Document e5vYp3mVqr6QzojKVGoVjoNm9
1 STATE OF MICHIGAN
2 IN THE CIRCUIT COURT FOR THE COUNTY OF HURON
3
4
) 5 ROGER A. HALEY and VALERIE J. HALEY, )
Husband and Wife; and DONALD L.
)
6 HALEY and FLORENCE S. HALEY, Husband )
and Wife,
)
7)
Plaintiffs,
)
8)
9 -vs-
) )
)
10 )
MICHIGAN SILO COMPANY, a Michigan
)
11 Corporation, C & B SILO COMPANY, a )
Michigan Corporation; MONSANTO
)
12 COMPANY, a Corporation; and CONCRETE )
SILO COMPANY, INCORPORATED, a
)
13 Corporation, Jointly and Severally, )
)
14
Defendants .
)
)
15
No. 77 002593 NP VOLUME XXIV
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17 Excerpt of the proceedings had and testimony
[j18 taken in the above-entitled matter on Tuesday, May 1 , 1984, at
19 9:00 o'clock 7\.M. , at the Huron County Courthouse, Bad Axe,
20 Michigan, before the Honorable M. Richard Knoblock.
21
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1 APPEARANCES:
2 MC GRAW & BORCHARD, BY: PATRICK MC GRAW, Esq.,
3 and
4 JAMES N. WOODWORTH, Esq.,
5 and
6 CUBITT, CUBITT & TROWHILL,
7 BY: H. DALE CUBITT, Esq.,
8 Appearing on behalf of Plaintiffs.
9 CHAKLOS, JUNGERHELD & DELLA SANTINA, BY: WILLIAM E. JUNGERHELD, Esq.,
10 and
11 ROBERT A. HAHN, Esq.,
12 and
13 JOSEPH F. NASSIF,
14 Appearing on behalf of Defendant
15 Monsanto.
16 DAVIDSON, BREEN & DOUD, BY: JOHN DAVIDSON, Esq.,
17 Appearing on behalf of Defendant
18 C & B Silo.
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1 2 WITNESS:
INDEX
3 GAFFEY, William R. , 4 Direct Examination Continued by Mr. Jungerheld 5 Cross-Examination by Mr. Me Graw 6
7
Page 3809 Page 3839
8 HARBISON, Raymond D., 9 Direct Examination by Mr. Jungerheld 10 Cross-Examination by Mr. Woodworth 11 Redirect Examination by Mr. Jungerheld 12 Recross-Examination by Mr. Woodworth 13
Page 3903 Page 3966 Page 4049 Page 4051
14 -oOo15 (Whereupon at 9:00 o'clock A.M., on Tuesday, 16 May 1, 1984, the Hearing was reconvened.) 17 THE COURT: Bring in the Jury.
18 Doctor, resume the stand please. You're still under 19 oa th.
20
WILLIAM
R.GAFFEY ,
21
22 a witness herein, produced by and on behalf of the Defendants, 23 having been previously duly sworn, testified further on his 24 oath as follows: 25 THE COURT: Be seated.
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1 Good morning, members of the Jury.
2 THE JURY: Good morning.
3 THE COURT: Mr. Jungerheld.
4 MR. JUNGERHELD: Thank you. Your Honor.
5 DIRECT EXAMINATION 6 BY MR. JUNGERHELD, CONTINUING:
'
7 Q.
Dr. Gaffey, before we ended yesterday I had just asked you
8 if you are a member of any professional societies in the 9 field of epidemiology.
10 A. Yes. I'm a member of the Society for Epidemiologic Research
11 Q. And could you tell us a little bit about that society?
12 A.
It's a group of persons engaged in the practice of epi-
13 demiology and also publishes the only paper, journal, in the
14 field. The American Journal of Epidemiology.
15 Q.
Is that a peer reviewed journal?
16 A.
Yes, it is. I'm an associate editor of that journal.
17 Q. And as an associate editor of that journal what do you do
18 in connection with the journal?
19 A.
On request of the editor I review selcjcted papers that are
20 21 Q.
presented for publication. And what do you review those papers for before they're per
22 23 A.
mitted to be published in this journal? For accuracy, internal consistency, for whether the author
24 has examined and related his results to other results in the
25 field, and whether the writing is clear enough to be
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A.
understandable.
These reviews, incidentally, are anonymous.
And an anonymous review -- what is the advantage of an anonymous publishing in a review journal?
Essentially the reviewer can be as nasty as he wants without
fear of degrading people with whom he may be professionally
involved.
.
And does the society also conduct meetings?
It conducts an annual meeting, yes.
And are issues of interest to the epidemiologic field dis
cussed at those meetings?
Yes, sir, they are, particularly three day meetings in which
new research is presented in various areas. And the better
of these are then reviewed and published in the American
Journal of Epidemiology.
Doctor, are you also a member of any other organizations?
Yes. I'm a member of the American Statistical Association;
the Biometric Society; I'm a Fellow of the American Public
Health Association; a member of the Institute for Mathematical
Statistics; and a member of the British Royal Society of
Health.
When you say you're a Fellow of the American Public Health
Association, what does that mean?
The American Public Health Association has two classes of
membership. Regular membership and fellows who are elected
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to fellowship on the basis of their accomplishments in the field.
All right, sir. Dr. Gaffey, have you also published in the Field of
Epidemiology?
Yes, I have.
And could you outline for the Jury please in what areas you have published? What studies, in other words.
I was the co-author of the first study that established that vinyl chloride was a major cause of liver cancer.
, I have published, subsequently, studies of workers in the paints and coatings industry.
I'm a co-author of a study of gold miners, which has been| accepted for publication but has not yet been published.
Excuse me. In addition I was co-author of a publication of a study of lead solder workers. With reference to the gold miner worker study, is that the one you referred to earlier when the gold was extracted from
asbestos? Yes, that is correct. Have you published any papers on the analysis of epidemiologi
cal data?
Yes. I have published one theoretical paper looking at some
of the standard statistical calculations and I have another
one in preparation.
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Dr. Guffey, have you also reviewed and familiarized yourself
with literature -- with other literature, not just your own
you have published, but other literature within the field of
epidemiology?
-
This is almost essential to keep up with the field to read
the leading publications.
.
Would this include work published in the field of epidemiolog V
involving PCB?
Yes .
Dr. Gaffey, is it within your expertise in the field of
epidemiology to review the epidemiology publications that
appear in the scientific literature regarding, in this case,
PCB and to interpret their findings?
Very much so.
The federal government, in preparing various documents,
evaluating'the health effects of specific substances, has
these reviews done by government epidemiologists. Actually,
the process of reviewing a paper involves this because in
order to draw conclusions of a paper to interpret a given
topic I have to make sure the author himself has reviewed
those topics.
And finally, one of the most recent publications on the
Yusho incident was actually a review exactly this way of
all the studies done on Yusho papers both in Japan and
Taiwan.
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Was that in a standard scientific process in the epidemiolog- 1 ical community? Yes, indeed. The publication I talked about is in the American Journal of Industrial Medicine, first quarter of 1984 . Incidentally, how many studies are there as they relate to PCB' s
I'm talking epidemiology studies. It depends on how one defines it. I was able to find 22 in the search of the literature. Incidentally, were you asked to undertake a task that re sulted in doing exactly that by the American Chemical Society? Yes, I was. Have you spoken to various scientific groups regarding this subject? This is the epidemiology of PCB's? Yes. I have spoken to a meeting of the American Chemical Society symposium held by the University of Michigan and a symposium held by the EPA in Washington. And have the proceedings -- in other words your presentations on -- to these meeting in the field of epidemiology of PCB's been published? The ones from, the Michigan, symposium and the EPA symposium, yes.
MR. JUNGERHELD: Your Honor, at this time I would tender Dr. Gaffey as an export in the field of epidemiology.
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THE COURT: Any objection?
- MR. MC GRAW: Your Honor, as an epidemiologist
in practical experience I think he has got some qualifica
tions. But I think it -- we're stretching the expert
standard here by taking an employee of Monsanto who'a
evidently biased and asking him to be declared an expert by
the Court. I think we're going a little bit far by doing
that at this point.
THE COURT: Evidently biased?
MR. MC GRAW: Well, he is an employee of Monsanto
Corporation. Yet he is an agent speaking for the corporation
and now they want to bring him in and make him an expert
in this field for them. I just think that's stretching
the rules a little bit.
THE COURT: It is? I don't think so. I.'11
overrule the objection. I find him qualified.
Do you have any objection, Mr. Davidson?
'
MR. DAVIDSON: No, Your Honor.
THE COURT: I find him qualified as an epi
demiologist.
(By Mr. Jungerheld, continuing.) Dr. Gaffey, I'm going to
be asking you some questions that relate to your field of
epidemiology and again it was yesterday that you explained
that, but perhaps as a very short refresher would you explain
to the Jury again what an epidemiologist is and what the
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field of epidemiology is?
The field of epidemiology is the study of risks of general
health in specifically defined populations.
For example, the risk of lung cancer in smokers. The
risk of acute accident in coal miners. These are examples
of risks of ill-health in particular populations, and that's
the subject that epidemiologists study rather than the
occurrence of individual illnesses in individual fields.
Doctor, as an epidemiologist, tell me this: Do you have an
opinion as an epidemiologist as to whether the Yusho incident
that has been discussed previously in this Court and the
Yu-Chen, that is the Taiwan incident, as an epidemiologist do
you have an opinion as to whether or not those incidents were
PCB ?
MR. MC GRAW: Objection, Your Honor. I haven't
heard any evidence about the Doctor's knowledge of Yusho
or Yu-Chen.
MR. JUNGERHELD: Well, the next question was
going to be if he has an opinion, what the basis of that
opinion is.
THE COURT: Go ahead.
Do you have an opinion, Dr. Gaffey?
Yes .
THE COURT: He wants to know the basis of the
opinion
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Would you explain to the Court and to the Jury the basis
for your opinion about the Yusho and the Yu-Chen incidents?
I have read published accounts by the Japanese scientists who
investigated the Yusho incident, some of whom followed the
patients in that incident for a decade or more, and I have
read a recent report by a Dr. Navhuho Konito (sic) and
colleagues who looked also at Yu-Chen and made an evaluation
of the role of PCB in both of those incidents.
Have the Japanese and, indeed I guess others, published a
substantial amount of scientific literature concerning
Yusho and Yu-Chen?
Particularly Yusho, yes, the Japanese have published -- I
don't know how many. I have read only the Englished pub
lications .
You mean the English translated publications?
The English translated publications. Some of the publica
tions were published in Japanese and translated into English.
Others were published initially in English by the Japanese
scientists.
Do you read Japanese?
No, I do not.
So then you have read -- have you read then English versions
of the Japanese studies as well as those published in
English in the first place?
Yes.
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1 Q.
All right, sir.
2 And is it within the field then, as I think you have
3 already testified, of epidemiology to review these scientific
4 works for the purpose, of forming epidemiological judgments
5 as to such events such as Yusho and Yu-Chen?
6 A.
7 Q.
Yes. Then I would ask you what is your opinion as it relates
8 to the epidemiology of the Yusho and Yu-Chen events?
9 MR. MC GRAW: Excuse me, Your Honor. I still
10 object on the foundation and the hearsay element of what the
11 Doctor is going to testify to. I'm aware that these are
12 epidemiological studies that he is going to be testifying
13 about and if he's going to be taking these studies of Yusho
14 and interpreting the health effects I don't think he's
15 qualified to do that.
16 THE COURT: The medical -
17 MR. MC GRAW: The medical health effects and the
18 effects on the people in Yusho and the specific chemicals
19 involved.
20 MR. JUNGERHELD: Your Honor, I would suggest
21 that we have already had ample testimony from Plaintiffs'
22 experts on both Yusho and Yu-Chen. I recall Dr. -- well,
23 Dr. Miester, Dr. Chase and Dr. Zimmerman all spoke to those
24 very issues and -- well, with less background, I would offer,
25 than Dr. Gaffey has.
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So this is a recognized scientific principal, particularly
as we're dealing narrowly here within the field of epi
demiology, and it is a valid principal as he's indicated in
the field of epidemiology to address studies from an
epidemiological standpoint.
Now, I don't see any scientific problem with that what
soever and certainly there's not any evidentuary problem in
the way that this case is already proceeding.
MR. MC GRAW: Your Honor, I think the people
that Mr. Jungerheld mentioned were M.D.'s and toxicologists
who had the ability to comprehend this. Not to comment on
the literature itself and pull out the health effects they
feel are relevant without knowing the basis of these health
effects and the basis of the literature and further taking
all this hearsay evidence and trying to put it together in
statistical form here which really will be misleading.
MR. JUNGERHELD: I don't think so, Your Honor.
THE COURT: I'll allow it over the objection.
MR. JUNGERHELD: Thank you.
Dr. Gaffey, then could you tell us in your opinion or -
well, you have indicated you have an opinion as to Yusho
and Yu-Chen from an epidemiological standpoint. Would you
tell the Jury what is your opinion of Yusho and Yu-Chen
from that standpoint? From your field of expertise as an
expidemiologist?
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The examinations of both the rice oil and the blood levels
of the people in Yusho and Yu-Chen showed that there were
essentially three groups of chemicals present. There were
PCB1s, there were polyquaterphenyls, call them PCF1s,
and polychlorinated dibenzofurans, PCDF's. No doubt the
people in those incidences were sick.
Now, the later Japanese paper points out that there have
been observations of Japanese PCB workers whose blood levels
of PCB were higher than Yusho victims but showed no symptoms
of Yusho disease. The authors point out that these highly
exposed Japanese PCB workers had no PCF1s and no PCDF's in
their blood.
Furthermore, observations of the Yusho victims over a
decade showed that over that time the PCB levels in their
blood declined until they were approximately equal to the
background level in the population but they still had PCF's
and PCDF's in their blood and they were still sick.
Japanese concluded from this, and in my opinion they are
correct, that the active chemicals involved in the Yusho
illness were not PCB's but either PCF's or PCDF's.
They did further animal experiments that convinced them
that the PCF's were of little importance and that at least
in animals the PCDF's were the active toxins.
Dr. Gaffey, as an epidemiologist and with the background
that you have put before the Jury here I want to ask you this,
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this relates to some earlier testimony that occurred in the Plaintiffs' case: As an epidemiologist with the background relating to the epidemiologic consequences, if you will, of PCB's do you have an opinion as to whether the following conditions relate epidemiologically speaking from your standpoint to the PCB exposure, and that would be the following conditions: Depression, anxiety, decreased libido, impotence, tiredness, immune response, and enzyme induction? I have opinions about several of these.
Let me, if I may explain -The next question would be, yes, what is your basis?
MR. MC GRAW: Excuse me, Counsel. Your Honor, now he's going to explain the medical terminology and he's going to go into some diagnosis that have been already, as Mr. Jungerheld said,.brought out in this trial and I don't think he's got the expertise to do that.
MR. JUNGERHELD: Your Honor, Dr. Gaffey is offer ed only as an epidemiologist. We have had that testimony from toxicologists and they addressed this issue. We have had testimony from M.D.'s and they have addressed their field of expertise as it relates to this symptomatology of PCB. I would submit to the Court that this man is speaking from the standpoint of an epidemiologist, which I think has been shown by the foundation to be a field of expertise that has direct bearing on the human aspects of the
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alleged PCB exposure.
THE COURT: I'll allow it over objection.
Most of what I'm going to say represents not my own opinion but a quotation from published papers.
MR. MC GRAW: Excuse me, Your Honor. MR. JUNGERHELD: Well, we are interested in your
own opinion as an epidemiologist. That is what you have been qualified as.
I'm looking at these papers and evaluating them and assessing
what I think they tell me in terms of my opinion regarding
these conditions.
As an epidemiologist? As an epidemiologist. I'm not concerned with the diagnosis
that were made. I have no competence to evaluate a diagnosis.
But what I have seen, and it is on this I base my opinion,
are papers by Baker and colleagues and by Kreiss and
colleagues, who inquired of people with varying levels of exposures to PCB's what their illness experience has been
in various areas. These two investigators agreed that there was no difference between the high and low PCB exposed people in certainly the following matters: Number one, fatigue;
two, fever; number three, heart disease, doctor visits, the use of prescription drugs, reproductive problems.
It seems -- in my opinion if these people had difficulty
with their immune system it would mean to me they'd have more
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1 colds, or illnesses, more conditions requiring medical 2 attention. 3 MR. MC GRAW: Excuse me. Now he's going into 4 the medical field and his opinion talking about the immune 5 system and what it affects. He's an epidemiologist. You have 6 let him go into the literature. Nov/ he's going into the 7 people and their symptomatology and what they exhibit and 8 what they should exhibit in the immune responses. He's not 9 a doctor. 10 MR. JUNGERHELD: He's not being offered as a 11 physician. 12 MR. MC GRAW: Well, he's testifying as one. 13 That's the whole thing, Your Honor. 14 MR. JUNGERHELD: If I may finish my response 15 to the objection, Your Honor. 16 THE COURT: Go ahead. 17 MR. JUNGERHELD: I would remind the Court that 18 in a rather lengthy background relating to the field of 19 epidemiology we took some time to go through yesterday 20 afternoon Dr. Gaffey has indicated working with the -- as 21 a matter of fact he has indicated what an epidemiologist 22 does is to study the health effects of people. I forget just 23 exactly how the wording was. But nonetheless it is looking 24 at the health impacts over a group of people. Now, the 25 health impact, the health diagnosis, and these sorts of
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things are indeed done by others but nonetheless an epi
demiologist looks at these in terms of the representation,
if you will, in a particular group of people and it is this field to which Dr. Gaffey is addressing himself.
MR. MC GRAW: Just a minute ago he was addres
sing the immune system and testifying as to what effects he
would expect to see or what these people should have seen.
Now, that's going beyond anything -- that's going into the
medical field.
THE COURT: I don't think so. I'll overrule
the objection.
(By Mr. Jungerheld, continuing.) All right, Dr. Gaffey,
would you continue with the -- you were explaining the
literature you have indicated from the Kreiss study and the
Baker study and you looked at a large variety of health
effects and please continue with that answer.
Well, I v/as saying that there was no reported differences
between the high and low PCB exposed groups in such things
as doctor visits and use of prescription drugs. No difference
in illnesses that might be thought of as measuring a problem
with the immune system.
In addition to that Fishbein and colleagues, who looked ah.
a group of heavily exposed capacitor workers, said at the
end of their study there were remarkably few liver ab
normalities in this group.
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Dr. Gaffey, again from the standpoint of an epidemiologist,
do you have an opinion regarding whether or not, again I
emphasize we are talking about the epidemiological aspects
of this, do you have an opinion as to whether or not high
blood pressure, heart disease, or elevated triglycerides
relate to PCB exposure?
MR. MC GRAW: Your Honor, I'm just going to
make the same objection as to his qualifications to address
these issues.
MR. JUNGERHELD: I would make the same response.
I'm limiting his testimony to the field of epidemiology.
THE COURT: You're asking whether or not exposure
to PCB's has these health effects?
MR. JUNGERHELD: Is has been shown from the
epidemiological standpoint.In other words it's a similar
question, if not indeed an identical question to the prior
questions that we have talked about here. As an epi
demiologist does he have an opinion. Does he have an opinion
as to whether in the epidemiological field as it relates
to PCB's these particular conditions that have been men
tioned earlier in this case relate to PCB exposure?
MR. MC GRAW: Just so I'm clear, Your Honor,
he's testifying as to what he's pulling out of the literature
Not to what the causes or symptoms of these are? Just from
his understanding from someone else's work?
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THE COURT: That's correct.
MR. MC GRAW: Which is also hearsay.
THE COURT: I'll allow it.
(By Mr. Jungerheld, continuing.) Do you recall the question. Dr. Gaffey?
Yes. I'd like to preface it by saying there are some
generally accepted ground rules for going about examining
epidemiology studies to determine whether or not they actually
show cause and effect relationship.
Would you outline those to the Court and Jury, please?
These are stated more or less by material. The most recent
by Sir Richard Dow (sic), he is the man who discovered the
link between smoke and lung cancer. Dow's criteria are you
can deduce a cause and effect relationship in epidemiologic
studies if, first of all, the studies are unbiased; if they
are good studies; second, if the people who exposed have a
higher incidence of the health effect than the people not
exposed; second -- third, rather, if this is statistically
significant; and fourth, if there's a dose response relation
ship, that is if the more exposure the more ill health; and
finally, these findings must be repeatable in different studies conducted at different times.
So if we use these general guidelines to look, first
of all, at heart disease, say, the evidence we have on heart
disease is first of all from the Kreiss study where there was
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1 no differnce in reported heart disease; second, from the 2 several long term mortality studies, which were designed 3 primarily to look at cancer but which also looked at other 4 causes of death, none of them found any excessive heart
5 disease; and last, I think most important of all, PCB' s
6 are widespread in the American environment, at least, and 7 whether v/e like it or not we have an opportunity to observe
8 what happened to American mortality over the last 10 or 15
9 years in a situation at which PCB's were more or less
10 universal in the environment. One of the most startling
11 things that happened is heart disease started to go down in 12 the late 1960's and has from then until now decreased by 13 about 25 percent. Stroke has gone down, I believe, by that
14 much or more. 15 So we have, if you will, an epidemiology study of two
16 million people with a widespread exposure to PCB's over a
17 period of which heart disease went down rather substantially.
18 As a matter of fact the decrease was so much that when it
19 started Public Health statisticians thought something . 20 was wrong with the data and meetings were held to question
21 what mistakes have we made that have lead us to basically
22 believe that heart disease was decreasing, but in fact it 23 was real. 24 As to the issue of hypertension we have somewhat a 25 similar situation. That is we have a marked decrease in
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1 hypertension in the general population and we have two
2 epidemiology studies that looked at hypertension. One of 3 them, the Kreiss study, found an association. 4 The second one by Dr. Alexander Smith and his colleagues 5 found no significant association looking at a group of 6 utility workers that were involved in the maintenance and 7 repair of transformers that used PCB oils.
8 So again, in the case of hypertension we have a couple 9 of contradictory epidemiology studies and we have general 10 population data in which the mortality has gone down rather 11 substantially over a period in which there was general 12 exposure to PCB's. 13 On the matter of triglycerides there are some contra 14 dictory reports in the literature. The Kreiss study, for 15 example, finds that there is no excess triglyceride level 16 in five PCB exposures if you adjust for cholesterol level. 17 In other words Kreiss says the increase that is seen in 18 triglycerides comes from the fact that these are associated 19 with cholesterol. And if you say what would be the situation 20 if there were no differences in cholesterol levels, her 21 conclusion, there is noise association with triglycerides. 22 Other studies have found the opposite. I think one of 23 the issues here is whether PCB exposures lead to increased 24 triglycerides or whether people with higher triglyceride 25 levels absorb more PCB's. PCB's are absored selectively by
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1 fat. Triglycerides are related to fat metabolism. I think 2 there-is a real question as to whether the PCB caused the 3 increased triglycerides or whether the situation is in fact 4 the reverse.
5 Q.
Dr. Gaffey, the term statistically significant has come up
6 earlier and I notice you just mentioned it a moment ago. 7 Would you explain to the Jury the concept of statistical
8 significant as it relates to the field of epidemiology?
9 A.
well, 1 think -- yes. The way to start may be to remind you
10 of the school principal who was against intelligence testing
11 because he said every child in the class was either above or
12 below average.
13
Similarly, when we go an epidemiology study, particularly
14 the long term ones that I have been most involved with, we
15 end up at the end of our study with a list of observed numbers
16 of deaths from different causes, and then a list of expected
17 numbers. Expected numbers are derived through fairly
18 involved calculations essentially using the weights in
19 general population. The observed values almost never equal
20 the expected values. They're either higher, or lower.
21 For example, in a rare cause of death I find the expected
22 number of deaths is one half and I cannot -- every result
23 I find would be either below expected or above. Well,
24 intuitively most of us realize if you have small numbers of
25 deaths, observed deaths, there's kind of a random variation.
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1 That is if I do a study I may find four deaths from a
2 certain cause. If I do the same study over again I may have
3 three deaths, or five deaths so the fact that an observed
4 value differs from the expected value is not in itself
5 very important. If it differs so much that the result is
6 improbable, then we tend to believe it. So statistical
7 significance is simply the -- it's the result of a reasoninc
8 that says we will pay attention to the difference between
9 an observed and expected value if the difference is so great
10 as to be improbable and our threshold, that is by -- at
11 a usual convention, that if something has less than one
12 chance in 20 of occurring by chance alone we conclude that
13 it's real. So when we look at observed and expected values
14 we conduct a statistical experimentation and try to determine
15 the probability of that descrepancv occurring and if you
16 see probability by .4, .5, by the usual standards these
17 are not standards because the differences are quite likely
18 to have occurred by chance alone. If you see a difference
19 with associated probability of .04, one usually says this is
20 significant because it's less than one in twenty. So
21 statistical significance is the evaluation of the difference1
22 between what you see and what you expect to see and evaluatic h
23 in terms of how rare this would be and the decision, if
24 it's -- if the probability is below a certain amount a
25 decision that -- projectionally we will accept this differenc
_______________________ ____________________________________________________________ ________________________________________________
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6 Q-
7 8 A. 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Q. 25
as real. So generally speaking differences that are
statistically significant by convention are accepted as
real subject to other caveats. Differences that have
a probability of greater than .05 are generally considered not statistically significant.
Is the concept of statistically significant important.in the field of epidemilogy?
Well, yes. Of course, because if one didn't pay attention
to these probabilities then, for example, if I did a study
looking at mortality in 10 cases of cancer I'd expect five
of those would be -- more cancer would be acknov/ledged and
five of the cancers would show less. If I didn't pay
attention to statistical significance every epidemiology
study, even of a population that had no problem would always
show some excess, and it would be very easy to show that
everything is a carcinogen. Much the same as writing your
name is a cause of cancer. Without the technique for
evaluating whether a
difference is random or whether it's
so unlikely you have to pay attention to it.. So this concept
is a way of distinguishing between the variations you see
that maybe cause random background noise, and the variations
that are important and should be evaluated, or suspected of
being real.
Dr. Gaffey, from your standpoint as an epidemiologist do you
have an opinion as an epidemiologist as to whether
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carcinogenicity in humans, I'm talking about, relates to
PCB exposure?
The existing epidemiology studies provide no support for that.
Could you give us the basis for you opinion in that regard?
There are -- well, first of all in order to study carcino
genicity one must do more than simply examine a population
of living persons. Because the interval between an exposure
and the occurrence of cancer could be as long as decades.
A study of the relationship between anything, PCB's for
example, and cancer has to start by identifying a population
that was exposed to several decades ago, following them over
a period long enough so if it were cancer it would have that
time to develop, and looking at the mortality in that in
terval to see if there was any excess mortality.
There have been either three or four studies in the
literature, depending on how you choose to look at it.
There's a large study done by NIOSH. The authors are
Brown and Jones. I think they have been mentioned.
There was an Italian study. The senior author was
Bentazzi. There was an unpublished very small study of
Monsanto workers. The authors were Zack and Musch. And
there was a study by a Professor Anita Bahn, B-a-h-n, of
chemical workers.
Now, the final -- the last study, that of Bahn, was
never really published. It was announced in a brief note to
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1 the New England Journal of Medicine in 1977, and according
2 to the NIOSH criteria document on PCB's was withdrawn in
3 1977 because of some doubt as to whether the exposures were 4 accurate, whether the group study had been accurately 5 characterized as to exposure. It was never released. The 6 author died a couple of years later, but the study has never 7 been released yet.
8 Nevertheless, v/hether we consider three or four studies 9 the thing that they have in common is that they don't agree 1.0 with each other. In other words the final one of these guide 11 lines for incurring carcinogenitity, the one that says the 12 study should be repeatable, fails when we look at the studies 13 we have. The excesses that occur in Brown and Jones occur in 14 none of the other studies. The excesses, that occur in 15 Bentazzi is found in none of the others. The excess that 16 occurs in Zach and Musch is found in none of the others. The 17 excess that occurs in Bahn is found in none of the others. 18 Let's look for a moment at the Brown and Jones study, 19 because it's the largest of the group. It's a large group 20 of people. The average length of follow-up was about 16 and 21 a half years. Now, the Brown and Jones found an excess of 22 liver cancer. It was not statistically significant but it's
23 frequently mentioned and perhaps that's worth a little
24 more attention.
25 If you look at the actual publication by Brown and Jones
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1 you find that this excess of liver cancer does not obey one
2 of the basic rules, that is it does not -- the excess does
3 not get worse with increasing exposure. it gets less.
4 If you look at what is called latency, the interval
5 from the beginning of exposure to the occurrence of the
6 disease, again if it were occupational, the longer the
7 latency the greater the excess. But in fact what happens
8 in Brown and Jones is they look at three intervals after
9 exposure. First 10 years, second 10 years, third 10 years.
10 And that liver cancer excess is about six fold in the
11 first 10 years. It's about two fold in the second 10 years.
12 And there's a deficit -- it's less than expected in the
13 third 10 years. So the numbers involved are very small,
14 but if one looks at it it behaves just the opposite of what
15 one would expect. If you look at it by duration of employ
16 ment you find that all of the people who died from the liver
17 cancer had less than five years of employment.
18 Now, this again violates the other rule. A little bit is
19 bad, a lot should be worse, and here we have a situation
20 which apparently a little bit is bad and a lot is good.
21 What this means to me, this is not consistent with an
22 occupational explanation.
23 The other excess that gets a good deal of attention in
24 Brown and Jones, an excess of rectal cancer. And there
25 again, epidemiologically, the pattern does not make sense as
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21 Q.
22 23 24 25 A.
far as relationship to occupation, for one thing. The
excess is confined to one plant of the two that was studied.
It's confined to women in that one plant. And the third thin::
is the plant that was studied is in a part of the United
States in which the regional mortality rectal cancer is
high. There are regional differences in mortality for most
cancers.
MR. MC GRAW: Objection, Your Honor. Could we
get the foundation for this testimony.
THE COURT: You mean for the regional difference?
MR. MC GRAW: For the regional difference. For
all the papers he's citing and some of the cites and
background levels. He's impeaching these papers and I'd like
to know the foundation for v/here he's getting all this in
formation to impeach these papers.
THE COURT: Well, it sounds like most of it is
from internal, within the paper itself. But as to his
background in the area, v/hat is the basis of that informa
tion?
MR. JUNGERHELD: All right.
Dr. Gaffey, would you tell the Court and the Jury what the
basis is for your statement about a differing background
around the United States? Background incidents of cancers
of various types around the United States?
Yes. About 10 years ago the National Cancer Institute --
j
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Let me interrupt at this point.
Would you explain what the National Cancer Institute is ?
All right. The National Cancer Institute is a government agency. It's part of the National Institute of Health
which in turn is part of the Department of Health of Human
Services.
Are what you going to speak about then a publication of this
agency of the United States government.
Yes, it is.
All right.
This was a publication that resulted from calculations done
by epidemiologists who worked for the National Cancer In
stitute using data provided by the National Census Bureau.
Are you talking about the United States Census Bureau?
Yes, I am.
What the National Cancer Institute did was to identify
-- for all the major cancers they calculated mortality rates
by county for the United States. There was something like
3,000 such rates for each cause of cancer. They then ad
justed these rates because there are differing age dis
tributions in different counties and since cancer increases
with increase in age if you saw a difference between two
counties you might say we don't know whether this is a real
difference or whether it's due to age differences.
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22 Q.
23 24 25 ft.
adjusted these rates for age using standard techniques so
what they ended up with was a collection of rates which if
they varied from county to county would be for reasons other
than age. They did this for -- I forget how many, some 20 or
30 of the most important cancers and published this in a
book of rates. But in addition they published some
maps and the maps showed the position of each county with
respects to the rates with color.
For example, the counties colored red rates in the top
10 percent in the United States counties. And which -- rates
which were in the top 10 percent and were also statistically
significantly high, so you could look at a given cause of
death on one of these maps and the counties that were high
in the sense I described are red. And there are regional
groupings for different causes of death. For digestive
cancer, particularly, cancer of the colon, and rectum, there
is a stretch of red counties in the northeastern United
States. This is the area in which Plant No. 2 of Brown and
Jones is located. This is the reason why I said the back
ground rate in the area of that plant was high.
Now, the study that was done by Brown and Jones --
Let me interrupt a moment. Dr. Gaffey.
Would you give us the name of the government publication
that set out the county by county rates?
The senior author was a Dr. Mason and it's called United
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States Cancer Rates by County, 1955-1969.
This publication has recently been updated to 1979.
However, the picture, at least as far as corresponding to the
new one, have not been put out. Nevertheless, the National
Cancer Institute has said with respect to the update that
there are few major changes in the major causes of cancer.
A few things have gone up. Lung cancer has gone up. Cancer
of the uterus in women has gone down. Stomach cancer has
gone down but there are no trends that warrant a trend
early.
And with reference then to the incidence of rectal cancer
shown in the Brown and Jones study, are you relating that
then to what is shown in this publication of the National
Cancer Institute of the National Institute of Public Health
of the United States government?
Yes. Because of technical reasons Brown and Jones had to
compare what they observed to the United States first.
If they compared the rates of the counties in which the
plants were located it is clear that the excess in rectal
cancer would have been smaller. Whether it would have
disappeared or not I don't know. But there's no -- it's
clear that calculation with that other standard would have
reduced that excess.
I think that the finding in the other studies, because
of their size, are simply not in my opinion as important
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except for the fact, as I say, that the excess of Brown
and Jones disappear in the other studies.
Their excesses
disappear when you look at Brown and Jones. So v/hat we are
seeing in this collection of studies is just about v/hat you
would see if you studied a group of people who had no excess
risk. You would find, yes, indeed, every time you look at
a population there would be some increase in cause of death,
decrease in others. If you looked at three or four popula
tions you would see different rates in population cropping
up. Excesses, deficits. So what I see in these studies is
what I what I would expect as an epidemiologist. If I studie
a group of people that have nothing in particular on them.
Excesses would pop up in some and deficits in others.
Are you saying overall groups in all of these cancer '
.
studies --
Yes, I'm saying if I look at the studies that have been done
of established human carcinogens, asbestos, vinyl chloride,
nickel compounds, they are -- the studies are consistent.
All asbestos studies show an excess of lung cancer. All
vinyl chlorides show an excess of liver cancer. All nickel
studies show an excess of nasal cancer. Here we don't have
that consistency. The consistency that makes it convincing.
Dr. Gaffey, as an epidemiologist do you have an opinion as
to whether PCB's pose an unreasonable risk of harm to Mr. and
Mrs. Haley in ingesting milk and meat that resulted in the
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serum concentrations that have been testified to in this
1
2 case?
A. 3
The data -- most of the data that I have used or looked at
4 in reviewing the literature dealt with occupationally-
5 exposed people whose blood levels were quite high, more often
than not above a hundred parts per billion. In view of 6
7 the fact that there are no ill effects other than chloracne
8 in that group I -- in my opinion there can't' be health effect P
9 in any individuals or groups with the exposures which is
much lower than that. My argument is if nothing is found 10
11 in people with high exposures then nothing could be found
12 in people with low exposures. The argument if a lot of
13 it is harmless, less of it would be harmless.
14 MR. JUNGERHELD: Your Honor, I believe that's
15 all with this witness.
16 '
THE COURT: Mr. Davidson.
17 MR. DAVIDSON: No questions, Your Honor.
THE COURT: Mr. McGraw? 18
19 MR. MC GRAW: Thank you, Your Honor.
20 CROSS-EXAMINATION
21 BY MR. MC GRAW:
22 Q.
Dr. Gaffey, my name is Pat Me Graw. I think we have met
23 before once in St. Louis and once at Michigan State.
24 Just going through your curriculum vitae did you obtain
25 a Master's in between your B.A. and your Ph.D.?
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No, I did not. Doctor., we got a definition of the word epidemiology. Does the word epidemic have anything to do with the origin of that word? Yes. The first epidemiologists were people who studied epidemics, infectious diseases. Just had to do with infectious diseases? Yes. Did it go on to systemic diseases? Yes. Does it involve health and medicine? I don't think I understand your question. Now, I guess what I'm getting at, as an epidemiologist are you required to get involved into the medicinal treatment of people or to their health effects and the underlying causes for their diseases? No. Do you consider that important? It depends on what diseases are involved and it depends on what kinds of exposures are involved. Okay. Let's take heart disease. Are there numerous causes for heart disease? I believe so. Do the studies when they address heart disease, do they address the particular cause of the heart disease?
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1 A.
Sometimes, yes; sometimes, no.
2 Q.
So if. they didn't then would the study be any good in your
3 mind?
4 A.
Oh, yes.
5 Q. Oh, it would?
6 A. Yes, indeed.
7 Q. Why would that be? .
8 I guess what I'm looking at, you got heart disease,
9 you lumped your study into a general category of heart
10 disease. But then there are different causes of heart
11 disease. So now you're going to make a general statement
12 based on all the heart disease without looking at the in
13 dividual causes, which I think are important. Don't you?
14 A.
That depends. We know, for example, that there are people
15 who give certain kinds of answers on personality tests than
16 people who give other kinds of answers. We have no idea what
17 the cause and effect is but that difference is an epi
18 demiological observation and it has value.
19 Q.
Okay. As far as your studies go to show that one fact?
20 A.
Yes.
21 Q. Do you have a degree in medicine?
22 A.
23 Q.
24 A.
25 Q.
No, I do not.
Do you have a degree in public health?
No.
.
Was that offered at the time you were in school?
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1 A.
2 !| &
h
3
4
5
6
7 |i Q. 8 | A.
9
jt
!;
ij
10 ! i
11 j Q.
12 A. 13 1 14 !i A. 15 0. 16 A. 17 Q. 18 A.
19 Q.
20 A.
21 Q,
22 A. 23 Q. 24
A. 25
j Q.
Not in public health statistics, no.
Okay. ` What kind of medical classes have you taken to assist
you in your work?
I have taken classes in physiology and enzymology.
I've worked with physicians in the California Department of
Public Health for about 10 years.
What kind of physicians did you work with? These were physicians with -- physicians were
public
physicians.
'
Some of them with certification in pediatrics,
some in general medicine, and some in preventative medicine. Did you ever take any anatomy classes?
No, I did not.
Enzymology?
Yes.
Infectious diseases?
No.
Systemic diseases?
No.
What about chemistry?
I have had courses in inorganic chemistry.
What about organic?
No, I have not.
Biochemistry?
No.
Pharmacology?
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22 Q.
23 24 A. 25 Q.
No.
You related in your deposition that you did a study at Monsanto involving workers exposed to PCB's? If I did I was mistaken. Oh? The study was done but not by me. Were you involved in that study at all?
I was involved in reviewing the text of the write-uo Did you ever visit any of those plants?
Yes. Which plant was involved? That was the plant in East St. Louis. Did you come to any conclusions in that study? I'm afraid -- I didn't do a study. Okay. You reviewed that study though? Yes . Did it reveal anything significant?
No, it did not. Was it a good epidemiological study? Yes. The sample size was small, which was beyond our control, but the study was good. Okay. Was it one of your criteria that you have a large number of people to sample? As large as possible. Okay. Could you tell me what kind of people were involved
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2 A. 3 4 Q. 5 A.
6 Q.
7 A. 8
9 Q.
10 11 12 A. 13 014 A. 15 16 17 18 19 Q. 20 A. 21 22 23 Q. 24 A. 25
in that study?
They were people whose job histories indicated that they
had worked in the unit in which PCB's were produced. For how long of a period of time?
I believe one year. That is one year or more.
One year exposure?
Yes. That is one year of employment in the unit in which
they were -- in which the material was produced.
Okay. They all didn't have the same job then with touching
it or sealing it?
Some of these could have been truck -
drivers? Some of these could have been foremen?
They were hourly workers so they would not have been foremen.
Okay. They could not have been truck drivers because that would
have been reflected in their job title. Since we're looking
at exposures in that case before 1966 the people who did the
study were limited to the records that were available by
their work histories.
What kind of records were available?
A typical work history record. Gives, as a man changes jobs,
the date on which he entered the new job, the title of the job, and the location at which the work was performed.
j
Okay. Were all these people the same race? Same sex?
They were all male. I don't know whether they were all the
same race or not.
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1 Q. 2 A. 3 Q. 4 5 A.
6 Q.
7 A. 8 Q9 A. 10 & 11 12 A. 13 & 14 A. 15 16 17 0 18 A. 19 0 20 21 A. 22 o. 23 A.
24 Q.
25 A.
Did- you know at the time of your deposition?
Not that I can recall.
Do you know the average daily exposure that these people were
exposed to?
No, I do not.
Do you know the degree of exposure?
No.
Do you know the route of exposure?
I don't know the route of exposure, no.
Okay. You think those would be important in doing a good
epidemiological study?
If they could be determined they would be important.
And if not you just forget them and do the study anyway?
The study has value. It may not -- you may not be able
to quantify a relationship but if you find nothing the study
has some value.
To who?
To the workers mostly.
You talked about vinyl chloride. What is the chemical com
position of vinyl chloride?
I don't know.
Is it similar to polychlorinated biphenyls?
No. It's a much simplier compound because of the molecule.
What does the molecule look like?
I'm afraid I can't tell you right now.
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What does the molecule of PCB look like?
I can tell you in very general terms.
That's fine. I'm just trying to see what the similarities
between vinyl chloride and PCB's.
The PCB molecule is essentially a couple of benzine rings
which are hexagons of carbon molecules attached together
by a couple of oxygen atoms and to the periphery of that
ring can be attached varying numbers of chlorine atoms.
The number of atoms distinguishes between the biphenyl and
the triphenyl and the quaterphenvl, and the position in
\ which those atoms are attached determines to some extent
the chemical properties of the substance.
Okay. We were talking about the atoms. You're talking
about the placement of the chlorines on the benzine
rings?
That is correct.
Vinyl chloride, that also has chlorine in it, does it not?
Yes.
And does it also involve benzine rings?
No, it does not. But in addition vinyl chloride is a com
pound -- polychlorphenyl, or class of compound.
Meaning v/hat? When you refer to a class of compound how
are you referrring to that?
Oh, of the molecular makeup I described there could be
several variations on that I can picture, depending on the
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5 Q.
6 7 8 A. 9
10 Q.
11 12 A. 13 Qi 14 A. 15 0. 16 A.
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18 19 20 A. 21 Q. 22 23 A. 24
25 Q.
number and placement of the chlorines. They would all be
called PCB's. In the case of vinyl chloride there is a
unique formula and that formula -- and that one only is
vinyl chloride.
Okay. Would a unique formula be something like Aroclor 1254
where you know the placement of the chlorines and the percent
chlorination?
If I recall Aroclor 1254 is a compound defined only by the
percent of chlorination so it is not a unique compound.
Have you ever done any studies directly related to Aroclor
1254?
No.
Do you know what the chemical involved in this case is?
It is one of the class of PCB ' s .
Do you know which one?
I believe it's 1254 .
You testified you reviewed the literature with regard to
PCB's. The literature reviewed, does that use consist of
epidemiologic studies?
Yes.
And those studies, did they summarize a lot of other studies
to get effects?
A typical -- such study, particularly when they present their|
results, will refer and compare them to previous studies. Epidemiological or reviewed studies?
j !
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1 A. 2 03 4 5 A. 6 Q. 7 A. 8 Q. 9 A.
Sometimes both. When you reviewed this literature with regards to the health effects caused by PCB's or halogenated hydrocarbons, did you see any effects that related to the liver?
Yes. On the liver enzymes? Yes. On the immune suppression system? No.
10 Q, 11 A. 12 Q. 13 A. 14 j Q.
On dermatitis? Yes. Carcinogenicity? No. No studies on carcinogenicity?
15 A. i
16 | 017 A. 18 Q. 19 A. 20 Q. 21 A. 22 Q. 23 A. 24
25 Q.
You said studies that showed effects? Okay. And no, I saw no suchstudies. Are you familiar withRene Kimbrough? Yes. Did her study show any effects?
She's never done an epidemiology study on PCB 1 s. Did she do anystudies with carcinogenicity?
If she did they were with animals, which is beyond my province. Okay. You don't know what she found even with regard to
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1 animals ?
2 A.
Only what people have told me.
3 Q.
Okay. Did any show effects in increased blood pressure?
4 A.
Did any?
5 Q.
Any studies you have looked at show an increase in blood
6 pressure?
7 A. Yes.
8 Q.
What about fetal toxic effects?
9 A.
I'm aware of no studies that directly address this. But
10 the study of Kreiss addressed it by asking, the exposed
11 12 Q. 13 A.
people whether there was any problem. Okay. Reproductive effects? The same answer. Kreiss addressed the issue by inquiry of
14 the subjects which she studied.
15 Q. Arthritis?
16 A.
Baker addressed that question. Again, by inquiry amongst the)
17 people that he studied.
18 O' Stomach
19 A.
That was also true of the Baker study, yes.
20 Q. Early abortions?
21 A. Kreiss made inquiry in that area.
22 Q. Irregular menstrual
cycles?
23 A. I'm not aware of any study.
24 Q.
On those symptoms I just listed have you done an epidemiologic
25 study on any of those individually?
.
Tri-City Court Reporters
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I have not.
Do you know how many PCB articles there are in the litera
ture? No.
Do you have any idea?
If one includes animal work I imagine it must be several hundred.
Do you know how many there are. including halogenated hydro carbons in general?
No, I don't.
Could you venture a guess?
I'm afraid not because it's such a wide class of chemicals
I have no idea.
Would you agree there are thousands of articles on that?
There might be.
How many did you review for today?
Twenty-two.
Doctor, when you talked about a paper, or talks you gave,
was one entitled,- "The Epidemiology of PCB' s, "byWilliam
R. Gaffey, Monsanto Company, September, 1981?
That's correct.
Was that the study you also, or talk, you gave at Michigan
State University?
No. At the Michigan State University I looked at the study
done after 1978 in somewhat more detail and reviewed those.
Tri-City Court Reporters
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Were those all industrial exposures?
No. They included the studies by Baker and Kreiss, which
in the first case were mostly community people and the
second case entirely community people.
How were those community people exposed?
In Baker's case he looked at some people who used municipal
sludge in their gardening. This sludge had an elevated level
of PCB's. He had a second group, I think, who were, I be
lieve relatives of PCB workers or families and third, he
had a general community group.
In the case of Kreiss, he looked at people in the
community which consumed fish that had unusually high levels
of PCB's.
And where was the location of that study?
It was in Trinana, Alabama.
Where were they getting the fish from that they were con
suming?
I can't tell you the name of the river but it was fish
caught locally and consumed in a local river. I don't know
the name.
Was it near Anniston?
I have no idea.
Does Monsanto have a plant in Anniston?
Yes. Doctor, are you familiar with the paper I have just mentioned 7
Tri-City Court Reporters
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Yes .
Okay. I just wanted to ask you a few questions as I was
going through it. Sure.
I wonder if you would answer those for me? How far back does the literature go in talking about effects of PCB's in
humans ? I don't know. If you ask me about an epidemiology study,
you know. Okay. Epidemiological?
I think the first -- let's see, there was a report by a
Meigs, W. Lester Meigs, which was not strictly an epi
demiological study but nevertheless ended up looking at
risk. That was sometime before the Yusho incident. I
believe it may have been in the '40's.
The rest of the epidemiology studies essentially followed
the Yusho incident so they ran from about 1969 on up. Okay. When you did this paragraph on PCB' s you entitled it, "The Epidemiology of PCB's," but I notice throughout
the article you in your bibliography you refer to articles
going back in the '30's?
Yes. If I'm not mistaken what I said at the beginning is
that this is an example of the things that are not epi
demiology, although they may be useful in guiding subsequent
studies. I started it by saying I wanted to distinguish
Tri-City Court Reporters
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between epidemiology and clinical reports such as, and
it gave a couple of examples that found their way to my
bibliography.
You are aware of clinical reports that have been done on
the effects of PCB's?
Oh, yes.
When was the first clinical effect that you are aware of
with regard to exposures to PCB's noted?
I believe there was one in the '30's, although it's a little
bit hard to say. The substance referred to was halo wax.
I know about that because it as an example -
Halo wax is a halogenated hydrocarbon?
I'm afraid I know it only as halo wax because I didn't
read the study after I found out that it was a clinical
report.
Did you cite that in your publications?
I cited the study as an example of something that was not
an epidemiology study.
But you didn't read that study before you put it in here?
Oh, I skipped through it and found it said things like a
report of some people got sick. Well, that was sufficient
to identify it as not being an epidemiology study.
Why was that?
Because there was no attempt to look at the people who did
not get sick which were similarly exposed.
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Did the article say anything about the oeople that did not
get sick who were exposed?
No, it did not. It did not. This was a clinical descrip tion of people who got sick and so it was of no assistance to me in looking at matters of risk.
So if you see a lot of articles which show exposure and some
clinical signs or some injuries, unless they show a control
group you don't consider it?
I think it might be a good reason to do an epidemiology
study.
Okay. If you were seeing the signs back in the '30's or
40's, you think that might be a good reason to start an
epidemiological study?
If I saw them and if there were any epidemiologists around.
Were there back then?
Not many. Do you know what kind of or types of effects were noticed
in the literature in the '30's and '40's?
No, I do not. You also talked about in your studies that you did they
fell into three categories. One was a relationship between exposure to PCB's and the resulting body burden of PCB's
in serum or adipose tissue?
Yes .
Then you talked about the relationship between the level of
Tri-City Court Reporters
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exposure and the body burden. If those can't be verified
the interpretation of the studies become difficult if not
impossible? That's correct.
So in other words, what we need is some way to verify the
body burden of PCB's with the exposure?
No. That was already verified by the studies that I review
ed .
What? The body burden?
The studies that I reviewed showed that the greater the
exposure the greater the body burden.
Now, if they had failed to show-that I would have said,
well, we're wasting our time in all these epidemiology
studies because if I can't show that people who are occupa
tionally involved in PCB's have a higher body burden there's
no point in doing the study. But the material I reviewed
showed in fact there was a relationship so it just justified
going on and looking at these other studies.
What kind of exposure is needed to get a body burden of,
let's say, 10 ppm adipose tissue?
I have no idea.
What about 50 parts per billion serum?
I don't know. Except the officiators in the Triananl popu
lation at the older ages had levels of around 60 parts per
billion, if I recall correctly.
Tri-City Court Reporters
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In their serum ?
In their serum.
What about their adipose tissue?
No adipose tissues were made.
Do you know what the Haleys' adipose levels.are?
No, I do not.
Do you know what their serum levels are?
I know Mr. Haleys' was 50 parts per million.
Do you know Mrs?
No, I do not.
You gave an opinion, Doctor, on whether they are at an in
creased risk based upon their serum levels and their fat
levels and knowing what their body burden is. How could you
give an opinion without knowing that?
I don't believe I gave an opinion based on their fat levels.
And what I said, I did not know what Mrs. Haley's level was.
I know that it was lower than that of her husband, but I don' ,t
know precisely what it was. So I'm dealing here with a
situation in which the serum PCB levels are 50 parts per
billion or less. Have you seen any documentation to that effect?
No.
Did you take into consideration what they have in their
adipose tissue?
,
No, I have not.
TH-City Court Reporters
5226 State St. Saginaw, Michigan 48603
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1 Q.
Why don't you do that?
2 A.
Because practically none of the epidemiology studies on
3 which I base my opinions have measurements of adipose
4 tissue.
5 Q.
Okay. In your paper you talk about two epidemiology studies
6 of accidental exposures were reported. You talked about 7 Meigs who in 1954 described an outbreak of chloracne in a
8 plant in which a process changed introduced an unspecified
9 PCB compound into the work environment.
10 First of all what is an unspecified PCB compound?
11 A. 12 Q.
I don't know. I believe I quoted Meigs. Okay. You said seven of fourteen exposed workers developed
13 chloacne.
14 A. Yes.
15 Q.
But liver function tests were normal in six of these with
16 some borderline abnormalities in the seventh?
17 A. That' s correct.
18 Q. What about the other seven workers?
19 A.
I don't believe Meigs examined any except those who got
20 chloracne.
21 Q.
So you're saying seven out of the fourteen had -- or six
22 of the fourteen had some normal liver function tests, the
23 seventh was borderline abnormalities, and you're saying he
24 didn't study the other seven if they didn't get chloracne?
25 A.
He didn't report on the other seven.
Tri-City Court Reporters
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Do you consider that a good epidemiological study? He
didn't look at the other seven? Reports on half having
normal liver, and just ignoring the other half?
In my opinion the ones that got chloracne probably had a
higher exposure than the ones that did not. I would rather
that he looked at the whole group but I'm convinced that he looked at the group with the higher exposure. The 50
percent who had the higher exposure.
Did you ever talk to Meigs?
No. .
Just looked at his paper?
That's all.
And your conclusions are from his paper?
That's correct.
And you don't know the PCB compound he is talking about?
No, I do not.
You don't know for sure if the other six people then -
whether they had abnormal liver function or not?
No, I don't.
You also said that in here, talking about the Yusho incident,
they showed elevated serum triglyceride levels, lower-
serum cholesterol, and serious cases elevated SGOT and SGPT
levels in serious cases?
I believe that's correct.
Do you know what the SGOT and SGPT tests are for?
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5226 State St. Saginaw, Michigan 46603
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They test the induction of the various liver enzymes.
Have you ever seen any epidemiological studies that tested
these liver enzymes? No.
Do you know that PCB's do effect liver enzymes?
In certain cases, yes.
Do you think that would be an element to look at when you
do a study then to find the liver function?
Oh, yes.
You also talked about the percentage of cancer deaths being
35.4 predictor in which the deaths occur and you qualified
that by saying it wasn't useful for several reasons?
Yes.
But at that time was there cause for concern, do you think,
about the effects of PCB? Whether they did cause these
effects?
My gosh, no. The cases -- the situation that you have
described, all of these deaths were reported as of approxi
mately 10 years after the PCB incident. There's no indica tion in the report which I read of when those deaths occurred.
They may have occurred any time over that 10 year period and
even if they had occurred at the end of that 10 year period that latent period is shorter than what most people would
accept as being reasonable for suspecting PCB's as a cause
of cancer.
Tri-City Court Reporters
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2
How long a latent period do you think we'd have to look at PCB's for a cause of cancer?
3 A. I'd say 15, 20 years.
4 Q. What is the latency period in other chemicals? Asbestos?
5 A. If I recall it's 15, 20 years. It's longer for some. Longer
6 for mesothelioma. It's 30, 40 years. For the average 7 latent period I'm talking about.
8 Q.
Do you know whether it's been reported what the latency
9 period is for PCB's?
10 A.
Since they're not carcinogenic they have no latency period.
11 Q. That's in your opinion?
12 A.
That's in my opinion. But that aside, I've never seen any
13 reference to latency periods for PCB's.
14 Q. Have PCB's beendeclared carcinogenic inanimals by any
15 governmental agencies?
16 A. Yes.
17 Q.
Does that lead you to conclude there might be a latency
18 period?
19 A.
20 Q.
In animals. In your paper you didn't say anything about PCB's not being
21 a carcinogen in humans, but you did make the statement after
22 you -- less than 10 years cannot be calculated on the death
23 of those people. Then you went on to say that this may well 24 be too short a period of cancers for exposure to show up. 25 Did you have an idea that PCB's were carcinogenic?
Tri-City Court Reporters
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1 A. No. I said if they were then I'd expect a latent period
2 similar to that of other carcinogens, so I would want more
3 than 10 years.
4 Q.
If PCB' s are considered carcinogens for animals do we nor
5 mally consider they are suspect for humans or should be 6 treated as such?
7 A.
Depends on the analytical evidence. And it also depends
8 on what you mean by suspect. Certainly the international
9 agency for research in cancer has classified PCB's as an
10 animal carcinogen but considers the human evidence inadequate.
11 Q.
Do they also say it's a suspect human carcinogen?
12 A. Yes. But I just defined what we mean by suspect carcinogen.
13 Q, Do you know what they mean when they talk about a carcino
14 genic risk?
15 A. Are you talking about --
16 Q. The one you have been talking about.
17 A.
Yes, I believe I did.
18 Q.
What is the definition they used?
19 A.
I can't tell you right offhand.
20 Q.
Maybe I can help you and you can tell me if it sounds
21 familiar. The probability that exposure to the chemical
22 will lead to cancer in humans?
23 A.
That seems a reasonable definition. Certainly.
24 Q.
Do you recognize the International Agency for Cancer as
25 reliable ?
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In areas to which they have addressed themselves. Although,
I have criticisms of some of their work.
You don't think they're an agency -- you mean in the cancer
area? I'm not talking about the other work that they do. I'm talking about the cancer aspect.
So am I.
All right. So they are qualified in the cancer area?
No. I say I object to some of the work they have done in
that area. Particularly with respect to PCB's.
All right. Are you aware of when we talk about the relation
ship between PCB's in blood levels, are you aware of besides
the Kreiss study any others?
There a number of Japanese studies of Japanese PCB workers
that have measured blood levels. I can't recall offhand
to what extent. They also measure air levels so as to get
a comparison.
Are you familiar with Dr. Humphrey's work in the State of
Michigan?
Yes.
Are you familiar with his work in the area of the silo farmers
and fish eaters?
I'm familiar with his work on the fish eaters.
You were at that seminar at Michigan State? The symposium
on PCB's? Were you there when Dr. Humphrey gave his presen
tation?
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I think I was.
And relating the incidences of cancer, they found up to
that point between the fish eaters and the silo farmers?
He didn't find any in the fish eaters.
How about the silo farmers?
If I recall he said he found a small amount or at least
he found a preliminary -- I don't recall any detail.
You don't recall the numbers?
No, I don't. Because I would have expected this to be
published and we don't -- you know, here we have something
that had it been developed it would have been published.
You never saw the published form of that then?
No, I have not.
Have you looked for it?
'
Not recently, no.
Does higher exposure to PCB' smean a higher body burden?
On the average I believe itdoes.
We talked about the Haleys' fat levels here. I don't know
if I told you exactly what they were. Do you know what kind
of exposure they had been subjected to?
No, I don't. Except in the mostgeneral terms.
Do you know how long their exposure was?
No, I do not.
Do you know the dose they were getting?
No.
Tri-City Court Reporters
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3863 WATER PCB-00046542
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Doctor, at the end of your paper you kind of summarized the
PCB epidemiological studies other than mortality.
Yes.
In the summary of findings you listed 17 studies, and they
had all the studies listed, and then you had three areas of
findings. Dermatologic; physiological; symptoms and illness;
and others. Excuse me, four. What are the others?
If I recall -- let me see the symptoms and illness -- I think
I classified and others a study that found altered pulmonary
function levels which, if I'm not mistaken, I couldn't
decide whether that was a symptom or an illness.'
If there's a blank in there does that mean there wasn't
anything looked at in that area? That' s correct.
ii
Okay. And out of these 17 studies here, how many out of
the 17 found dermatologic findings?
Eight.
How many found physiological parameters?
Ten.
What about symptoms and illness?
Two. And others which you referred to as pulmonary functions,
how many did they find?
One. And how many times was that looked at in there?
Tri-City Court Reporters
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1 A. Once.
2 Q.
How many studies did you list in the back of that booklet
3 which showed the inconsistencies in the study of cancers 4 in PCB exposed to populations of findings?
5 A.
I believe in the earlier paper there was four.
6 Q. Is there an updateto this?
7 A. No. Except one of them -- this one waswithdrawn, you see.
8 Q. Do you know if that was because she died, or was itbecause
9 of some other reason?
10 A.
It was withdrawn approximately two years before she died
11 and the NIOSH criteria document on PCB's states it was 12 withdrawn because there were doubts about the accuracy of
13 the classification of the exposed population.
14 Q.
Who withdrew it? NIOSH or Bahn?
15 A.
Bahn or her representative. I don't know which.
16 Q.
Do you know what she died of?
17 A. She had a stroke.
18 Q.
On these four studies here, how many were studied in the
19 Bahn study?
20 A. There were 92 .
21 Q. What were the findings?
22 A. 23 Q.
24 A.
25
An excess melanoma. What is a melanoma?
It's a type of skin cancer. Most skin cancers are not
really serious. Melanomas is the type which is and can be
Tri-City Court Reporters
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fatal.
1 Q.
Are there any skin cancers, if you know?
2 A.
I beg your pardon?
3 Q. Are there any skin cancers that are not serious?
4 A. You get them by suntan and the majority are treatable in
5 a doctor's office and not lethal. Might consider the price
6 of the suntan.
7 Q.
What about the study by Zack and Musch? That was, as you
8 said, Monsanto's employees?
9 A. That's right.
10 Q. How many people did theystudy?
11 A. Nine.
12 Q.
And what were their findings?
13 A.
The only excess was one of lung cancer. I forget onhow
14 15
16 Q.
many cases it was based but it was not statistically signi ficant. What about Brown-Jones? How many did they study?
17 A.
A large number. Two thousand five hundredsixty-seven.
18 Q. 19 A.
20 Q.
21 A. 22 Q.
What kind of cancers did they find? Liver and rectum. What about Bentazzi? How many she study? I think it was a he, but anyhow it was 1,310 people. What kind of cancer didthey find?
23 A.
Digestive, hemaphic . and hemaphoric, lukemia and lothorium. (3i_c
24 Q. 25 A.
Do you agree with any of those studies and their findings? Well, I agree with most of them.
i
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Okay. Because they said further investigation is necessary. We
don't think this means much.
Okay.
THE COURT: At this hour, Mr. McGraw, we'll take
our recess. Members of .the Jury, retire to the Jury Room.
We will
call for you in about 15 minutes.
(Whereupon at 10:30 o'clock A.M., a;recess was taken.)
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THE COURT; Mr, Me Graw?
MR, MC GRAW: Thank you, Your Honor.
(By Mr. Me Graw, continuing;) Doctor, when. we left off we
were talking -- v/e had just left Bentazzi's study you had review ed .
I wanted to ask you, have you ever heard of a publication
from the U.S. Department of Health and Human Services, Public
Health Service, which was put on by the National Toxicology
Program at Research Triangle called Carcinogens?
No, I have not.
Maybe I can show you the book and you might recognize it?
Not offhand, I'm afraid.
The participants for that were the Department of Health and
Human Services, National Toxicology Program, Centers for
Disease Control, Consumers Product Safety Commission,
Environmental Protection Agency, Food and Drug Administra
tion, National Institutes of Health, National Cancer In
stitute, National Institutes of Health, National Institutes
of Environmental Health Sciences, National Institutes of
Health, National Library of Medicine, Department of Labor,
Occupational Safety and Health Administration.
Do those seem like an impressive list of people that
would have some knowledge in this area?
Extremely so.
Do you think that booklet may be something you would want to
Tri-City Court Reporters
5226 State St. Saginaw, Michigan 48603
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1 consult when you are looking at carcinogenic data?
2 A.
My recollection is that the National Center for Toxicological
3 4 Q.
Research confines itself to animal investigations. So what you are saying is there is no inclusion of humans
5 mentioned in this booklet?
6 A. 7 8
I don't know, but on the face of it I would have said that since it occurred at.the locality of the NCTR, I would have expected it to be concerned with animal work.
9 Q.
Do you have anything to do with estimating risk reduction
10 as an epidemiologist?
11 A. No.
12 Q.
Do you know whether EPA has included PCB1 s on its list .of
13 14 A.
carcinogens? It has been ordered to ban PCB' s because of the passage of
15 the Toxic Substancs Control Act.
16 Q.
Which states what?
17 A. It states that PCB' s are carcinogens.
18 Q. Does that contradict what you said earlier that you don't
19 20 A. 21 Q.
think PCB's are carcinogens? Yes.
Do you have an opinion now whether they are carcinogens or
22 23 A.
24 Q.
25 A.
not?
They are not.
They are not?
(Witness nods head.)
.
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You disagree with all those agencies?
Yes. That is, I disagree with what you have implied to be the position of those agencies. I don't know what their position actually is. Okay. What kind of people are involved in those agencies? Are they medical doctors, toxicologists? It's impossible to give a simple answer. They cover a broad range of spectrums? If you included NIOSH, they included epidemiologists. Is NIOSH the only one that includes epidemiologists? No; NIEHS -- well, I take that back. EPA may have had some epidemiologists -- what is the date of that conference please? December, 1981. They may have had an epidemiologist or two at the time of that. Do you know what those epidemiologists had to say about PCB's and carcinogenicity?
No, I do not. Doctor, you said that the Japanese scientists concluded in the -- I suppose we're talking about Yus'no when you are talk ing about Japanese scientists, rather than the Taiwanise
incident. The reference that I made to the 1984 paper, the Japanese
scientists looked at data from both Yusho and from the
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5226 State St. Saginaw, Michigan 4&603
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Taiwan incident.
And, in your opinion, they concluded that PCDF's were the
active toxin?
That is correct.
How are PCDF's manufactured?
First of all, I don't believe they are. I believe they're
contaminants, but I don't know how they're produced.
Are they contaminants of PCB's?
They have been of some PCB's.
'
Of Aroclors?
I don't know.
Cantaclors ?
Yes .
Do you know the percentage of chlorine that was involved in
the Yusho incident?
No, I do not.
Did these studies that the Japanese scientists reported on,
did they look at the blood serum?
Yes.
And that was in parts per billion?
That is my recollection.
Well, how was blood serum normally reported?
Parts per billion.
Did they look at the adipose tissue?
If they did, I have no recollection of it.
Tri-City Court Reporters
S^^6 State St. Saginaw, Michigan 48601
3871
WATER PCB-00046550
1 Q. 2
Your opinion is based on -- you said that the blood serum levels had declined as far as PCB's went?
3 A. Yes. 4 Q. But PCDF's were still present?
5 A.
They had also declined but were still present.
6 Q. Are PCDF's lipophilic as are PCB's?
7 A. I believe they are.
8 Q. So they also would be in the fat then?
9 A. I would expect so.
10 Q.
Do you think, if they were measuring this decrease in PCB
11 blood levels, that they should also look and see if there's
12 a decrease in the PCB blood -- or, excuse me, tissue levels?
13 A. Probably would be a good idea.
14 Q.
Which do you consider more reliable or do youhave
-
15 A.
I have no opinion on that.
I think thatwould bea medical
IS matter.
17 Q.
You also talked about three different studies, one was heart
18 . disease.
19 What study was that?
20 A.
First there was the Kreiss study in which she queried
21 people about presence of heart disease. But in the long
22 term mortality studies that were primarily interested in 23 cancer, the very nature of the study requires you to get
24 information on all causes of death.
25 So the data published in those studies, although the
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authors may choose to talk about cancer, involves cal
culating observed and expected mortality from heart disease
as well. And these studies then constitute additional
evidence.
Okay. What was the other -- was the other study Smith or
was that hypertension? The other study with respect to -
Heart disease.
Kreiss is the only I remember other than the mortality
studies.
I think what you have referred to, and I have down, is the second, is the study that you said withtw.o million people
talking about -
I'm sorry, you're right. I referred to it as a study. It's
infect national statistics for the United States.
And what is that?
Mortality is routinely calculated for most of the causes of
death for the United States population including heart
disease and some of its major subdivisions such as hyper
tension . And you indicated with the widespread use of PCB's and that
heart disease had gone down?
Yes . Does that lead you to think that PCB's are beneficial for
heart disease; that anybody with a heart disease should drink
Tri-City Court Reporters
5226 State St.
Saginaw, Michigan 48603
3873
WATER PCB-00046552
1
oc. A. 3 Q. 4 A. 5 Q.
6
7 A.
a gallon of PCB's and --
No. For one thing it would be a formidable accident, but --
A formidable accident?
Laxative. Laxative. Okay.
PCB's act as a laxative, too? I haven't read that one.
It's actually hearsay.
Ihave no firsthandevidence.
8 No, I think the significance of that drop in cardio
9 vascular disease is that there is certainly no widespread
10 problem from the widespread PCB distribution other than the
11 one that you suggested as a potential one.
12 0- , I haven't suggested that one yet.
13 The studies in hypertension, you said they were con
14 tradictory at this time?
15 A.
Yes.
16 Q.
Are there studies that show thathypertension
are produced
17 or aggravated by PCB's?
18 A.
Yes, there is one study, not -- I'm sorry, I take that back.
19 There is a study which says that hypertension is associated
20 with PCB's, but this was a study in which the population was
21 exposed not only to PCB's but to DDT, and that is the only
22 study that shows this association.
.
23 Q.
Do PCB's have a synergistic
effect, meaning the PCB's and
DDT's are they going to interact with each other?
A. I wasn't suggesting a synergistic effect, I was suggesting
Tri-Cifiy Court Reporters
522.6 State St. Saginaw, Michigan 48603
3874 WATER PCB-00046553
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that DDT could be the causative agent. I don't know whether
there is any syngerism involved with PCB's and any other
substance.
Can you rule out the PCB's as a causative agent in any of
these studies entirely?
Are you talking about as a cause of hypertension?
As a cause of hypertension, heart disease, triglycerides?
Proving a negative is difficult, but certainly if I came to
these studies with no advance opinions about PCB's , I would
find no reason in the studies to say that they had anything
to do with any of these conditions.
'
Where did you get your advanced opinions regarding PCB's? Many of them came from animal work, some came from the Yusho
incident,, You have looked at a lot of animal work then? No, no, I haven't. But people who have done these studies
have referred to animal work as the material that generated their suspicions. Do they extrapolate these animal studies into human studies? No. What they say is this is what was found in animals, let's look and see if we find this in humans. Do they relate the direct effects like if an animal does one thing, is a human going to do the same thing? Some people have conducted investigations based on that
assumption.
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Are they reliable?
The investigations are reliable. The assumptions I think
are frequently shaky. Say, if you have a rat that is ingesting PCB's or being
dosed with PCB's, can you extrapolate that to a human? I have opinions, I'm not an expert.
Well, let me --
And I would say it depends, it depends. I've been told
that, for example, a rat's liver is quite an unusual organ
compared with the human liver. I would suspect -- I per sonally would be suspicious of extrapolations based on the
liver. There are other areas in which I might not be.
What about taking a rat study and taking the rat that is this big, making it weigh a hundred pounds.
Would you extrapolate to that? Oh, I think that is a very useful exercise because that
tells me what the consequences of my assumption would be -in terms of human beings.
So you'd extrapolate and then you'd know what the effect on a hundred pound rat is and you'd know the effect on
humans ? I'd be surprised if 600 pounds -- you see, all the evidence we have is certainly with respect to carcinogenicity, that
human beings appear to be relatively cancer proof.
Cancer proof?
Tri-City Court Reporters
5226 State St. Saginaw, Michigan 43605
3876 WATER PCB-00046555
1 A.
Cancer proof. The extrapolations that you are talking about,
2
3 Q. 4 A. 5
I think the question is -They stay in the realm of the animal world? I certainly wouldn't want to pass any regulations based on that extrapolation.
6 Q.
7 A.
Based upon a hundred pound rat? But I might find it very informative in terms of what I can
8 think or believe about a human being.
9 Q.
Do you know sometimes that there are ants that carry a
10 hundred times their weight?
11 A. Yes.
12 Q.
Do you know any humans that can carry a hundred times their
13 weight ?
14 A. No.
15 Q.
Doctor, have we had an increase, of cancer over the past 30
16 or 40 years?
17 A. Yes and no.
18 Q. Well, I will letyou explain that.
19 A.
There's been a spectacular increase in lung cancer and slight
20 decrease in the totality of cancers other than lung.
21 Q. What is theslightdecrease?
22 A.
23 24 25 Q.
I'm guessing, because I'm remembering graphs that I have
seen, but if you talk about the last 40 years, I would guess
it's been three or four, five percent, something like that.
So every other -- just lung cancer is the only one that has
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5226 State St. Saginaw, Michigan 48603
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increased and every other type of cancer has decreased? No, because within that totality of other cancers, some specific ones, like stomach cancer, have gone down, others
There's been an increase in colon-rectal cancer. I thought it had gone down, but, I'm not sure. i know that some cancers, like cancer of the pancreas, have gone up. Cancers of the liver? They're about constant. No, they're actually slightly decreasing. Malignant myeloma has gone up. That's one of that lymphatic cancer group, although the National Cancer Institute speculates that there may be a change of diagnosis and that may in fact be a reason why some of the other rare cancers have gone down, that there's been a shifting of
So some of those others might go up and this one might go
down?
There is speculation. I'm not aware that there is any
evidence one way or the other.
How many types of cancer are there?
That's very difficult to answer because if we say that lung
cancer is one type of cancer, an expert will tell you that
there are several different cell types within that. And
so I know that a pathologist would deny that there were -- '
was such a type as lung cancer. And so --
Tri-City Court Reporters
5X26 State St. Saginaw, Michigan 48605
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Let's talk, you and I, let's talk generally. We don't know
about B cells and T cells in the lung. Let's just talk
about the different organs.
How many different organ cancers are there? I would have to guess because my knowledge is pretty much
limited to the causes which are common enough so that rates
are published, and there would be about 10 or 15 of those,
I would say.
What kind of cancers have PCB's been associated with?
None.
None? No studies have dealt with cancer?
There have been several studies of cancer in people exposed
to PCB's. I know of none of them that has come to a con
clusion that PCB's have caused any of the cancers that they
have looked at.
So unless there is a direct -- one paper comes out and says
PCB's cause this cancer, you aren't going to believe any
of those papers yet?
That is not true. Because if I had seen four papers, all of
which had shown an excess of the same type of cancer, even
though the authors individually might not have said anything,
I would have been convinced by the accumulation of evidence,
and I would be willing in a situation like that to say for
all practical purposes this causes cancer even though each
of the four authors individually wasn't able to reach that
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conclusion.
Are those four cancer studies that you listed in the back
of your papers as the only ones that you know of?
Yes.
So what we need is three more studies on each one of those
and that would give you four studies for each melanoma,
four studies for a lung cancer?
In that case I would be overwhelmed.
When you were talking about the background levels, and I
referred to the U.S. cancer rates by county in the background
rate for those plants, and I forget where they are -
They were on the border of New York and Connecticut, in
that general area, as I recall.
Would you have to look at the background rates for those
counties and then compare it to the study Erown - Jones
did?
What I would actually do is get the best estimate I could
of the counties in which the employees worked. That would
probably be a small group of counties surrounding the plant.
I would then, in' an ideal situation,, aggregate the rates
for those counties and use them -- and use that as my basis
for comparison.
What counties did those employees work in at those two
individual plants?
I don't know because that wasn't given in the report. It
Tri-City Court Reporters
5226 State St. Saginaw, Michigan 48603
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would probably only be available by looking at plant records. So when they did that study, they used a U.S. background rate of cancer? Yes, that's correct. And you are saying that had they used the counties it would have been lower? Yes . But you don'tknow which counties? I know that the counties will be within that group that have an above average rate. I don't know -- Every county will be in that area? No, I can't guarantee that. But that factory is in the center of a group of counties that are high. I can't guarantee that some workers may not commute from outside that area. Was one plant in Massachusetts? I thi nk it was. Instead of Connecticut? I think the other one -- the one I'm thinking about, I believe, was in upper New York State. One is in New York and one is in Massachusetts? One was in New York, I know, because that was the one that was in the high area. The other one might have been in the low area? It might have been, yes.
Tri-City Court Reporters
5226 Stale SI. Saginaw, Michigan 43603
3881
WATER PCB-00046560
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o.
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So then that's your opinion of -- that study might change
then depending on the cancer rates in that county?
Well, except that the one that might have been in the low
area didn't have an excess compared with the United States.
It might have changed, yes.
Doctor, have you ever testified for or on behalf of Monsanto
before?
Yes .
When was that?
Approximately four months ago.
And what did that involve?
It involved testimony as to what records Monsanto had or had
not received in connection with another lawsuit.
What substance did it involve?
It didn't involve a substance, it involved a plant, and an
assortment of substances made in that plant.
What v/as the suit about? Did it involve PCB's?
No.
What was your testimony in that regard?
I testified that we had not received raw data from a con
sultant regarding physical examinations that he had made on
some of our employees.
What were these examinations being made for?
In connection with litigation. These employees were liti
gants and some of those had previously been studied because
Tri-City Court Reporters
5226 State St. Saginaw, Michigan 48603
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WATER PCB-00046561
1 we wanted to evaluate possible long-term effects of some of
2
3 Q. 4 A. 5 Q.
A. 6
7 Q.
their exposures at that plant. What were they being exposed to at that time? Dioxin. Where is that plant? West Virginia. Is that still in trial right now?
8 A.
Yes.
9 Q.
Did you testify in a trial or in adeposition?
10 A.
It was testimony before a magistrate appointed by the
11 , judge to settle this particular issue of what records we
12 had or had not received.
13 Q.
Okay. Did you testify any other times for or on behalf of
14 Monsanto?
15 A. I have given depositions.
16 Q.
In what kind of cases? Let's start, if you can do it
17 chronologically, for us, starting with the beginning, the
18 first time you testified for Monsanto and work your way
19 forward.
20 A. 21 22
23
It would have been approximately two or three years ago in connection with a suit in Beaumont, Texas, involving plaintiffs who alleged their lukemia was caused by benzine from one of a number of defendants, including Monsanto.
24 Q. Does benzine cause lukemia?
25 A.
In doses large enough to cause clinical illness it's generally
Tri-City Court Reporters
9226 State St.
Saginaw, Michigan 43603
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agreed that it does. In smaller doses there doesn't appear
to be any evidence.
I take that back, the evidence is equivocable.
Did that have to do with a playground?
Not that I know of. The second deposition, I believe it was about, again,
year .and a half, two years ago. It was in connection with
an EPA suit in which Monsanto was a defendant. It regarded
-- it concerned PCB's present in Waukegan Harbor.
What was your testimony in that case?
I was asked to -- I'm trying to remember. I was asked to
review data that had been obtained by FDA on PCB levels of
fish, and to look at the time trends in those PCB levels.
As I recall, the data showed a steady decrease in the
PCB levels and that for most exposures of fish at the time
of the most recent measurement, those levels were below the
FDA limits.
This is my recollection, although I may not be precise.
What were your opinions called for in that case?
Whether or not there was a clear and present danger of
PCB's in that situation.
And I take it you testified on behalf of Monsanto that it
wasn't? I testified that the situation was getting better and that
by FDA's own ground rules there was no problem.
T?i-Ciiy Court Reporters
527.6 State St. Saginaw, Michigan 48601
3 884
WATER PCB-00046563
1 0- So the answer would be yes?
2 A. Yes.
3 0-
In the benzine case, what v/as your opinion asked for there?
4 A. As to the -- again, my best recollection is as to the
5 sequence of events -- in other words, what was involved in
6 the benzine exposures measured in the literature that caused
7 lukemia. And the data that were involved were -- there were
8 studies in Turkey and Italy of people in the shoe and leather
9 trades, and the benzine levels that were measured there
10 appeared to be about 10 to 20 times as high as any of the
11 exposures alleged by the plaintiffs in the case.
12 Q. 13 14 j A 15 16 17 Q. 18 A. 19
And your testimony went to the effect that there would be no effect by Monsanto's benzine on these people? That there were no data to that effect, that the existing' data were not relevant to the levels that were at issue in the case. What other deposition or testimony had you given? In connection with litigation over a spill from a tank car in Sturgeon, Missouri, a case in which Monsanto was co-defendant
20 with several other companies: the railroad, the manufacturer
21 of the tank car, and so on.
22 Q,
23 A. 24 Q. 25 A.
Did this involve PCB's?
No.
What did that involve?
It involved one of the chlorophenyls. I forget which one.
Tri-City Court Reporters
5226 State St. Saginaw, Michigan 4860}
3885
WATER PCB-00046564
1 Q.
Was it a chlorinated hydrocarbon?
2 A. . Yes.
3 Q.
What was your testimony in that case?
4 A.
That I had not worked at Monsanto at the time of the incident
5
6
7 Q.
and that I had never conducted any studies of litigants or of the area in which the spill occurred. So why did they have you testify then?
8 A.
9 Q.
I wasn't allowed to ask. You didn't testify, oh. You didn't testify?
10 A.
I gave a deposition. This was a deposition.
11 Q.
Oh, your deposition was just -- you didn't know anything?
12 A. That's right.
'
13
Q.
.
Going back to benzine, do you know how PCB' s or the aroclors
I
14 are made?
15 A. No, I don't.
16 0.
Do you know if benzine is part of that process?
17 A. I don't know.
18 Q.
Did that cover all your litigation experience with
19 Monsanto ?
20 A. Except the deposition thatyou
21 Q. Okay. And that was a short one?
took.
22 A. Yes .
23 Q. The one at Waukegon, was that the outboard marine?
24 A. Yes.
25 Q.
How long have you been employed by Monsanto as of today?
Xri-CIty Court Reporters
52Z6 State St. Saginaw, Michigan 4860)
3 88 6
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Four years and seven months.
I take it you are on a salary and you receive some fringe
benefits as a part of your compensation?
That's correct.
.
Do you have a pension plan with Monsanto?
Yes.
Is that contingent upon any factors?
No.
How long do you have to work for Monsanto before your pension
is vested?
I think about four more months.
Are you going to retire then or are you going to keep
working?
I can't afford to retire.
You didn't ask about the amount of my pension, only the
fact that I might have one.
Do you want me to ask about the amount of your pension?
No, I don't. I don't want to think about it.
Are there incentive plans or bonuses at Monsanto for ex
traordinary work, if you write a paper or you are published
or - No -- wait, I'm sorry, yes, there are.
What are those for? They're available for people at a lower level then me. The
kind of activities you describe would be one reason. A
Tri-City Court Reporters
5226 State St.
Saginaw, Michigan 43603
3387
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computer programmer who worked after hours for a long period
of time on a special proiect would get one.
Are you being paid to testify here today?
Not in addition to my regular salary.
They're paying your salary, though, for your testimony today?
Yes. Were you subpoenaed here today?
No.
.
Were you asked to come?
Yes. Are you paid for your travel and expenses?
Yes. Did you prepare for this testimony today in any way? Did you meet with any attorneys?
Yes.
And who did you meet with?
Mr. Jungerheld.
Was that up here in Bad Axe?
No, it was in Saginaw.
When was that? Saturday and very briefly on Sunday.
So you've been up here since Saturday? I've been up here in Bad Axe since Sunday.
And what, you came into Saginaw to prepare for your trial
testimony?
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5226 State St. Saginaw, Michigan 4860
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Also because it was the easiest way to get here.
Did you happen to get any daily copies that are being made
here ?
No.
You didn't read any transcripts of anybody that's testified before you?
Oh, yes, I read Dr. Chase's transcript.
Did that give you any information to help your testimony
today?
No.
Did you know Dr. Chase before?
I don't know him. I met him professionally at onemeeting.
Did he challenge you at a seminar as to your results on
a paper?
.
He challenged some of them, yes.
He testified that he didn't agree with any conclusions you
came to, did he?
I have to disagree with that because obviously since I
read his testimony I've been trying to remember what went
on. And, as I recall, Dr. Chase opened his conference by
expressing his pleasure that I didn't criticize his paper.
So there must have been one thing at least we agreed on
which was that he had written a good paper. Much of the rest
of what I said there couldn't be disagreed with because I
was quoting the authors of the paper. The disagreement was
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5226 State St. Saginaw, Michigan 48603
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with them.
I think Dr. Chase disagreed with a few places in which
I made interpretations.
Did you read in his daily transcript where he said, "I didn't
agree with anything that man said"?
Yes, I did. He specifically questioned my interpretation
of one paper. I think it was one of Fishbein's, and my
response was I would have to go back and check it.
And then I think he further questioned my interpretation
of the carcinogenicity studies and again that is an area
in which we disagree.
Do you find him a qualified medical doctor, toxicologist?
Insofar as I'm capable of judging, yes.
Are there any other daily transcripts you read in preparing
for the testimony today?
.
No.
What information were you given before you testified today?
I was given a brief review of the facts of the case.
Why don't you tell me what your brief review of the case
covered in the facts of the case.
That Mr. and Mrs. Haley bought a farm, a dairy farm.
Do you know what year?
.
I was probably told but I don't remember. That they had difficulties with their cows. That
eventually they were required, if I'm not mistaken, to stop
Tri-Caty Court Reporters
5ZZ6 State St.
Saginaw, Michigan 4S603
3890
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using their silos and that eventually they left their fanning
business and that they believed their difficulties were due
to PCB's in the paint that was used in the silo. Was this a written summary that you were given?
No, no.
Did you review any written summaries of the trial?
I don't think so. Any other written documents -
Oh, wait a minute. In the copy of Dr. Chase's transcript
|
that I got, there was a Mr. Gemmell appeared right afterwards
and his -- I don't know whether I saw all of his or not,
but it was there and I did read it.
Was Mr. Jungerheld the only one you met with in order to prepare?
Yes.
Did you ever meet with Dr. Hartung before?
No.
Did you ever meet with Mr. Hahn?
I was introduced to him but had no contact with him about
the case. What about Mr. Massif?
Oh, I know Mr. Nassif.
From Monsanto?
From Monsanto.
Did you and he talk about this case and your testimony and
Tri-City Court Reporters
522.6 State St. Saginaw, Michigan 48603
3891
WATER PCB-00046570
1 when you'd come up and -
2 A.
3
4
Q.
5
A.
We talked -- he was present during some of my conversations with Mr. Jungerheld. I don't recall that he participated. What about Dr. Harbison? I met him for the first time this morning. That is, I've
6 known him in past years. I met him for the first time in
7
several years this morning.
8 Q.
What was your contact with him before?
9
A.
I think we met in connection -- I don't recall whether it
10 was at the PCB symposium or in connection with some other
11 similar activity.
12 Q.
The symposium, referringto MSU?
13
A.
I don't remember which one if, indeed, it was either.
14
Q. .
Did you talk to Lynn Willett?
15
A.
I've never met
him.
16
Q. Have you talked to him ever?
17
A. No.
18
Q,
Had you ever heard of PCB's before coming to Monsanto?
19
A. I don't believe I have.
20 Q.
Okay. So your first work with PCB' s would have been '79
21 when you came to Monsanto?
22 A. Yes.
23
Q. I think I already asked you, you don't know how aroclors are
24
made or manufactured or were manufactured?
25
A. No , I don ' t.
Tri-City Court Reporters
5X26 State St.
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I don't know if 1 asked you, was benzine a carcinogen?
You asked me and I said it's generally agreed, I think, that
if benzine exposure is large enough to cause actual anemia and damage to the blood-forming organs, then it frequently can progress to lukemia.
The evidence below that for a long, low level exposure
to benzine, is extremely equivocable.
Have you ever heard of Cumar?
Yes.
In what regards? Dr. Chase mentioned it in his transcript.
Are PCB' s in Cumar, to your knov/ledge?
I don't know whether I got that from Dr. Chase's transcript
or from the verbal summary of the case, but I understood that PCB's were incorporated into Cumar to confer some
physical properties on it.
Are PCB's used in paints or coatings, to your knov/ledge?
They are not now. I don't know if they ever were.
Did you ever do a study on paint or coatings?
Yes . What kind of substances did you use in the study that you
did on paints and coatings?
We didn't use substances, we identified people who had been employed in the manufacture of paints and coatings and
classified them by whether they were exposed to pigments,
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1 whether they were exposed to solvents, and then look at these
2 sub groups, follow them up to see what their mortality picture
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was . Were the people that manufactured or mixed up this Cumar
5 coating, which included solvents and aroclors, the part of
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that group? I'm almost certain they were not because this v/as an industry
8 wide study but the member companies were generally the larger
9 paint manufacturers. If they had been a subsidiary of some
10 . larger group, they might have been included, but to the best
11 of my knowledge they were not.
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Are paints and coatings generally made up of such things as
13 a solvent and the aroclors and other chemicals like that?
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When we looked at the problems of dividing these people by
15 their exposure, we talked to industrial hygienists and PCB's
16 never came up.
17 We divided these people generally into the solvent
18 exposures, I believe liquid pigment, solid pigment. Things
19 like PCB's never entered it nor were they mentioned by our
20 industrial hygienist.
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Was benzine mentioned?
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No, except -- wait, we were not able -- we considered the possibility that some of the solvents that were used could
24 have been benzine, could have contained them, but we weren't
25 able from the job histories to identify whether -- what the
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1 solvents were.
2 We identified people who had solvent exposure, but we
3 weren't able to subdivide it into what kind of solvents 4 they had. 5 Q. Is benzine a solvent?
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It certainly could be used. There must be some things that are soluble in benzine such as some of the pigments.
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When you did that study, did you find any excess mortalities or cancers?
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I would ha^e to review the study because it's been several
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years since I've looked at it. I think we found a few areas in which we advised extra study. I can't recall now what they are. Did you look at colon and liver cancers? Yes, yes. Rectal cancer? We certainly looked at them because the study group was fairly large. We looked at all the major cancers. What I can't recall is the pattern that we saw.
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In the PCB' s that are involved in this case, did you ever look at the cause of the contamination as to the Haleys?
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No. Are you doing any studies or reports at the present time with regard to people that have been contaminated by silos
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No.
containing PBC's?
No.
Are youaware of anysuch studies?
Possibly theHumphrey
one you mentioned, but that's the
only one I'm aware of.
Were you ever provided with any medical records on the
Haleys that showed what their levels were?
No.
The only thing you were provided with then was the one 50
part per million -- or billion, excuse me, of serum level
of Roger, and you just assumed Valerie was lower than that?
I had been told what both of their values were. I remembered
Mr. Haley's, not Mrs. Haley's.
And Mr. Haley's was 50 parts per billion?
That is my recollection.
And those values, had they declined at all to your knowledge?
I can't recall.
Do you know when those serum samples were taken?
No.
Do you knowwhen the fatsamples weretaken?
No.
Wouldthat be
an important point foryou
to utilize in
doing an epidemiological study, to know what the fat
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samples were, what the blood samples were when taken?
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The epidemiology studies that I have looked at, there have been very, very few of them that have looked at fat samples. The ones that have looked at blood samples are contradictory as to what happens to them in short periods of time. Some go down, some do not. What about over the long term? They tend to go down, although there, again, some people dispute this. So there are studies, both sides? Yes. Which studies do you rely on then in forming your opinions? The recent Japanese study? The recent Japanese study shows what it shows about the people in Yusho.
My opinion is that the reason for the contradictions in the study, I think, may be because some of the PCB1s that are being talked about are higher chlorinated and some are lower chlorinated. I think there is some reason to believe that these are excreted in different ways. Does it matter if it's a higher chlorinated or a lower chlorinated aroclor? It matters in the sense that the lower chlorinated ones in the bloodstream, I think, may decrease more rapidly.
In terms of effects, again, I would have to refresh my memory, but I think the studies are contradictory. Some
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people allege differential effects depending on the level
of chlorination. What is the importance of doing this serum sampling on these people. Why do they study the serum samples or serum levels
on these people? In order to get an estimate of the body burden of PCB's.
And what does thatshow
them?
In a negative sense,
if anything -- if there are no PCB's,
then you can hardly allege any effects of PCB's.
Right. So if there are PCB's, then you can look for effects
of PCB's? Of course.
Do you know what the level of chlorination of PCB's in the
Haleys are? No, I do not.
It's been testified to that they have 1254 in their fat and
serum samples. Is that a higher chlorinated aroclor?
I'm not sure that that's a meaningful question. I think the 54 means that there was a 54 percent chlorination on the average. But these can be mixtures with PCB's at both
higher and lower chlorination levels. So the fact that one sees the number 54, doesn't mean
that there were or were not any higher chlorinations. Are you aware that the higher chlorinated aroclors tend to
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remain in the body fat?
I'm aware of studies that have concluded that, yes.
Has Monsanto concluded that?
I'm not aware of Monsanto's opinion as a company.
Do you know Monsanto's studies in this area?
No.
Have you looked at any ofMonsanto'sstudies in regards to
toxicity of aroclors?
No.
Do you think that would be a good place to start looking if
you wanted to find out about the toxicity of aroclors in
determining the risk of somebody?
I think it would be a good place for a toxicologist to start,
if he wanted to look at the picture in animals.
What about humans?
I wouldn't want to generalize that kind of thing from an
animal to a human. I would want to look at humans.
Okay.
So what you have really done in your work is
take articles, a selected few, and put together some sort
of statistical analysis and come up with a level which you
-- well, you haven't come up with a level because you didn't
know what the Haleys were, but .you came up with something
to make an opinion on the increased risk to the Haleys?
Well, I haven't looked at a selected few. I've looked at
all the studies that the literature contains to the best
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of my knowledge on human data.
.And, if I recall, none of my summaries were statistical,
they were narrative summaries. But, yes, I did reach
conclusions.
And your opinions are that whatever levels the Haleys have,
they don't have an increased risk?
I know something about the levels that they have, but the
plain fact is that in the literature there have, to the
best of my knowledge, simply not been any levels, blood
levels associated with risk.
The Japanese studies have found values up to 300,000
parts per million in people and their only clinical illness
has been chloracne.
What about the studies v/ith the fat levels, where the PCB1 s
accumulated in the fat, such as the fat in the brain,
around the liver?
I don't think I understand your question.
Okay. You said that you haven't seen any effect with people
who have high parts per billion in the serum.
What about people with high parts per million in the fat
samples, in the areas of their body that contain those fatty
areas where the lipophilic PCB's are attracted to?
There are very few epidemiology studies that have taken
fat samoles. The ones that have, have reported no -- there's
been no more adverse effect there then there has been with
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the blood levels. But the number of studies is very small.
I don't think I found more than two in the literature,
possibly three. Looking at a general picture now, if we look at the silo
families that have been exposed to PCB's.
Are you aware that there has been more than the Haleys
that have been exposed to PCB's through silo contamination?
Yes, I am.
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Do you consider that an epidemic, something that you might
want to consider as an epidemic and look into as an
epidemiologist ?
I think it would be an extremely useful and interesting
study. So the Haleys aren't just one poisoned family, they're part of an epidemic that should be studied and would be useful?
It remains to be seen whether there is an epidemic . There
have been many studies of people with exposures to PCB's.
I think this would be another opportunity to do a study of
a low level exposure to PCB's. Sort of a human experiment unintentionally caused?
All epidemiology studies are on human experiments unin
tentionally caused. Doctor, are you aware of an animal study that showed some metabolites in PCB's that attached to the lung?
No, I ' m not.
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1 MR. MC GRAW: I have no more questions. Your
2 Honor. Thank you. Doctor.
3 THE COURT: Redirect, Mr. Jungerheld?
4 MR. JUNGERHELD: Your Honor, I don't believe
5 so.
6 THE COURT: Mr. Davidson? 7 MR. DAVIDSON: No, Your Honor. Thank you.
8 THE COURT: You may step down.
9 MR. JUNGERHELD: Your Honor, we'll call Dr.
10 Raymond Harbison.
11
RAYMONDD_.HARBISON, 12
13 a witness herein, produced by and on behalf of the Defendants,
14 having been first duly sworn, testified on his oath as
15 follows: 16 17 BY MR. JUNGERHELD:
DIRECT EXAMINATION
18 0.' Dr. Harbison, would you give us your full name, please,
19 sir?
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My name is Raymond D. Harbison.
21 0. And, first off, what is your professional address?
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My professional address is University of Arkansas for
Medical Sciences at 4301 West Markum in Little Rock,
Arkansas.
And what is your home address?
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