The impact of foodborne calicivirus disease The Minnesota experience J InfectDis 181(Suppl 2)S281ndash283

De Serres G and DLaliberteacute 1997 Hepatitis A among workers from a waste water treatmentplant during a small community outbreak Occup Environ Med 54(1)60ndash62

Dowd SE and RMMaier 2000 Aeromicrobiology Pp 91ndash122 in Environmental MicrobiologyRMMaier ILPepper and CPGerba eds San Diego Academic Press

Dowd SE and SDPillai 1999 Identifying the sources of biosolids derived pathogen indicatororganisms in aerosols by ribosomal DNA fingerprinting J Environ Sci Health-A 34(5)1061ndash1074

Dowd SE CPGerba ILPepper and SDPillai 2000 Bioaerosol transport modeling and riskassessment in relation to biosolid placement J Environ Qual 29(1)343ndash348

Dowd SE SDPillai SWang and MYCorapcioglu 1998 Delineating the specific influence ofvirus isoelectric point and size on virus adsorption and transport through sandy soils ApplEnviron Microbiol 64(2)405ndash410

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 309

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ork

has

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ompo

sed

from

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L fil

es c

reat

ed f

rom

the

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inal

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er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

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ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

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t ver

sion

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his

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icat

ion

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e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Dowd SE KWWidmer and SDPillai 1997 Thermotolerant clostridia as an airborne pathogenindicator during land application of biosolids J Environ Qual 26(1)194ndash199

Droffner ML and WFBrinton 1995 Survival of E coli and Salmonella populations in aerobicthermophilic composts as measured with DNA gene probes Zentralbl Hyg Umweltmed197(5)387ndash397

Eduard W 1996 Measurement methods and strategies for non-infectious microbial components inbioaerosols at the workplace Analyst 121(9)1197ndash1201

Eduard W and DHeederick 1998 Methods for quantitative assessment of airborne levels ofnoninfectious microorganisms in highly contaminated work environments Am Ind HygAssoc J 59(2)113ndash127

Eisenberg JN EYSeto AWOlivieri and RCSpear 1996 Quantifying water pathogen risk in anepidemiological framework Risk Anal 16(4)549ndash563

Eisenberg JN EYSeto JMColford Jr AWOlivieri and RCSpear 1998 An analysis of theMilwaukee cryptosporidiosis outbreak based on a dynamic model of the infection processEpidemiology 9(3)255ndash263

Enriquez CE CJHurst and CPGerba 1995 Survival of the enteric adenoviruses 40 and 41 intap sea and wastewater Wat Res 29(11)2548ndash2553

EPA (US Environmental Protection Agency) 1991a Preliminary Risk Assessment for Parasites inMunicipal Sewage Sludge Applied to Land EPA6006ndash91001 Office of Research andDevelopment US Environmental Protection Agency Washington DC March 1991

EPA (US Environmental Protection Agency) 1991b Preliminary Risk Assessment for Bacteria inMunicipal Sewage Sludge Applied to Land EPA6006ndash91006 Office of Research andDevelopment US Environmental Protection Agency Washington DC July 1991

EPA (US Environmental Protection Agency) 1992 Preliminary Risk Assessment for Viruses inMunicipal Sewage Sludge Applied to Land EPA600R-92064 Office of Research andDevelopment US Environmental Protection Agency Washington DC June 1992

EPA (US Environmental Protection Agency) 1993 Federal Register February 19 1993 40 CFRParts 257 403 and 503 The Standards for the Use or Disposal of Sewage Sludge FinalRules EPA 822Z-93001 US Environmental Protection Agency

EPA (US Environmental Protection Agency) 1999 Environmental Regulations and TechnologyControl of Pathogens and Vector Attraction in Sewage Sludge EPA625R-92013 Officeof Research and Development US Environmental Protection Agency Washington DC[Online] Available httpwwwepagovttbnrmrl625R-92013htm [January 4 2002]

EPA (US Environmental Protection Agency) 2001 Workshop on Emerging Infectious DiseaseAgents and Associated With Animal Manures Biosolids and Other Similar By-ProductsCincinnati OH June 4ndash6 2001 National Risk Management Research Laboratory USEnvironmental Protection Agency Cincinnati OH

Evans DA and WLPuskas 1986 Application of ultrasound for disinfection and pasteurizationPp 259ndash268 in Applied Fields for Energy Conservation Water

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 310

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is P

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ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

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er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

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t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Treatment and Industrial Applications Final Report RSReimers SFBock andLEWhite eds DOECE40568-T1 (DE86014306) Washington DC TechnicalInformation Center Office of Scientific and Technical Information US Dept of EnergyJune 1986

Fazil AM 1996 A Quantitative Risk Assessment Model for Salmonella MS Thesis DrexelUniversity Philadelphia PA

Feachem RG DJBradley and HGarelick 1983 Sanitation and Disease Health Aspects ofExcreta and Waste Management New York Wiley

FSIS (Food Safety and Inspection Service) 1998a Salmonella Enteritidis Risk Assessment Shelleggs and egg products Food Safety and Inspection Service US Department ofAgriculture Washington DC [Online] Available httpwwwfsisusdagovophsriskindexhtm [January 4 2002]

FSIS (Food Safety and Inspection Service) 1998b Risk assessment of E coli O157H7 in groundbeef Food Safety and Inspection Service US Department of Agriculture WashingtonDC [Online] Available httpwwwfsisusdagovOPHSecolriskhomehtm [January 42002]

Gavett SH and HSKoren 2001 The role of particulate matter in exacerbation of atopic asthmaInt Arch Allergy Immunol 124(1ndash3)109ndash112

George CL HJin CLWohlford-Lenane MEOrsquoNeill JCPhipps P OrsquoShaughnessy JNKlinePSThorne and DASchwartz 2001 Endotoxin responsiveness and subchronic grain dust-induced airway disease Am J Physiol Lung Cell Mol Physiol 280(2)L203ndash213

Gerba CP and JBRose 1990 Viruses in source and drinking water Pp 380ndash396 in DrinkingWater Microbiology Progress and Recent Developments GA McFeters ed New YorkSpringer-Verlag

Gerba CP CWallis and JLMelnick 1975 Fate of wastewater bacteria and viruses in soil ProcASCE J Irrig Drain Div 101157ndash174

Gerba CP JBRose and CNHaas 1996 Sensitive populations Who is at the greatest risk Int JFood Microbiol 30(1ndash2) 113ndash123

Gibbs RA CJHu GEHo and IUnkovich 1997 Regrowth of faecal coliforms and salmonellaein stored biosolids and soil amended with biosolids Water Sci Technol 35(11)269ndash275

Giubileo L AMSarti LABianchi ECalcaterra and AColombi 1998 Review of risks ofbiological agents and preventive measures to safeguard the health of compost productionworkers [in Italian] Med Lav 89(4)301ndash315

Godfree A 2001 Control of pathogens Workshop on Emerging Infectious Disease Agents andAssociated With Animal Manures Biosolids and Other Similar By-Products CincinnatiOH June 4ndash6 2001 National Risk Management Research Laboratory USEnvironmental Protection Agency Cincinnati OH

Goyal SM and CPGerba 1979 Comparative adsorption of human enteroviruses simianrotavirus and selected bacteriophages to soils Appl Environ Microbiol 38(2)241ndash247

Green KY TAndo MSBalayan TBerke INClarke MKEstes DOMatson SNakataJDNeill MJStuddert and H-JThiel 2000 Taxonomy of the caliciviruses J Infect Dis181(Suppl 2)S322ndash330

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 311

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reat

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rom

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nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Gregersen P KGrunnet SAUldum BHAndersen and HMadsen 1999 Pontiac fever at asewage treatment plant in the food industry Scand J Work Environ Health 25(3)291ndash295

Gregory J 1994 Cryptosporidium in water Treatment and monitoring methods Filtr Sep 31(3)283ndash289

Griffin PM and RVTauxe 1991 The epidemiology of infections caused by Escherichia coliO157H7 other enterohemorrhagic E coli and the associated hemolytic uremic syndromeEpidemiol Rev 1360ndash98

Grubel P JSHoffman FKChong NABurstein CMepani and DRCave 1997 Vectorpotential of houseflies (Musca domestica) for Helicobacter pylori J Clin Microbiol 35(6)1300ndash1303

Haas CN JBRose CGerba and SRegli 1993 Risk assessment of virus in drinking water RiskAnal 13(5)545ndash552

Haas CN CSCrockett JBRose CGerba and AFazil 1996 Assessing the risk posed byoocysts in drinking water Am Water Works Assoc J 88(9)131ndash136

Haas CN JBRose and CPGerba 1999b Quantitative Microbial Risk Assessment New YorkWiley

Haas CN AThayyar-Madabusi JBRose and CPGerba 1999a Development and validation ofdose response relationship for Listeria monocytogenes Quant Microbiol 1(1)89ndash102

Haas CN AThayyar-Madabusi JBRose and CPGerba 2000 Development of a dose-responserelationship for Escherichia coli O157H7 Int J Food Microbiol 56(2ndash3)153ndash159

Hegarty JP MTDowd and KHBaker 1999 Occurrence of Helicobacter pylori in surface waterin the United States J Appl Microbiol 87(5)697ndash701

Hess E and CBreer 1975 Epidemiology of salmonellae and fertilizing of grass-land with sewagesludge [in German] Zentralbl Bakteriol 161(1)54ndash60

Heun EM RLVogt PJHudson SParren and GWGary 1987 Risk factors for secondarytransmission in households after a common-source outbreak of Norwalk gastroenteritisAm J Epidemiol 126(6)1181ndash1186

Hirsch R TTernes KHaberer and KLKratz 1999 Occurrence of antibiotics in the aquaticenvironment Sci Total Environ 225(1ndash2)109ndash118

Holcomb DL MASmith GOWare YCHung REBrackett and MPDoyle 1999Comparison of six dose-response models for use with food-borne pathogens Risk Anal 19(6)1091ndash1100

Hollander A DHeederick PVersloot and JDouwes 1993 Inhibition and enhancement in theanalysis of airborne endotoxin levels in various occupational environments Am Ind HygAssoc J 54(11)647ndash653

Huang PW DLaborde VRLand DOMatson AWSmith and XJiang 2000 Concentrationand detection of caliciviruses in water samples by reverse transcription-PCR ApplEnviron Microbiol 66(10)4383ndash4388

Hugh-Jones ME and PBWright 1970 Studies on the 1967ndash8 foot-and-mouth disease epidemicsThe relation of weather to the spread of disease J Hyg 68(2)253ndash271

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 312

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

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orig

inal

lin

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ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Huyard A BFerran and JMAudic 2000 The two phase anaerobic digestion process Sludgestabilization and pathogens reduction Water Sci Technol 42(9)41ndash48

Ivens UI NOBreum NEbbehoj BHNielsen OMPoulsen and HWurtz 1999 Exposure-response relationship between gastrointestinal problems among waste collectors andbioaerosols exposure Scand J Work Environ Health 25(3)238ndash245

ILSI Risk Science Institute Pathogen Risk Assessment Working Group 1996 A conceptualframework to assess the risks of human disease following exposure to pathogens RiskAnal 16(6)841ndash848

Jakubowski W SBoutros WFaber RPayer WGhiorse MLeChevallier JRose SSchaubASingh and MStewart 1996 Environmental methods for Cryptosporidium Am WaterWorks Assoc J 88(9)107ndash121

Jenkins MB MJWalker DDBowman LCAnthony and WCGhiorse 1999 Use of a sentinelsystem for field measurements of Cryptosporidium parvum oocyst inactivation in soil andanimal waste Appl Environ Microbiol 65(5)1998ndash2005

Juozaitis A KWilleke SAGrinshpun and JADonelly 1994 Impaction onto a glass slide oragar versus impingement into a liquid for the collection and recovery of airbornemicroorganisms Appl Environ Microbiol 60(3)861ndash870

Juris P IVilagiova and PPlachy 1995 The importance of flies (Diptera-Brachycera) in thedissemination of helminth eggs from sewage treatment plants [in Slovak] Vet Med(Praha) 40(9)289ndash292

Koudela B SKucerova and THudcovic 1999 Effect of low and high temperatures on infectivityof Encephalitozoon cuniculi spores suspended in water Folia Parasitol 46(3)171ndash174

Kukkula M PArstila MLKlossner LMaunula CHBonsdorff and PJaatinen 1997Waterborne outbreak of viral gastroenteritis Scand J Infect Dis 29(4)415ndash418

Lacey J and BCrook 1988 Fungal and actinomycete spores as pollutants of the workplace andoccupational allergens Ann Occup Hyg 32(4)515ndash533

Lawrence JG and HOchman 1998 Molecular archaeology of the Escherichia coli genome ProcNatl Acad Sci USA 95(16)9413ndash9417

Learner MA 2000 Egression of flies from sewage filter-beds Water Res 34(3)877ndash889Leftwich DB DBGeorge RSReimers MDLittle and NAKlein 1987 A Field Investigation

of Ascaris Ova Survival in Domestic Sludge Applied to Land Draft Report Prepared toUS Environmental Protection Agency by LCC Institute of Water Research Lubbock TX

Lembke LL RNKniseley RCVan Nostrand and MDHale 1981 Precision of the all glassimpinger and the Andersen microbial impactor for air sampling in solid waste facilitiesAppl Environ Microbiol 42(2)222ndash225

Leong LYC 1983 Removal and Inactivation of viruses by treatment processes for potable waterand wastewater A review Water Sci Technol 1591ndash114

Lever R 1996 Infection in atopic dermatitis Derm Ther 132ndash37

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 313

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Lighthart B and ASFrisch 1976 Estimation of viable airborne microbes downwind from a pointsource Appl Environ Microbiol 31(5)700ndash704

Lighthart B and AJMohr 1987 Estimating downwind concentrations of viable airbornemicroorganisms in dynamic atmospheric conditions Appl Environ Microbiol 53(7)1580ndash1583

Lighthart B and BTShaffer 1995 Airborne bacteria in the atmospheric surface layer temporaldistribution above a grass seed field Appl Environ Microbiol 61(4)1492ndash1496

Lighthart B and LDStetzenbach 1994 Distribution of microbial bioaerosol Pp 68ndash98 inAtmospheric Microbial Aerosols Theory and Applications B Lighthart and AJMohreds New York Chapman amp Hall

Lindqvist R and AWestoo 2000 Quantitative risk assessment for Listeria monocytogenes insmoked or gravad salmon and rainbow trout in Sweden Int J Food Microbiol 58(3)181ndash196

Liu AH and AHRedmon Jr 2001 Endotoxin Friend or foe Allergy Asthma Proc 22(6)337ndash340

Lue-Hing C SJSedita PTata JJBertucci CRKambhampati DRZenz and GJKnafl 1998Final Report on Certification of the Sludge Processing Trains (SPTS) of the MetropolitanWater Reclamation District of Greater Chicago (District) as Equivalent to Process toFurther Reduce Pathogens Submitted to Pathogen Equivalency Committee (PEC) USEnvironmental Protection Agency by Metropolitan Water Reclamation District of GreaterChicago Chicago IL

Lytle DA EWRice CHJohnson and KRFox 1999 Electrophoretic mobilities of Escherichiacoli 0157H7 and wild-type Escherichia coli strains Appl Environ Microbiol 65(7)3222ndash3225

MacKenzie WR WLSchell BABlair DGAddiss DEPeterson NJHoxie JJKazmierczakand JPDavis 1995 Massive outbreak of waterborne cryptosporidium infection inMilwaukee Wisconsin Recurrence of illness and risk of secondary transmission ClinInfect Dis 21(1)57ndash62

Marks HM MEColeman CTLin and TRoberts 1998 Topics in microbial risk assessmentDynamic flow tree process Risk Anal 18(3)309ndash328

Marks PJ IBVipond DCarlisle DDeakin REFey and EOCaul 2000 Evidence for airbornetransmission of Norwalk-like virus (NLV) in a hotel restaurant Epidemiol Infect 124(3)481ndash487

Marlowe EM KJJosephson and ILPepper 2000 Nucleic acid-based methods of analysis Pp287ndash318 in Environmental Microbiology RMMaier ILPepper and CPGerba eds SanDiego Academic Press

Mbela KK 1988 Evaluation of Temperature Effects on Inactivation of Ascaris Eggs in BothAerobic and Anaerobic Digestion Processes MS Thesis Department of EnvironmentalHealth Sciences School of Public Health and Tropical Medicine Tulane University NewOrleans LA May 1988

McCullough NB and CWEisele 1951 Experimental human salmonellosis II Immunity studiesfollowing experimental illness with Salmonella meleagridis and Salmonella anatum JImmun 66(5)595ndash608

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 314

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

McDonell DB 1985 Inactivation of Ascaris Eggs in Municipal Treatment Processes DScDissertation Department of Environmental Health Sciences School of Public Health andTropical Medicine Tulane University New Orleans LA April 1985

McGinley KJ ELLarson and JJLeyden 1988 Composition and density of microflora in thesubungual space of the hand J Clin Microbiol 26(5)950ndash953

McNab WB 1998 A general framework illustrating an approach to quantitative microbial foodsafety risk assessment J Food Prot 61(9)1216ndash1228

Medema GJ PFMTeunis AHHavelaar and CNHaas 1996 Assessment of the dose-responserelationship of Campylobacter jejuni Int J Food Microbiol 30(1-2)101-111

Meehan PP RSReimers TGAkers MDLittle MCMetcalf and CPLo 1986 Developmentof Chemical Fixation Process to PFRP Classification for Municipal Sludge TreatmentEnabling the Reuse of the Resulting Product Phase I SBIR Report to US EnvironmentalProtection Agency April 1986

Melbostad E WEduard ASkogstad PSanden JLassen PSoslashstrand and K Heldal 1994Exposure to bacterial aerosols and work-related symptoms in sewage workers Am J IndMed 25(1)59ndash63

Michel O RGinanni JDuchateau FVertongen BLe Bon and RSergysels 1991 Domesticendotoxin exposure and clinical severity of asthma Clin Exp Allergy 21(4)441ndash448

Michel O RGinanni BLe Bon JContent JDuchateau and RSergysels 1992 Inflammatoryresponse to acute inhalation of endotoxin in asthmatic patients Am Rev Respir Dis 146(2)352ndash357

Michel O JKips JDuchateau FVertongen LRobert HCollet RPauwels and RSergysels1996 Severity of asthma is related to endotoxin in house dust Am J Respir Crit CareMed 154(6 Pt 1)1641ndash1646

Millner PD SAOlenchock EEpstein RRylander JHaines JWalker BLOoi EHorne andMMaritato 1994 Biosolids associated with composting facilities Compost Science andUtilization 2(4)6ndash57

Monroe SS TAndo and RIGlass 2000 Introduction Human enteric caliciviruses An emergingpathogen whose time has come J Infect Dis 181(Suppl 2)S249ndashS251

Morris MC MAJoyce ACHeath BRabel and GWDelisle 1997 The responses of Lucillacuprina to odours from sheep offal and bacterial cultures Med Vet Entomol 11(1)58ndash64

Morris RD ENNaumova and JKGriffiths 1998 Did Milwaukee experience waterbornecryptosporidiosis before the large documented outbreak in 1993 Epidemiology 9(3)264ndash270

Murphy JW 1990 Immunity to fungi Curr Opin Immunol 2(3)360ndash367Newby DT ILPepper and RMMaier 2000a Microbial transport Pp 147ndash175 in

Environmental Microbiology RMaier ILPepper and CPGerba eds San DiegoAcademic Press

Newby DT TJGentry and ILPepper 2000b Comparison of 24-dichlorophenoxyacetic aciddegradation and plasmid transfer in soil resulting

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 315

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

from bioaugmentation with two different pJP4 donors Appl Environ Microbiol 66(8)3399ndash3407

Nielsen BH EMNielsen and NOBreum 2000 Seasonal variation in bioaerosols exposureduring biowaste collection and measurements of leaked percolate Waste Manage Res 18(1)64ndash72

Nishijima S SNamura SKawai HHosokawa and YAsada 1995 Staphylococcus aureus onhand surface and nasal carriage in patients with atopic dermatitis J Am Acad Dermatol32(4)677ndash679

Noble WC 1998 Skin bacteriology and the role of Staphylococcus aureus in infection Br JDermatol 139(Suppl 53)9ndash12

NRC (National Research Council) 1983 Risk Assessment in the Federal Government Managingthe Process Washington DC National Academy Press

NRC (National Research Council) 1989 Drinking Water and Health Vol 9 Selected Issues inRisk Assessment Washington DC National Academy Press

Ochman H JGLawrence and EAGroisman 2000 Lateral gene transfer and the nature ofbacterial innovation Nature 405(6784)299ndash304

Okazaki M BUmeda MKoide and ASaito 1998 Legionella longbeachae pneumonia in agardener [in Japanese] Kansenshogaku Zasshi 72(10)1076ndash1079

Okhuysen PC CLChappell JHCrabb CRSterling and HLDuPont 1999 Virulence of threedistinct Cryptosporidium parvum isolates for healthy adults J Infect Dis 180(4)1275ndash1281

Ongerth JE 1989 Giardia cyst concentrations in river water Am Water Works Assoc J 81(9)81ndash86

Ottolenghi AC and VVHamparian 1987 Multiyear study of sludge application to farmlandPrevalence of bacterial enteric pathogens and antibody status of farm families ApplEnviron Microbiol 53(5)1118ndash1124

Overgaauw PA 1997 Aspects of Toxocara epidemiology Human toxocarosis Crit RevMicrobiol 23(3)215ndash231

Pahren HR 1987 Microorganisms in municipal solid waste and public health implications CRCCrit Rev Environ Control 17(3)187ndash228

Papapetropoulou M and ACVantarakis 1998 Detection of adenovirus outbreak at a municipalswimming pool by nested PCR amplification J Infect 36(1)101ndash 103

Pasquill F 1962 Atmospheric Diffusion The Dispersion of Windborne Material from Industrialand Other Sources London Van Nostrand

Patel KD 1996 Enhancement of Anaerobic Digestion Processes Using Pulse Power TechnologyMS Thesis Department of Environmental Health Science School of Public HealthTulane University New Orleans LA December 1996

Payment P and EFranco 1993 Clostridium perfringens and somatic coliphages as indicators ofthe efficiency of drinking water treatment for viruses and protozoan cysts Appl EnvironMicrobiol 59(8)2418ndash2424

Peden DB KTucker PMurphy LNewlin-Clapp BBoehlecke MHazucha P Bromberg andWReed 1999 Eosinophil influx to the nasal airway after local LPS challenge in humansJ Allergy Clin Immunol 104(2 Pt 1)388ndash394

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 316

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

XM

L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Pedgley DE 1991 Aerobiology The atmosphere as a source and sink for microbes Pp 43ndash59 inMicrobial Ecology of Leaves JHAndrews and SS Hirano eds New York Springer-Verlag

Pena J SCRicke CLShermer TGibbs and SDPillai 1999 A gene amplification-hybridizationsensor based methodology to rapidly screen aerosol samples for specific bacterial genesequences J Environ Sci Health Part A 34(3)529ndash556

Pepper IL KLJosephson RLBailey MDBurr and CPGerba 1993 Survival of indicatororganisms in Sonoran Desert soil amended with sewage sludge J Environ Sci HealthPart A Environ Sci Eng 28(6)1287ndash1302

Pickering LK AVBartlett RRReves and AMorrow 1988 Asymptomatic excretion ofrotavirus before and after rotavirus diarrhea in children in day care centers J Pediatr 112(3)361ndash365

Pillai SD ERubio and SCRicke 1996 Prevalence of fluoroquinolone-resistant Escherichia coliin agricultural and municipal waste streams Bioresourc Technol 58(1)57ndash60

Pillai SD KWWidmer SEDowd and SCRicke 1996 Occurrence of airborne bacteria andpathogen indicators during land application of sewage sludge Appl Environ Microbiol 62(1)296ndash299

Pillai SD KWWidmer KGMaciorowski and SCRicke 1997 Antibiotic resistance profiles ofEscherichia coli isolated from rural and urban environments J Environ Sci Health PartA 32(6)1665ndash1675

Reed CE and DKMilton 2001 Endotoxin-stimulated innate immunity A contributing factor forasthma J Allergy Clin Immunol 108(2)157ndash166

Regli S JBRose CNHaas and CPGerba 1991 Modeling risk from giardia and viruses indrinking water Am Water Works Assoc J 83(11)76ndash84

Reimers RS ACAnderson AAAbdelhgani MCLockwood and LEWhite 1986a The usageof non-ionizing irradiation processes in the disinfection of water and wastes Pp 272ndash299in Applied Fields for Energy Conservation Water Treatment and Industrial ApplicationsFinal Report RSReimers SFBock and LEWhite eds DOECE40568-T1(DE86014306) Washington DC Technical Information Center Office of Scientific andTechnical Information US Dept of Energy June 1986

Reimers RS DDBowman PLSchafer PTata BDLeftwich and MMAtique 2001 FactorsAffecting Lagoon Storage Disinfection of Biosolids Proceedings of Joint WEFAWWACWEA Specialty Conference ldquoBiosolids 2001rdquo CD-ROM Water EnvironmentalFederation Alexandria VA February 2001

Reimers RS AJEnglande RMBakeer DDBowman TACalamari HBBradfordCFDufrechou and MMAtique 1999 Update on Current and Future Aspects ofResource Management for Animal Wastes WEFTEC rsquo99 Pre-Conference WorkshopldquoBeneficial Use of Animal Waste ResidualsmdashA Mandatory Aim for the 21st CenturyrdquoWater Environment Federation Alexandria VA October 1999

Reimers RS MDLittle TGAkers WDHenriques DBMcDonell and KK Mbela 1990Persistance of pathogens in lagoon-stored sludge EPA 600S2-

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 317

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

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L fil

es c

reat

ed f

rom

the

orig

inal

pap

er b

ook

not

fro

m t

heor

igin

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pese

tting

file

s P

age

brea

ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

prin

t ver

sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

89815 Risk Reduction Engineering Laboratory US Environmental Protection AgencyResearch Triangle Park NC January 1990

Reimers RS MDLittle AJEnglande DBLeftwich DDBowman and RF Wilkinson 1981Parasites in Southern Sludges and Disinfection by Standard Sludge Treatment EPA 6002ndash81ndash166 NTIS PB 82ndash102344 Prepared by the School of Public Health and TropicalMedicine Tulane University New Orleans LA for the Municipal EnvironmentalResearch Laboratory Cincinnati OH

Reimers RS MDLittle AJEnglande DBMcDonell DDBowman and JM Hughes 1986bInvestigation of Parasites in Sludges and Disinfection Techniques EPA 6001ndash85022NTIS PB 86ndash135407 Prepared by the School of Public Health and Tropical MedicineTulane University New Orleans LA for the Health Effects Research LaboratoryResearch Triangle Park NC

Reimers RS MDLittle ALopez and KKMbela 1991 Final Testing of the Synox MunicipalSludge Treatment for PFRP ApprovalmdashPhase II Report to Synox Corporation BethesdaMD by School of Public Health and Tropical Medicine Tulane University New OrleansLA December 4 1991

Reimers RS DBMcDonell MDLittle TGAkers and WDHenriques 1985 ChemicalInactivation of pathogens in municipal sludges In Control of Sludge Pathogens Series IVWPCF Pre-Conference Workshop on ldquoMunicipal Wastewater Sludge DisinfectionrdquoKansas City MO October 1985 Washington DC Water Pollution Control Federation

Reynolds KA CPGerba and ILPepper 1996 Detection of infectious enteroviruses by anintegrated cell culture-PCR procedure Appl Environ Microbiol 62(4)1424ndash1427

Reynolds KA CPGerba and ILPepper 1997 Rapid PCR-based monitoring of infectiousenteroviruses in drinking water Water Sci Techol 35(11ndash12)423ndash427

Rice EW 1999 Escherichia coli Pp 75ndash78 in Waterborne Pathogens 1st Ed AWWA ManualM48 Denver CO American Water Works Association

Ritter WF JGMcDermott AEMChirnside and RWScarborough 1992 Land application oflime stabilized septage J Environ Sci Health Part A Environ Sci Eng 27(7)1701ndash1720

Rohwer RG 1984 Scrapie infectious agent is virus-like in size and susceptibility to inactivationNature 308(5960)658ndash662

Rose JB 1990 Sampling and analytical methods Environmental sampling for waterbornepathogens Overview of methods application limitations and data interpretation Pp 223ndash234 in Methods for the Investigation and Prevention of Waterborne Disease OutbreaksGFCraun ed EPA6001ndash90005a Health Effects Research Laboratory USEnvironmental Protection Agency Cincinnati OH

Rose JB CPGerba and WJakubowski 1991a Survey of potable water supplies forCryptosporidium and Giardia Environ Sci Technol 25(8)1393ndash1400

Rose JB CNHaas and SRegli 1991b Risk assessment and the control of waterborne giardiasisAm J Public Health 81(6)709ndash713

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 318

Abou

t th

is P

DF

file

Thi

s ne

w d

igita

l rep

rese

ntat

ion

of t

he o

rigin

al w

ork

has

been

rec

ompo

sed

from

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L fil

es c

reat

ed f

rom

the

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inal

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er b

ook

not

fro

m t

heor

igin

al ty

pese

tting

file

s P

age

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ks a

re tr

ue to

the

orig

inal

lin

e le

ngth

s w

ord

brea

ks h

eadi

ng s

tyle

s a

nd o

ther

type

setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

inse

rted

Ple

ase

use

the

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t ver

sion

of t

his

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icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Sabalos CM 1998 Detection of Enteric Viruses in Treated Wastewater Sludge Using Cell Cultureand Molecular Methods MS Thesis University of Arizona Tucson AZ August 1998

Saiki RK DHGelfand SStoffel SJScharf RHiguchi GTHorn KBMullis and HAErlich1988 Primer directed enzymatic amplification of DNA with a thermostable DNApolymerase Science 239(4839)487ndash491

Schiffman SS JMWalker PDalton TSLorig JHRaymer DShusterman and CMWilliams2000 Potential health effects of odor from animal operations wastewater treatment andrecycling of byproducts J Agromed 7(1)7ndash81

Schijven JF 2001 Virus Removal from Groundwater by Soil Passage Modeling Field andLaboratory Experiments PhD Dissertation Technische Universiteit Delft TheNetherlands

Schijven JF and LCRietveld 1996 How do field observations compare with models ofmicrobial removal The Groundwater Foundation 12th Annual Fall Symposium ldquoUnderthe Microscope Examining Microbes in Groundwaterrdquo Boston September 1996

Silbergeld EK 1993 Risk assessment The perspective and experience of US environmentalistsEnviron Health Perspect 101(2)100ndash104

Soares HM BCardenas DWeir and MSSwitzenbaum 1995 Evaluating pathogen regrowth inbiosolids compost Biocycle 36(6)70ndash76

Sobsey MD 1978 Field survey of enteric viruses in solid waste landfill leachates Am J PublicHealth 68(9)858ndash864

Sobsey MD CWallis and JLMelnick 1975 Studies on the survival and fate of enteroviruses inan experimental model of a municipal solid waste landfill and leachate Appl Microbiol 30(4)565ndash574

Sobsey MD RMHall and AEBurrus 1991 Evaluation of the SYNOX Process for Disinfectionof Raw Municipal Wastewater Sludge Report to SYNOX Corporation by Department ofEnvironmental Sciences and Engineering School of Public Health University of NorthCarolina December 1991

Sorber CA BEMoore DEJohnson HJHarding and REThomas 1984 Microbiologicalaerosols from the application of liquid sludge to land J Water Pollut Control Fed 56(7)830ndash836

Sorvillo F LRAsh OGBerlin and SAMorse 2002 Baylisascaris procyonis An emerginghelminthic zoonosis Emerg Infect Dis 8(4)355ndash359

Southworth RM 2001 The US EPA Part 503 Pathogen and Vector Attraction ReductionRequirements US Environmental Protection Agency

Spicer RC and HJGangloff 2000 Limitations in application of Spearmanrsquos rank correlation tobioaerosols sampling data AIHAJ 61(3)362ndash366

Stampi S FZanetti ACrestani and GDe Luca 2000 Occurrence and seasonal variation ofairborne gram negative bacteria in a sewage treatment plant New Microbiol 23(1)97ndash104

Straub TM ILPepper and CPGerba 1992 Persistence of viruses in desert soils amended withanaerobically digested sewage sludge Appl Environ Microbiol 58(2)636ndash641

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 319

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t th

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ompo

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tting

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ks a

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ue to

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e le

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ks h

eadi

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ther

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setti

ng-s

peci

fic fo

rmat

ting

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ever

can

not b

ere

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ed a

nd s

ome

typo

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erro

rs m

ay h

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iden

tally

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rted

Ple

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the

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sion

of t

his

publ

icat

ion

as th

e au

thor

itativ

e ve

rsio

n fo

r attr

ibut

ion

Straub TM ILPepper and CPGerba 1993a Virus survival in sewage sludge amended desertsoil Water Sci Technol 27(34)421ndash424

Straub TM ILPepper and CPGerba 1993b Hazards from pathogenic microorganisms in land-disposed sewage sludge Rev Environ Contain Toxicol 13255ndash91

Straub TM ILPepper and CPGerba 1995 Comparison of PCR and cell culture for detection ofenteroviruses in sludge-amended field soils and determination of their transport ApplEnviron Microbiol 61(5)2066ndash2068

Taylor DM KFernie IMcConnell and PJSteele 1999 Survival of scrapie agent after exposureto sodium dodecyl sulphate and heat Vet Microbiol 67(1)13-16

Taylor DS CDRichmond and JBHunt 1999 Cultural control of larval mosquito production ina fallow citrus grove used for disposal of secondary-treated sewage effluent J Am MosqControl Assoc 15(1)65ndash68

Taylor MR 2001 The epidemiology of ocular toxocariasis J Helminthol 75(2)109ndash118Terzieva S JDonnelly VUlevicius SAGrinshpun KWilleke GNStelma and KPBrenner 1996 Comparison of methods for detection and enumeration of airborne microorganisms

collected by liquid impingement Appl Environ Microbiol 62(7)2264ndash2272Teunis PF NJNagelkerke and CNHaas 1999 Dose response models for infectious

gastroenteritis Risk Anal 19(6)1251ndash1260Thorne PS 2000 Inhalation toxicology models of endotoxin- and bioaerosol-induced

inflammation Toxicology 152(1ndash3)13ndash23Van Ryzin J 1980 Quantitative risk assessment J Occup Med 22(5)321ndash326Van Tongeren M LVan Amelsvoort and DHeederick 1997 Exposure to organic dusts

endotoxins and microorganisms in the municipal waste industry Int J Occup EnvironHealth 3(1)30ndash36

Venosa AD 1985 Detection and Significance of Pathogens in Sludges In Control of SludgePathogens Series IV WPCF Pre-Conference Workshop on ldquoMunicipal WastewaterSludge Disinfectionrdquo Kansas City MO October 1985 Washington DC Water PollutionControl Federation

Voss JG 1975 Effects of an antibacterial soap on the ecology of aerobic bacterial flora of humanskin Appl Microbiol 30(4)551ndash556

Ward RL GAMcFeters and JGYeager 1984 Pathogens in Sludge Occurrence Inactivationand Potential Regrowth SAND83ndash0557 Albuquerque NM Sandia National Laboratories78pp July 1984

Watkins J and KPSleath 1981 Isolation and enumeration of Listeria monocytogenes fromsewage sewage sludge and river water J Appl Bacteriol 50(1)1ndash9

Wei S PWalsh RHuang and SSTo 2000 93G a novel sporadic strain of hepatitis E virus inSouth China isolated by cell culture J Med Virol 61(3)311ndash 318

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 320

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t th

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rese

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rigin

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ompo

sed

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inal

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ook

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heor

igin

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tting

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ks a

re tr

ue to

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inal

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e le

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ord

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ks h

eadi

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tyle

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nd o

ther

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setti

ng-s

peci

fic fo

rmat

ting

how

ever

can

not b

ere

tain

ed a

nd s

ome

typo

grap

hic

erro

rs m

ay h

ave

been

acc

iden

tally

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rted

Ple

ase

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sion

of t

his

publ

icat

ion

as th

e au

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itativ

e ve

rsio

n fo

r attr

ibut

ion

Welbourn E RHChampion and WEParish 1976 Hypersensitivity to bacteria in eczema IBacterial culture skin tests and immunofluorescent detection of immunoglobulins andbacterial antigens Br J Dermatol 94(6)619ndash632

White KE MTOsterbolm JAMariotti JAKorlath DHLawrence TL Ristinen andHBGreenberg 1986 A foodborne outbreak of Norwalk virus gastroenteritis Evidencefor post-recovery transmission Am J Epidemiol 124(1)120ndash126

Wickman HH 1994 Deposition adhesion and release of bioaerosol Pp 99ndash165 in AtmosphericMicrobial Aerosols Theory and Applications BLighthart and AJMohr eds New YorkChapman amp Hall

Wolk DM CHJohnson EWRice MMMarshall KFGrahn CBPlummer and CRSterling2000 A spore counting method and cell culture model for chlorine disinfection studies ofEncephalitozoon syn Septata intestinalis Appl Environ Microbiol 66(4)1266ndash1273

Yang YC 1996 Abiotic Factors in Biosolids Processing that Influence Pathogen Disinfection(Nitrous Acids and Ammonia Studies) MS Thesis School of Public Health and TropicalMedicine Tulane University New Orleans LA June 1996

Yanko WA 1987 Occurrence of Pathogens in Distribution and Marketing Municipal SludgesEPA6001ndash87014 NTIS PB88ndash15273AS Health Effects Research Laboratory USEnvironmental protection Agency Research Triangle Park NC

EVALUATION OF EPArsquoS APPROACH TO SETTING PATHOGEN STANDARDS 321

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sed

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ther

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setti

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peci

fic fo

rmat

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how

ever

can

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ome

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ion

7

Integration of Chemical and Pathogen RiskAssessment

The final element of the charge to the committee is to explore whetherapproaches for conducting pathogen risk assessment can be integrated withthose for chemical risk assessment This inquiry leads to a summary andsynthesis of many of the previous chaptersrsquo findings and recommendations thatresulted directly or indirectly from the committeersquos need to address the inherentuncertainty of the complex composition of biosolids This uncertainty precludesthe possibility of completely separating the risk-assessment and risk-management processes Risk assessment for such mixtures is an ongoingprocess that requires quality control of treatment processes and some form ofsurveillance for adverse effects from exposure to biosolids In this chapter thequestion of whether pathogen risk assessment can be integrated with chemicalrisk assessment will be explored first in the agent-by-agent context of theoriginal risk assessment used for the Part 503 rule and then in the broader andmore recent context of risk assessment for complex mixtures

AGENT-BY-AGENT RISK ASSESSMENT

The pathogen and chemical regulations of the Part 503 rule weredeveloped differently EPA conducted risk assessments for chemicals toestablish concentration limits and loading rates but deemed microbial riskassessment to be too immature for developing risk-based limits for pathogensInstead EPA established treatment and site restrictions to reduce theconcentrations

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 322

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ibut

ion

of pathogens in biosolids Advances in microbial risk assessment have occurredsince then but there remains a difference in the maturity of risk-assessmentprocedures for chemicals and those for pathogens The question posed iswhether this difference is simply an artifact of the different stages ofdevelopment of these two branches of risk assessment or whether genericdifferences are attributable to the nature of the agents themselves In addressingthis question it is useful to consider the four components of the traditional risk-assessment process (hazard identification dose-response characterizationexposure assessment and risk characterization) and ask which if any of thosecomponents has inherent differences in the way pathogens and chemicals areassessed

Hazard identification is the process of reviewing relevant biological andchemical information on an agent that might pose a health hazard Althoughthere are obvious differences in the types of information available on chemicalsand pathogens there appears to be little fundamental difference in the processof identifying their hazards This is supported by a recent NRC reportClassifying Drinking Water Contaminants for Regulatory Consideration (NRC2001) in which no distinction between chemical and biological contaminants ismade In general however pathogens usually are grouped into generic classeswith less of an agent-specific focus than is common in chemical risk assessment

The process for characterizing dose-response relationships is not asstraightforward for pathogens as it is for chemicals The process is complicatedby the possibility that exposure to a pathogen may engender an immuneresponse that might persist and alter an individualrsquos subsequent susceptibility toinfection or clinical disease Acquired immunity has no relevant analog forchemical exposures in the risk-assessment context although there are chemicalsfor which sustained exposure can result in tolerance for some toxic end pointsAlso the converse can be true when an individual becomes sensitized to achemical and develops serious and persistent hypersensitivity For infectiousagents however acquired immunity can be a major modifier of population riskAn exposed population is likely to be an unknown mixture of those withacquired immunity and those without Moreover the population can changeover time as susceptible individuals become infected and move from onesubgroup to the other Acquired immunity might simply be addressed bydeveloping two dose-response functions in the risk-assessment process one forthe susceptible population without immunity and a second for the populationwith acquired immunity The conservative approach would be to conduct anassessment of a totally susceptible population and although the results could bevery conservative this option would be consistent with EPArsquos practice ofprotecting sensitive subpopulations

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 323

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setti

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rmat

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how

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can

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n fo

r attr

ibut

ion

Perhaps the greatest methodological difference in the risk-assessmentprocess for chemicals and pathogens occurs in the exposure assessment processThe difference is because of the possibility of secondary transmission ofinfectious agents (discussed in-depth below) The challenge posed by secondarytransmission is that an individual is at risk not only from direct exposure topathogens in biosolids but also from population-level interactions that can resultin exposure to and infection from individuals already infected In addition thereare environmental pathways (eg contamination of surface waters used fordrinking or recreation) by which an individual infected with an entericpathogen for example can alter the risk for populations not primarily exposedto the pathogen in biosolids Whatever the pathway secondary transmission canexpand the population at risk beyond those involved in the original exposurescenario Hence the likelihood of secondary transmission is an issue that mustbe addressed generally in pathogen risk assessments as contrasted with thosefor chemical exposures

The risk-characterization process for a single pathogen versus a singlechemical will differ in the need to account for the implications of acquiredimmunity and secondary transmission In the case of biosolids however thatdistinction is somewhat academic because both chemicals and pathogens arepart of a complex mixture the exact composition of which can change fromtime to time and place to place As noted above and in Chapters 4 and 6methods for conducting chemical and microbial risk assessments have advancedsince the promulgation of the Part 503 rule including methods for assessingrisks of chemical mixtures These advances are clearly relevant to updating thebiosolids standards However the additional complexity of dealing withchemical and pathogen mixtures has the potential of being counter to therecommendations of the PresidentialCongressional Commission on RiskAssessment and Risk Management (1997) In particular the commissionadvised a diminished reliance on assumption-laden procedures for arriving atagent-by-agent and medium-by-medium mathematical estimates of riskInstead it advises assessments focused at particular exposures and health endpoints clarified with stakeholder input with the objective of achieving andsustaining practical reductions in risk Issues about mixtures are discussedfurther below and the committee outlines data needs and the nature of studiesthat would inform more focused assessments in Chapters 2 and 3

SECONDARY TRANSMISSION

Most quantitative risk assessments for pathogens have focused oningestion of waterborne pathogens (Fuhs 1975 Haas 1983 Regli et al 1991Ander

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 324

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type

setti

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rmat

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how

ever

can

not b

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n fo

r attr

ibut

ion

son et al 1998) In these studies static models were used to calculate theprobability of individual infection or disease as a result of a single exposureevent This approach is based on an early chemical model for risk assessment(NRC 1983) In chemical risk assessment there is generally a straightforwardrelation between risk to an individual and risk to a population of similarlyexposed people For example if a particular exposure scenario results in anestimate of an individual risk of chemically induced disease of 1times10`4 then theexpected number of cases in an exposed population of 100000 is 10 This resultis valid under the assumption that any personrsquos probability of disease isindependent of whether anyone else gets the disease Both estimates ofindividual and population risk are determined by the dose-response function andthe exposure assumptions and both of those are unmodified by the diseasestatus of others in the population As noted above that straightforward relationis not the case for all infectious diseases For example for an individual theprobability of infection from a particular pathogen in biosolids PI is the sum oftwo terms

PI=P(directexposuretopathogen inbiosolids)+P(exposure topathogen shedby infected person)

The possibility of exposure to a pathogen shed by an infected person ispeculiar to pathogens in being an important and sometimes dominant pathwayof exposure The pathway by which the shed pathogen gets from the infected tothe susceptible person can be from direct contact or by circuitous routes throughthe environment

The limitations of treating infectious disease transmission as a staticdisease process with no interaction between those infected or diseased andthose at risk has been illustrated in studies of Giardia (Eisenberg et al 1996)dengue (Koopman and Longini 1994) and sexually transmitted diseases(Koopman et al 1991) However risk-assessment approaches forenvironmentally mediated pathogen exposures involving secondarytransmission are only now being developed (Colford et al 2001) Theseapproaches allow exploration of the importance of the secondary infectionprocess However the need for data for execution of calculations based on theseapproaches is also greater than that for static risk assessments When secondaryinfection is possible risk is by definition manifested at a population level andrisk calculations are dynamic in nature (The overall risk calculation is basednot only on current exposures to contaminated media but also on all subsequentsecondary infections) In addition the existence and development of acquiredimmunity in the population must be accounted for in the analysis

The dynamic systems approach was used to study the conditions underwhich environmentally mediated secondary transmission could be important

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 325

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setti

ng-s

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rmat

ting

how

ever

can

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tain

ed a

nd s

ome

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grap

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ion

in the transmission of Giardia (Eisenberg et al 1996) An exposure scenariowas studied in which swimmers were exposed to Giardia from a recreationalswimming impoundment filled with water reclaimed from community sewageThe important finding in this study was that the rate of infected swimmersshedding pathogens into the impoundment was a crucial factor in determining(1) the degree to which a contribution of the incidence of giardiasis came fromtransmission via swimming and (2) the most effective control strategy

Clearly the methods of risk assessment for chemicals and pathogens haveinherent differences in some elements of the risk-assessment process Thus thecommittee concludes that in conducting single-agent risk assessments there areinherent differences between chemical and pathogenic agents that must beconsidered In particular infection of an individual from exposure to pathogensin biosolids may lead to secondary infections in others from person-to-personcontact or from transmission of the pathogen to others through air food orwater

The importance of secondary transmission depends in part on the level ofacquired immunity to the pathogen in the community In assessing thelikelihood of secondary transmission it is clear that the use of the dynamicmodeling approach to fully assess the risks of the pathogen component ofbiosolids for all pathogens and all exposure scenarios would be a complexundertaking Generally site-specific data (eg population size) are requiredand the models are themselves analytically complex The use of defaultparameter values and appropriately structured analysis may be able to provide apractical procedure for using the modeling approach to explore the importanceof immunity and secondary transmission in preliminary analyses At presenthowever it may be more practical to use less comprehensive methods as a formof preliminary analysis to address the importance of these effects The objectiveof such a preliminary analysis would be to determine whether a particularpathogen possesses characteristics that result in secondary transmission and ifso determine the possible pathways through which this transmission can occur

For pathogens that can be transmitted via infected individuals thepreliminary analysis can proceed following the standard format of chemical riskassessment with the focus on the susceptible individual A new feature of thisprocess is the need to determine the existence of exposure pathways connectinga susceptible individual to others in the community assumed to be infectedalready If plausible pathways do not exist then no further analysis is neededAlternatively if such pathways are identified it will be necessary to exploretheir importance If their importance is low with respect to direct exposure nofurther action is needed whereas a significant risk with respect to backgroundincidence of disease suggests the need for a comprehensive assessment

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 326

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From another perspective the issue here is to gain some insight into whatis termed the ldquoforce of infectionrdquo by infectious disease epidemiologists(Anderson and May 1991) The force of infection represents the probability thata given susceptible host becomes infected per unit time only because of thepresence of other infected individuals in the population A complicating featureof the concept is that the force of infection is generally assumed to be linearlyproportional to the number of infected individuals in the population Thisproportion in turn depends on the level of population immunity Those factorsagain underscore that if pathways of secondary infection exist it is onlypossible in an approximate way to carry out the preliminary analyses on anindividual basis rather than at the population level A feasible approach mightbe to conduct a two-tiered evaluation the first dealing with the potential forsecondary transmission of a set of candidate pathogens and the secondanalyzing the exposure pathways for those pathogens with a secondarytransmission potential

COMPLEX MIXTURES

It is a challenge to integrate the outcomes of each agent-specific riskassessment into a comprehensive whole even for simple mixtures One reasonfor the difficulty is the lack of information usually available on the biologicalinteractions between components of the mixture The second reason is thechallenge to characterize in a useful way the range of risks that might occur Forbiosolids the possible adverse outcomes of exposure will include acute andchronic effects from chemical exposures and principally acute effects fromexposures to pathogens Further these effects will range from short-term non-life-threatening outcomes like irritation and diarrhea to chronic life-threateningoutcomes like cancer Although the exposure-assessment component of the risk-assessment process will characterize the extent of various chronic versus acutehazards for specific population groups an integrated assessment will sometimesbe needed to balance the risk of outcomes of modest severity with those of greatseverity

This same challenge exists for mixtures of chemical agents alone asdiscussed in EPArsquos ldquoSupplementary Guidance for Conducting Health RiskAssessment of Chemical Mixturesrdquo (EPA 2000) This document offers valuableguidance on the assessment of risks arising from the chemical mixtures found inbiosolids The strategic guidance from that document that can be extrapolated tobiosolids is that it is preferable to base risk assessments on studies of exposureto the whole mixture for example epidemiological studies of biosolidsworkers However as noted in Chapter 3 that type of data is not available forbiosolids in either sufficient amount or quality consequently

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 327

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making it necessary to use a component-based approach to assess risks frompathogens and chemicals in biosolids

Although the chemical mixtures document discusses in some detail thevarious options available for risk characterization including guidance on theformulation of hazard indexes there is no equivalent guidance either from EPAor in the scientific literature for mixtures of pathogens let alone the chemical-pathogen mixture that biosolids comprise Introducing risks from pathogens tothe process of integrating diverse outcomes in the risk characterization stepwould seem to present no new challenges beyond the implications of acquiredimmunity and secondary infection discussed previously However despiteprogress in integrating risks for mixed chemical exposures the possibility ofpathogen-pathogen or chemical-pathogen interactions between the componentsin either inhibiting or enhancing the adverse effects expected from individualexposures presents an array of unexplored issues in the context of riskassessment That pathogen-pathogen and chemical-pathogen interactions occuris illustrated by examples including the increased likelihood of tuberculosisinfection among workers exposed to silica dusts (Hnizdo and Murray 1998Ding et al 2002) Of greater relevance to biosolids is the experimentaldemonstration that short-term inhalation exposures to nitrogen dioxide increasethe susceptibility of rodents to pneumonia (Coffin et al 1977 Gardner et al1977) The committee concludes that the knowledge base for generatingsummary indexes of risk for finite mixtures of chemicals and pathogens isincomplete However research is clearly needed to synthesize existinginformation on potential interaction of chemicals and pathogens that might beassociated with biosolids exposures and lead to an increased susceptibility toinfection particularly by inhalation

It is important to note that even if a summary index of the risk of anadverse response to mixtures was available it would not necessarily reflect thetotal hazard of exposure to biosolids because of the inability to identify all of itshazardous constituents and their potential for interaction in vivo Moreover thecomposition of biosolids is susceptible to unanticipated changes from time totime and place to place Thus it is not possible to conduct a risk assessment forbiosolids at this time (or perhaps ever) that will lead to risk-managementstrategies that will provide adequate health protection without some form ofongoing monitoring and surveillance There is a degree of uncertainty thatwhen exceeded in the risk-assessment process requires some form of activehealth and environmental tracking in the risk-management strategy to ensureagainst unanticipated outcomes This situation led the committee to concludethat although the Part 503 agent-specific risk-assessment process can beimproved with new risk assessment methodology the remaining uncertainty forcomplex mixtures of chemicals and biological agents

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 328

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is sufficient to preclude the development of risk-management procedures basedon these agent-specific analyses that can reliably result in acceptable levels ofrisk Some form of process quality assurance and ongoing surveillance must bedone to ensure that effects not anticipated by the chemical- and pathogen-specific risk assessments do not occur Strategies for the management of risksarising from biosolids exposure should include audits of process performanceand management practices periodic hazard surveillance and studies of healthoutcomes including epidemiological studies and studies in response to episodicevents

As recounted in this report the various steps in the treatment transportapplication and use of biosolids present multiple opportunities for both humanexposure and monitoring and surveillance of the process to ensure minimizationof risks Figure 7ndash1 adapted for biosolids (Halperin 1996) attempts tosummarize the process the opportunities for hazard surveillance and theopportunities for study of exposed human populations Also shown are thepoints in the process amenable to quality control and compliance audits toensure that the management practices assumed in the risk assessment process orrequired by the Part 503 rule are in fact carried out appropriately

In Figure 7ndash1 each of the center boxes is a process to which biosolids aresubjected beginning with the original treatment process (top) that converts theraw sewage sludge into Classes A or B biosolids which are then packaged orotherwise prepared for transport and delivery to the application site Biosolidsare then applied to land where they are subject to weathering and some of theconstituents may be transported off-site The right side of the figure shows asecond set of boxes that represent human exposures to biosolids at any pointbetween initial processing and final decay or inactivation of off-sitecontaminants Exposed populations can be monitored or studied at particulartimes and locations to assess the relation between any abnormal healthconditions and the biosolids exposure experienced Any information gainedfrom studying health outcomes is collected and fed back into the riskassessment to support or improve the risk-management process as indicated bythe vertical line on the far right of the figure

The left side of the figure shows the stages in the process amenable toquality-assurance activities or hazard surveillance At any point in the processit is possible to obtain bulk samples of biosolids (or biosolids-soil mixtures) todetermine whether its hazardous constituents are present in expected orunexpected concentrations It is also possible to monitor the media of exposureto chemicals or pathogens originating in biosolids (eg personal air monitoringof workers engaged in land application)

With respect to quality assurance as indicated in Chapter 2 a need existsto verify the efficacy of treatment technologies used for pathogen control

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 329

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FIGURE 7ndash1 Processing transport and land application of biosolids withoptions for hazard surveillance and studies of human exposures

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Because the regulations for pathogen control are technologically basedrather than risk based it is important to verify that the technology is achievingthe intended results Such verification includes a review of the managementpractices required for Class B land application because they are predicated onthe assumption that further pathogen reduction is achieved through theimplementation of such practices

The right side of the figure shows the points in the process where humanexposures can occur and by implication the different populations andcircumstances that might be involved Although routine human healthsurveillance is unnecessary and impractical because of the wide variety ofpossible outcomes the committee believes that specific circumstances mightafford opportunities for health effects studies such as epidemiological studiesof occupational groups or investigations arising from reports of diseaseoutbreaks plausibly connected to biosolids exposure

FINDINGS AND RECOMMENDATIONS

Ideally risk assessment of biosolids should be based on complex-mixturedata to include risks from chemicals and pathogens However that type of datais not available in either sufficient quantity or quality (see Chapter 3) andmethods have not been developed for integrating and characterizing the rangeof risks that might occur from exposure to mixtures of chemicals andpathogens Thus it remains necessary to use a component-based approach toassess risks from pathogens and chemicals in biosolids The committee foundthat although the chemical-specific risk assessments conducted to establish thePart 503 regulations can be improved by using new risk-assessmentmethodology the remaining uncertainty for complex mixtures of chemical andbiological agents is sufficient to preclude the development of risk-managementprocedures that can reliably result in acceptable levels of risk Some form oftreatment-process quality assurance and ongoing surveillance must be done toensure that effects not anticipated by the agent-specific risk assessments do notoccur

Recommendations

bull Figure 7ndash1 should be used by EPA as a framework for managing the risksfrom exposure to biosolids The framework includes audits of treatment-process performance and management practices periodic hazardsurveillance and studies of health outcomes including preplannedstudies and studies in response to episodic events For example asrecommended in Chapters 2 and 6 surveys should be conducted to verifythat Class A and Class B treatment processes perform as assumed byengineering principles and determinations of

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 331

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pathogen density and destruction across the treatment process and in thesoil over time should be completed Recommendations contained in Chapter 5 also address the need for process-performance measures thatcan be monitored and used in site-specific surveys of performance In Chapter 3 the nature and objectives of hazard surveillance studies andstudies of health outcomes of exposed populations are described morefully All the recommendations reflect the committeersquos concern that thecomplex risk-assessment task posed by biosolids cannot serve as a usefuland reliable guide without an ongoing effort to ensure that theassumptions underlying the assessment are valid and that the risk-management procedures put in place in response to the assessment arebeing routinely implemented Broad-scale and site-specific feedbackgraphically depicted in Figure 7ndash1 is needed

bull Research should be conducted to synthesize existing information onpotential interaction of chemicals and pathogens that might be associatedwith biosolids exposures and lead to an increased susceptibility toinfection particularly by inhalation

Methods for conducting chemical and microbial risk assessment haveadvanced since the promulgation of the Part 503 rule in 1993 In reviewingthese methods the committee found that there are inherent differences betweenchemical and pathogenic agents that must be considered in single-agent riskassessments In particular infection of an individual from exposure topathogens in biosolids might result in secondary infections in others Thesecondary infections might be caused by person-to-person contact ortransmission of the pathogen to others through air food or water Theimportance of secondary transmission depends in part on the level of acquiredimmunity to the pathogen in the community Another development ofimportance is the recommendation of the PresidentialCongressionalCommission on Risk Assessment and Risk Management to diminish reliance onassumption-laden procedures for arriving at agent-by-agent and medium-by-medium mathematical estimates of risk in favor of stronger interaction withstakeholders in achieving and sustaining practical reductions in risk

Recommendation As outlined in Chapters 5 and 6 future riskassessments of biosolids components should be conducted using the mostcurrent methods and data For pathogens it is important that risk assessmentsinclude an evaluation of the potential for secondary transmission of diseaseRepresentatives from all stakeholders should be included in future riskassessments Stakeholders can provide information and insights into the use ofbiosolids in practice and the potential health problems which are particularlyimportant in the development of exposure assessment Involving stakeholdersthroughout the risk-assessment process provides opportunities to bridge gaps inunderstanding language values and perspectives

The committee is aware that this report poses a challenge to EPA in thatmuch of the discussion in this chapter as well as in Chapters 3 and 4 recom

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 332

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mends very different emphases in updating the Part 503 rule than are reflectedin the charge to the committee In many ways the contents of Chapters 2 5 and6 are a more direct response to the charge which is grounded in the originalapproach and methodology while acknowledging that this review would becarried out in the context of new developments However the committeebelieves that the differences in point of view and approach underlying itsresponse to the various elements of the charge accurately reflect the counter-vailing currents in the broader risk-assessment community and the differencesin perspective among those directly involved in the management of biosolidsrisks The overall objective of the process which this report is a part of is tobetter assess and manage the risks associated with the land application ofbiosolids in the United States

REFERENCES

Anderson RM and RMMay 1991 Infectious Diseases of Humans Dynamics and Control NewYork NY Oxford University Press

Anderson MA MHStewart MVYates and CPGerba 1998 Modeling the impact of bodycontact recreation on pathogen concentrations in a source drinking water reservoir WaterRes 32(11)3292ndash3306

Coffin DL DEGardner GISidorenko and MAPinigin 1977 Role of time as a factor in thetoxicity of chemical compounds in intermittent and continuous exposures Part 2 Effectsof intermittent exposure J Toxicol Environ Health 3(5ndash6)821ndash828

Colford J JEisenberg BLewis JScott DEisenberg and JSoller 2001 A Dynamic Model toAssess Microbial Health Risks Associated with Beneficial Use of Biosolids Status Report5 WERF Project 98-REM-1 Prepared by EOA Inc Oakland CA and School of PublicHealth University of California Berkeley CA for Water Environment ResearchFoundation Alexandria VA March 2001

Ding M FChen XShi BYucesoy BMossman and VVallyathan 2002 Diseases caused bysilica Mechanisms of injury and disease development Int Immunopharmacol 2(2ndash3)173ndash182

Eisenberg JN EYSeto AWOlivieri and RCSpear 1996 Quantifying water pathogen risk inan epidemiological framework Risk Anal 16(4)549ndash563

EPA (US Environmental Protection Agency) 2000 Supplementary Guidance for ConductingHealth Risk Assessment of Chemical Mixtures EPA630R-00002 August 2000National Center for Environmental Assessment Office of Research and DevelopmentUS Environmental Protection Agency Washington DC [Online] Available httpwwwepagovnceawww1rafchem_mixhtm [December 26 2001]

Fuhs OW 1975 A probabilistic model of bathing beach safety Sci Total Environ 4(2)165ndash175

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setti

ng-s

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rmat

ting

how

ever

can

not b

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tain

ed a

nd s

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ay h

ave

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e au

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rsio

n fo

r attr

ibut

ion

Gardner DE DLCoffin MAPinigin and GISidorenko 1977 Role of time as a factor in thetoxicity of chemical compounds in intermittent and continuous exposures Part 1 Effectsof continuous exposure J Toxicol Environ Health 3(5ndash6)811ndash820

Haas CN 1983 Estimation of risks due to low doses of microorganisms A comparison ofalternative methodologies Am J Epidemiol 118(4)573ndash582

Halperin WE 1996 The role of surveillance in the hierarchy of prevention Am J Ind Med 29(4)321ndash323

Hnizdo E and JMurray 1998 Risk of pulmonary tuberculosis relative to silicosis and exposure tosilica dust in South African gold miners Occup Environ Med 55(7)496ndash502

Koopman JS and IMLongini Jr 1994 The ecological effects of individual exposures andnonlinear disease dynamics in populations Am J Public Health 84(5)715ndash716

Koopman JS IMLongini Jr JAJacquez CPSimon DGOstrow WRMartin andDMWoodcock 1991 Assessing risk factors for transmission of infection Am JEpidemiol 133(12)1199ndash1209

NRC (National Research Council) 1983 Risk Assessment in the Federal Government Managingthe Process Washington DC National Academy Press

NRC (National Research Council) 2001 Classifying Drinking Water Contaminants for RegulatoryConsideration Washington DC National Academy Press

PresidentialCongressional Commission of Risk Assessment and Risk Management 1997 RiskAssessment and Risk Management in Regulatory Decision-Making Final ReportWashington DC The Commission

Regli S JBRose CNHaas and CPGerba 1991 Modeling risk from giardia and viruses indrinking water Am Water Works Assoc J 83(11)76ndash84

INTEGRATION OF CHEMICAL AND PATHOGEN RISK ASSESSMENT 334

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Glossary

Aggregateexposure

mdashExposure to a single chemical by multiple pathways and routes ofexposure

Benchmarkdose

mdashAn exposure level that corresponds to a statistical lower bound on astandard probability of an effect such as 10 of people affected

Bioaerosols mdashAerosolized biological particles that range in diameter from 002 to 100micrometers

Biomarker mdashChanges in the characteristics of a biologic sample such as changes inenzyme levels that reflect a particular environmental exposure a particularhuman or animal disease process or evidence of increased or decreasedsusceptibility to adverse effects from such exposures

Biosolids mdashDefined by EPA as the primarily organic solid product yielded bymunicipal wastewater treatment processes that can be beneficially recycled(whether or not they are currently being recycled) The term is defined inthis report as sewage sludge that has been treated to meet the land-application standards in the Part 503 rule or any other equivalent land-application standards

Cumulativeexposure

mdashCombined exposures to multiple pollutants by multiple pathways androutes of exposure

Default as-sumption

mdashAn assumption about a receptor population characteristic that is madewhen actual information about that characteristic is unavailable

Domesticsewage

mdashWaste and wastewater from humans or household operations that isdischarged to or otherwise enters a treatment works

GLOSSARY 335

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Endotoxin mdashA complex bacterial toxin composed of protein lipid and polysaccharidethat is released upon lysis of the cell

Exposure mdashContact of an individual with a chemical or physical agent Exposure isquantified as the amount of the agent available at the exchange boundariesof the individual (eg skin lungs gut) and available for absorption

Exposureassessment

mdashThe determination or estimation (qualitative or quantitative) of themagnitude frequency duration and route of exposure

Exposurepathway

mdashThe course a chemical or physical agent takes from a source to anexposed individual An exposure pathway describes a mechanism by whichan individual or population is exposed to chemical or physical agents at ororiginating from a site Each exposure pathway includes a source or releasefrom a source an exposure point and an exposure route If the exposurepoint differs from the source a transportexposure medium (eg air) ormedia (in cases of intermediate transfer) also is included

Highly ex-posedindividual(HEI)

mdashAn individual who remains for an extended period at or adjacent to thesite where maximum exposure occurs

Indicatororganism

mdashA microorganism that is used for monitoring whether a certain set ofpathogens might be present

Indirect ex-posure

mdashExposure involving multimedia transport of chemicals from source toexposed individual For example consumption of produce grown onbiosolids-amended soil

Loading rate mdashThe maximum loading limit of a chemical per unit of time permissibleon a given site

Margin ofexposure

mdashA ratio defined by EPA as a dose derived from a tumor bioassayepidemiological study or biologic marker study such as the doseassociated with a 10 response rate divided by an actual or projectedhuman exposure

Mutipath-way expo-sure

mdashExposure to an agent (chemical physical or biological) by variousroutes such as inhalation ingestion and dermal absorption

No-ob-served-adverse-effect level

mdashThe highest dose of a chemical that was administered to animals in atoxicity study without producing an observed adverse effect

Probabilisticapproaches

mdashEvaluating a range of possible risk estimates and their likelihood tied tovarious mathematical models of the likely distribution of potential valuesinstead of relying on single numbers or point estimates

ReasonableMaximumExposure(RME)

mdashA semiquantitative term referring to the lower portion of the high end ofthe exposure distribution It

GLOSSARY 336

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typically determined using a combination of average and upper-boundvalues for various exposure parameters so that the final exposure estimatewill be an upper-bound exposure with a reasonable expectation ofoccurrence usually considered the 95th percentile

Receptorpopulation

mdashThe groups of people that may be exposed to the contaminated media

Secondarytransmission

mdashThe spread of disease by indirect transmission of the infectious agentTransmission can be from person-to-person contact whereby an infectedindividual infects another from exposure to contaminated objects or viaenvironmental pathways such as contamination of soil or surface water

Sewagesludge

mdashThe solid semi-solid or liquid residue generated during the treatment ofdomestic sewage in a treatment works

Stakeholders mdashStakeholders are groups who are potentially affected by the risk riskmanagers and groups that will be affected by efforts to manage the sourceof the risk They could include federal regulators state regulators biosolidsmanagers local businesses industries public health officials cliniciansand citizens

Susceptiblesubpopula-tion

mdashPopulations which may exhibit a greater effect in response to particularexposures

Uncertaintyanalysis

mdashAnalysis of information about risks that is only partly known orunknowable Mathematical uncertainty analyses can be used to generateprobabilistic distributions of risk estimates that reflect the extent to whichthe information used to assess risk is uncertain

Variability mdashA populationrsquos natural heterogeneity or diversity particularly that whichcontributes to differences in exposure levels or in susceptibility to theeffects of chemical exposures

Vector mdashAn organism capable of transmitting an infectious agent to anotherorganism

GLOSSARY 337

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Appendix A

BIOGRAPHICAL INFORMATION ON THECOMMITTEE ON TOXICANTS AND

PATHOGENS IN BIOSOLIDS APPLIED TOLAND

Thomas ABurke (Chair) is professor in the Department of Health Policyand Management at the Johns Hopkins University School of Hygiene andPublic Health with joint appointments in the Department of EnvironmentalHealth Sciences and the School of Medicinersquos Department of Oncology He isalso founding codirector of the universityrsquos Risk Sciences and Public PolicyInstitute Before joining the university Dr Burke was deputy commissioner ofhealth for the State of New Jersey and director of science and research for theNew Jersey Department of Environmental Protection In New Jersey hedirected pioneering initiatives that influenced the development of nationalprograms such as Superfund the Safe Drinking Water Act and the ToxicsRelease Inventory His research interests include environmental epidemiologythe evaluation of community exposures to environmental pollutants theassessment and communication of environmental risks and the application ofepidemiology and health risk assessment to public policy Dr Burke is chair ofthe advisory board to the directors of the Centers for Disease Control andPrevention National Center for Environmental Health and is a member of theNational Research Council (NRC) Board on Environmental Studies andToxicology He received his PhD in epidemiology from the University ofPennsylvania and his MPH from the University of Texas

APPENDIX A 338

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Lawrence RCurtis is professor and head of the Department ofEnvironmental and Molecular Toxicology at Oregon State University Hisresearch interests are focused on understanding the cellular level processes thatdetermine bioaccumulation of persistent chlorinated hydrocarbons andpolycyclic aromatic hydrocarbons and the trophic transfer and ecotoxicology ofpersistent organic contaminants Dr Curtis is on the editorial board of theJournal of Toxicology and Environmental Health Critical Reviews and hasserved as chair of the Membership Committee of the Society of Toxicology Hereceived his MSc from the University of South Alabama and his PhD inpharmacology and toxicology from the University of Mississippi Medical Center

Charles NHaas is the LDBetz Chair Professor of EnvironmentalEngineering at Drexel University He is widely recognized for his research inthe areas of microbial and chemical risk assessment hazardous wasteprocessing industrial wastewater treatment waste recovery and water andwastewater disinfection processes Dr Haas is a fellow of the AmericanAcademy of Microbiology and is the founding editor in chief of QuantitativeMicrobiology He is also a member of the Council of the Society for RiskAnalysis He received his MS in environmental engineering from the IllinoisInstitute of Technology and his PhD from the University of Illinois

William EHalperin is professor and chairman of the Department ofPreventive Medicine and Community Health at the New Jersey Medical SchoolBefore joining the faculty of the medical school Dr Halperin was a seniorscientist with the National Institute for Occupational Safety and Health and alsoheld the position of deputy director His research interests are in occupationalmedicine occupational epidemiology and public-health surveillance DrHalperin was a member of the NRC Committee on Risk AssessmentMethodology and currently serves on the NRC Committee on Toxicology andits Subcommittee on Spacecraft Water Exposure Guidelines He received hisMD MPH and Dr PH from Harvard University and is certified by theAmerican Board of Preventive Medicine and the American Board ofOccupational Medicine

Ellen ZHarrison is director of the Cornell Waste Management Institute aprogram of the Cornell Center for the Environment that develops solutions forwaste-management problems and addresses broader issues of waste generationand composition waste reduction risk management environmental quality andpublic decision-making Ms Harrison has been involved for many years in theassessment of health and environmental risks from land application of sewagesludges She has served as cochair of the Northeast Regional

APPENDIX A 339

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Research Project on Land Application of Sewage Biosolids since 1997 and isthe coauthor of The Case for Caution Recommendations for Land Applicationof Sewage Sludges An Appraisal of the US EPArsquos Part 503 Sludge Rules Shealso served on the council for the town of Ithaca New York from 1993 to1999 Ms Harrison received her MS in geological sciences from CornellUniversity

John BKaneene is professor of epidemiology and director of thePopulation Medicine Center at Michigan State University He also holdsprofessorships in the Department of Large Animal Clinical Sciences theDepartment of Epidemiology and the Animal Health Diagnostic LaboratoryHis research is focused on the application of epidemiological methods tounderstand disease dynamics in populations and the use of these methods indesigning implementing and evaluating prevention and control strategiesSome specific areas of research include the epidemiology of food-bornepathogens (Campylobacter Salmonella and Escherichia coli) and theirrelationships to the development of antimicrobial resistance in animal andhuman populations the epidemiology of drug and chemical residues in foods ofanimal origin and their potential human health risks and the epidemiology oftuberculosis Dr Kaneene was a member of the NRC Committee on Drug Usein Food Animals and currently serves as a member of the NRC Board onAgriculture and Natural Resources Subcommittee on Food and Health DrKaneene received his DVM from the University of Khartoum and his MPHand PhD in epidemiology and statistics from the University of Minnesota

Greg Kester is a civil and environmental engineer at the WisconsinDepartment of Natural Resources where he serves as the state residualscoordinator overseeing all aspects of Wisconsinrsquos biosolids program In thatposition he has incorporated all necessary provisions of federal biosolidsregulations set policy for the Wisconsin biosolids program implemented byfield engineers and made determinations on the adequacy of solids-handlingdesign He developed and maintains a communication network for all statebiosolids coordinators The network provides a forum for the exchange ofquestions and dialogue on implementation technical standards andenforcement strategies Mr Kester has also been involved with a Wisconsinworkgroup to develop risk-based soil criteria for PCBs Before Mr Kesterbecame an environmental engineer he worked for 10 years as an operator andbiosolids-reuse program worker for the Madison Metropolitan SewerageDistrict He received his BS in civil and environmental engineering from theUniversity of Wisconsin at Madison

Stephen PMcGrath is a program leader in the Agriculture andEnvironment Division of the Institute of Arable Crops Research-Rothamsted inthe United

APPENDIX A 340

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Kingdom and special professor at the School of Life and EnvironmentalSciences at the University of Nottingham His research is focused onunderstanding the source behavior fate and impact of pollutants (particularlyheavy metals) in soil and the food chain biological impacts of waste disposalphytoremediation and soil remediation His research on ecotoxicology ofmetals and waste disposal led to new national rules in the United Kingdom forsewage-sludge disposal He is also involved in international projects with theInternational Atomic Energy Agency and the United Nations Food andAgriculture Organisation on the use of stable isotopes to determine the optimalutilization of wastes Dr McGrath received his PhD in physiological ecologyfrom Sheffield University

Thomas EMcKone is a senior scientist at the Ernest Orlando LawrenceBerkeley National Laboratory and is an adjunct professor in the School ofPublic Health at the University of California at Berkeley His research interestsinclude the chemical transport and accumulation of toxic chemicals in multipleenvironmental media (air water and soil) the development of multimediacompartment models that can be used in quantitative risk assessments andhuman exposure and health risk assessment He is responsible for thedevelopment of CalTOX a model used by the California Department of ToxicSubstances Control to conduct health-risk assessments that addresscontaminated soils and the contamination of adjacent air surface watersediments and groundwater Dr McKone is a past-president of theInternational Society of Exposure Analysis and has served on several NRCcommittees He received his MS and PhD in engineering from the Universityof California at Los Angeles

Ian LPepper is professor and research scientist in the Departments ofSoil Water and Environmental Science and Microbiology and Immunology atthe University of Arizona He also serves as director of the universityrsquosNational Science Foundation Water Quality Center His research interests are inmolecular ecology of soil and biosolids particularly with respect to the riskfrom pathogens and metals from land-applied biosolids Dr Pepper received hisMS in soil biochemistry and his PhD in soil microbiology from Ohio StateUniversity

Suresh DPillai is associate professor of food safety and environmentalmicrobiology in the Poultry Science Department of Texas AampM University Healso serves as associate director of the universityrsquos Institute of Food Science andEngineering Dr Pillairsquos research interests include the occurrence fatetransport and activity of microbial pathogens in natural and developedecosystems such as groundwater surface water wastewater bioaerosols and

APPENDIX A 341

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food processing He is also involved in the development and testing of rapiddiagnostic molecular assays for microbial pathogens and the evaluation ofpublic-health risks from microbial pathogens He received his MSc inindustrial microbiology from the University of Madras India and his PhD inmicrobiology and immunology from the University of Arizona

Frederick GPohland is professor and Edward RWeidelein Chair ofEnvironmental Engineering at the University of Pittsburgh His researchinterests include environmental engineering operations and processesindustrial solid and hazardous waste management and environmental impactassessment He has studied an array of innovative technologies forenvironmental monitoring and remediation with special emphasis ongroundwater soils and surface waters Dr Pohland is past president of theAmerican Academy of Environmental Engineers and was elected to theNational Academy of Engineering in 1993 He received his MS in sanitaryengineering and his PhD in environmental engineering from Purdue University

Robert SReimers is professor in the Department of Environmental HealthSciences at Tulane University He also holds an adjunct appointment in theuniversityrsquos Department of Civil and Environmental Engineering He is anenvironmental engineer and applied chemist specializing in natural resourcemanagement including the management of residuals and toxic waste Hisresearch interests include biosolids treatment disinfection stabilization andreuse industrial residual product development and innovative processdevelopment Dr Reimers has studied the translocation of chemical pollutantssuch as PCBs in soils and has been involved in studying the prevalencesurvival and control of parasites (eg Ascaris eggs) in municipal wastewaterbiosolids Dr Reimers received his MA in chemistry from the University ofTexas and his PhD in engineering (environmental and water resources) fromVanderbilt University

Rosalind ASchoof is a principal at Gradient Corporation which is aenvironmental consulting practice She conducts evaluations of chemicaltoxicity health risk assessment for cancer and noncancer end points andmultimedia assessment of exposure to environmental chemicals Dr Schoof isparticularly interested in the bioavailability of metals (eg arsenic cadmiumand lead) found in soils and has been involved in evaluating exposures atmining smelting and pesticide manufacturing sites She received her PhD intoxicology from the University of Cincinnati and is a diplomate of theAmerican Board of Toxicology

APPENDIX A 342

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Donald LSparks is SHallock duPont Chair of Environmental SoilChemistry and Francis Alison professor at the University of Delaware atNewark He also holds joint faculty appointments in the Departments of Civiland Environmental Engineering and Chemistry and Biochemistry in the Collegeof Marine Studies Dr Sparks is internationally recognized for his research inthe areas of kinetics of soil chemical processes surface chemistry of soils andsoil components using in situ spectroscopic and microscopic techniques and thephysical chemistry of soil potassium He is the recipient of many awards andhonors including being named a fellow of the American Society of Agronomythe Soil Science Society of America and the American Association for theAdvancement of Science He is a past-president of the Soil Science Society ofAmerica and is currently president-elect of the International Union of SoilScience Dr Sparks received his MS in soil science from the University ofKentucky and his PhD from the Virginia Polytechnic Institute and StateUniversity

Robert CSpear is professor of environmental health sciences in theSchool of Public Health at the University of California at Berkeley He is alsothe founding director of the universityrsquos Center for Occupational andEnvironmental Health His research interests include the mathematicalmodeling of toxicological and infectious disease processes and statistical issuesin exposure assessment Dr Spear has an extensive publication record in thisfield spanning farm workersrsquo exposures to pesticides to strategies for thecharacterization and control of the exposure of rural populations to parasites inthe developing world He has also served on a number of scientific advisorycommittees including the Board of Scientific Councilors of the NationalInstitute for Occupational Safety and Health Dr Spear received his BS andMS in mechanical engineering from the University of California at Berkeleyand his PhD in control engineering from Cambridge University

APPENDIX A 343

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Appendix B

PARTICIPANTS AT PUBLIC SESSIONS

March 14 2001mdashWashington DCAlan Hais Office of Water US Environmental Protection AgencyRobert Bastian Office of Wastewater Management US Environmental

Protection AgencyAlbert Page University of California RiversideNancy Burton National Institute for Occupational Safety and HealthFrank Hearl National Institute for Occupational Safety and HealthBill Kelly Center for Regulatory EffectivenessCecil Lue-Hing representing the Association of Metropolitan Sewerage

AgenciesSandy Smith PEN Green Sludge BustersHenry Staudinger citizenRufus Chaney US Department of AgricultureRich Anderson consultantAlbert Gray Water Environment FederationSusan Boutros Environmental Associated LtdJune 3 2001mdashIrvine CaliforniaRichard Stehouwer Pennsylvania State University

APPENDIX B 344

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James Ryan Office of Research and Development US EnvironmentalProtection Agency

Robert Southworth US Environmental Protection Agency (retired)Robert OrsquoDette SynagroJune 4 2001mdashIrvine CaliforniaMark Gray SynagroLauren Fondahl US Environmental Protection AgencyGary Feldman Riverside County Health Services AgencyJane Williams California Communities Against ToxicsPenny Newman Center for Community Action and Environmental JusticeLarry Charpied organic farmerDonna Charpied citizenLyle Talbot Desert Citizens Against PollutionAthena Geges residentJanine Matelke residentMarc Miller residentMargie Newman citizenMs Schembri citizenJerry Cody citizenSteve Stockton Responsible Biosolids Management IncRobert OrsquoDette SynagroLorrie Loder Synagro

APPENDIX B 345

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