Document w1KR6J9m0NrRED1gYVLo6xB
APPENDIX I
A Review and Critique of the Quantitative Risk Assessment for Polychlorinated llphenyls Proposed by the Health and Environmental Review Division (HERO) of the U.S. Environmental Protection Agency
by Dr. Raymond 0. Harblson and Or. Robert C. James
Division of Interdisciplinary Toxicology University of Arkansas for Medical Sciences
Little Rock. Arkansas 72205
January 1984
Re: Oocument No. 0PTS-62032 Submitted by Monsanto Company February 3, 1984
HONS 0192 Lb
Th* following report reviews end critiques three separate documents developed or used by the Health and Environmental Review Division (HERD) from the Office of Pesticides and Toxic Substances of the U,S, Environmental Protection Agency. The documents HERO relied upon or developed for their assessment of the risks associated with PC8 exposure were: 1. Carcinogenic Risk Assessments of Polychlorinated Biphenyls (PC8s).
Health and Environmental Review Division, Office of Toxic Substance, September 1 (1983), Office of Pesticides and Toxic Substances, U.S. Environmental Protection Agency, Washington, D.C. 20480. 2. Quantitative Risk Assessment of Reproductive Risks Associated with Polychlorinated Biphenyl (PCS) Exposure. Health and Environmental Review Olvlslon, Office of Toxic Substances, Septamber 1 (1983), Office of Pesticides and Toxic Substances, U.S. Environmental Protection Agency, Washington, O.C. 20460. 3. Exposure Assessment for Incidentally Produced Polychlorinated Slohenvls (PC8s). Draft Final report of Appendix A: Generic Exposure Scenarios, EPA Contract No. 68-01-6271, Task 21. Versar Inc., 8850 Versar Center, Springfield, VA, August 15 (1983).
1
HONS 019217
A Review end Critique of the Quentltetlve Risk Assessment for Polychlorinated Biphenyls Proposed by the Health end Environmental Review Division (HERO) of the U.S. Envlronmentel Protection Agency
This review of the September 1, 1983, risk essessment documents pre pared by the Heelth end Environmentel Review Division (HERO) of the Office of Pesticides end Toxic substences on polychlorlneted biphenyls (PCSs) sum marizes many concerns es succlntly es possible. The first section of the review contains only e few general cowments end e brief discussion of our position on the HERO risk assessments. The second section contains speci fic comtents on three documents labeled es Appendices A, 9 end C. In the second section we have attempted to point out some but not ell of the in consistencies, contradictions end problems associated with the HERO cancer risk assessment, the HERO reproductive risk essessment, end the Versar Corporation's exposure assessment of incidentally produced PCBs. The reviewers recognize the difficulties associated with any risk essessment, yet were particularly disturbed end distressed with the failure of HERO to rely on factual Information and generally accepted scientific principles end concepts. With this In mind It Is hoped that the criticisms raised concerning the HERO risk assessments will be utilized by HERO in a con structive manner to revise their approach.
General Comments: 1. In their present form both documents ere poorly written end contain
numerous typographical errors. It appears that the docunents were not
1
HONS 019218
reviewed as many statements are confusing, ill-conceived and pqqriy substantiated. Because of the poor quality of the present documents it does not seem conceivable that they could be used for any purpose in their present form. Therefore, it is strongly recommended that both documents undergo internal editorial examination and revision before they are agein released. Both documents make use of numerous unsupported or poorly substantlated claims. Some of the statements seemed to be nothing more than a rationalization of the weaknesses of the approach taken by HERO while others tend to be misleading as they represent the feelings of the HERO group rather than those of the scientific comnunity that they should reflect. These severely undermine the credibility of the risk assessments and the HERO group Itself. For example, in the carcino genic risk assessment document HERO proposes thet one important reason for using the NCI data over the Kimbrough data Is that Its lowest dose is closer to the exposure estimates thereby Instilling greater confi dence in the extrapolations, fat in actuality there is essentially no Important difference between the 1.2$ mg/kg/day dose used in the NCI study versus the 4.0 mg/kg/day dose used by the Kimbrough study when one compares these doses to the exposures estlmetes many of which are more then 1,000,000 times lower. In another place HERO suggasts that since the risk estimates of these two cancer bioassays showed some agreement that this was evidence the various strains reacted similarly to the FC8 carcinogenic insult. Since the Kimbrough study was posi tive end the NCI study negative we find such an insinuation to be blatantly false. The similarities occur, as HERO falls to point out,
2
HONS 019219
only because of the manner in which HERD has mathematically manipu lated and modeled the negative NCI study. 3. In several places the documents clearly illustrate the inexperience and lack of knowledge of the persons Involved with the risk assess ments. The persons performing the HERO risk assessments do not under stand the biologic responses they are modeling nor the limitations of some of the models they are using. 4. These two risk assessments combine an additional uncertainty factor that many risk assessments do not. Rather than estimating safe expo sure limits or estimating risks for actual exposures, these documents used estimated exposures generated by a separate document to then estimate the risk. Thus, the risks generated suffer from Inaccuracies and uncertainties Inherent to both the risk and exposure modeling. Some of the assumptions made in the Verser document to estimate expo sures are scientifically unsupportablt while others are devoid of reality or credibility. Uncertainties In the exposure estimates com pound the the uncertainty associated with the risk modeling and fur ther undermine the credibility and utility of these risk assessments. 5. The purpose of any risk assessment Is to provide a basis for or a guidance In decisions concerning the use of or exposure to chemicals. The HERO document should not bo used as a basis for rtgulatory deci sions or as guidance In decisions. So many unrealistic assumptions hove boon made In both the exposure and risk estimation models that these risk assessments provide, et best, only a weak relative rank ordering for the various 'proposed* exposure scenarios. As far as being used to determine whether certain exposures have any health
3
HONS 019220
Impact, there are far too many uncertainties in the calculations for the** to be seriously relied upon, for this reason an obvious quest';n should fie asked, "Why were these risk assessments developed?". In 1981 the Office of Technology Assessment published a fairly thorough appraisal of the assessment technologies used for estimating chemicalinduced cancer risks (see Assessment of Technologies for Determining Cancer Risks from the Environment. OTA, 1981). In this publication and from many scientific publications on the subject, it is clear that risk estimates are model dependent and can vary by several orders of magnitude depending on which model Is used. HERD aptly re-demon strated this fact In both documents. There is also no way of knowing which estimate, by which model is the most accurate reflection of risk. So with no new date, end no hotter foundation for using any one particular model, HERO has re-assessed the risks associated with expo sure to PCBs without being able to provide any credible reasons that their estimates ere any more valid than those generated In previous risk assessments. That this would be true regardless of how their assessment might have been conducted raises questions regarding HERO1 Intentions end their understanding of risk assessments In general. 1 addition to this, HERD'S risk assessments are so badly flawed that concern Is further Increased for HERO'S wasted efforts on this parti cular subject. A fact that probably best highlights the weakness of HERO'S approach for these two risk assessments Is the feet that HERO'S risk estimates for reproductive problems is slightly greeter at all exposure esti mates then their cancer risk estimates. This Is largely due to the
4
HONS 019*411
fact that they used a more conservative mathematical model to sst-njte reproductive risk than they used for carcinogenic risk. Such tn approach cannot be defended by HERO and will not be accepted by the scientific community. Furthermore, HERD'S approach to modeling repro ductive risks is one in which a dose 100,000 times lower than one actually producing an undesirabla effect (In this case infant mortal ity) is expected to produce the same effect once in every 100,000 exposures. This is not an approach that will receive much, if any, support from the scientific community and as such only further under mines any confidence others might have In HERD'S efforts. Since this review of the HERD risk assessments hes found them to be of an unsatisfactory quality and nature. It seems appropriate to relterete some recent and specific points mede by the National Research Council of the National Academy of Sdtnces concerning risk assessments and the regu latory process (Risk Assessment In the federal government: Managing the Process. National Research Council, National Academy Press, 1983). In this book, on page 131, are listed the problems that have been associated with federal regulatory agency risk assessments. These ere: Bits - l.e. regulators may skew their risk assessments of a particular substance to support e regulatory preference. * Exaggeration - l.e. that the instinct to support a position with every avelTable ergwent may distort interpretation of scientific data, choice of extrapolation procedures, and assumptions about humsn e*posure. . Poor Public Understanding - l.e. If risks are misdescribed it follows that public perception of the risks will be Inaccurate.
S
HONS 01.9222
* Poor Quality Personnel * i.e. that regulatory agencies cinno: or retain adequate numbers of highly qualified scientists to per's -- risk assessments.
Inconsistency - l.e. that agencies have applied inconsistent criteria and reached inconsistent results In assessing the risks posed by the same hazards.
* Redundancy i.e, that different regulatory agencies are concerned with the same hazards thus assessments should be centralized. Most of the above six problems caused by using diversified agency risk
assessments In general can be specifically applied to the HERO PCS risk assessments as well. Below the criticisms are ageln listed with specific examples of each problem that applies to the HERO documents. These are: * Bias - Both risk assessments are based on faulty assumptions. In the
carcinogenic risk assessment HERO utilizes a negative study to develop risk estimates. In the reproductive risk assessment HERO uses a mathematical approach for carcinogens that Is more conservative than the model used to estimate carcinogenic risks. Further, HERO argues that safety factor approaches should not be used to calculate repro ductive risks then uses an approach which Is equivalent to using a variable safety fector on e linear scale. HERO can provide no evi dence thet reproductive toxicity at low doses can be reduced to a probability type of event with the outcome equivalent to responses observed with higher, more toxic doses. Yet by modeling the risk m this manner, HERO 'skews" the results to much lower values than would be obtained otherwise.
6
HONS 019223
Exaggeration - HERO concludes that the NCI and Omprougn et a':, bioassays gave similar carcinogenic responses. Nothing could oe farther from the truth as one was 'eoorted as positive for liver tumors while the other was reported as negative for any form of cancer. HERO also distorts what the Gaylor/Kodel 1 linear interpola tion model represents as It Is a model in which the existence of a threshold is denied while HERD Implies otherwise. In neither risk assessment does HERD provide substantial or even convincing arguments that either assessment Is better then any performed previously by the EPA. Yet mention is mede by HERD thet previous risk assessments were poorly justified and documented. Lastly, in several instances it is obvious that the exposure estlmetes used are unrealistically high. Poor Public Understanding - HERO has repeatedly failed to present the public with accurate end complete facts. For example, HERD hes failed to recognize certain scientific principles, such as epigenetic mechan isms for carcinogens and that these carcinogens represent qualitative ly different risks to humens. While much human data in recent years has failed to produce evidence, other than chioracne, to support the concerns raised In enlmel toxicity tests, HERO has failed to recognize this feet. Now HERO presents the public with the view that a more conservative approach must ba taken with reproductive risks than norm ally taken by ERA for estimating cancer risks. It seems reasonable to conclude that the public might be ltd to parctlvt PC8s as reproductiverisks et any dost while evidence Is available to the contrary. Poor Quality Personnel - severe! conwants made in both documents reveal thet the HERD group does not understand the methods they are
7
HONS 01922^
using or the biologic processes they are modeling, in addition, probably cannot state that they are better qualified than the EPA1s Cancer Assessment Group (CAG) yet HERO goes so far as to state CAG' s risk assessment was poorly written and concieved. HERO should list the experience and qualifications of Its personnel if it truly feels capable of performing risk assessments by itself. While we remain receptive to such disclosure It seems likely that HERO, at present, is lacking in experience and expertise for developing risk assessments of any regulatory Importance. Inconsistency - The EPA is now proposing two cancer risk estimates for PC3s. One performed by CAG and one by HERO. If these assessments produce the same risk estimates then for what purpose was HERO'S efforts? If they art different which EPA group is correct and why? To reiterate, much discussion on cancer risk assessments makes any arguments concerning which risk assessment is best a moot point. Thus, in either situation HERO'S efforts appear to be a waste of resources to re-work an old problem and for which their solution appears to add nothing new. Compounding this concern is the fact that the public may now ask which assessment for PCBs is correct? Should HERO argue that thtlr risk assessment represents the better approach, then It becomes certain that a nueber of the EPA's previous risk assessments for other chemicals have been performed inadequately. In smnaary, this review and critique of HERO'S PCB rijk assessment documents has identified a number of problems which we feal must be addressed. Similar to the National Academy of Science w recognlie the difficulties facing regulators and that risk management (l.e. regulations
8
HONS 019225
etc.) doe* differ from the actual risk assessments {i,e. the scient:*-,estimation of the actual human risks). However, while the EPA is charge* with and responsible for protecting public health there is no need to mis use or misrepresent scientific information and scientific principles to accomplish this goal or to support a particular position taken by the Agency. As an agency of the federal government protecting the public interest the EPA should always attempt to present an impartial and thorougn discussion of the hazards of any chemical. To overstate, misinterpret or present only one side of any Issue is not consistent with this goal. Further, to do so only generates scientifically Indefensible positions that undermine the credibility of the Agency. Unfortunately, the HERO PCB risk assessments present the EPA with Just such a problem. The documents are not only poorly written but the bias and exaggeration of the scientific Information used by HERO Is dearly obvious to any Informed reader. In addition. In certain places HERO has taken the liberty to disparage the quellty of previous risk assessments as well as the knowledge of scientists that would take exception to the approeches used by hero. Lastly, the assessments relse the question as to who within the EPA Is best capable of performing risk assessments, particularly for PC8s. That one group within the EPA 1$ redoing recent work by another EPA group, and that this has occurred without any significant Inprovement In our understanding of the toxicity of PCSt or risk assessment methodologies Is distressing. Further It suggests that a lack of unity, purpose and scientific Interest, exists within the EPA, and that the opinions expressed by one division may repre sent those of a select few rather than that of the agency as a whole, or
9
HONS 019226
the scientific community it relies Upon for support. It IS tiopeo trjt EPA, and in particular HERD, will attempt to rectify this problem.
In conclusion, the HERD PC3 risk assessment contains numerous typo graphical errors, misinterpretations of data, misleading or biased state ments, citations of their inexperience, and an inconsistent approach to the modeling of data for risk assessments. Therefore, the numbers generated lack sufficient credibility to be of any particular use. HERD is urged to re-evaluate its intent, approach and presentation of these risk assess ment*.
10 HONS 019227
APPEHOICES
11 HONS 019228
APPENDIX A HRQ`s Carc'noggnic Risk A$ses;.'n*" ,5
of ?olych1 orinated 3 i pheny 1 s 5pec1Jic CoTients: 1. There are numerous typographical errors which make this document it tmes
difficult to read and in some instances leaves portions of the document either open to interpretation or obscures the point the author is trying to make. This document should be revised so as to present the HERO risk assessment in a clear and detailed manner so that the information used, the data manipulations and modeling, and what Is stated regarding other risk assessments is not vague or ambiguous. For example: a) p. 3, 1st para. - 'This memor endue sismurlzed and pulls together for
the first time the Information available from previous quantitative risk assessments of PCSs, and updates and fills In gaps In that area on HERD risk assessment of PC6s.* Hho or what is being updated and what specific gap In what area of information is being filled by this document? b) p.14, lest sentence - *It Is at least known that CAS used a biocon centration factor of 46,000.* Howevar In table 1, e reproduction of water quality criteria values suggests that a bioconcentration factor of 31,200 was used. c) p. 20, last sentence of para, at the top of the page - *Th1s test wu primarily conducted to see If there would be problmn In using the combined data for any malignancy as a basis for risk extrapola tion, and it was datormlnod there would be more from e statistical view point.*
12
HONS 019229
This sentence is meaningless and obviously too confusing in its present d) P-24. 1st sentence of last paragraph - Mt can be seen from table 11 that the estimates of virtually safe dose at a risk of 10*6 (j 1,000,000) from the Independent background models very a ml 11 ion fold from 10*2 for the probit to IQ*8 for the gara-mult1h1t.,
In table11 the values for the gamma-multi hit is actually 10*12 or 4 orders of magnitude lower than stated In the text, thus the values actually vary by 10 billion orders of magnitude.
e) The numbers of total malignancies In table 9 cannot be derived from the rest of the data In table 9 In Its present form. If the data provided is totaled, one gets larger or smaller numbers than printed in table 9. Would HERO please clarify this discrepancy and explain where their numbers come from?
2. The text contains numerous misleading statements and unsupported conclu sions. a) p. 2, 2nd para. *1) The extrapolation distance between the lowest experimental (1.25 mgAg/dey) in the NCI study and most of the expo sure estimates are not unusually large. This gives one somewhat greater confidence In the assessment.*
The low dose of the NCI study of 1.25 mg/kg/day Is not sufficiently different from the 4.9 mg/kg/day dose of the Kimbrough study used by the EPA In the pre vious Water Quality Criteria Document (Federal Register of Nov. 28, 1980) to warrant this statement. A perusal of tha exposure estimates used (table 17) shows that tha distance of extrapolation Is about 4 to 9 orders of magnitude. That HERO has to extrapolate over such a large distance between the exposures and tast data dwarfs the 4 fold difference in doses for the test data itself.
WGNS 019230
Thus, to Insinuate that this small difference instills greater confidence m KERO's assessment is a ridiculous statement. In addition, it cannot be sai;, is kR0 implies, that using the lowest data point available improves tne con fidence of any risk assessment. In many instances the greatest variability and uncertainty Is in the lowest data point. In this particular instance the data point HERO extrapolates from dots not even represent a positive response.
The confidence placed in any risk assessment is based upon the validity and accuracy of the data and upon any assumptions made to derive the risk estimates using this data. Confidence In a risk assessment should never be a function of the size of the animal doses used In relationship to the expected human exposure. Furthermore, the HERO document falls to Inform the reader in the executive summary that their risk assessment 1$ using data from a negative cancer bioassay whose doses are close to or the same as the single dose used In the Kimbrough study. That the HERO group uses a negative study to calcu late a human cancer risk does not Inspire confidence In the accuracy of these numbers.
b) p. 2, 2nd para. - a2) The dose-response data for total malignancies arc also 11noar, this corresponds well with the 'linearized* upper 95* confidence limits from the CM.*
This statement Is meaningless and appears to bt an attempt by HERO to mislead the reader Into thinking that tht HERO'S use of the NCI data is valid just because It comparts well with CAG's Initial approach. HERD used three data points ranging only between 1.25 to 5.0 mg/kg/day and which had only modest differences In total malignancies, that HERO then observed thtt these points could be linearized Is not surprising. It can be done for any three data points which lit close together and have minimal differences In the response
14
HONS 019231
measured. That this ^'responds well with CAG's linearization of a str-'* data point with similar dose and response values >s also not surprising jn; a statement devoid of av interpretative meaning or scientific significance, c) p. 3, 2nd para. * 'The FQA risk estimates from the NCI and Kimbrough
data, however, demonstrated remarkable agreement showing that the various strains used reacted similarly to PCS carcinogenic insult.* This sentence because it is so blatantly untrue is perhaps a perfect example of our concerns for the numerous misleading and/or contradictory statements made in the HERD cancer assessment document. The agreement In the risk esti mates generated in the Cordell paper, which HERD refers to as the FDA risk estimate, stems from the assumptions made which generated similar response numbers (i.t. total malignancies versus liver cancer) for the two bioassays at the 100 ppm (5 mg/kg/day) dose. Thus, the HERO document clearly, and appar ently Intentionally, attempts to mislead the uninformed reader into thinking thet such manipulation :f the data demonstrates thet the various strains reacted similarly to PCs carcinogenic Insult. The Kimbrough study was a posi tive carcinogenicity test while the NCI study was concluded to be negative. Two such responses cannpt be any more dissimilar In the conclusions reached from the experimental data. That the HERD group quotes the CAG assessment to Imply earlier In the document (p.4) that this difference In response was due to the fewer nueber of animals used in the NCI bloassay represents poor and unfounded speculation on their pert. The positive Kimbrough bloassay reported that hepatocellular carcinoma was Induced by chronic PCS exposure, the rate for this type of tumor was 14* or 3.5 tints the Insignificant 4* rate observed for this tumor type in the NCI bioessay. If the two strains had reacted similarly as the HERD document suggests there would have been at leest 7
15
HONS 019232
rather than l liver cancers Obl?rved in the 13 rats exposed to 100 35- ;;os .. the NCI bioassay. A change as large as 5 tumors in 13 animals is net toe likely result of having used orly 13 animals m this experiment. Besioes liver cancer, there -ere other -esponse differences between the uo sioassa/-,. It is this fact that suggests that beside* contradicting themselves, the h;o document's mistaken conclusion appears to be Intentional for later in the document (p.14 paragraph 12, aro p. 18 paragraph #2) the HERO group points out that unlike the Kimbrough study the most frequently found tumors in the NCI study were leukemia and malignant lymphoma. The difference In the responses observed between the two studies when these two tumors are combined for the 100 ppm dose Is 0.6X (Kimbrough study) v$. 31X (NCI study) or a 52 fold dif ference In response. Clearly, the studies yielded totally different responses for various tumor types and came to. totally different conclusions which cannot be attributed to a difference in the number of animals used as there is not even suggestive evidence to support such a claim.
lastly, PC3s are not the only chemical for which the cancer bioassay data generated to date Is not consistent, and as such we see no reason to speculate or rationalize In an unfounded manner In an attempt to explain such inconsis tencies. If HERO Is going to speculate we feel they should do so in a manner consistent with the facts they themselves present and In a way that does not contradict other points they would like to make later In the document. They have clearly committed this error In this Instance.
d) p. 14, para. II 'All three risk assessments (CAS, FOA, Cniap) are In general poorly docimnted and Justified. It Is not always clear whether estimated virtually safe doses or Increeses In risk apply to for animals or humans.*
16
HONS 019233
e find these statements both amusing and disturbing. Amus'ng aecause -.-ig HERO group seems to suggest that someone might actually spend their t-T.e mating a 10*^ risv for cancer to rats rather than humans. These state^e"^ are likewise disturbing, and again we feel Quite misleading, as they Mip'/ that the other risk assessments including one by the EPA's own Cancer Assess ment Group generated "'poorly documented and Justified" risk assessments. Con trary to HERO we found the CAG's Water Quality Criteria Document to be a much better written and understandable document than the present HERD risk assess ment. We would like HERO to document or clearly state where CAG went wrong and to know if the CAG group agrees with the HERO evaluation of their risk assessment. We feel this Is a particularly pertinent question as no new scientific Information has been presented by the HERD group that suggests that the 1980 CAG assessment is now outdated or Inherently wrong. We also find the above HERD statement distressingly misleading to readers for additional retsons. First, it Implies that the HERO group knows more about cancer risk ex trapolations than either CAG or Or. Crump because it suggests their .work was in error, yet we feel that HERO would not and could not state this directly (particularly as they rely uponOr. Crump's equation). Second, it implies that the HERO risk assessment is somehow better than the previous three. This is certainly not true. Like many others who have discussed the problems asso ciated with extrapolating cancer risk estimates before, It Is appropriate to reiterate that there has been no decision made by the scientific comnunity regarding which model or which calculated virtually safe dose represents the "best risk estimate". This Is due to the fact that extrapolations (l.e. IQ*5 risk) are made down to such low levels of risk that they cannot be measured and verified to test which model Is correct or best. Therefore, we are mysti-
17
MONS 019234
fied why HERD ^ 1S justified in criticizing other efforts, especial'./ these efforts do not appear to differ that much from their own estimates ;f risk. Consistent with these thoughts it IS of interest to rote that wER0 .as incapable of "choosing the right mode!" prior to analysis of the data (see tables 11-16). HERD will only generate confusion and additional questions py the interested public by producing numerous tables demonstrating that depend ing upon which model they use the risk may differ by 3 orders of magnitude or even greater. Since It Is already well known that the model choaen Is more Important to the final outcome of the risk estimate calculated than Is the actual data (OTA, 1981 -see page 163), the HERD statement begs one to ask Just what makes their assessment any more valid than the three previous risk assessments? In summary, the above HERD statements are misleading, unsubstan tiated, Indefensible and In keeping with the overall tone of the document which appears to be a poor attampt to persuade th reader that the HERO assessment by being a newer version Is somehow better.
e) p. 21, para. #1 - Sine* NCI stated that under the conditions of this bioassay, Aroclor 1254 was not carcinogenic ... the establish ment of a tunor category where significance occurs may seem to be like `fishing* for statistical significance. We do not regard this as a serious objection because there Is solid Independent confirma tion of cvclnogenlclty from the Kimbrough study ...*
The HERO division's reference to "fishing* for a finding seems to be a partic ularly appropriate description of their attempt to lump enough things together until something becomes significant. Perhaps a better adage to paraphase here Is "with enough manipulation anything can be made to show a statistically sig nificant difference." Again the HERO division can only rationalize their
18
HONS 019235
actions rather than demonstrate that they acted in a scientifically acceded manner. If the HERD group truly feels justified in their approacn then should explain to the reader the scientific basis for their assumptions and the val'dity of the manner in which they used the NCI bioassay data (f.e. tie scientific precedence for and acceptance of each step in their approach). Along this line it would be particularly helpful to see mention of the regula tory guidelines and the regulatory agencies that perform risk assessments based upon changes In total tumors for negative bloessiys. If the HERD divi sion cannot provide such documentation It seems that they have wasted their resources in this effort.
A second and parallel problem with the above HERO statement Is that the HERD approach to modeling the data to predict a cancer risk is done In a manner that Ignores any understanding of the biological mechanisms by which chemicals might product cancer. Rather than consider that the mathematical model generating the risk estimates should reflect the carcinogenic process (l.e. the mechenlsm of the chemical), they feel that any approach Is a valid approach to the problem and Is somehow scientifically Justifiable. He cannot agree. Further, we feel that tha risk assessments should be peer reviewed by the scientific community. There Is a continuing argument as to which mode) is 'right* and whether or net It reflects the biologic process. A major portion of this debate has no doubt probably centered upon such Issues as thresholds In the light of DMA repair, epigenetic mechanisms, time to tumor concepts and other relevant considerations. And while many scientists agree that positive animal data might not correctly Identify the hunan cancer caused, we can find no reason, considering the large toxicological data bast on PCBs, to even begin to consider that PC8s are capable of enhancing all forms of cancer.
19
HONS 019236
Consistent with this contention HERO clearly states on page 11 (see concert J.(dl) that "there is also some question about the validity or advisab11 :f using the category of any malignancy." Therefore, we can only conclude that the HERO risk assessment was not intended to be a scientific attempt at mcoel* ing cancer risks nor was it an attempt to reflect the biologic process the mathematical model is supposed to mimic or predict, it Is likely that hRD will find little, If any, support for such a simplistic and totally mathemati cal approach to such a complex problem.
Lastly, the above quote from the HERO document again leads one to ask why HERO even bothered to perform this risk assessment. Much of the text is mere* ly an attempt to rationalize some Justification for their "new" and "novel" reassessment of a former ERA effort. Most of the Justlcatlon HERO puts forth seems to be based upon the fact that when they compare the risk estimates generated by modeling either the Kimbrough or the NCI cancer bioassays, HERO finds it can product close and similar values. Once again one Is tempted to question HERO'S assessment, since at virtually safe doses, (t.e. 10*5 or 10'6 risk) the model is the most Important determinant of the risk value generated (see tables 12*16), then what verifiable Improvement has the HERO group made. One is also tempted to ask the HERO division whether or not they have deter mined If luaplng all tumors together for the Kimbrough study, as thay are doing here, decreases the statistical significance of that study as the PCB exposed group In the study had substantial decreases for several types of tumors. 3. The general text in several places casts doubt upon the experience and
competence of the person(s) performing the risk assessment.
20
HONS 019237
a) p. 16, para. #1 - "Liver adenomas are frequently defined to be benign. (Personal conversation with scientists in the Oncology 8ranch)."
Iris statement begs the question - How was the risk assessment performed, ant by whom? Is it the usual practice of the HERO division to perform a risk assessment using person(s) or staff that don't understand the biologic response they are supposed to be estimating the risks of?
b) p. 21, para. 12 - 'However, like adenomas, neoplastic nodules are not malignant and the significance of their appearance Is not entirely clear. (Personal conversation with scientists In the onco logy branch)'.
Same response as above. c) p. 18, 1st para - "The data for female rats at 1.2$ mg/kg/day were also significant; It Is not clear whether this Is a statistics! aberration".
In table 9 It is clear that the 13/24 total malignancies most probably is a statistical aberration as two higher doses have far fewer tumors. If HERO feels that It is not a statistical aberration will they please explain why. The procedure of lumping all tusors together should Increase the number of false positives found In any cancer bioassays for which this approach is taken. It seoms reasonable to conclude that the 1.25 mg/kg/day for female animals Is such a case. Is It not also likely then that the data for the 5 g/kg/day dose for both sexes likewise represents a "statistical aberration".
d) p. 22. 2nd para - 'The KCI study will allow much more mathematical! sophisticated risk modeling and measures of goodnss-of-flt of the models to tho data; but standing alone Is difficult to interpret.
21
HONS 019238
Indeed, NCI concluded that ft did not establish carcinogenicity. There Is also some question about the validity or advisability of using the category of 'any malignancy'*. After admitting that their approach is of questionable validity KERO fails to provide a single scientifically valid reason for their particular mathematics1 manipulation of the data. This Is particularly disturbing in light of the preceding comments as to whether some of the data HERO uses reflects a stat'stical aberration or a true difference. In table 9 there are numerous sex and dose differences that suggest there was no specific trend for any tumor type with the possible exception of leukemia In the male animals. Since the number in the category modeled, l.e. combined malignancies, reflects a different percent contribution for each tumor type when comparing the doses, how and why does HERO feel Justified In combining them7 Even after they combine all tumors of a negative study, the NCI date still yields only one positive data point that they feel is statistically different from controls. This is the exact same number as the Kimbrough study (and at the same dose) which HERO felt was Inadequate for modeling because it has only one positive data point. Thus, by HERO'S own criteria their use of the NCI data is also inadequate, a. A combination of faulty logic, the Inappropriate use of negative data, and exaggerated exposure estimates (see specific comnents of Versar's Exposure Estimate document) led to tho risk estimates in table 17. The HERO group should revaluate their approach and clarify th obvious mistakos In this table because In Its present form their estimates of ns< are Incorrect and therefore are of no practical use. a) For Inhalation exposures In an occupational setting, table 17 currently boasts a 2.3 x 10*3 mg/yr exposure for an air concentra-
22
HONS 019239
tion of 1,0 mg/m^. This means that the person exposed only -rni'js about 2 Hters of air the entire year. Yet an average person inhales about 20,000 to 30,000 liters of air/day. Since the i?A $ intended value was 1,000,000 times higher in this particular instance, an obvious and glaring mistake, the reader must wonder new many other mistakes table 17 contains, b) The KERO group risk assessment suggests that highly exposed occuoational workers (t.e. capeitor workers) should experience a 2,2 to 3.6 percent excess cancer rate. Such a rate is so high that it should have been easily seen In PCS capacitor workers by now. Since the NIOSH study Is negative and because PCSs have been used for over fifty years with no health problems positively attributed to Us use other than chloracne, the HERO estimates would appear to represent an obvious gross overestimate. c) p. 13, 2nd para `Comparison of results from the FOA, OTA and CAG risk assessment Is difficult duo to tho different units In which risk Is expressed In each risk assessment...*. Since the difference In units of previous analyses Is a criticism by HERO why didn't HERO generate a 10*5 risk In a variety of ways so as to ba able to compare the dose that they estimate represents a 10*5 risk to those of the previous analyses? Actually, HERO Is again misleading the reader with a poor rationalIzatlon as they could use the assumptions for fish connanption that were made in the CAG and FOA risk assessments to generate the micrograms of PCBs per day or per year that correspond to a specific risk estimate. In this manner they could compare their values to previous risk estimates. Instead HERO presents their data in a manner that differs from all of the previous
23
HONS 0192^0
r 1 s'* assessments thereby compounding i problem they identif'ed with prev,.;jS risk estimates.
2* HONS 0192<tl
AAPE.NOIX 3 HERO'S Quantitative Risk Assessment of Reproductive
Risks Associated with Polychlorinated 3iphei"*^ts Specie Consents:
1. p. 2. last sentence - Mt Incorporate* the concept of a threshold
dose, because the risk could In fact be zero at any point along the line*. This meaningless statement Is not true. The Gaylor-Kodel1 technique extra polates risk along a line connecting zero exposure (l.e. zero risk) and a point representing the upper confidence limit of the lowest data point (which is a non zero value). Therefore, their model cannot have a zero risk at any positive exposure level. It does not Incorporate a threshold concept since this would mean the line defining the Interpolation would not be estimated through the zero exposure point as It Is done in this model but Instead the line would reach zero risk at some level of exposure. In its present form this statement appears to be a poor attempt by the HERO group to rationalize their approach and misleads the reader by stating the model reflects an important concept In risk assessment which the model does not. 2. p. 4, 2nd para - "A* the rat study did not have the problems (mention ed previously) of the Rhesus monkey study the rat data was selected for the risk assessment*. If the monkey data was inadequate for various reasons as is stated here in the executive surroiary then why Is so much of this document spent discussing this data) Why wasn't a simpler documtnt written using tht rat data only?
25
MOWS 0192*2
3, p. 4, last para 'The scenarious for which the risk is greater than 1 in 100,000 are 1) exposure at the level of quantitation for PCBs in aw 10 rng/m^; ..
a 'eve) of 10 mg/m-3 is a very high air concentration of ?C3s anj not a realistic consideration as it is 10 times the allowable level for the won*place as regulated by OS:-.A. As such it is a level so high it is not reasonably expected to be produced anywhere in the United States at the present tine and certainly not for a daily exposure during a 40 year expo sure period. 4. p. 5 through IS - Contains numerous statements concerning th* monkey
studies that undermine their usefulness for risk assessment purposes. Again one wonders why this data was discussed by HERO and to what pur pose it serves. The following are cited examples: a) p. 6, 1st sentence - "Generally, the study protocols has been
reported In confusing tenner In several articles by Allen et al.V b) "The analyses of the adipose tissue levels of PCSs In mothers which had presumably not been dosed with PCBs for one year were variable end probably near the limit of accurate measurement. The errors In the estimation of these values were between t 7ax and t 1121*. c) p. 9, 3rd para - "She stated that the rhesus monkey has been foend to be more sensitive to PCSs then other species of nonhuman prlaates. The reason for this sensitivity Is unknown". d) p. 10, 1st para - "Some of the variation was due to the method of analysis".
26
HONS 019243
e) P- 11, 2nd para - "It is also possible that large errors were made in the determination of tissue PCB levels'.
f) p. 11, 2nd para - `Methods which use an extraction procedure, a chromatographic clean-up and gas chromatogram quantification of multicomponent systems as was done in these studies have larger errors associated with the data obtained by them*.
g) p. 11, 3rd para - `Another potentially large error is inadvertant contamination...*, or p. 12, 1st para - Since the amount causing toxicity Is apparently so small one cannot eliminate the possi bility of contamination*.
h) p. 15, ast para - `As mentioned previously, Rhesus monkeys may be much more sensitive to PCBs than htmwns. Also, at some of the higher dose levels, mothers were showing signs of PCB toxicity (unfortunately, there are no data on maternal weight); thus It Is possible that the lowered birth weights of an Infant may have been due to the mother's restricted Intake rather than toxicity In the offspring*.
5. p. 11, 1st para - Thus, 71.3 divided by 2 Is approximately equal to 36. Therefore, these PCBs In female monkeys not dosed for one year ere more than 36 times more toxic to Infant monkeys than the PC8s administered to the mothers".
This statement Is not a scientifically valid conclusion. The level of PCBs In the mothers not dosed for one year does not give the HERD group any estimate of the level of exposure of the infant monkeys nor their PCS body burdens. Thus, HERD has no way of knowing fro* this data whether or not the PCBs remaining are more toxic and If so by how much. A perusal of some
27
MOHS 0192<t<t
of the Allen et al. papers indicates that amongst infants born to ?'3 exposed monkeys there is a great degree of individual variation m `.re tissue levels of PC8s. This variability makes generalizations about tiss.e levels difficult. In addition, the paucity of quantitative body burden data does not allow one to clearly discriminate whether or not infant Rhesus monkeys are inherently more sensitive to a given dose of PCSs -her compared to adults. Thus, not only is HERO'S conclusion of this calcula tion specious reasoning but there is not sufficient date In the Allen et al. reports to make such an estimation. 6. p. 14, 1st para "This exercise obviously hes Its limitations. For
exMple, If the maternal dose or exposure In ag/kg/day Is very high then the 12 week body weights will become very small or even nega tive*. After listing numerous limitations of the monkey data, HERO then generates an equation based upon this questionable date base which Is of even more questionable utility. Since birth weights cannot be negative and as infant mortality should In all likelihood occur before some lesser but positive value is reached, for what dosage range of PCBs and Infant birth weights might this equation bo appropriate! Since HERO has no idea concerning what usefulness this equation might serve, nor was it utilized In the final risk assessment, why was this equation even Included In this document? More to the point, since female capacitor workers have been studied, a preliminary report of which was presented at a PCS Symposium In 1982, why is the hero review group only relying on monkey and rat data? 7. p. 19, 1st para - "Another way of estimating 'safe' doses for expo sures to PCBs Is by modeling of th* typo used for quantitative risk
28
HONS 019245
assessments for cancer. Many toxicologists support only the NOEL approach because they believe that the alternative of modeling terato genic or reproductive effects Implies that there is no threshold for those effects. This belief Is mistaken, however, because actual or virtual threshold can be accomodated with certain extrapolation models*. Since HERO does not use a model which estimates a threshold (the Gaylor and Kodal model certainly does not), perhaps they could explain how their approach alleviates the concern "many toxicologists" might have for their modeling of the data. We doubt that they can. furthermore, HERO Is taking great liberties in describing why certain toxicologists might prefer the NOEL approach and apparently inserts their own unsupported opinion for that of others. Old HERO poll the scientific community before deciding why many toxicologists support a NOEL approach? 8. p 19, 1st para *In addition, there Is no convincing reason to believe that thresholds should occur for all chemicals with all kinds of reproductive effects or all human populations". HERO Ignores the fact that there Is likewise no convincing scientific reason to support the claim that no chemicals have thresholds for reproduc tive toxlcltles. That HERO attempts to Justify their approach in this manner represents poor and unsupportable scientific reasoning. 9. p. 19, 3nd para to 20, 1st para This should be re-written as there are numerous errors In this paragraph and It seems certain that what ever point the author Is trying to make will escape the reader. For exmaple on page 20 - "Even when four events occur In the treated group, with none in the controls, results will no reach the usual 501
29
MQNS 019146
significance level if each sample is 17 or more. In most Instances the sample size should be chosen to be capable of producing at least five events in the treated group when none occur among controls, wnen hazards of concern are persent". The scientific community at large would probably be most interested in learning how the HESD group picks the appropriate snple site that mil yield five or more responses for a toxicity test with no prior knowledge of the dose response curve. 10. (p. 20-21 - Concerning the quotation from a 1981 CEO document). The quotation that HERO reprints here does not state that thresholds do not exist and therefore does not necessarily support their approach. 11. p. 27, 2nd para - 'Since the F2e generation In Sherman rats has four dose levels plus control* the best picture of dose response can be obtained from that study. Thus the F2a generation In Sherman rats Is used as the basis for extrapolating risk to himns at environmental, occupational, and consimr exposure levels'. The HERO group is misusing the linear Interpolation technique and the data. Only the highest dose appears to provide an adverse response (i.e. statis tically different from control), so that using all of the data points to generate confidence limits for a dose response that doesn't exist repre sents poor science. To claim that a dose response relationship exists is an inaccurate description of a single positive data point. Again, modeling negative data points only generates meaningless numbers. In addition, since much of the data the HERO group is using Is not significant it suggests that a threshold exists. Yet, contrary to the data, HERO uses a linear nonthrtshold model to generate Its risk numbers. If HERO is going
30
HONS 019247
to generate such meaningless numbers to what credible use can such ^'.cers be put? Ue feel there is none. 12. p 27, last sentence - 'It {linear interpolation) is also generally the
most conservative model and thus the model most protective of public health. Thus, It was the model used to extrapolate risks to huxans*. The HERO group attempts here to fool themselves and the reader into believ ing that they have in fact used a mathematical model to determine risk. In actuality they have not for as HERO so aptly stated on p. 19 there is no difference In using a safety factor, l.e. a NOEL approach, or linear Interpolation. HERO'S 10' risk estimate is derived In actuality by using a safety factor of 100,000 on the upper confidence limit of the expected response for some dose. Although HERO might prefer to say that such an approach is mathematical modeling, It Is the simple application of a larger safety factor which does not Improve the reliability of their approach. As the saying goes "a rose by any other name Is still a rose*. Thus, if HERO feels that 1,000 is too small a safety factor then let them state it clear ly, rather than attempting to obscure the outcome by Insisting their numbers were generated by a 'better model". KERO stated on p, 19 that there was no reason to believe that all chemicals possess thresholds, likewise there is no convincing evidence that suggests a dose 1/100,000 of that producing an adverse response yields 1/100,000 of the given response, or that It produces an equivalent response once In a hundred thousand exposures. Herein lies the fallacy of HERD'S numbers. HERB has adopted the simplistic but unrealistic interpretation that for reproductive toxicity as the exposure Is lowered the occurence of the adverse effect becomes less likely while the magnitude of the adverse
31
MONS 0192^8
response induced remains unchanged. This ignores the traditional concect that there is a spectrum of toxic effects for any chemical for which severity decreases with the dose. Moreover, as hero states elsewhere. tr numbers do not represent the actual risk but an estimate of the upper bound of the risk. That is, the actual risk for a given exposure is less than the risk given by linear interpolation. Since the HERO approach has all of the above flaws associated with its numbers, and since they do not know how much less the actual or real risk is for a given dost, then what use are their numbers? This is a particularly relevent question as th actual risk may be several magnitudes lower Just as their reproductive risk estimates varied by several magnitudes depending upon which model Is used {see tables 8, 9, 10 etc.). 13. Table 13 - 'Reproductive Risk of Death Prior to Weaning of Himn
Infants Proa Hypothetical Maxlaae Exposure* of Pregnant Mown to PCSs (Derived Using the Technique of Linear Interpolation)*. This tabla which Is a simulation or culmination of HERD'S reproductive risk assessment contains numerous Inconsistencies and apparent mistakes, hero is first urged to ra-evaluate this risk assessment, then correct their typographical mistakes and publish a better discussion concerning what these values represent as well as the credibility or uncertainty Inherent to these values. For exwple: a) On the first page of table 13 one reference scenario poses th
Improbable workroom air concentration for PC8s of 10 mg/m3. This air concentration Is unrealistically high and probably cannot be shown to exist anywhere In the United States. Tet a cross check of the Versar document shows this value to be e typographical
32 HONS 019249
error both in table 13 and on cage 5 of the Executive Sj/mary. How many other typographical or mathematical errors exist i.n :v, document and have become entrenched in its conclusions? o) for each estimate of reproductive risk the flaws or uncertainties linked to the methods and assumptions used are combined with the uncertainties and inaccuracies inherent to the exposure estimates produced by Versar that were then used to determine the level of risk as set by the "model". There art numerous unrealistic assumptions made In the Versar document {see comment (c) below). Since the estimates derived by the model using such exposure data can be no more valid or accurate than the data, much If not all of the risk estimates are no more than meaningless assumptions. It 1$ suggested that the exposure estimates be recalculated In a more believable, accurate, and realistic manner before HERO even attempts to propose doing any reproductive risk estimates by any model. c) The risk estimate for plastic building materials Is only l/io of that for a constant air exposure of 10 ug/nP. This essentially means that the room air concentration of PCBs caused by the plastic Is 1.0 tig/at^. Considering the low vapor pressure of PCts, the fact that It Is part of a plastic matrix at low concen trations and unlikely to move to the surface, the exposure value proposed by Versar and the subsequent risk estimated by HERO do not appear to be even remotely possible. {Note: p 259 of the Versar document Indicates that exposure estimates used here by HERO are Indeed only hypothetical). Therefore, EPA should re-
33
HONS 019250
T
consider the exposure esthetes used, in this ns* assessment j-; Should directly measure the actuat PC3 levels before it ^es i-, decisions of a regulatory nature. d) Since very few of the HERD calculated risks exceeded the 10`5 risk level and a* these tended to be generated by spurious expo sure estimates, the HERD document should state in the executive sunwary that their calculations indicate that there is no apparent reproductive risk associated with incidentally produced PCBs. e) A comparison of the risks of cancer or reproductive toxicity using the upper 95t confidence limits for both values reveals that the HERD group Is suggesting that the reproductive risk is slightly greater than the cancer risk at all exposure levels. u challenge the HERO division to propose the mechanism of reproductlve toxicity and the data that Is consistent with this type of risk assessment modeling particularly for low level exposures. (It should be pointed out that the "positive" data point was a 100 ppm dose for both the cancer and reproductive risk assess* ments. This highlights the "model dependent" nature of their assessments). Not only are we certain that they cannot, we feel likewise certain that the scientific community would not agree with such speculation, nor will they agree with the type or risk assessment performed here by HERO. The.Inconsistency of HERD'S approach to modeling oncogenic and reproductive toxic 111es only serves to reinforce the conclusion that HERD can offer no scien tific evidence to support their calculations. HERD states on p.
34
HONS 019S1
30 that the purpose of this risk assessment is to provide guid ance in establishing a permissible level of PCBs in other cheen. cals. But since their risk assessment is obviously Ma*ed it is concluded that these documents should not be relied upon for regulatory guidance.
3S HONS 019252
APPENDIX C VtflSAWS EXPOSURE ASSESSMENT FOR INCIDENTALLY PRODUCED POLYCHLORINATED 3YPHENYLS (PC3)
Tht following citations from the Versar document indicate that many of the exposure estimates either are based upon unjustified or simplistic assunptions that do not reflect actual or real world conditions for PCB exposures. This Is not an exhaustive listing but only a few cited exonples are provided to demonstrate our concerns for the accuracy of the exposure estimates used by HEM as these in turn helped establish risk estimates for certain scenarios. 1. p. 40*42 - Using simplistic assweptIons for only two chlorinated
biphenyls. It Is calculated that a highly chlorinated Isomer would not enter the groundwater. However, this value Is Ignored and an amount representing the monochloroblphenyl contamination estimate, a chemical whose environmental transport and fate 1$ distinctly different from PCS mixtures. Is used for exposure purposes. When combined with the rest of the worst case assumptions made In this scenario the estimates have even less practical use. 2. p. S3 and table E-l on page 54 PCIs are assumed to be present in the workroom air at the sm ratio to the process chemical as Is found in the production stream. Considering the extremely low vapor pressure of PCS* this could not be true and greatly overestimates the percent of PCS present In the workroom air.
36
HONS 019253
3. p. 88 - An assumption is made that the only process affecting removal of PCBs from the water Is volatilization and not absorption to the sediments. Versar admits that this is in fact a scenario contrary to reality but proceeds anyway.
4. p. 104 Versar assumes a level of PCS* in grain that exceeds that found In grain from F0A sampling surveys. Further, PCBs were rarely found in grains sampled by the FOA. Thus, the Versar estimate does not attempt to reflect reality.
5. p. 216 - The Versar document states "the effect of duration (for soap exposure) Is not taken Into account when 1001 absorption Is assumed ... even though soaps are generally washed off within minutes of application."
6. p. 283 - The release rate of PCIs from dried paint Is apparently estimated as greater than the evaporation rate of PCIs from e liquid coating. In addition, all of the PCIs Is essumed to be released in two yetrs rether than most of it ramelnlng In the pelnt which is the more plausible prediction.
7. p. 289 * While there Is no evidence thet PCIs occur In polyvinyl chloride plestle, the Versar docimnt hypothesizes a significant PCS txposure from such plasties.
37
HONS 01925*
T