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GRACE C*ntrvction ivltion PLAINTIFFS; 1 ,, 1XHIBIT To: B. M. VIning From: B. B. Locke cc: V. F* McCord E. S. WOod Date: Subject August 16, 1977 CPSC Risk Assessment CC1C60S7 As you requested, please see the attached CPSC Risk Assessment turned to papercllpped Table 1 which Z have marked up per- our discussion. We were talking about CPSC estimated cancer death rates between 10 and 1,000 per million. They are derived from the table; I. A. 8 hr. TWA in use of joint compounds assumed: 20 f/ml B. 1 Tear Equivalent Exposure @ 4 das./200 day year: 0.4 f/ml C. Enter Table ( 0.5 f/ml (approx. 0.4 f/ml) and read 13 deaths (approx. 10) per million II A. 5 Tears of heavy exposure @ 0.4 f/ml annual equivalent calcu lated as being same as 1 year at 2.0 f/ml B. Enter Table @ 2.0 f/nl and read 990 deaths (approx. 1,000) . per million III. A. If the 1 Tear Equivalent Exposure were 0.1 f/ml, B. (This is .same as 5 f/ml 8 hr. TWA for 4 days or 20 f/ml 8 hr. TWA for 1 day) C. Enter Table @ 0.1 f/ml and read 0.02 deaths per million and relative risk of 1.0000006. IV. A. 'B. C. If the 1 Tear Equivalent Exposure were 0.01 f/ml, (This is same as 0.5 f/ml & hr. TWA for 4 days or 2.0 f/ml for 1 day) Cols. (4), (5), and (6) can't be calculated from standard integral Tables (one attached and papercllpped). Cols. (1), (2), and (3) are shown, however. In closing, let's again note chat this CPSC model employs a multi plicative combination of several adverse assumptions. RHL/cf B. H. Locke UNITED STATES GOVERNMENT Memorandum U.5. CUN5UMEH PRODUCT SAFETY COMMISSION WASHINGTON. D.C. 20207 TO THRU Don Clay, Acting AED for Engineering & Sciences gate: June 3, 1977 Robert M. Hchir, Actg. Deputy AED for Health .Sciences K*7 Steven Bayard, Ph.D./SPSC Risk of Respiratory Cancer Due to Low. Level Exposure to Asbestos from CT: Speckling & Joint Taping Compounds Summary & Discussion . A model for lifetime risk assessment of death from respiratory cancer due to consumer use of asbestos containing vail taping compounds is presented. Based on heavy exposure four times a year for 1 year, increased risk of death from respiratory cancer is estimated at 10 per million. Por fiye years of exposure at these levels, however, the risk Increases geometrically and is estimated at 1,000 per million or * 1 per thousand. 061660?$ Por consumers using .ready mixed spackling compounds to fill a few small holes and doing a little.sanding, the model predicts negligible risk. Ho quantitative risk assessment was made for asbestos exposure from the artificial ash adorning the emberized gas logs since there are no known measurements of the airborne fiber content. It can be assumed, however, that whatever air concentrations are present, they expose the home occupant to a repository of free fibers continuously vs. only intermittent exposure for the wall taping compounds. . The risk from these ashes, therefore, may be considered at least as high as that from the wall taping compounds. A. Assumptions In order to compute a risk assessment of the use of asbestos containing wall joint compounds, many assumptions had to be made. The model used is mainly that of Enterline and Henderson (1976), which in turn was derived from data on amosite asbestos factory workers and asbestos insulation workers (Selikoff, Hammond and Seidman, 1973). Measurements of asbestos fibers longer chan 5 microns from work with wall taping compounds were taken by Rohl et al (1975). Projections of consumer use of taping com pounds are my own and age central death rates frpra respiratory cancer were based on the 1970-71 vital statistics of the United States. The assumptions used in the risk assessment model are presented below; references for each are given. rl 1 i COvlB.'imtNl MmTiwCOfllCl;nt IO ?& 2 1. The dose-response relationship between asbestos and lung cancer is linear (Entcrlinc and Henderson, 1976; McDonald, ec al, 1974). This hypothesis assumes no threshold. 2t Time to tumor is dependent'on dose and can be described by a log normal distribution with median time to tumor t ; t - 98.65(1) 1/3 where D m 8-hour time weighted average dose in fibers/ce and a standard deviation of 1.5 f/ce. (Enterline and Henderson, 1976, based on Jones and Grindon, 1975). 3. Competing risks of death for the first 40 years following exposure are considered to be normal. .-- 4. Risk of asbestos caused death after the first 40 years following exposure is considered to be aero. 5. Effect of dose is cumulative and is assumed to have the same effect as if that dose had been accumulated in the first year of exposure. 4. Intermittent exposure with occasional fcigh'-peaka has the seme cumulative effect as continuous exposure at double the dose (Enterline, et al, 1972; Hicholson, 1976). 061SGCS9 While assumptions 1-5 may seem' a hit unclear, the total effect is to present a cumulative dose-response curve of the form log dose-log response. . This is shown in Figure 1. Explanation of how these figures were derived is given below. It is emphasized, however,, that this model is to be used for low exposure estimates. It does not fit the data for high or long term exposure -data. * e. 3 B. Derivation of Total Cases Caused by Asbestos Exposure Besides the assuciptlons 1-6 above, the major data used to estimate the total cancer deaths attributable to dose were the Selikoff data on 294 factory workers who had been exposed to asbestos for 3-11 months during the years 1941-1945. Estimates of the concentration of asbestos dust during this period averaged 30 f/cc. Since the average exposure was only 5/8 year, the equivalent concentration was figured at 18.75 f/cc /day on a 1 year basis. By assumption 2, the median time to death from respiratory cancer is 37.1 years. Also, by assumption 2, the log normal distribution shows chat for the 28 years of followup used in the Selikoff paper only 24.4Z of these deaths would have o'ecurred. Since the adjusted relative risk of these workers was 2.95 (Enterline, 1976), and the age central death race from respiratory cancer (ages 35+) was 350/million, the number of respiratory deaths which-could have been caused by the asbestos exposure was the solution to 28(.000S50) +.244 X (.000850) - 2.95 or X .190205 or 190,205 deaths/million. But, since only 40 years of exposure a^re considered (assumptions 3 and 4), assumption 2 allows only 57.3Z or lb9U)00 lifetime cancer respiratory deaths per million exposed. By assumption 1, the number of potential cases by dose can then be cal-^^^^^* culated and risk estimates can be derived from these. This is shown in Table 1, along with the calculated relative risks. Here it is seen that excess deaths and relative risks do not increase linearly with Increasing dose but in a geometric manner. C. Estimates of Exposure Levels of Consumer Users of Wall Taping Compounds' Rohl (1975) measured peak fiber concentrations of ten drywall taping com pounds during sanding, dry mixing, and floor sweeping. The average peaks were as high as 47 f/cc with the highest individual peak of 59 f/cc. Based on these peaks the 8-hour time weighted average was estimated as 10 f/cc. Taken with assumption 6 that high intermittent exposure was estimated to have doubled the effect of continuous exposure, this estimate was increased to 20 f/cc. If there are four uses projected per year, the estimate of yearly equivalent is ' 20 f/cc/dny x 4 days 200 days/ycar .4 f/ce/day for 1 year l L ife tim e R e s p ira to ry Cancer Deaths 1,000*000/ (lo g scale) FIGURE 1. Response vs. Dose for Low Level Asbestos 0 Exposure. -Asbestos Induced Respiratory Cancer Deaths per Million Lifetime vs. Daily Exposure (f/cc) for 1 Year. Estimates Based on the Model , X Average Daily Dose f/cc (log scale1) TABLE 1. Lifetime (40 Year) Risk Estimates of Respiratory Cancer Deaths Median Latent Periods and Relative Risks are I#ncluded, 0C1PC102 (0 (-*) () T3h 8-Hour Avg. Latent Potential Daily Periods Cases/ Exposure Tears, . , _ Million Level-D (<&\ t98.65(w) 5/* &&aJT *b " /JDJUivrso^erea#tn/eToixf*XAt)*t*d-^^ lO -n * ^ .OOl .0 1 'A 48 6. MS'}.? 124.3 lO ro ( to 5,072 so* Co Proportion Developed In 40 Years (log normal) .coi&q .0026 Asbestos Induced Respir. Cancer . Deaths/ CWx(4) ' 4oiqx 13 CO Relative Risk .-- (3)+850x40 850x40 " {.0000006 1.00038 1 98.6 10,145 .0130 132 . 1.UU38S 2 78.3 20,290 .0488 990 1.02912 4 62.1 40,578 .1488 6,038 1.17759 8 49.3 81,155 .3030 24,590 1.72324 ' 16 18.75 39.1* 37.1 162,310 190,205 .4776 .5727 77,519 109,000* 3.27997 - 4.20588 * So iw.: Mtk t.r CuyJk So&ckt CM. \ ' -pi, e.p^a, a/ST.-P U -2.(6 4 <pbt-AcA a-J cAp 4-o-^>-^4- oj eu o 00I ^ o-^ *4 .(^ 4^ ''O.ofl Q-& * <. 0 A^l (3 -- ^. jL- ^ M CM. o. OOOO { 5 tf 4 Thus, based on the.results of the model, Table 1, those four uses in 1 year with heavy exposure vlll cause an additional 10 lifetime respiratory cancer dcaths/million. Continued use for five years will, by assumption 5, raise that estimate to 990 (see Table 1) deaths per million. L ' 06166103 I, REFERENCES Enterline, P.E.; DeCouflc, P.; Henderson, V: Mortality in relation to occupational exposure in the asbestos industry. JOM, Vol.'14, No. 12 pp. 897-903. December 1972 Enterline, P.; Henderson, V.: A Model for Extrapolating to Low Levels of Asbestos Exposure.' Presented at Conference on Problems of Extrapolating the Results of Laboratory Animal Data to Men and Extrapo lating the Results froo High Dose Level Experiments to Low Dose Level Exposure, Pinehurst, N.C., March 11, 1976. . Jones, H.B.; Grindon, A.: Environmental factors in the origin of cancer and estimation of the possible hazard to man. Fd. Cosset. Toxicol. 18:251-268, 1975. # McDonald, J.C.; McDonald, A.D.-; Gibbs, G.T7., et al: The health of chrysotile asbestos mine and mill workers of Quebec. Arch. Environ. Health 28:61, 1974. OBIBGIO*1 Nicholson, H.J.: Case Study 1: Asbestos--The TLV Approach. Occupa tional Carcinogenesis, Annals of'the New York Academy of Sciences, Vol. 271:152-169, May 1976. Sohl, A.N., et al: Exposure to Asbestos in the Use of Consumer . Spackling, Patching and Taping Compounds. Science, Vol. 189: 551-553, 8/15/75 Selikoff, I.J.; Harmond, E.C.; Seidman, H: Cancer risk of insulation workers in the United States. IARC, Biological Effects of Asbestos, Lyon, France, 1973. " I STATISTICAL TABLES FOR BIOLOGICAL, AGRICULTURAL AND MEDICAL RESEARCH nr Sir RONALD A, FISHER; Sc.D., F.R.S, > FORMERLY ARTHUR BALFOUR FROFRSSOR OF CENXTICS, UNIVERSITY OF CAMBRIDGE, AND CALTON PROFESSOR, UNIVERSITY OF LONDON. HONORARY MEMBER, AMERICAN STATISTICAL ASSOCIATION.AND AMERICAN ACADEMY OF ARTS AND SCIENCES. FOREIGN MEMBER OF THE AMERICAN PHILO* SOPHICAL SOOETT. FOREICN ASSOCIATE OF THE NATIONAL ACADEMY OF SCIENCES OF XHZ .UNITED STATES OF AMERICA. FOREIGN MEMBER OF THE BOVAL SWEDISH ACADEMY OF SCIENCES AND THE ROTAL DANISH ACADEMY OF SCIENCES AND LETTERS. MEMBER OF THE PONTIFICAL ACADEMY Or SCIENCES AND Secies FRANK YATES, C.B.E., Sc.D., F.R.S. SAD OF STATISTICAL DEPARTMENT, ROTKAMSTZD EXPERIMENTAL STATION, AND OF THE RESEARCH STATISTICAL SERVICE OF THE AGRICULTURAL RESEARCH COUNCIL AND THE MINISTRY OF ACEICULTUEE SIXTH EDITION REVISED AND ENLARGED HAFNER PUBLISHING COMPANY INC. NEW YORK. Table Hi. 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