Strategic Consulting Report: 644-00200 20 May 2008 Rose Energy Biomass Fuelled Power Plant Health Impact Assessment with Human Health Risk Assessment FINAL Report prepared by: Dr Salim Vohra, Director, Centre for Health Impact Assessment Yvette Christopher, Research Scientist, CHIA Report reviewed by: Dr Alison Searl, Director, Clinical Services Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment The IOM is a major independent centre of scientific excellence in the fields of occupational and environmental health, hygiene and safety. We were founded as a charity in 1969 by the UK coal industry in conjunction with the University of Edinburgh and became fully independent in 1990. Our mission is to benefit those at work and in the community by providing quality research, consultancy and training in health, hygiene and safety and by maintaining our independent, impartial position as an international centre of excellence. The IOM has more than seventy scientific and technical staff based in Edinburgh, Chesterfield, London, and Stafford. Consultancy work is undertaken through IOM Consulting Limited which is a wholly owned subsidiary. Dr Salim Vohra is the Director of the IOM’s Centre for Health Impact Assessment based in London. Yvette Christopher is a Research Scientist based in IOM’s HQ in Edinburgh. Dr Alison Searl is Director of Clinical Services and also based in Edinburgh. Page i Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Page i Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment TABLE OF CONTENTS 1 Introduction ...................................................................................................1 2 Health Impact Assessment and Human Health Risk Assessment ...............2 3 Methodology ..................................................................................................8 4 Background Context.................................................................................... 12 5 Community Concerns .................................................................................. 16 6 Policy Context.............................................................................................. 18 7 Baseline and Community Profile................................................................. 21 8 Health Impacts of Waste Incineration ......................................................... 34 9 Social Determinants of Health..................................................................... 61 10 Risk Perception ........................................................................................... 66 11 Health Risk Assessment of Emissions from the Proposed Power Plant ... 70 12 Health Impacts of the Proposed Power Plant ............................................. 94 13 Conclusion ................................................................................................. 104 Page ii Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment LIST OF APPENDICES Appendix A: Health Risk Assessment Details for Maximally Exposed Receptor106 Appendix B: Health Impact Matrices..................................................................... 132 Page iii Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 1 Introduction 1.1.1 This Health Impact Assessment incorporating a Human Health Risk Assessment (HIA and HHRA, hereafter referred to as the HIA) has been commissioned by Rose Energy in order to address community concerns about the potential negative health impacts of their proposed biomass fuelled power plant. 1.1.2 The aim of the HIA was to: • assess the potential positive and negative health impacts on the residents around the proposed plant; • quantify, where possible, the potential negative health impacts of the emissions likely to be generated by the proposed plant; and • identify measures to remove or mitigate any potential negative health impacts on the local community. 1.1.3 The HIA draws on the Environmental Impact Assessment (EIA) that has been carried out in parallel to this assessment particularly the air quality, noise, visual and traffic impact assessments. Page 1 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 2 Health Impact Assessment and Human Health Risk Assessment 2.1 Health Impact Assessment 2.1.1 The international Gothenburg consensus definition of HIA is: “A combination of procedures, methods and tools by which a policy, program or project may be judged as to its potential effects on the health of a population, and the distribution of those effects within the population.”1 2.1.2 HIA is the key systematic approach to identifying the differential health and wellbeing impacts, both positive and negative, of plans and projects. 2.1.3 HIA uses a range of structured and evaluated sources of qualitative and quantitative evidence that includes public and other stakeholders' perceptions and experiences as well as public health, epidemiological, toxicological and medical knowledge. It is particularly concerned with the distribution of effects within a population, as different groups are likely to be affected in different ways, and therefore looks at how health and social inequalities might be reduced or widened by a proposed plan or project. 2.1.4 The aim of HIA is to support and add value to the decision-making process by providing a systematic analysis of the potential impacts as well as recommending options, where appropriate, for enhancing the positive impacts, mitigating the negative ones and reducing health inequalities. 2.1.5 HIA uses both a biomedical and social definition of health, recognising that though illness and disease (mortality and morbidity) are useful ways of understanding and measuring health they need to be fitted within a broader understanding of health and wellbeing to be properly useful (See Fig 2.1). 1 WHO European Centre for Health Policy; Health impact assessment: main concepts and suggested approach; Gothenburg consensus paper; WHO Regional Office for Europe; 1999. Page 2 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Fig 2.1: The determinants of health and wellbeing2 2.1.6 HIA therefore use the following World Health Organization psycho-social definition of health in our work: Health is “the extent to which an individual or group is able to realise aspirations and satisfy needs, and to change or cope with the environment. Health is therefore a resource for everyday life, not the objective of living; it is a positive concept, emphasizing social and personal resources, as well as physical capacities.”3 2.1.7 This definition builds on and is complementary to the longer established World Health Organization definition that “Health is a state of complete physical, social and mental wellbeing and not simply the absence of disease or infirmity”4. 2.1.8 The general methodology is based on established good practice guidance on HIA developed by the Department of Health and the Devolved Regions. Screening 2.1.9 This stage assesses the value of carrying out a HIA by examining the importance of a plan or project and the significance of any potential health impacts. 2 Adapted by Salim Vohra and Dean Biddlecombe from Dahlgren G and Whitehead, Policies and strategies to promote social equity in health; Institute of Future Studies; Stockholm; 1991. 3 World Health Organization; Health Promotion: A Discussion Document on the Concepts and Principles; WHO Regional Office for Europe; Copenhagen; 1984. 4 World Health Organization; Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June 1946, and entered into force on 7 April 1948 Page 3 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Scoping 2.1.10 This stage sets the ‘terms of reference’ for the HIA i.e. the aspects to be considered, geographical scope, population groups that might need particular focus, what will be excluded from the HIA, how the HIA process will be managed and so on. Baseline assessment and community profile 2.1.11 This stage uses routine national and local datasets e.g. national census, local surveys, area profiles, and other demographic, social, economic, environmental and health information to develop a community profile with a strong focus on health and wellbeing issues, and identification of vulnerable groups, as a baseline from which to assess the potential positive and negative impacts and any health inequalities. Stakeholder consultation and involvement5 2.1.12 This stage applies to intermediate and comprehensive HIAs where no previous consultation on a development has taken place. It uses workshops, questionnaires, interviews, surveys and other methods of consultation and involvement to engage key stakeholders, in particular local people, in the identification and appraisal of the potential health and wellbeing impacts, in the development of mitigation and enhancement measures; and in developing options for monitoring and evaluating the identified impacts. Evidence and analysis 2.1.13 This stage involves the collation of key evidence and the systematic analysis of the potential impacts, their significance, the groups likely to be most affected and the strength of the evidence for these impacts through the use of matrices and models. Mitigation and enhancement measures 2.1.14 This stage involves the identification of a range of measures to minimise the potential negative health effects and maximise the positive health benefits identified in the previous stages. Health impact statement 2.1.15 This stage produces the final HIA report or health statement,. 5 Rapid HIAs are rapid desktop analyses that take days or weeks to carry out. Intermediate HIAs are detailed desktop analyses with some focussed stakeholder consultation or feedback, e.g. stakeholder workshops and interviews, that take weeks and months to carry out. Comprehensive HIAs are exhaustive analyses involving comprehensive consultation of stakeholders through representative surveys, workshops and interviews that take a year or more to carry out. Page 4 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 2.1.16 It involves summarising the key conclusions, options and recommendations emerging from the assessment including identifying, where appropriate, monitoring indicators to ensure that health and wellbeing are maintained during the whole lifecycle of a project or plan. Follow up 2.1.17 This stage involves the active follow up of the project or plan to monitor and/or ensure that mitigation and enhancement measures have been put in place after a project or plan is approved. 2.1.18 It can also involve: a) presentation of the findings to key professional stakeholders; b) the development and implementation of a health impact communication plan to ensure that local communities fully understand the findings of the HIA and how and why it was carried out; and c) the evaluation of the effectiveness and value of the HIA process itself. 2.2 HUMAN HEALTH RISK ASSESSMENT METHODOLOGY 2.2.1 Human health risk assessment is the quantitative estimation of the potential negative health impacts of a proposed development. In the context of the Rose Energy Biomass Fuelled Power Plant this relates to the potential impacts of the residual air pollutants that are likely to be emitted by the plant when it is operational. 2.2.2 As there is no specific UK model for undertaking human health risk assessment for organic compounds and heavy metals this risk assessment has used the Human Health Risk Assessment Protocol (HHRAP) for Hazardous Waste Combustion Facilities, developed by US EPA (USEPA, 1998a). It is important to note that the Rose Energy Biomass Fuelled Power Plant is not a Hazardous Waste Combustion Facility but the US EPA Protocol has been selected as the most robust methodology available. 2.2.3 The US EPA protocol evaluates both the direct and indirect risks to human health. Direct exposure results from the direct inhalation of vapours and dusts, whereas indirect exposure results from contact of human receptors with soil, plants, meat or water on which emissions may have been deposited. The protocol is made up of four elements: facility characterisation; air dispersion and deposition modelling; exposure assessment; and risk and hazard characterisation. Page 5 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Facility Characterisation 2.2.4 Facility characterisation consists of compiling basic information on the site, the proposed facility, and its operations; identifying emission sources and estimating emission rates; identifying compounds of potential concern (COPCs) and sensitive receptors; and evaluating background levels of air, water and soil pollution. Air Dispersion and Deposition 2.2.5 The burning of waste materials produces residual amounts of pollution that are released into the environment. Estimation of potential human health risks associated with these releases needs information on atmospheric pollutant concentrations and annual deposition rates in the areas around a combustion facility where people are likely to be exposed. This comes from the air quality impact assessment (AQIA). Exposure Scenario Selection 2.2.6 Exposure scenarios are evaluated in the risk assessment to estimate the types and magnitude of human exposure to COPC emissions from a proposed facility. Identification of the exposure scenarios to be evaluated includes characterising the exposure setting, identifying recommended exposure scenarios, and selecting exposure scenario locations. 2.2.7 Exposure to COPCs can occur via a range of exposure pathways. Each exposure pathway is made up of four fundamental components: • an exposure route; • a source and mechanism of COPC release; • a retention medium or a transport mechanism and subsequent retention medium in cases involving media transfer of COPCs (air, water, soil, food, etc); and • a point of potential human contact with the contaminated medium, which is referred to as the exposure point and consists of a specific human receptor exposed at a specific exposure point. Estimation of Media Concentrations 2.2.8 The estimation of media concentrations involves calculating the COPC concentrations in air, soil, plant, meat, dairy products, surface water, sediment and fish. All the equations for calculating media concentrations are documented in the USEPA HHRAP manual.6 6 US Environmental Protection Agency, Human health risk assessment protocol for hazardous waste combustion facilities, 2005 Page 6 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Quantifying Exposure 2.2.9 The calculation of COPC-specific exposure rates for each exposure pathway involves the estimated: • media concentrations • inhalation/consumption rate • receptor body weight • frequency and duration of exposure. • This calculation is repeated for each exposure pathway included in an exposure scenario. Risk and Hazard Characterisation 2.2.10 The final step of the risk assessment is the calculation of lifetime cancer risks and non-carcinogenic hazards for each of the pathways and receptors identified. Risks and hazards are then summed for specific receptors, across all applicable exposure pathways, to obtain an estimate of total individual risk and hazard quotients for specific receptors. These can then be compared against accepted guidelines, target levels or thresholds. 2.2.11 The carcinogenic risks and non-carcinogenic hazards are calculated using the predicted media (air, soil, vegetables, meat or surface water) concentrations and toxicity factors of the potential emissions. 2.2.12 Actual or estimated (modelled) media concentrations are used to calculate pollutant intake (mg/kg/day) for each pollutant and exposure route. The calculated intake is then compared to applicable health risk standards. Page 7 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 3 Methodology 3.1 Introduction 3.1.1 The following sections outline the methodology applied to this HIA. They concern the following: a definition of the study area and study population; sources of information consulted; consultation and consultee feedback; assessment criteria and assessment framework. 3.1.2 This HIA used existing data and information from earlier and concurrent technical studies and consultations as well as routine data sources. 3.1.3 The methodology and methods used were based on existing good practice guidance in the UK. 3.1.4 The assessment was largely qualitative except where data was available to enable quantification or where quantification of health impacts has already been undertaken in the EIA. 3.2 Study area 3.2.1 The proposed site is wholly within the Glenavy ward in the district of Lisburn. 3.2.2 The geographical scope of this HIA was the development site and a 20km square grid with the development site at the centre. The HHRAP protocol requires that the assessment should consider impacts within 10km of the site. The assessment needs to extend out this far so that the potential impacts from bio-accumulation in water bodies can be considered. Most of the receptors considered within the health risk assessment element and indeed the air quality impact assessment (AQIA) are within a few kilometres of the site, as these are predicted to experience the greatest potential exposures. The major settlements within the area are the villages of Glenavy and Crumlin. Therefore both the wards of Glenavy in Lisburn and Crumlin in Antrim were considered. Page 8 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 3.3 Study population 3.3.1 The population scope of this HIA was the resident population in the geographical area described above. The key sensitive groups considered were children and young people, women, older people, people with disabilities and/or chronic conditions, people on low incomes/unemployed, minority groups and employees (both working in the area and of the proposed Biomass Fuelled Power Plant). 3.4 Sources consulted 3.4.1 Planning documents to be submitted as part of the planning application. 3.4.2 Information and data from the Northern Ireland Statistics and Research Agency, Ireland and Northern Ireland’s Population Health Observatory, Institute of Public Health in Ireland; Lisburn City Council, Antrim Borough Council as well as previous relevant HIA reports, databases and reviews of health impact evidence were used. 3.4.3 No specific HIA-related wider stakeholder or community consultation and engagement was undertaken because there was ongoing consultation and engagement with local residents during the development of this report which the lead assessor was involved in. 3.5 Analysis and assessment criteria 3.5.1 The HIA was based on a document analysis and desk-top health impact analysis using a matrix table to analyse the potential positive and negative health and wellbeing impacts. The categories used in the matrix table were: physical and mental health; employment and enterprise; housing and accommodation; transport and connectivity; learning and education; crime and safety; health and social care; shops and retail amenities; social capital and community cohesion; culture and leisure; lifestyle and daily routines; energy and waste; and land and spatial. 3.5.2 The identified impacts were then classified using the levels defined in Table 3.1. 3.5.3 We compared the potential impacts to a ‘Do Nothing’ option for the construction, short term operation and long term operational phases of the proposed development. Page 9 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 3.5.4 The HHRA element of the HIA used the USEPA HHRAP Model to quantify the potential increase in risk and hazard from air pollutants due to the proposed Biomass Fuelled Power Plant on people living and working in the area. Table 3.1: Definition of the levels of potential impact Significance Level Criteria Major +++/--- Health effects are categorised as major if the effects could lead directly to mortality/death or acute or chronic disease/illness. The exposures tend to be of high intensity and/or long duration and/or over a wide geographical area and/or likely to affect a large number of people e.g. over 500 or so and/or sensitive groups e.g. children/older people. They can affect either or both physical and mental health and either directly or through the wider determinants of health and wellbeing. They can be temporary or permanent in nature. These effects can be important local, district, regional and national considerations. Mitigation measures and detailed design work can reduce the level of negative effect though residual effects are likely to remain. (positive or negative) Moderate ++/-(positive or negative) Minor/Mild +/(positive or negative) Neutral/No Effect ~ 3.5.5 Health effects are categorised as moderate if the effects are long term nuisance impacts from odour and noise, etc or may lead to exacerbations of existing illness. The exposures tend to be of moderate intensity and/or over a relatively localised area and/or of intermittent duration and/or likely to affect a moderatelarge number of people e.g. between 100-500 or so and/or sensitive groups. The negative impacts may be nuisance/quality of life impacts which may affect physical and mental health either directly or through the wider determinants of health. The cumulative effect of a set of moderate effects can lead to a major effect. These effects can be important local, district and regional considerations. Mitigation measures and detailed design work can reduce and in some/many cases remove the negative and enhance the positive effects though residual effects are likely to remain. Health effects are categorised as minor/mild if they are generally nuisance level/quality of life impacts e.g. noise, odour, visual amenity, etc. The exposures tend to be of low intensity and/or short/intermittent duration and/or over a small area and/or affect a small number of people e.g. less than 100 or so. They can be permanent or temporary in nature. These effects can be important local considerations. Mitigation measures and detailed design work can reduce the negative and enhance the positive effects such that there are only some residual effects remaining. No effect or effects within the bounds of normal/accepted variation. For each potential health impact ten key issues were considered • Which population groups are affected and in what way? • Is the effect reversible or irreversible? Page 10 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment • Does the effect occur over the short, medium or long term? • Is the effect permanent or temporary? • Does it increase or decrease with time? • Is it of local, regional, national or international importance? • Is it beneficial, neutral or adverse? • Are health standards or environmental objectives threatened? • Are mitigating measures available and is it reasonable to require these? • Are the effects direct, indirect and or cumulative? Page 11 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 4 Background Context 4.1 Proposed development7 4.1.1 Rose Energy is proposing to develop a 30 megawatts electrical output (100Mw thermal input) bio-mass power station at a site on Land off Ballyvannon Road, Nr Glenavy, Crumlin, County Antrim. 4.1.2 The power station is to be fuelled with poultry bedding – a mixture of wood shavings and chicken droppings – and meat and bone meal (MBM), which is processed material that is derived from rendering animal by-products, less the tallow which is extracted from the initially rendered material. The power station will burn an equivalent of 300,000 tonnes of poultry bedding made up from mixing poultry bedding and MBM. 4.1.3 The poultry bedding will be delivered direct, by road, from a large number of poultry producing farms spread throughout Northern Ireland but predominantly clustered around Dungannon and Ballymena. The meat and bone meal will be delivered by vehicles from the adjoining Ulster Farm By-Products rendering plant. 4.2 Background to Project 4.2.1 Poultry bedding has reasonable calorific value and its use in power stations is tried and tested; there are a number of plants burning it as a fuel established elsewhere in the UK, such as at Westfield (Scotland), Eye (England) and Thetford (England). Meat and bone meal is also increasingly being used as a fuel source now that it no longer utilised as an agricultural feed; it is also of reasonable calorific value, and is currently used in a plant at Glanford (England). 4.2.2 The poultry producing and processing industries are an important part of the Northern Ireland economy. Traditionally poultry bedding has been spread on agricultural land as a fertiliser. This activity contributes to the eutrophication of lakes and rivers in nitrate vulnerable zones (NVZ), with a resultant negative impact upon flora and fauna and ultimately upon water abstraction for human consumption; the overloading of 7 Information sourced from the Pre-application Consultation document dated December 2007. Page 12 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment land with phosphorous derived from spreading poultry bedding is a less well known but equally difficult problem to resolve. Under the EU Nitrates Directive the current practice and extent of spreading of poultry bedding will no longer be possible and the Water Directive has also brought a requirement for improved quality and security of water supplies for human consumption. 4.3 Built form and operation of the proposed development 4.3.1 The built form of the power station will consist of: 4.3.2 • a reception building incorporating storage and mixing bins • a boiler house to the rear of the reception building – this is the tallest building (42m) • a turbine hall to one side of the boiler house • external dust arrestment equipment, ash silos and handling gear • a stack for the dispersion of emissions (estimated at 80m in height) • cooling towers (15m in height) • switch gear yard • ancillary plant and equipment • a sustainable drainage system (SuDS) for cooling waters and surface water run-off The whole development will cover an area of approx. 5 ha (12.36 acres). See Fig.4.1 and Fig. 11.1 4.3.3 The proposed power station will operate seven days a week with planned down-time to allow for maintenance and replacement of equipment as necessary. Imported poultry bedding and removal of ash, would only take place on Monday to Friday and Saturday mornings within limited hours – the plant will have holding facilities for several days supplies of poultry bedding and MBM feedstock. 4.3.4 Exportable electricity will be approximately 25Mw. This will be transmitted from the plant via buried cables and then to overhead poles (not pylons). 4.3.5 The proposed site consists of grazing land bounded by hedgerows, including a few hedgerow trees, which slope downwards from east to west towards the River Glenavy, which it abuts on the northern west side, in the direction of Lough Neagh. Page 13 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 4.4 Rationale for the proposed development8 4.4.1 There is little alternative to spreading poultry bedding other than its use as a fuel or disposal at landfill. Landfilling is not a sustainable option and the EU Landfill Directive effectively limits the potential for landfill particularly as poultry bedding would be a new waste stream when the emphasis is on reducing existing waste streams going into landfill. The EU Waste Directive also stipulates that all waste is treated – to reduce its volume and hazardous properties - in some way before being sent to landfill. MBM has traditionally been used as an animal feed but that use has been banned since the advent of the BSE crisis and while some MBM is likely to go back into animal feed, the majority will not. Use as a fertiliser (for certain categories of material only), as fuel or sending to landfill are the only options. 4.4.2 The majority of the proposed fuel feedstock, poultry bedding, will come from a large number of wide ranging poultry farms in the Province. However, though there are concentrations of poultry farms around Ballymena and Dungannon, in the interests of bio-security a plant using poultry bedding as a fuel, and storing it in large quantities prior to use, is precluded from operating close to these farms. 4.4.3 This location accords with the Waste Strategy and the emerging guidance within Draft Planning Policy Statement 18, Renewable Energy to site renewable energy plants at the source of, or close to, the producer of the waste or fuel. In identifying a site it was also vital to have a nearby water source, for abstraction cooling water. 8 Information sourced from the development framework documents and the environmental impact assessment for the proposed development. Page 14 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Fig. 4.1 Site map of the proposed biomass fuelled power plant (detail has been lost on this plan as the original size of this is very large, please environmental statement for a detailed plan) Page 15 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 5 Community Concerns 5.1 Introduction 5.1.1 This chapter summarises the key issues raised by local people both via meetings with Rose Energy as well as other sources such as community websites and other media. 5.1.2 Three meetings have been undertaken with local residents: a local community meeting, a meeting with some local residents and a meeting with community representatives (lead members of the Communities Against the Lough Neagh Incinerator). 5.1.3 The key community websites that were reviewed were: www.rosetintedenergy.com, www.glenavy.com and http://www.ulsterfarm.com. 5.2 Key community concerns 5.2.1 A number of concerns have been raised by local residents. These are the: 5.2.2 Potential health effects of emissions from the plant: the potential for cancer, infant mortality, respiratory illness e.g. asthma, cardiovascular disease (particularly on children). 5.2.3 Atmospheric conditions in the area i.e. an area of temperature inversion and the potential for emissions to stay in the area and not disperse. 5.2.4 Potential odour from the plant and from the associated lorry traffic. 5.2.5 Potential noise from the plant and the associated lorry traffic. 5.2.6 Potential increase in lorry traffic on the roads potentially leading to road traffic injuries and disruption to daily routines i.e. using and crossing roads on foot/bicycle would become more difficult especially given the difficulties of getting roads repaired in the area. 5.2.7 Proximity of the site to areas designated as Sites of Local Nature Conservation Importance and Areas of High Scenic Value. Page 16 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 5.2.8 Potential to affect flora and fauna in local rivers and Lough Neagh due to the intake and discharge of water coolant in the plant. 5.2.9 Disposal of bottom and fly ash. 5.2.10 Potential negative effect on house prices and farming land in the area and consequent difficulty in moving away from the area. 5.3 Range of residents concerned 5.3.1 Residents living adjacent to the site are particularly concerned but there is also concern in both Glenavy and Crumlin about the potential negative impacts of the proposed Biomass Fuelled Power Plant. Page 17 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 6 Policy Context 6.1 Introduction 6.1.1 This chapter summarises the key policy context in relation to the proposed biofuels Biomass Fuelled Power Plant. 6.2 European policy Directive on the Incineration of Waste, 2000, 2000/76/EC 6.2.1 The Waste Incineration Directive aims to prevent negative effects on human health and the environment from incineration, through air, soil, surface water and groundwater pollution by setting guidelines on the type and levels of emissions and the kinds of waste/fuels that are used. Directive Concerning Integrated Pollution Prevention and Control (IPPC), 1996, 96/61/EC 6.2.2 The IPPC Directive applies to major industrial and waste sites with the potential for heavy pollution, specifically air, water and land pollution. It aims to provide a high level of protection for the environment and health, extending to the inclusion of energy use, waste minimisation, vibration and noise. Directive on Waste (Waste Framework Directive), 1975, 75/442/EEC 6.2.3 The Directive establishes a framework for the management of waste across the European Community, defining key terms to enable its uniform implementation. Importantly the Directive requires that Member States: ‘ensure that waste is recovered or disposed of without endangering human health and without using processes which could harm the environment.’ Nitrates Directive, 1991/676/EEC 6.2.4 The Nitrates Directive aims to reduce or prevent the pollution of waters caused by the application and storage of inorganic fertiliser and manure on farmland. It is designed both to safeguard drinking water supplies and to prevent wider ecological damage. Page 18 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment The Directive requires that farmers must implement an action programme of mandatory measures to reduce the level of nitrates being washed into waterways. Groundwater Directive, 1976/464/EEC 6.2.5 The Groundwater Directive aims to protect groundwater from pollution by controlling discharges and disposals of certain dangerous substances to groundwater. 6.3 Northern Ireland policy The Northern Ireland Waste Management Strategy 2006 – 2020 6.3.1 This is Northern Ireland’s strategic plan for managing waste sustainably and in a way that protects both the environment and human health in Northern Ireland. 6.3.2 It states that energy from waste can contribute to meeting Northern Ireland’s nonfossil fuel obligations and the Government’s policies on renewable energy, as well as helping Northern Ireland to meet its landfill diversion targets. Industrial Pollution Control (NI) Order 1997 6.3.3 Certain industrial processes must be authorised under the Industrial Pollution Control (NI) Order 1997. The processes with the greatest pollution potential are known as Part A processes. For Part A processes (egg: power stations, cement factories and chemical processes) a single authorisation covers releases to air, water and land this is known as 'integrated pollution control'. In Northern Ireland there are two other categories of process - Part B and Part C processes. Authorisations for Part B and Part C processes cover releases to air only. The Chief Inspector of IPRI is the enforcing authority for part A and part B processes, while district councils are responsible for regulating part C processes. Authorisation of existing processes under the Order is being carried out under a phased programme, while new prescribed processes need to apply before starting operation. Water (Northern Ireland) Order 1999 6.3.4 Under the terms of the Water (Northern Ireland) Order 1999, the EHNS Operations Team is responsible for taking action to prevent or minimise the effects of polluting discharges made to waterways and for instigating enforcement action where Page 19 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment appropriate. The team is split into three distinct units: Pollution Prevention, Pollution Response and Enforcement & Prosecution 6.3.5 For the purpose of water pollution management, Northern Ireland has been divided into nine areas. Each of the nine areas is staffed by an Environmental Health (Rivers) Officer (EHRO) or Senior Water Quality Inspector (SWQI) and a number of Water Quality Inspectors (WQIs) who act as field agents on behalf of EHS. The Fisheries Conservancy Board (FCB) and the Loughs Agency (LA) also undertake pollution investigation and collect evidence on behalf of EHS for use in Water Order prosecution cases. 6.4 Health and social care policy Eastern Health and Social Services Board Health and Well-being Investment Plan 20072008 6.4.1 The key health and wellbeing targets for 2007-08 are reducing smoking prevalence, diabetes screening, reducing teenage pregnancies, reducing alcohol binge drinking, reducing illicit drug taking, monitoring childhood obesity levels, improving primary care mental health services and increasing the uptake of the MMR (Mumps, Measles and Rubella) vaccination. Northern Health and Social Services Board Corporate Plan 2007- 2008 6.4.2 A key goal of the Plan is to promote health and well being, tackle health inequalities & safeguard children and vulnerable adults. This involves taking forward the implementation of the Investing for Health Strategy and the Health and Well Being strategies such as: alcohol and drugs, smoking, physical activity, mental health promotion, suicide, home accident prevention, sexual health, teenage pregnancy and food and nutrition. Page 20 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 7 Baseline and Community Profile 7.1 Introduction 7.1.1 This chapter describes the key baseline conditions as they relate to the direct and indirect determinants of health for the wards of Glenavy and Crumlin, in the context of Lisburn and Antrim districts and Northern Ireland as a whole. The proposed development is situated wholly within Glenavy ward with Crumlin being the closest adjacent ward that is near the site of the proposed Biomass Fuelled Power Plant. The information in this chapter has been gathered from the range of sources described in Chapter 4. 7.1.2 This profile provides a summary of the current social, economic and environmental conditions as they relate to health and wellbeing. It is from this baseline understanding that the predictions on the potential health and wellbeing impacts of the proposed power plant on local residents are developed. 7.2 Population characteristics 7.2.1 The resident population of Glenavy and Crumlin wards in relation to Lisburn and Antrim districts and Northern Ireland as a whole are approximately 4,305 and 3855; in comparison to 108,700, 48,000 and 1,685,000 respectively9. 7.2.2 In Glenavy, just under 27% of the population is under 16 years and just under 14% are over 60 years old. Similarly in Crumlin just under 29% of the population is under 16 years and 11.5% are over 60 years old. 7.2.3 The average age in Glenavy is 33.6 years and 31.4 years in Crumlin, compared to 35.1 years in Lisburn district, 34.7 years in Antrim district and 35.8 years in Northern Ireland. Glenavy therefore has an older population than Crumlin but both wards are considerably younger than their respective districts and Northern Ireland as a whole. 9 Except where explicitly stated, for the sake of consistency 2001 ONS Census figures are quoted even though in some cases more up to date estimates are available. This is because though population in all these areas is likely to have increased the relative differences between the areas is Page 21 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 7.3 Ethnic profile 7.3.1 Glenavy and Crumlin wards both have a similar ethnic profile with 99% of the resident population being White. This is similar to their respective districts and to Northern Ireland as a whole. 7.3.2 The majority of the residents in Glenavy and Crumlin, about 93%, have been born in Northern Ireland and this is slightly higher than their respective districts and Northern Ireland as a whole. 7.4 Religion 7.4.1 Just under 51% of residents of Glenavy ward are Catholic, 14% are Presbyterian Church of Ireland, 15% are Church of Ireland, 3% are Methodist Church of Ireland and 4% are from other Christian denominations. This compares to Crumlin where just under 73% of residents are Catholic, 8% are Presbyterian Church of Ireland and 8% are Church of Ireland. This is in contrast to Lisburn and Antrim districts and Northern Ireland as a whole where 30%, 35% and 40% of the population are Catholic; 20%, 28% and 21% are Presbyterian Church of Ireland; and 21%, 12% and 15% are Church of Ireland. 7.5 Family structure 7.5.1 Marital status and household composition provide a good indication of the family structure and the likely personal and social care networks that residents of an area have. 62% of Glenavy ward residents are married or re-married compared to 57% in Crumlin ward. This is higher than the average for Lisburn and Antrim districts and Northern Ireland with 54%, 56% and 51% respectively. The proportion of single people is similar in Glenavy (26%) and Crumlin wards (25%) and is in line with Lisburn and Antrim districts (27% and 26%) but lower than the Northern Ireland average of 30%. likely to have remained the same and this is the important element of this profile. Page 22 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Page 23 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Fig. 7.1 Household composition in Glenavy and Crumlin wards compared to Lisburn and Antrim districts and Northern Ireland as a whole [Source: NISRA] 40% 35% 30% Glenavy 25% Crumlin Lisburn 20% Antrim 15% Northern Ireland 10% 5% 0% One person: One person: Pensioner other All pensioners Married couple: no children Page 24 Married couple: dependent children Married couple: nondependent children Cohabiting couple: no children Cohabiting couple: dependent children Strategic Consulting Report: 644-00200 Cohabiting Lone parent: Lone parent: Other couple: non- dependent nonhouseholds: dependent children dependent dependent children children children Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 7.5.2 The proportion of pensioner and all pensioner households is lower in Glenavy and Crumlin wards (14% each) compared to Lisburn district (18%), Antrim district (16%) and Northern Ireland as a whole (20%). 7.5.3 The average household size in Glenavy and Crumlin wards are 3.12 and 2.91 respectively. This compares to a Northern Ireland average of 2.65. 7.5.4 The proportion of married couples with dependent children in Glenavy ward is 37% and 35% in Crumlin ward which is significantly higher than Lisburn and Antrim districts (26% and 27% respectively) and Northern Ireland as a whole (24%). 7.5.5 The proportion of cohabiting couples is similar in both Glenavy and Crumlin wards; Lisburn and Antrim districts; and Northern Ireland as a whole. 7.5.6 The proportion of lone parent households with children is 8% in Glenavy ward and 13% in Crumlin ward compared to 13% in Lisburn district, 11% in Antrim district and 13% in Northern Ireland as a whole. 7.6 Health status 7.6.1 93% of residents in Glenavy ward described their health as either good or fairly good compared to 91% of residents in Crumlin ward. This is slightly better than the average for Lisburn and Antrim districts and Northern Ireland at 90%, 91% and 89%. Fig. 7.2 Perceived health status and long term limiting illness in Glenavy and Crumlin wards compared to Lisburn and Antrim districts and Northern Ireland,[Source: NISRA] 90% 80% 70% 60% Glenavy Crumlin 50% Lisburn 40% Antrim Northern Ireland 30% 20% 10% 0% General health: good General health: General health: failry good not good Page 25 Limiting long term illness Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 7.6.2 Only 14.5% of Glenavy ward and 17% Crumlin ward residents have a long term limiting illness. This compares to Lisburn district, Antrim district and Northern Ireland averages of 18%, 18% and 20% respectively. 7.6.3 Glenavy and Crumlin both have healthier residents than their respective districts and Northern Ireland as a whole. 7.7 Deprivation and social cohesion 7.7.1 The Northern Ireland Multiple Deprivation Measure 2005 (NIMDM 2005) is a measure of multiple deprivation experienced by individuals living in an area at the ward and small area level. Deprivation refers to problems caused by a general lack of resources and opportunities and not just a lack of money. It is a wider concept than poverty and includes health status, level of education, access to services, living conditions and the state of the local environment. People may be counted in one or more of the domains, depending on the number of types of deprivation that they experience. The overall MDM is conceptualised as a weighted area level aggregation of these specific dimensions of deprivation. The NIMDM 2005 contains seven domains of deprivation: Income; Employment; Health and Disability; Education, Skills and Training; Proximity to Services; Living Environment; and Crime and Disorder. 7.7.2 All the wards in Northern Ireland are ranked from 1 (most deprived, Shankill ward in Belfast) to 582 (least deprived, Hillfoot in Castlereagh). Fig. 7.3 NIMDM of Glenavy and Crumlin wards in relation to the other wards in Northern Ireland [1=highest rank, most deprived 582=lowest rank, least deprived] [Source: NISRA] 600 500 400 Glenavy 300 Crumlin 200 100 0 Overall Income Living Crime and Employment Health and Education, Proximity to disability skills and services Environment disorder training Page 26 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 7.7.3 Overall, both Glenavy and Crumlin wards are among the least deprived wards in Northern Ireland. However, both seem to have an issue in relation to proximity to services and crime and disorder. Glenavy is less deprived than Crumlin except in the domain of proximity to services e.g. health and social care, amenities, etc. (See Fig. 7.3 previous page). 7.8 Housing 7.8.1 In Glenavy ward, 90%, and in Crumlin ward, 81%, of residents own their own homes with 39% in Glenavy ward and 18% in Crumlin ward owning their homes outright. This compares to 70% of residents owning their own homes in Lisburn and Antrim districts and Northern Ireland as a whole. 7.8.2 In Glenavy ward, 76% of the homes are detached, 17% are semi-detached with 7.3% being terraced and 0.2% being apartments. This compares to 37% of homes being detached, 32% semi-detached, 25% being terraced and 7% being apartments in Crumlin ward. 7.8.3 11% of residents in Glenavy ward live in rented housing and of these only 5% rent from the Northern Ireland Housing Executive (NIHE) or other social housing provider. 17% of residents in Crumlin ward live in rented accommodation and of these 11% rent from NIHE and 3% from other social housing providers. This is in contrast to Lisburn and Antrim districts and Northern Ireland as a whole where 29%, 28% and 32% of people live in rented accommodation with 18-20% renting from NIHE. 7.8.4 Currently, the average house price in Lisburn and Antrim districts is £285,000 and £222,000; with detached houses going for £453,000 and £308-348,000; semidetached house going for £290,000 and £220,000; terraced houses going for £217,000 and £160-170,000; and flats going for £230,000 and £170,000. There has been a 39% rise in house prices over the last 12-18 months.10 7.9 Employment and unemployment 7.9.1 In Glenavy ward, 42% of residents are in full-time employment and 13% are in selfemployment while 49% of Crumlin ward residents are in full-time employment and 10 BBC website from figures provided by the University of Ulster in partnership with Bank of Ireland. Page 27 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 7% are in self-employment (See Fig. 7.4). This compares to 41% and 8% in Lisburn district, 45% and 9% in Antrim district and 38% and 8% in Northern Ireland as a whole. 7.9.2 As shown above both Glenavy and Crumlin wards have a higher proportion of fulltime employed residents. They also have a lower proportion of people who are permanently sick or disabled and retired than Lisburn and Antrim districts and Northern Ireland as a whole. 7.9.3 The unemployment rate is 2% in Glenavy ward and 3.5% in Crumlin ward compared to a rate of 3% in Lisburn district, 3% in Antrim district and 4% in Northern Ireland as a whole. Glenavy has a higher rate of unemployment particularly among those aged 16-24 years compared to Crumlin whose unemployment rate is higher among those aged 50 and over. 7.9.4 In Glenavy ward, 4% of residents aged 18-59 years are claiming Income Support; 6.5% of 16-59/64 year olds are claiming Incapacity Benefit and 2% of those over 16 years were claiming Housing Benefit.11 In Crumlin ward, 6% of residents aged 18-59 years are claiming Income Support; 7% of 16-59/64 year olds are claiming Incapacity Benefit and 5.5% of those over 16 years were claiming Housing Benefit. 7.9.5 Residents of Glenavy and Crumlin wards are employed in a diverse range of occupations and industries, with the top three dominant industries being: wholesale and retail trade repairs, manufacturing, and health and social care. 7.9.6 In Glenavy ward, 18% of residents are employed in skilled trade occupations, 15% in managerial or senior official occupations, 14% in administrative and secretarial occupations, 12% in associate professional and technical occupations, 11% as process plant and machine operatives and 10% in professional occupations. While in Crumlin ward, 12% of residents are employed in skilled trade occupations, 17% in administrative and secretarial occupations, 12% in associate professional and technical occupations, 12% as process plant and machine operatives and 12% in elementary occupations. 11 Based on claimant figures for 2004. Page 28 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Fig. 7.4 rates of employment and unemployment in Glenavy and Crumlin wards compared to Lisburn and Antrim districts and Northern Ireland,[Source: NISRA] 60% 50% 40% Glenavy Crumlin 30% Lisburn Antrim Northern Ireland 20% 10% 0% Employee full-time Employee part-time SelfEconomically Economically employed active: active: FullUnemployed time student Page 29 Retired Economically Looking after Permanently Ecomically Unemployed Unemployed Unemployed Unemployed inactive home/family sick/disabled inactive: people aged people aged people who people long term student Other 16-24 50 and over have never unemployed worked Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 7.9.7 There are approximately 780 jobs in Glenavy ward and 650 in Crumlin ward.12 7.10 Education 7.10.1 36% of Glenavy ward and 33% of Crumlin ward residents have no qualifications. This compares to the Lisburn and Antrim districts and Northern Ireland averages of 37%, 39% and 42% respectively13. 7.10.2 Approximately a fifth have Level 1 and Level 2 qualifications with 19% of residents in Glenavy and 16% in Crumlin having a level 4/5 degree level qualifications (See Fig. 6.7). This compares to the Lisburn and Antrim districts and Northern Ireland averages of 17%, 14% and 16% respectively. 7.10.3 Both Glenavy and Crumlin have higher levels of educational achievement than their respective districts and Northern Ireland as a whole with Glenavy have a higher proportion than Crumlin. Fig. 6.7 Proportion of residents in Glenavy and Crumlin wards who have qualifications compared to Lisburn and Antrim districts and Northern Ireland as a whole [Source: NISRA] 45% 40% 35% 30% Glenavy Crumlin 25% Lisburn 20% Antrim Northern Ireland 15% 10% 5% 0% No qualifications 12 13 Level 1 Level 2 Level 3 Level 4 Level 5 Based on 2005 data. No Qualifications: No academic, vocational or professional qualifications. Level 1: 1+‘O’ level passes, 1+CSE/GCSE any grades, NVQ level 1, Foundation GNVQ Level 2: 5+‘O’ level passes, 5+CSEs (grade 1). 5+GCSEs (grades A- C), School Certificate, 1+’A ’ levels/AS levels, NVQ level 2, Intermediate GNVQ Level 3: 2+‘A’ levels,4+AS levels, Higher School certificate, NVQ level 3, Advanced GNVQ Level 4/5: First degree, Higher degree, NVQ levels 4 and 5, HNC, HND, Qualified Teacher status, Qualified Medical Doctor, Qualified Dentist, Qualified Nurse, Midwife, Health Visitor Other qualifications/level unknown: Other qualifications (e.g. City and Guilds, RSA/OCR, BTEC/Edexcel), Other Professional Qualifications. Page 30 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 7.11 Transport and connectivity 7.11.1 Public transport in Glenavy and Crumlin wards is poor. 7.11.2 In Glenavy ward, 93% of households have access to a car or van with 77% of employed residents usually travelling to work by car or van. In Crumlin ward, 83% of households have access to a car or van and 76% of employed residents usually travel to work by car or van. This compares to Lisburn and Antrim districts and Northern Ireland average of 71% who have access to a car or van. 7.12 Crime and safety 7.12.1 The main police and fire brigade stations are in Lisburn City and Antrim Town. 7.12.2 In 2005-06, Glenavy ward had 387 recorded offences in four major categories of crime: 29% theft, 23% criminal damage, 17% offences against the person, and 14% burglaries. Similarly, Crumlin had 314 recorded offences with 28% theft, 23% offences against the person, 19% criminal damage and 18% burglaries. Crime in both wards is at moderate levels compared to other wards in Northern Ireland. 7.13 Health and social care 7.13.1 Primary care in Glenavy ward is commissioned by the Eastern Health and Social Services Board and there is one GP practice in Glenavy village. Primary care in Crumlin ward is commissioned by the Northern Health and Social Services Board and there is one GP practice in Crumlin village with a branch in Glenavy village. 7.13.2 For Glenavy ward, the main hospital in the area is the Lagan Valley Hospital in Lisburn. For Crumlin ward, the main hospital is the Antrim Area Hospital. 7.13.3 The main causes of death in Glenavy and Crumlin wards, based on Northern Ireland figures, are cancer; heart and circulatory disease; respiratory disease and cerebrovascular disease (strokes). The commonest cancers are for: skin, breast, lung, colorectal and colon. Page 31 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 7.14 Shops and retail amenities 7.14.1 Glenavy and Crumlin villages have some shops however the majority of shops and retail amenities are concentrated in the main urban areas such as the Cities of Lisburn and Belfast. 7.15 Culture and leisure 7.15.1 Local churches in the area are a focus for a range of religious, cultural and leisure activities including Junior Church, Soul Rock, Girls Brigade, Badminton Club, Parish Choir, Ladies Guild, Mothers Union and bowling. 7.15.2 Both Glenavy and Crumlin have youth projects targeting local young people and are overseen by key local agencies including the local churches and the police service 7.16 Land and spatial 7.16.1 The area around the development site is rural with farming being an important land use. Some parts of the locality have been assigned as ‘Areas of High Scenic Value’ and ‘Site of Local Nature Conservation Importance’. 7.16.2 In Glenavy ward, 180 farms are registered to addresses in the ward with a total agricultural labour force of 355 employed in the area.14 In Crumlin ward, 13 farms are registered to addresses in the ward with a total agricultural labour force of 25 employed in the area. 7.17 Conclusion 7.17.1 Overall the population of the local area around the proposed power plant are healthy or very healthy and health and social inequalities (deprivation) are low. The resident population is long established with strong family/social networks and high levels of home ownership. The area has generally higher levels of education and employment than the Northern Ireland average and key deprivation issues in the area are access to services and amenities and crime. 14 Based on 2006 data. Page 32 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 7.17.2 Public health issues are in line with those in other parts of Northern Ireland with improving sexual health and reducing teenage pregnancies; reducing smoking, alcohol binge drinking and reducing illicit drug taking; monitoring childhood obesity levels, increasing physical acitivity generally and improving food and nutrition; and improving primary care mental health services and mental health promotion being the key challeneges. Page 33 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 8 Health Impacts of Waste Incineration 8.1 Introduction 8.1.1 Ambient air in both urban and rural areas contains a large number of chemicals. Heat and power generation, transport exhaust, cooking, bonfires and smoking are examples of social combustion processes. Forest fires and volcanic eruptions are examples of natural combustion processes. All combustion processes generate many different airborne chemicals and many of these processes are essential to modern life. 8.1.2 There has been and is considerable public concern, particularly among people living near such facilities, on the potential negative health impacts from the emissions generated by these facilities that are deposited onto air, water and soil. 8.1.3 Conversion of bio-waste to energy is a carefully controlled burning process. The process aims to achieve a substantial reduction in the volume of waste; eliminate or reduce any potential harmful agents such as harmful micro-organisms and organic chemicals; and generate useful energy. The chemicals emitted from biomass fuelled power plants are similar to those emitted from coal-fired power stations, metal smelting plants and municipal waste incinerators. Advances in the technology of modern waste to energy plants have enabled the introduction of tighter regulation on emission levels compared to other types of combustion plants. 8.1.4 The main outputs from power plants and incinerators tend to be: • Energy (as heat and electricity). • Gases emitted into the air. • Fly ash which is the residue within the abatement and control systems in place to reduce the amount of emissions into the air. • Bottom ash which is the non-combustible material, such as metals contained in the original fuel or waste stream, that remains in the boiler. • 8.1.5 Cooling water discharges where water is used as a coolant. The principle sources of data to assess the potential health effects of the chemicals that may be emitted from the stack of the power plant are: Page 34 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment • epidemiological studies on individuals living near incinerators • toxicological studies in laboratory settings • exposure studies on individuals living near incinerators 8.1.6 All waste whether classified as non-hazardous or hazardous, particularly biological (e.g. food, drink, animal remains); radioactive and chemical waste (e.g. domestic cleaning fluids, batteries, industrial chemicals, plastics) can be hazardous if not collected and managed appropriately. The potential human health impacts associated with the accumulation and decay of both non-hazardous and hazardous waste include15: • emissions into the air, water and soil; • odour; • dust; • an increase in pests and vermin; • detraction from the visual aesthetics of the local environment; • impacts on greenspace; • impacts on flora and fauna; • fire hazard; • infectious diseases (both directly and from transmission by, for example, flies and rats); and • chronic diseases e.g. pneumonia, diarrhoea, bronchitis. 8.1.7 If waste remains uncollected and untreated (a ‘do nothing’ approach) there will be significant and demonstrable negative consequences for health and wellbeing. It is against this background that potential health impacts of waste treatment needs to be compared. 16 8.1.8 The following sections describe the evidence on the health impacts of municipal solid waste (domestic and commercial waste) and hazardous waste incinerators as these have been the most closely studied. In general biofuels such as poultry bedding and meat and bonemeal are less hazardous than municipal and hazardous waste. 15 Leonardi G., Waste and Health in London: a brief overview, London School of Hygiene & Tropical Medicine, 2001 (Part of the HIA of the London Mayor’s draft Municipal Waste Strategy 2001) 16 Williams P, Waste treatment and disposal, John Wiley & Sons, Chichester, 1999. Page 35 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 8.2 Interpretation of epidemiological, toxicological and exposure studies 8.2.1 Epidemiological studies are very important sources of direct information on the relationship between exposure to chemicals and the possible human health effects especially in terms of long term effects. However, epidemiological studies particularly in relation to combustion or incineration plants and other low levels of environmental pollution are often difficult to interpret because the low level exposure over long time periods is very difficult to disentangle from the other exposures and factors (termed confounding factors), for example exposures in the home from domestic cleaning, decorating and garden chemicals, that can contribute to the development of an adverse health effect.17 18 8.2.2 Some of the key issues to consider when interpreting the health evidence and epidemiological studies in particular are: • The likely nature and levels of emissions from the plant under investigation since it came into operation. Most of the facilities studied have been older in design and poorly performing by current standards. Often these epidemiology studies have involved hazardous waste incinerators, for which the levels of emissions and therefore exposure of the local population, tended to be much higher than for modern facilities. These old waste to energy facilities had poor environmental performance because they did not have the advanced pollution abatement technology that is an integral feature of modern incinerators. The published data should therefore be viewed as describing a ‘worst case’ situation. • What other sources of emissions are present in the area (for example, smelting works, power stations, crematoria, heavy vehicle traffic, etc.). Health studies have tended not to separate out the effects of other sources of emissions which makes it difficult to unambiguously attribute effects solely to the incinerator. • The degree of deprivation in the area as there is an association between levels of deprivation and poorer health. Incinerators are often sited in areas of social deprivation and it is difficult to separate effects that may be due to the incinerator from those associated with poverty. 17 Franchini M, Rial M, Buiatti E, Bianchi F. Health effects of exposure to waste incinerator emissions: a review of epidemiological studies. Ann Ist Super Sanita. 2004;40(1):101-15. Review. 18 Hu SW, Shy CM. Health effects of waste incineration: a review of epidemiologic studies. J Air Waste Manag Assoc. 2001 Jul;51(7):1100-9. Review. Page 36 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment • The health endpoints considered in many studies are also uncommon, affecting 1 in a 1,000 or less of the general population. In order to detect changes in the number of cases you therefore need to study at least 100,000 people, whereas the population in the area around any individual incinerator is likely to be less than 10,000. If one case of a particular cancer that normally arises in 1 in 20,000 people arises by chance within that local population, then it would appear to be twice as common as in the general population. This would not be a statistically significant finding, but can be widely quoted as evidence of an excess cancer risk for that particular type of cancer. • Some studies have increased the statistical power of investigations by looking at a wider area around plant but this gives a real problem in assessing whether observed effects could plausibly be associated with incinerator emissions. Studies have included populations that live distances of up to 10 km from an incinerator where the air quality effects would be vanishingly small at distances more than 1km from a plant and where pollution from other sources tends to account for 99% of population exposure to air pollution. • Many clusters of disease do arise purely by chance. Often the media will report apparent associations between some unwelcome development (mobile phone masts, nuclear power station, landfill sites) and adverse health effects without considering whether the findings are “statistically significant”, i.e. unlikely to be a chance event. Even if findings do appear to be “statistically significant”, there is still likely to be a 1 in 20 chance that the findings have arisen by chance rather than being a real cause. 8.2.3 Normally, if a health effect is causally linked with some factor such as exposure to emissions from an incinerator, then associations between effect and potential cause would be expected to arise in a number of studies. Where the results of different studies are inconsistent, then there is a high probability that at least some of the health effects reported in individual studies have arisen either by chance or as a result of a confounding factor. This relates to a wider set of criteria for causation that are termed the Bradford-Hill Criteria which is accepted by public health professionals as the standard for judging causal relationships between an exposure and a health effect.19 The eight key criteria are: 19 Hill, B.A. (1965). The environment and disease: Association or causation? Proceedings of the Royal Society of Medicine, 58, 295-300. Page 37 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment • Consistency –the association between exposure and health effect is replicated in different studies using different methods. • Strength – the strength of the association is strong as determined by statistical tests. • Specificity –a single exposure produces a specific health effect. • Dose-response relationship –an increasing dose/exposure increases the likelihood of a health effect. • Temporal relationship – the exposure always precedes the health effect. • Biological plausibility – there is a reasonable biological mechanism by which the exposure generates the health effect in humans. • Coherence – the association fits with other existing health knowledge • Experiment – the health effect can be affected (e.g. prevented or ameliorated) by appropriate experimental intervention. 8.2.4 Toxicological studies allow the effects of both pure chemicals and mixtures to be determined under very carefully controlled conditions (i.e. confounding factors are minimised). In the past these studies have been carried out using several species of laboratory animals, at different exposure levels. This enables the characterisation of the great majority of the hazardous properties. Several thousand chemicals have been studied in this way. A particular purpose of such studies is to identify the exposure levels at which each effect can be considered insignificant in humans. Rarely are such studies carried out in humans. It is therefore not always possible to extrapolate such information from laboratory animals to humans. Where uncertainty exists in this extrapolation it is generally addressed as follows: the findings in the most sensitive species are used for extrapolation purposes and safety factors are introduced to allow for uncertainties in the extrapolation from animals to man and possible differences in sensitivity between humans. Thus, estimates of what constitutes a safe level in humans tend to err on the side of caution. Typically the estimated safe levels in humans are 1000 times smaller than the ‘no effect level’ in animals. 8.2.5 Exposure studies involve taking blood measurements from residents living near incinerators and assessing their blood levels compared to a control group of residents that do not live near an incinerator. Exposure to chemicals can come from very many sources. All of the chemicals of interest that are emitted from incinerators are also Page 38 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment produced from many other sources. It is therefore necessary to identify the contribution of the stack emissions to the total exposure of the local community. If the proportion of the chemical coming from the stack is very small compared with other sources of exposure it is most unlikely that it will have any significant effect on health. 8.2.6 In the following sections epidemiological and exposure studies along with key reviews of the health evidence are presented. 8.3 Reviews of the epidemiological literature 8.3.1 The following extracts are provided in chronological order from the key reviews that have taken place over the last ten years. 8.3.2 The National Public Health Service in Wales produced a briefing report on ‘Health Effects of Waste Management Technologies in 2007. The report states that: “For the reasons outlined above, all three reviews agree that no firm conclusions can be drawn on the health effects of waste management technologies. SWPHO summarise the situation by stating that the most studies are ‘hypothesis-generating’ rather than ‘hypothesis-testing’. Bond et al state that the “…generic lessons…can be summarised as follows: Most epidemiological investigations reported in this area have been “ecological” studies based on spatial patterns of morbidity or mortality. Exposure, which may be over protracted periods involving multiple confounding factors, such as deprivation, have been insufficiently quantified to permit scientifically robust conclusions concerning causation. Emissions and exposures from landfill and composting operations are much less well characterised than those from incineration. Emissions of bioaerosols from composting, landfill and waste recycling plants are a potential concern. Robust epidemiological data concerning health risks associated with exposure to bioaerosols are very sparse.” (Executive summary pg.i)” (Section 6 Conclusion, Page 6) 8.3.3 A World Health Organization workshop in 2007 ‘Population Health and Waste Management: scientific data and policy options’ in the chapter on the health impacts of incinerators has this to say in terms of policy implications: “In short, the current state of knowledge is inconclusive. There is reasonable evidence of some adverse health effects from older plants. There is little or no relevant data from Page 39 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment more modern plants. Future studies will be harder to do, and even harder to interpret, than older studies, as the levels of emissions are likely to be lower. Epidemiology may not be the most suitable tool, as it is unlikely to be possible to reduce the uncertainties fast enough for current policy needs. A reasonable basis for future action might be this. Decisions to proceed with the construction of new plants should observe the precautionary principle, and each plant and each site should be rigorously evaluated for potential harm. There is no present evidence of harm from modern facilities, but it will be necessary to do some systematic large scale studies, focusing on the health effects identified so far, to monitor the impact of present and future industrial activities across Europe. Every effort should be made to support less developed countries in upgrading and/or phasing out unsatisfactory facilities.” (Section A3. Overview of health effects – incinerators, Section A3.5 Policy implications, Pages 32-33) 8.3.4 The Institute of Public Health in Ireland in their 2005 introductory paper ‘Health Impact Assessment and Waste Management with particular reference to Incineration’, have this to say: “The relationship between waste incineration and health has been the subject of much debate. Reviews of epidemiological studies that explored the potential health risks to employees and to people living or working nearby found many results inconclusive due to a number of difficulties including: Where no evidence can be found of a relationship between adverse health effects and proximity to incineration sites this may mean that there is no relationship or that a relationship exists but may not be detectable using available methods and data sources. The fact that ill-health may occur infrequently or take years to appear make it difficult to establish cause and effect. Other confounding factors such as socio-economic variables, exposure to toxic substances from other sources, population variables and spatial and temporal issues make causality difficult to assess. Further limitations with the evidence base include: The fact that many studies conducted to date have concentrated on the effects of exposure to emissions from the older generation of incinerators, which have been phased out since the introduction of stricter emission controls. Many studies have concentrated on the physical health outcomes, however a more holistic interpretation of health would also include psychological and social wellbeing.” (Section 2.3 Waste management and health, Page 4) Page 40 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 8.3.5 The Health Protection Agency published a Position Statement on ‘Municipal Solid Waste Incineration’ in 2005 which states that: “Health Studies Studies in the UK have principally focused on the possible effects of living near to the older generation of incinerators, which were significantly more polluting than modern plant. The Agency has considered studies examining adverse health effects around incinerators and is not aware of any consistent or convincing evidence of a link with adverse health outcomes. However it is accepted that the lack of evidence of adverse effects might be due to the limitations regarding the available data. A number of comprehensive reviews on incineration have been published. The Department for Environment, Food and Rural Affairs have recently commissioned a review of the effects of waste management, which was peer reviewed by the Royal Society. Cancer, respiratory disease and birth defects were all considered, and no evidence was found for a link between the incidence of the disease and the current generation of incinerators. It concluded that although the information is incomplete and not ideal, the weight of evidence from studies so far indicates that present day practice for managing solid municipal waste has, at most, a minor effect on human health and the environment, particularly when compared to other everyday activities. An earlier report by the Medical Research Council’s Institute for Environment and Health on the ‘’Health Effects of Waste Combustion Products’’ also concluded that ’epidemiological studies on people who work at or live near incinerators have shown no consistent excess of any specific disease’. The Committee on the Carcinogenicity of Chemicals in Food, Consumer Products and the Environment has reviewed a large study by the Small Area Health Statistics Unit that examined 14 million people living within 7.5 km of 72 municipal solid waste incinerators, which operated up to 1987. The Committee concluded that, ‘any potential risk of cancer due to residency (for periods in excess of ten years) near to municipal solid waste incinerators was exceedingly low and probably not measurable by the most modern techniques’. We agree with this view. Conclusion Page 41 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Incinerators emit pollutants into the environment but provided they comply with modern regulatory requirements, such as the Waste Incineration Directive, they should contribute little to the concentrations of monitored pollutants in ambient air. Epidemiological studies, and risk estimates based on estimated exposures, indicate that the emissions from such incinerators have little effect on health. The Agency, not least through its role in advising Primary Care Trusts and Local Health Boards as statutory consultees for Pollution Prevention and Control (PPC), will continue to work with regulators to ensure that incinerators do not contribute significantly to ill-health.” (Pages 3-4) 8.3.6 The British Society for Ecological Medicine published a report on ‘The Health Effects of Waste Incinerators’ in 2005.20 This stated that: “1) Large epidemiological studies have shown higher rates of adult and childhood cancers and of birth defects around incinerators. Smaller studies and a large body of related research support these findings, point to a causal relationship, and suggest that a much wider range of illnesses may be involved. 2) Recent research has confirmed that particulate pollution, especially the fine particulate (PM2.5) pollution which is typical of incinerator emissions, is an important contributor to heart disease, lung cancer, and an assortment of other diseases, and causes a linear increase in mortality. Incinerators are in reality particulate generators, and their use cannot be justified now that it is clear how toxic and carcinogenic fine particulates are. 3) Other pollutants emitted by incinerators include heavy metals and a large variety of organic chemicals. These substances include known carcinogens, endocrine disruptors, and substances that can attach to genes, alter behaviour, damage the immune system and decrease intelligence. The dangers of these are self-evident. Some of these compounds have been detected hundreds to thousands of miles away from their source. 20 The Health Protection Agency have formally and publicly critiqued this review stating: “The BSEM report is not a systematic review of the literature and there is no critical assessment of the quality of the included studies. Consequently the report presents a selective and limited use of the scientific literature. For example the report has not considered important reviews such as the DEFRA review of environmental and health effects of waste management, the Committee on Carcinogenicity (COC) statement on cancer incidence near municipal solid waste incinerators in Great Britain or the Royal Society critique of the DEFRA review.” Page 42 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 4) Additional dangers arise from radioactive particulates emitted from incinerators licensed to deal with hazardous waste. 5) Incineration only reduces the volume of waste by 30-50%. Modern incinerators produce far more toxic fly ash (air pollution control residues) than older incinerators; these pose important long term health risks. No adequate methods exist for the disposal of this ash. 6) The greatest concern is the long-term effects of incinerator emissions on the developing embryo and infant, and the real possibility that genetic changes will occur and be passed on to succeeding generations. Far greater vulnerability to toxins is documented for the very young, particularly foetuses, causing cancer, spontaneous abortion, birth defects or permanent cognitive damage. A worryingly high body burden of pollutants has recently been reported in two studies of cord blood from new-born babies. 7) Waste incineration is prohibitively expensive when health costs are taken into consideration. The EC Commission figures indicate that a single incinerator could cost the tax payer up to £50 million a year. Recent American data showed that strict air pollution control has saved tens of billions of dollars a year in health costs. 8) Waste incineration is unjust because its maximum toxic impact is on the most vulnerable members of our society, the unborn child, children, the poor and the chemically sensitive. It contravenes the United Nations Commission on Human Rights, the European Human Rights Convention (the Right to Life), and the Stockholm Convention, and violates the Environmental Protection Act of 1990 which states that the UK must prevent emissions from harming human health..” (Section 14. Conclusions, Pages 40-41) 8.3.7 The Department of the Environment, Food and Rural Affairs (DEFRA) commissioned the report ‘Review of Environmental and Health Effects of Waste Management: municipal solid waste and similar wastes’ produced by Enviros Consulting and the University of Birmingham in 2004. In relation to the research literature this concluded that: “We looked at evidence for ill-health in people who might possibly be affected by emissions from municipal solid waste processes. For most of the municipal solid waste facilities studied, we found that health effects in people living near waste management Page 43 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment facilities were either generally not apparent, or the evidence was not consistent or convincing. However, a few aspects of waste management have been linked to health effects in local people. We would need more research to know whether or not these are real effects. We also investigated the health effects of emissions of some important airborne pollutants from waste management facilities. Although the data was of moderate or poor quality, we found that these emissions are not likely to give rise to significant increases in adverse health effects.” (Chapter 7 Conclusions, Summary, page 249). 8.3.8 The Republic of Ireland’s Department of the Environment and Local Government commissioned the Health Research Board to produce a report on ‘Health and Environmental Effects of Landfilling and Incineration of Waste – A Literature Review’ in 2003. This stated that: “There is some evidence that incinerator emissions may be associated with respiratory morbidity. Acute and chronic respiratory symptoms are associated with incinerator emissions. A number of well-designed studies have reported associations between developing certain cancers and living close to incinerator sites. Specific cancers identified include primary liver cancer, laryngeal cancer, soft-tissue sarcoma and lung cancer. It is hard to separate the influences of other sources of pollutants, and other causes of cancer and, as a result, the evidence for a link between cancer and proximity to an incinerator is not conclusive. Further research, using reliable estimates of exposure, over long periods of time, is required to determine whether living near landfill sites or incinerators increases the risk of developing cancer. Studies of specific environmental agents and specific cancers may prove more definitive in the future.” (Executive Summary, Health Effects of incineration, Page 6) 8.3.9 An Environment Agency commissioned report by the Centre for Research into Environment and Health at the University of Wales in 2003 stated that: “Epidemiology Research evidence, to date, does not prove increased incidence of disease related to exposure to incineration emissions. The majority of studies are retrospective, use routinely collected data and are particularly reliant on inadequate exposure estimates. Page 44 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Most studies lack the statistical power needed to show a statistically significant excess of disease and/or are weakened by poor control for confounding factors. There is no consistent or convincing evidence to support the view that emissions from modern waste incinerators are associated with ill health such as cancer and respiratory problems. It is reassuring that retrospective studies around the older generation of incinerators do not provide convincing evidence of a link with ill health and where health effects have been reported, they typically disappear once potential confounding factors are taken into account (i.e. deprivation, ethnicity, smoking etc). Where some evidence of possible health effects remains, it cannot be directly linked with incinerator emissions only. The strength of many studies is weakened by poor estimates of exposure. Many still simply use distance from the incinerator as a proxy measure of exposure. The use of concentric circles to identify “at risk” populations does not take into account the influence of meteorological conditions or process characteristics (e.g. stack height, efflux velocity, plume temperature) and the zones of influence used (which can be up to 7.5 km distance) introduce considerable possibilities for confounding exposures. Improved studies using dispersion modelling and/or environmental monitoring will add to the scientific literature and we recommend spatial epidemiology should be based on dispersion modelling of emissions and/or air monitoring data.” (Chapter 7 Conclusions, Section 7.3 Incineration, Page 64) 8.3.10 A South West England Public Health Observatory commissioned report ’Waste Management and Public Health: the state of the evidence’ produced by the Centre for Research in Environmental Systems. Pollution and Remediation at the University of West England in 2002 stated that: “5.3.1 Reviews and primary studies The literature search yielded 5 reviews, 24 discussion papers and at least 51 primary studies of the health impacts of incineration (Appendix 4 and Table 11). Incineration is a method of processing waste during which major portions of the waste stream are physically and chemically transformed. Incineration produces energy, gases which are emitted into the atmosphere and solid residues which must be disposed of. The main hazards arising from incineration are toxic metals (such as lead, cadmium, arsenic and mercury), dioxins and particulates. Metals are not destroyed by Page 45 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment incineration but are liberated from their immobilised state in waste materials and are released by combustion as highly bioavailable forms. They leave the incinerator in particles of respirable size, in particulates which are deposited on soils, water, food and dust, and in readily confounding factors inherent in these types of epidemiological study (described in section 4.2) rule out any definitive statement of causality. The lack of consistency in finding associations could mean that incineration does not cause the adverse health effects or it could mean that the health effects are not detectable using existing epidemiological methods and the available data. 5.3.2 Judgement Incineration and any health outcomes - insufficient.” (Chapter 5 Summarising the evidence, Section 5.3 Incineration, Page 31) 8.3.11 A Greenpeace commissioned report ’Incineration and Human Health’ produced by the Greenpeace Research Laboratories at the University of Essex in 2001 states that: “No matter how modern an incinerator is, these facilities inevitably result in the release of toxic emissions to air and the production of toxic ashes and residues. This leads to contamination of the environment and to potential exposure of animals and humans to hazardous pollutants. Many hazardous compounds are released from incinerators including organic chemicals such as chlorinated and brominated dioxins, PCBs and PCNs, heavy metals, sulphur dioxide and nitrogen dioxide. Furthermore, innumerable substances are emitted which are of unknown toxicity. The entire impact on human health of exposure to the whole mixture of chemicals emitted from incinerators is unknown. However, studies imply that individuals who work at waste incinerators and who live near incinerators have suffered from increases in the rate of mortality as well as many other diseases and effects that diminish the quality of their lives. Moreover, a prestigious scientific body has recently expressed "substantial" concern about the impacts of incinerator-derived dioxin releases on the health and well-being of broader populations, regardless of the implementation of maximum achievable control technology (NRC 2000).” (Chapter 6: The Solution: reduce, re-use and recycle and phase out incineration, Section 6.1 Problems with Incineration, Section 6.1.1 Environment and Health, Page 59) Page 46 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 8.3.12 The US National Research Council’s (NRC) Committee on Health Effects of Waste Incineration (part of the Board on Environmental Studies and Toxicology) produced a report on ‘Waste Incineration and Public Health in 2000 which stated that: “Few epidemiologic studies have attempted to assess whether adverse health effects have actually occurred near individual incinerators, and most of them have been unable to detect any effects. The studies of which the committee is aware that did report finding health effects had shortcomings and failed to provide convincing evidence. That result is not surprising given the small populations typically available for study and the fact that such effects, if any, might occur only infrequently or take many years to appear. Also, factors such as emissions from other pollution sources and variations in human activity patterns often decrease the likelihood of determining a relationship between small contributions of pollutants from incinerators and observed health effects. Lack of evidence of such relationships might mean that adverse health effects did not occur, but it could also mean that such relationships might not be detectable using available methods and data sources.” Pollutants emitted by incinerators that appear to have the potential to cause the largest health effects are particulate matter, lead, mercury, and dioxins and furans. However, there is wide variation in the contributions that incinerators can make to environmental concentrations of those contaminants. Although emissions from newer, well-run facilities are expected to contribute little to environmental concentrations and to health risks, the same might not be true for some older or poorly run facilities. Studies of workers at municipal solid-waste incinerators show that workers are at much higher risk for adverse health effects than individual residents in the surrounding area. In the past, incinerator workers have been exposed to high concentrations of dioxins and toxic metals, particularly lead, cadmium, and mercury.” (Executive Summary, Health Effects Section, Page 6) 8.3.13 The Medical Research Council’s Institute for Environment and Health at the University of Leicester produced a report on the ‘Health Effects of Waste Combustion Products’ in 1997. They stated that: “A few epidemiological studies have analysed mortality (mostly as a result of cancer) in people who work in incineration plants, but no consistent excess incidence of any specific disease has emerged. The ability of such investigations to detect adverse Page 47 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment effects, however, is limited by their relatively small size, the difficulty in taking account of potentially confounding exposures such as smoking and socio-economic factors, and uncertainties about the extent of any healthy worker effect. Furthermore, health risks for working adults may be different from those for other groups of the population such as children or the elderly. Other studies have examined mortality and morbidity in communities living near incinerators. Again, interpretation is complicated by the possibility of confounding, particularly by social deprivation, especially when the observed relative risks are less than 1.5. A further limitation is the use of distance of residence from an incinerator as an index of exposure. Airborne concentrations of pollutants are determined by variables such as wind speed and direction as well as distance from the point of release, and in any case people often spend much of their time away from their places of residence. Exposure by routes other than inhalation will depend on personal habits such as the consumption of home-grown vegetables. Again, this may not relate to distance from the incinerator in a simple fashion.” (Section 4.2 Evaluation of health effects associated with incinerator emissions, Page 132) 8.3.14 Overall, there is consensus among the majority of the reviews that modern welldesigned, well-operated and well-managed facilities such as modern waste or biomass fuelled power plants have little or no negative health impacts on people living near them. 8.4 Workplace studies 8.4.1 Workplace exposures to incinerator emissions are likely to be at least 100-1000 times higher than the exposures experienced by local residents. Levels of workplace exposure to hazardous substances in a modern incinerator in the UK would not be expected to be associated with adverse health effects, provided that work practices and systems were in conformance with relevant health and safety legislation. 8.4.2 Health effects that have been reported to be associated with work place exposure to incinerator emissions include: • increased risk of lung and oesophageal cancer; • increased risk of gastric cancer; Page 48 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment • increased mortality from ischaemic heart disease; • immune system effects; • altered sex ratio among offspring; • proteinuria, hypertension, abnormal blood chemistry; • chloracne. 8.4.3 A French study on ill health among municipal waste incinerator workers found only two adverse effects, skin irritation and cough.21 8.4.4 Excess risks of lung cancer and heart disease were detected in a Swedish study of workers employed between 1920 and 1985.22 The study results were not statistically significant although as the risks of heart disease increased with increasing duration of employment, this result should probably be treated as causal. Levels of exposure are likely to have been much higher than for modern plant, but no exposure data are presented. There are also no data on smoking or other risk factors for lung cancer and heart disease. The study does not provide strong evidence for an adverse effect associated with waste incineration. 8.4.5 Excess risks of oesophageal cancer were detected in a Swedish study of workers exposed to combustion products rather than specifically associated with waste incineration.23 The study population was dominated by chimney sweeps and they showed clear excess risks of oesophageal cancer. The number of waste incineration workers included in the study was small and the risks of oesophageal cancer were not significantly raised in this group. 8.4.6 A Japanese study of an incinerator that was subsequently shut down because of high levels of dioxin emissions showed that workplace exposure to dioxins was correlated with greater body burdens of dioxin.24 Associations were found between blood fat levels of dioxin and potential immune system effects and also increased risks of hyperlipidema (excess levels of fat within the blood) and allergy (this finding was of marginal statistical significance). There was also an association between dioxin 21 Hours M, Anzivino-Viricel L, Maitre A, Perdrix A, Perrodin Y, Charbotel B, Bergeret A. Morbidity among municipal waste incinerator workers: a cross-sectional study. Int Arch Occup Environ Health. 2003 Jul;76(6):467-72. 22 Gustavsson P (1989) Mortality among workers at a municipal waste incinerator. American Journal of Industrial Medicine 15, 245-253 23 Gustavsson P, Evanoff B, Hogstedt C (1993) Increased risk of esophageal cancer among workers exposed to combustion products. Archives of Environmental Health 48, 243-5 24 Kitamura K, Kikuchi Y, Watanabe S, Waechter G, Sakurai H, Takada T (2000) Health effects of chronic exposure to polychlorinated dibenzo-p-dioxins (PCDD), dibenzofurans (PCDF) and coplanar PCB (Co-PCB) of municpal waste incinerator workers. Journal of Epidemiology 10, 262-70 Page 49 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment exposure and increased proportion of female offspring, but this finding was not statistically significant. 8.4.7 Excess risks of hypertension and proteinuria (elevated levels of protein in urine reflecting kidney dysfunction) were found in a US study of incinerator workers, but neither hypertension nor proteinuria were related to levels of exposure to dust or metals.25 This suggests that workplace exposure to emissions was not the major factor leading to adverse health effects. Other factors such as smoking and heat stress are likely to have been more important. 8.4.8 A single case of chloracne (skin condition specifically associated with exposure to dioxin) has been reported for a worker who had been exposed to extremely high levels of dioxin.26 This case is of little relevance to understanding the effects of environmental exposure to dioxins. 8.4.9 A Japanese study has looked at the mental health status of municipal solid waste incinerator workers compared with local government office workers (health administration workers).27 They found that health administration workers had poorer mental health than the incinerator workers. 8.4.10 A Spanish study monitoring levels of metals and organic compounds in the blood of hazardous waste incinerator workers found no differences in levels between the various groups of workers and their baseline concentrations prior to working at the facility.28 8.4.11 Overall there is no consistent association between workplace exposure to incinerator emissions and adverse health effects. Poor industrial hygiene (failure to implement adequate dust control measures) has led to increased risks of respiratory system cancers, heart disease and other adverse effects in a small number of workers. 8.4.12 Levels of workplace exposure to incinerator emissions are several orders of magnitude greater than the highest levels of exposure that might arise in local 25 Bresnitz EA, Roseman J, Becker D, Gracely E (1992) Morbidity among municipal waste incinerator workers. American Journal of Industrial Medicine 23, 363-378 26 Cited in Allsopp M, Costner P, Johnson P (2000) Incineration and human health. A report produced for Greenpeace – bibliographic details not known. 27 Nakayama O and Ohkuma K, Mental health status of municipal solid waste incinerator workers compared with local government office workers. Ind Health 2006 Oct;44(4):613-8 28 Schuhmacher M, Domingo JL, Agramunt MC, Bocio A, Müller L. Biological monitoring of metals and organic substances in hazardous-waste incineration workers. Int Arch Occup Environ Health. 2002 Sep;75(7):500-6. Page 50 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment communities. Any associated risk to health in local communities would therefore be several orders of magnitude smaller than for plant workers. 8.5 Community studies 8.5.1 Health effects in the general population that have been reported to be associated with incinerators include: • increased risk of a range of cancers • increased respiratory symptoms • increased risk of reproductive disorders e.g. congenital malformations, increased multiple births, change in sex ratio of newborn • changes in blood levels of some thyroid hormones. • Early biomonitoring studies of some populations living near incinerators have found higher slightly blood or hair levels of dioxins and mercury than in control populations in rural areas. Other similar studies done later have found no significant difference between biological markers for exposure to dioxins and other substances between populations living near incinerators and control populations not exposed to incinerator emissions. 8.5.2 A recent Spanish study investigated the concentrations of polychlorinated biphenyls (PCBs) and polybrominated diphenyl ethers (PBDEs) in milk from women living in the vicinity of a new hazardous waste incinerator (HWI) in Catalonia, Spain.29 The study was performed after 4 years of regular operation and the present PCB levels were compared with baseline concentrations obtained in a pre-operational program. The study suggested that dietary intake is more relevant for human exposure to PCBs and PBDEs than living near the HWI. An earlier report on the same study population also suggested that the HWI did not cause additional risks to the environment or to the population living in the vicinity.30 8.5.3 A recent Portuguese study, as part of two wider environmental health surveillance programs, on heavy metals exposure – lead, cadmium and mercury - in the vicinity of 29 Schuhmacher M, Kiviranta H, Vartiainen T, Domingo JL. Concentrations of polychlorinated biphenyls (PCBs) and polybrominated diphenyl ethers (PBDEs) in milk of women from Catalonia, Spain. Chemosphere. 2007 Apr;67(9):S295-300. Epub 2007 Jan 17. 30 Ferré-Huguet N, Nadal M, Schuhmacher M, Domingo JL. Environmental impact and human health risks of polychlorinated dibenzo-p-dioxins and dibenzofurans in the vicinity of a new hazardous waste incinerator: a case study. Environ Sci Technol. 2006 Jan 1;40(1):61-6. Page 51 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment a solid waste municipal incinerator found that source control measures within incinerators are effective in reducing exposure and that there was a general significant reducing trend in exposure to heavy metals.31 32 33 In particular, there were reduction in blood lead levels in maternal and umbilical cord blood during the monitoring period. However, there were no clear patterns in blood levels for children with 3% of children showing relatively high blood lead levels. The authors suggest further investigation both of the incinerator emissions and also of other sources of lead emissions. 8.5.4 The Portuguese study also looked at dioxin exposure and levels in human breast milk. They found that there was no increase of dioxins in the breast milk of women living near these facilities.34 8.5.5 A Belgium study found that blood and urine samples of children near two waste incinerators showed evidence of exposure to lead, cadmium, PCBs and dioxins.35 The waste incinerators were only one of several local sources of industrial pollution in each of the two areas studied and children were also likely to have been exposed to high levels of pollution arising from vehicle emissions on local motorways. The elevated levels of exposure lead, cadmium and PCBs were probably associated with other industrial sources but dioxins were likely to be associated with the incinerators, particularly as the incinerators were subsequently closed down because of their failure to meet emissions limits for dioxins. 8.5.6 A German study found no significant difference between biological markers for exposure to dioxins and other substances between populations living near 31 Reis MF, Sampaio C, Brantes A, Aniceto P, Melim M, Cardoso L, Gabriel C, Simão F, Miguel JP. Human exposure to heavy metals in the vicinity of Portuguese solid waste incinerators - Part 1: biomonitoring of Pb, Cd and Hg in blood of the general population. Int J Hyg Environ Health. 2007 May;210(3-4):439-46. 32 Reis MF, Sampaio C, Brantes A, Aniceto P, Melim M, Cardoso L, Gabriel C, Simão F, Segurado S, Miguel JP. Human exposure to heavy metals in the vicinity of Portuguese solid waste incinerators Part 2: biomonitoring of lead in maternal and umbilical cord blood. Int J Hyg Environ Health. 2007 May;210(3-4):447-54. 33 Reis MF, Sampaio C, Brantes A, Aniceto P, Melim M, Cardoso L, Gabriel C, Simão F, Miguel JP. Human exposure to heavy metals in the vicinity of Portuguese solid waste incinerators - Part 3: biomonitoring of Pb in blood of children under the age of 6 years. Int J Hyg Environ Health. 2007 May;210(3-4):455-9. 34 Reis MF, Sampaio C, Aguiar P, Maurício Melim J, Pereira Miguel J, Päpke O. Biomonitoring of PCDD/Fs in populations living near portuguese solid waste incinerators: levels in human milk. Chemosphere. 2007 Apr;67(9):S231-7. 35 Staessen JA, Nawrot T, den Hond E, Thijs L, Fagard R, Hoppenbrouwers K, Koppen G, Nelen V, Schoeters G, Vanderschueren D, van Hecke E, Verschaeve L, Vlietinck R, Roels HA (2001) Renal function, cytogenetic measurements, and sexual development in adolescents in relation to environmental pollutants: a feasibility study of biomarkers. The Lancet 357, 1660-1669 Page 52 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment incinerators and control populations not exposed to incinerator emissions (Deml et al, 1996).36 8.5.7 A long term monitoring study in Spain looked at levels of dioxins in the vicinity of an old municipal solid waste incinerator (MSWI) that had later undergone modernisation and the health risks of those living near it.37 The study found that the environmental levels of dioxins showed that the MSWI was not the main source of dioxin pollution and that the human health risks for the population living in the vicinity of the facility after introduction of modern technology were negligible in comparison with the dietary exposure to dioxins. 8.5.8 Another Spanish study found that dioxin levels in blood rose slightly after the start of incineration in people living close to and distant from the incinerator.38 In the absence of a clear relationship between increased dioxin levels in blood and the distance people lived from the plant, the authors concluded that the rise was not associated with the incinerator. Blood levels of lead decreased after the start of incineration and no effects were seen on blood levels of mercury, cadmium and chromium, suggesting that incineration had little effect on exposures to heavy metals. 8.5.9 A US study found that levels of dioxins in blood serum actually fell after the start of incineration.39 8.5.10 An older Finnish study found elevated levels of hair mercury in a population living near a hazardous waste incinerator.40 Levels of mercury exposure remained small in relation to relevant health guidelines. 8.5.11 A number of recent studies have used computer modelled levels of exposure to dioxins and other emissions to assess the incidence of cancer in those living near the facility compared to those living elsewhere. A study in Venice, Italy found that there 36 Deml E, Mangelsdorf I, Greim H (1996) Chlorinated dibenzodioxins and difenzofurans (PCDD/F) in blood and human milk of nonoccupationlly exposed persons living in the vicinity of a municipal waste incineratory. Chemosphere 33, 1941-50 37 Schuhmacher M, Domingo JL. Long-term study of environmental levels of dioxins and furans in the vicinity of a municipal solid waste incinerator. Environ Int. 2006 Apr;32(3):397-404. 38 Gonzalez Ca, Kogevinas M, Gadea E, Huici A, Bosch A, Bleda MJ, Papke O (2000) Biomonitoring study of people living near of working at a municipal solid-waste incinerator before and after two years of operation. Archives of Environmental Health 55, 259-67 39 Evans RG, Shadel BN, Roberts DW, Clardy S, Jordan-Isaguirre D, Patterson DG, Needham LL (2000) Dioxin incinerator emissions exposure study Times Beach, Missouri. Chemosphere 40, 106374 40 Kurttio P, Pekkanen J, Alfthan G, Paunio M, Jaakkola JJ, Heinonen OP (1998) Increased mercury exposure in inhabitants living in the vicinity of a hazardous waste incinerator: a 10 year follow-up. Archives of Environmental Health 53, 129-37. Page 53 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment was support for an association between modelled dioxin exposure and the risk of sarcoma.41 In contrast, a study in Taranto, Italy found that individual risks were well below maximum acceptable levels and created a very small incremental cancer risk compared with background levels.42 A French study assessed the public health benefits of compliance with current EU emissions standards for municipal waste incinerators using modelled exposure.43 It found that before compliance the average dioxin exposure attributable to the incinerator was 25% of the average total exposure from traffic and other combustion activities, with a hazard ratio less than 1 and a lifetime excess risk assuming no change in emissions of 0.0002. After compliance all hazard ratios and future individual lifetime excess risks appeared minimal. 8.5.12 The results of monitoring of agricultural produce have suggested that emissions from some incinerators have led to higher levels of metals and dioxins in produce. A Spanish study between 1998 and 2003 looked at the levels of heavy metals in forty soil and forty vegetation samples near a new hazardous waste incinerator (HWI). They found that arsenic, beryllium, chromium, nickel and vanadium levels showed increases in soils while there were decreases in cadmium, mercury and selenium. In vegetation, levels of chromium, manganese and vanadium increased while there was a decrease in arsenic levels. A health risk assessment of these increases was undertaken with only the increase in levels of arsenic in soils exceeding regulatory limits. The authors concluded that the HWI had minimal influence on heavy metal exposure compared to other metal pollution sources in the area. Another earlier Spanish study comparing dioxin levels in soil and vegetation from samples taken in 1996-97 and two years later found that dioxin levels had decreased in vegetation while there was no difference in levels in soil.44 The authors also noted that the potential intake of polluted soils was not a significant health risk to the local population. A UK study found that egg and poultry meat samples from small holdings near incinerators in England and Wales had higher dioxin concentrations than those 41 Zambon P, Ricci P, Bovo E, Casula A, Gattolin M, Fiore AR, Chiosi F, Guzzinati S. Sarcoma risk and dioxin emissions from incinerators and industrial plants: a population-based case-control study (Italy). Environ Health. 2007 Jul 16;6:19. 42 Cangialosi F, Intini G, Liberti L, Notarnicola M, Stellacci P. Health risk assessment of air emissions from a municipal solid waste incineration plant - A case study. Waste Manag. 2008;28(5):885-95. 43 Glorennec P, Zmirou D, Bard D. Public health benefits of compliance with current E.U. emissions standards for municipal waste incinerators: a health risk assessment with the CalTox multimedia exposure model. Environ Int. 2005 Jul;31(5):693-701. 44 Domingo JL, Schuhmacher M, Granero S, de Kok HA. Temporal variation of PCDD/PCDF levels in environmental samples collected near an old municipal waste incinerator. Environ Monit Assess. 2001 Jun;69(2):175-93. Page 54 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment from more rural locations.45 Fruit and vegetables grown in areas impacted by emissions from incinerators also showed slightly elevated levels of dioxins and PCBs although concentrations were not significantly different from those in produce from more rural locations.46 Studies of dioxin concentrations in dairy products have shown inconsistent results. A US study found that the start of incineration at a new plant had no effect on dioxin levels in locally produced milk.47 The inconsistency between the results of studies of dioxin contents in food produced near incinerators probably reflects the very different levels of emission from different incinerators. It may also reflect local climatic factors and differences in agricultural practice which affect the potential for emissions to affect the human food chain. 8.5.13 A French study showed that there was a significant increase in soft tissue sarcoma and non-Hodgkins lymphoma in residents living close to an incinerator.48 Locally produced dairy produce, including milk, was believed to have been an important source of exposure to dioxins. A recent Italian study however found no excess of lympo-haematopoietic cancers (cancers of the lympthatic system and blood) in a population living near a waste incinerator, despite evidence of a poor pollution control record at the plant.49 8.5.14 A study of a heavily industrialised town in north-east Italy identified an apparent excess risk of developing lung cancer associated with living downwind from an incinerator, though the incinerator was only one of a number of sources of industrial pollution that would have affected local air quality.50 Studies of other incinerators in 45 Lovett AA, Foxall CD, Creaser CS, Chewe D (1998) PCB and PCDD/DF concentrations in egg and poultry meat samples from known urban and rural locations in Wales and England. Chemosphere 37, 1671-85 46 Lovett AA, Foxall CD, Creaser CS, Chewe D (1997) PCB and PCDD/DF congenors in locally grown fruit and vegetable samples from known urban and rural locations in Wales and England. Chemosphere 37, 1671-85 47 Eitzer BD (1995) Polychlorinated dibenzo-p-dioxins and dibenzofurans in raw milk samples from farms located near a new resource recovery incinerator. Chemosphere 30, 1237-48 48 Viel JF, Arveux P, Baverel J, Cahn JY (2000) Soft-tissue sarcoma and non-hodgkin's lymphoma cluster around a municipal solid waste incinerator with high dioxin emission levels. American Journal of Epidemiology 152, 13-9 49 Michelozzi P, Fusco D, Forastiere F, Ancona C, Dell’Orco V, Percucci CA (1998) Small area study of mortality among people living near multiple sources of air pollution. Occupational and Environmental Medicine 55, 611-615 50 Biggeri A, Barbone F, Lagazio C, Bovenzi M, Stanta G (1996) Air pollution and lung cancer in Trieste, Italy: spatial analysis of risk as a function of distance from sources. Environmental Health Perspectives 104, 750-4 Page 55 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Italy and the UK, however, have failed to find an excess lung cancer risk associated with living close to an incinerator.28 51 8.5.15 A UK study found a small increased risk of liver cancer among residents living within 1 km of an incinerator.52 53 The study did no specifically examine the population living downwind of incinerators so that the effect may not have been associated with exposure to incinerator emissions but could reflect some other factor in the siting of incinerators. The DoH Committee on Carcinogenicity concluded that it was not possible to conclude that the excess risk was due to emissions from the incinerators as residual socio-economic confounding could not be excluded.54 The Italian study of a single incinerator, mentioned earlier, found no excess risk of liver cancer, despite the plant’s poor pollution control record.28 8.5.16 A UK study of people living near ten incinerators of waste solvents and oils failed to find an association between cancers of the larynx and living near an incinerator.55 An apparent cluster of cancers of the larynx near one of the incinerators examined was not associated with proximity to the incinerator. The Italian study of an incinerator with, mentioned earlier, did find an association between the laryngeal cancer and distance of residence from the incinerator.28 The overall risks of laryngeal cancer were not, however, raised above those for the general population. The incinerator was situated close to a petrochemical refinery and the relative importance of the impacts of the two plants on local air quality and health is unclear. 8.5.17 A series of studies of children dying of cancers between 1953 and 1980 in the UK have found no consistent relationships with incineration.56 57 The earliest study found an association between childhood cancers and industrial emissions, namely 51 Elliott P, Hills M, Beresford J, Kleinschmidt I, Jolley D, Pattenden S, Rodrigues L, Westlake A, Rose G (1992) Incidence of cancers of the larynx and lung near incinerators of waste solvents and oils in Great Britain. Lancet 339, 854-8. 52 Elliot P, Shaddick G, Klienschmidt I, Jolley D, Walls P, Beresford J, Grundy C (1996) Cancer incidence near municipal solid waste incinerators in Great Britain. British Journal of Cancer 73, 702710 53 Elliott P, Eaton N, Shaddick G, Carter R. Cancer incidence near municipal solid waste incinerators in Great Britain. Part 2: histopathological and case-note review of primary liver cancer cases. British Journal of Cancer. 2000 Mar;82(5):1103-6. 54 Committee on Carcinogenicity, Cancer incidence near municipal solid waste incinerators in Great Britain, COC statement COC/00/S1, Department of Health, UK, March 2000. 55 Elliott P, Hills M, Beresford J, Kleinschmidt I, Jolley D, Pattenden S, Rodrigues L, Westlake A, Rose G (1992) Incidence of cancers of the larynx and lung near incinerators of waste solvents and oils in Great Britain. Lancet 339, 854-8. 56 Knox EG, Gilman EA (1997) Hazard proximities of childhood cancers in Great Britain from 1953-80. Journal of Epidemiology and Community Health 51, 151-9. 57 Gilman EA, Knox EG (1998) Geographical distribution of birth places of children with cancer in the UK. British Journal of Cancer 77, 842-9. Page 56 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment petroleum derived volatiles and emissions from kilns, furnaces and internal combustion engines.34 A concurrent study of the same children, but on a broader scale, however, showed no excess of cancers in industrialised areas.35 A subsequent study found an apparent association between childhood cancer and birth within 5 km of an incinerator, but could not separate the effects of incinerators from those of other sources of industrial pollution.58 The risks were greatest for children born nearest the oldest incinerators and the excess risk disappeared when these old facilities were excluded from the analysis. The study compared the number of children with cancer who had been born near an incinerator and then moved away with the number of children with cancer who had been born far from an incinerator and then moved closer. The effect of any overall change in the numbers of children in the UK (with or without cancer) living close to or far from an incinerator was not taken into account. Some of the apparent excess cancer risk, therefore, could in fact represent a general movement of young families out of industrial areas where incinerators are situated to more distant locations. In addition, as the study only considered children dying of cancer that had either moved away from or closer to an incinerator since birth, it was not necessarily representative of all children who develop cancer. Finally, this study did not specifically consider the effects of living downwind of an incinerator so it can be assumed that the airborne concentrations of incinerator emissions are likely to have been negligible for a high proportion of the children born within 5km of an incinerator. 8.5.18 Studies of respiratory symptoms in Australian children and adults in North Carolina undertaken in the early 1990s failed to find an association between residence near an incinerator and increased respiratory symptoms.59 60 61 In both investigations, the incinerator did not have a measurable effect on air quality. A more recent investigation of the North Carolina population found an association between living near a hazardous waste incinerator and self-reported respiratory symptoms.62 Similar 58 Knox E (2000) Childhood cancers, birthplaces, incinerators and landfill sites. International Journal of Epidemiology 29, 391-7. 59 Gray EJ, Peat JK, Mellis CM, Harrington J, Woolcock AJ (1994) Asthma severity and morbidity in a population sample of Sydney school children: Part 1 Prevalence and effect of air pollutants in coastal regions. Australian and New Zealand Journal of Medicine 24, 168-75. 60 Lee DS, Dollard GJ, Derwent RG, Pepler S (1999) Observations on gaseous and aerosol components of the atmosphere and their relationships. Water Air and Soil Pollution: 113; 175-202. 61 Shy CM, Degnan D, Fox DL, Mukerjee S, Azucha MJ, Boehlecke BA, Rothenbacher D, Briggs PM, Devlin RB, Wallace DD (1995) Do waste incinerators induce adverse respiratory effects? An air quality and epidemiological study of six communities. Environmental Health Perspectives 103, 714-24. 62 Mohan AK,, Degnan D, Feigley CE, Shy CM, Hornung CA, Mustafa R, Macera CA (2000) Comparison of respiratory symptoms among community resdients near waste disposal incinerators, International Journal of environmental Health research 10, 63-75. Page 57 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment relationships were not found for a municipal waste or hospital waste incinerator. There is uncertainty in interpreting the results of studies based on self reported symptoms. People who are concerned about their health in relation to a specific facility may be more likely to report symptoms than individuals of similar health status who are less concerned. A further study of the same North Carolina population found no association between lung function and municipal waste incineration.63 64 An earlier Taiwanese study that showed adverse effects on children’s lung function associated with waste incineration concluded that the effect was due to air pollution generally and not specifically with the incinerator.65 A study of Belgium children found an increased incidence of common cold which was coupled with increased complaints about health in general.42 8.5.19 A Japanese study of a municipal waste incinerator with high levels of dioxin emissions (above 80ng TEQ/m3 compared to current EU incineration maximum values of 0.1ng TEQ/m3) found increased risk of infant mortality and infant deaths with congenital malformations.66 However, the authors suggest caution in interpreting the results and the need for further investigation. 8.5.20 A French study looked at congenital abnormalities/birth defects around 70 incinerators operating for at least one year between 1988 and 1997.67 The study found that though both incinerators and road traffic plausibly explained some of the excess risks observed, several alternative explanations including exposure misclassification, ascertainment bias, and residual confounding could not be excluded. The authors also concluded that some of the effects observed, if real, might be attributable to old-technology and the persistent pollution they have generated. An English study also looked at lethal congenital abnormalities/birth defects around incinerators and crematoria and found and increased risk (specifically spina bifida and heart defects) in relation to proximity to incinerators. The authors caution that in view of the scarcity of published data and their use of a distance function to represent 63 Hu SW, Hazucha M, Shy CM (2001) Waste incineration and pulmonary function: an epidemiologic study of six communities. Journal of Air and Waste Management Association 51, 1185-94. 64 Hazucha MJ, Rhodes V, Boehlecke BA, Southwick K, Degnan D, Shy CM. Characterization of spirometric function in residents of three comparison communities and of three communities located near waste incinerators in North Carolina. Arch Environ Health. 2002 Mar-Apr;57(2):103-12. 65 Cited in Allsopp M, Costner P, Johnson P (2000) Incineration and human health. A report produced for Greenpeace – bibliographic details not known. 66 Tango T, Fujita T, Tanihata T, Minowa M, Doi Y, Kato N, Kunikane S, Uchiyama I, Tanaka M, Uehata T. Risk of adverse reproductive outcomes associated with proximity to municipal solid waste incinerators with high dioxin emission levels in Japan. J Epidemiol. 2004 May;14(3):83-93. 67 Cordier S, Chevrier C, Robert-Gnansia E, Lorente C, Brula P, Hours M (2004) Risk of congenital anomalies in the vicinity of municipal solid waste incinerators. Occup Environ Med. Jan;61(1):8-15. Page 58 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment potential exposure it is difficult to assess whether the statistical associations reflect a causal effect.68 8.5.21 Studies undertaken in Belgium and the Netherlands have shown an association between an increased probability of congenital malformations and living near an incinerator, although the findings were only of “statistical significance” in the Dutch studies.55 Effects in the Belgium study were only significant for parents who had moved into the study area and therefore there may have been some other factor giving rise to birth defects. Studies in the UK of hazardous waste incinerators in Wales and in Scotland failed to find an association between incineration and birth defects.69 The above studies were of all hazardous waste incinerators with poor pollution control records. 8.5.22 One Scottish study of incinerators has suggested that there may be an increased proportion of twin birth in the area and another that there may be an increase in female births in the area most likely to be effected by emissions.70 68 However, a Swedish study failed to find any increase in the rate of twins with only one of fourteen sites showing an significant increase and one showing a decrease.71 8.5.23 A Belgian study, mentioned earlier, found that children living near two waste incinerators reached sexual maturity at a later age than typical of the general population.20 A correlation was found between serum levels of dioxin-like compounds in girls and delay in reaching sexual maturity. The incinerators were closed down because of their high levels of dioxin emissions. 8.5.24 A German study of children living in highly industrialised areas demonstrated small changes in thyroid hormone concentrations in blood in children from industrialised areas compared with those from less polluted areas.72 Hazardous waste incinerator emissions were only a component of local industrial emissions, but were identified as 68 Dummer TJB, Dickinson HO, Parker L (2003) Adverse pregnancy outcomes around incinerators and crematoriums in Cumbria, north west England, 1956–93 Journal of Epidemiology and Community Health 57:456-461 69 Williams FL, Lawson AB and Lloyd OL (1992) Low sex ratios of births in areas at risk from air pollution from incinerators , as shown by geographical analysis and 3-dimensional mapping, International Journal Of Epidemiology 21(2), 311- 319. 70 Lloyd OM, Lloyd MM, Williams FLR and Lawson A ( 1988) Twinning in human populations and cattle exposed to air pollution from incinerators , Br J Ind Med. 45, 556- 5 0 71 Rydhstroem, H (1998) No obvious spatial clustering of twin births in Sweden between 1973 and 1990, Environmental Research 76, 27-31 72 Osius N, Karmaus W (1998) Thyroid hormone level in children in the area of a toxic waste incinerator in South Essen. Gesundheitswesen 60, 107-12 – English abstract available on Medline. Page 59 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment being potentially important because of a previously found association between reduced thyroid hormones and exposure to polychlorinated biphenyls and dioxins. 8.5.25 Overall, the results of different studies of the general population are highly inconsistent and there is no clear picture of what health effects, if any, are associated with domestic/municipal waste incineration. Many studies show no adverse health impacts while others show associations between incineration and different health end points. The failure to find associations with similar health end points in different studies suggests that the reported associations could well be chance findings and due to other local and community factors. 8.6 Conclusions 8.6.1 Overall, the evidence to date is strongly suggestive that modern well designed, well managed and well regulated waste facilities have little or no negative health impacts.73 8.6.2 Possible negative health impacts have been reported in populations exposed to emissions from older incinerators before the advent of lower emission standards such as the EU Waste Incineration Directive. The evidence for these negative health outcomes is, however, weak and it is not possible to exclude the reported adverse effects have arisen by chance or as a result of some confounding factor such as deprivation or occupational exposures associated with local sources of employment. Emissions from modern incinerators are tiny in comparison to those from older plant and technology. The associated risks to health, if any, are therefore a tiny fraction of those associated with the older plants that have been the subject of epidemiological investigation. 73 Rushton, L (2003) Health hazards and waste management British Medical Bulletin 68:183-197 Page 60 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 9 Social Determinants of Health 9.1 Introduction 9.1.1 This is a summary overview of the key social determinants of health and the development pathways by which they can positively and negatively affect health. The aim is to give a flavour of how the health and wellbeing of existing and new residents can be affected by a range of direct and indirect effects that are generated by land developments. This evidence has been taken from a number of key reviews. 74 75 76 77 78 9.2 Employment and economy 9.2.1 Unemployment generally leads to poverty and a reduction in personal and social esteem and a sense of hopelessness about the future and ongoing stress and anxiety. 9.2.2 Poverty excludes people from: being able to afford quality and variety of foods, engaging in opportunities for leisure and physical recreation, enhancing their education and learning, having warm and comfortable homes. It also increases their difficulties in travelling and therefore accessing other services and amenities and levels of stress. 9.2.3 All of these lead to poorer childhood physical growth and development, reduced general immunity to disease and reduced physical and mental health wellbeing. 9.2.4 It affects all age groups but has the greatest effects on those already on low incomes, those with disabilities and children. 9.2.5 The pathways by which employment can be affected by developments is by reducing or enhancing employment opportunities, local people’s social and welfare 74 Wilkinson R and Marmot M (Eds), Social determinants of health, Oxford University Press, 2006. Health impacts of the built environment: a review, National Institute of Public Health in Ireland, Ireland, 2006. 76 Healthy sustainable communities: what works?, NHS Milton Keynes Health and Social Care Group, England, UK 2004. 77 World Health Organization, Social determinants of health: the solid facts, 2nd Edition, 2003. 78 Evans R, Barer ML and Marmor TR (Eds). Why are some people healthy and others not? The determinants of health of populations. Aldine Transaction. 1994. 75 Page 61 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment entitlements, the viability of the organisations they work for, their opportunities for education and training, their ability to travel and access and access to employment and services and their perception of their local environment. 9.2.6 Mitigation involves developing measures to ensure that existing employment, education, training, amenities and public transport are not reduced but maintained or enhanced. Enhancement involves developing measures to increase and promote the range of employment opportunities, education, training, amenities, public transport and welfare. 9.3 Housing and accommodation 9.3.1 Poor housing that is damp, cold with poorly maintained water, electric and gas appliances has an effect on physical growth and development, reduced immunity to infections and mental health and wellbeing. 9.3.2 Housing affects all age groups but the greatest effects are on older people, those with disabilities and children. 9.3.3 The pathways by which housing can be affected by developments include vibration and subsidence in existing homes during construction; housing demand and potential for overcrowding and levels of investment in property maintenance and repair. 9.3.4 Mitigation involves developing measures to ensure housing meets ‘decent homes’ standards especially social housing, building more affordable homes and improving the access to housing maintenance services. 9.4 Education and learning 9.4.1 Access to education improves the life chances and opportunities of people in terms of access to employment, uptake of health promotion and disease prevention information and being able to articulate need and hence access services more effectively. Education can also enhance wellbeing by improving people’s feeling of self worth and reducing poverty as a result of increased skills levels and employability. 9.4.2 It affects all age groups but the greatest effects are on children and young people. Page 62 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 9.4.3 The pathways by which education can be affected by developments is through direct changes to an education or training programme e.g. closure of a school and move to a new one, disruption to access to an education or training facility or disruption of their ability to deliver e.g. construction or investment in local schools and colleages to enable them to provide an appropriately trained workforce and/or improve community relations. 9.4.4 Mitigation involves developing measures to ensure that existing education and training opportunities are not reduced or affected. Enhancement involves developing measures to increase educational opportunities. 9.5 Transport and connectivity 9.5.1 Transport can lead to increased traffic which leads to poorer outdoor air quality which in turn leads to respiratory and cardiovascular problems. Increased traffic levels may be associated with increased risk of traffic-related injury and decreased levels of physical activity if walking and cycling are perceived to have become more hazardous. 9.5.2 Improved connectivity arising from transport improvements can lead to improved access to employment, services and amenities e.g. health and social care, parks, leisure centres, etc. and generate local business expansion and employment opportunities, all of which lead to increased health and wellbeing. 9.5.3 It affects all age groups but has the greatest effects on older people, children, those with disabilities and carers of young children. 9.5.4 The pathway by which transport can be affected by developments is through the building of roads, greater flows of traffic because of new or denser housing developments, or greater flows of heavy traffic because of new or expanded business/industrial facilities. 9.5.5 Mitigation involves developing measures to reduce the outdoor air pollution caused by motor vehicles and factories, ensuring that residential and outdoor play areas are not built near roads with heavy motor traffic. 9.5.6 Enhancement involves developing measures to increase walking, cycling and public transport provision wherever possible. Page 63 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 9.6 Crime and safety 9.6.1 Fear of crime causes stress which reduces immunity to disease and mental wellbeing. Actual experience of crime causes stress and physical injury which reduces physical and mental health and wellbeing. 9.6.2 It affects all age groups but fear of crime is greatest among women. 9.6.3 The pathways by which crime and safety can be affected by developments is through change that they make to neighbourhoods that bring in new people and new routines in a community making crime easier to commit and less easy to notice. 9.6.4 Mitigation involves developing measures where buildings have natural surveillance from neighbours and using ‘designing out crime’ building design principles. 9.6.5 Enhancement involves developing measures to improve local people’s relationships with the Police, building neighbourhood community networks e.g. neighbourhood watch, ensuring that schools, youth facilities and others are brought together to develop a collaborative strategy to engage young people. 9.7 Health and social care 9.7.1 Reduced access to health services leads to ill-health becoming worse, less amenable to treatment and more likely to lead to a permanent physical or mental impairment. Reduced access to social care services leads to stable chronic conditions becoming worse and the loss of independent living skills which in turn lead to greater physical and mental impairment. 9.7.2 It affects all age groups but the greatest effects are on children and older people. 9.7.3 The pathways by which health and social care can be affected by developments is through disruption to or reduction of public transport, locating facilities in remote locations and not making people aware of the services available to them, closure of local facilities or disruption during a move to a new facility or increasing demand for services. Page 64 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 9.7.4 Mitigation involves appropriate planning and communication about disruption to access and ensuring alternatives are developed. 9.8 Social capital and community cohesion 9.8.1 Disruption and reduction in the quality of the social relationships and social networks that local people and communities have can lead to feeling isolated and excluded which in turn can lead to depression and poor mental wellbeing. It can also make individuals more vulnerable to crime and to reduce their access to health and social care services. 9.8.2 It affects all age groups. 9.8.3 The pathways by which social capital and cohesion can be affected by developments are through raising strong concerns where a development is not wanted by local people or it benefits some people at the expense of others. 9.8.4 Mitigation involves developing measures to ensure that there is acceptance of an initiative by local people and affected groups and ensuring that everyone benefits and those that do not are compensated. 9.9 Environment 9.9.1 Dirty and poor quality built environments as well as little or poor quality green space have a negative effect on mental wellbeing. 9.9.2 It affects all age groups. 9.9.3 The pathways by which environment can be affected by developments are where there is a change in street cleaning amenities and park officers, provision of litter bins, maintenance of streets and street furniture, maintenance of public and private buildings and availability and quality of greenspace. 9.9.4 Mitigation involves developing measures to ensure that there is an appropriate plan to manage and maintain greenspace and other public spaces. Page 65 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 10 Risk Perception & Risk Management 10.1 Introduction 10.1.1 People see risk as multi-dimensional, rather than being captured in a single numerical measure. Risks are generally seen to be more worrying and less acceptable if they are perceived to be involuntary (e.g. exposure to pollution) rather than voluntary (e.g. dangerous sports or smoking). Risks that are avoidable by taking personal precautions are more likely to be acceptable. They are considered more worrying if some people appear to benefit while others suffer the consequences. They are less likely to be acceptable if they threaten a form of death arousing particular dread such as cancer, or pose some particular danger to small children, pregnant women or future generations. Human sources are more likely to be worrying than natural sources, particularly if they arise from an unfamiliar or novel technology. Media coverage and pressure groups can amplify the public’s concern but seldom creates it. 10.2 Acceptable/tolerable levels of risk 10.2.1 It is accepted practice in risk management to develop thresholds below which negative health effects are extremely unlikely. These are termed safe, acceptable or tolerable levels of risk. The Royal Commission on Environmental Pollution in considering the health risks associated with incineration suggested that a risk of 1 in a million represents a reasonable upper bound beyond which measures to achieve a further reduction in risk would not be justified in terms of the benefit gained. 79 The source reference for this comment indicates that this refers to an annual rather than lifetime risk. 10.2.2 This is also generally seen by most regulatory bodies e.g. the US EPA, Health & Safety Executive as a reasonable risk threshold by which to assess potential negative health impacts on local communities and has been used in other health risk assessments.80 81 The level has been set taking account of the factors described 79 Royal Commission on Environmental Pollution (1993), Seventeenth Report: Incineration of Waste. Calow PP (editor). Handbook of environmental risk assessment and management, WileyBlackwell, London. 1997. 81 Roberts RJ, Chen M. Waste incineration-how big is the health risk? A quantitative method to allow comparison with other health risks. J Public Health (Oxf). 2006 Sep;28(3):261-6. 80 Page 66 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment above. This level is equivalent to a lifetime risk of 1 in 13,500 for a lifetime of 74 years (i.e. 74 in 1 million). 10.2.3 An annual risk of death of one in a million is equivalent to that associated with any of the following:82 • smoking 1.5 cigarettes; • spending one hour in a coal mine; • living 2 days in Boston; • travelling 10 miles by bicycle; • flying 1000 miles by jet; • one chest X-ray in a good hospital. 10.2.4 Another way to see this is by looking at the risks of deaths from other causes in any given year:83 Example Risk of death in any 1 year Smoking 10 cigarettes a day 1 in 200 All natural causes, age 40 1 in 850 All violence and poisoning 1 in 3,300 Influenza 1 in 5,000 Accident on the road 1 in 8,000 Leukaemia 1 in 12,000 Accident at home 1 in 26,000 Accident at work 1 in 43,000 Murder 1 in 100,000 Accident on railway 1 in 500,000 Hit by lightning 1 in 10 million Radiation from nuclear reactor 1 in 10 million 82 Wilson R. (1979). "Analysing the Daily Risks of Life" Technology Review. 81(4), 40-46. 403-415. Cited in UK Department of Health. (2000). Communicating about risks to public health: pointers to good practice. 83 Calman K. (1996). On the state of the public health. Health Trends 1996;28:79–88. Cited in Roberts RJ, Chen M. Waste incineration--how big is the health risk? A quantitative method to allow comparison with other health risks. J Public Health (Oxf). 2006 Sep;28(3):261-6. Page 67 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 10.3 Background rates of cancer in Northern Ireland 10.3.1 The background context of cancer rates in Northern Ireland is one of a slow increase as life expectancy has grown and the chronic diseases of old age appear. The number of cancer cases has increased by 907 between 1993 and 2004 (from 8,399 to 9306). 10.3.2 Table 11.6 shows the cancer rates for 2004, the latest year for which there are publicly available. It shows that the most common cancers are skin, breast, colorectal and trachea/bronchus/lung cancers. Table 11.6 Cancer cases in Northern Ireland in 2004 [Source: Ireland and Northern Ireland Public Health Observatory (INIsPHO) eData Northern Ireland Cancer Registry – cancer incidence rates (1993-2004)]84 All persons Number_of_Cases Female Male All Cancers (C00-C97) 9306 4662 4644 All Cancers Excluding Non-Melanoma Skin (C00-C97 ex C44) 7021 3593 3428 Bladder (C67) 210 62 148 Brain (C71) 89 45 44 Breast (C50) 1119 1117 0 Cervix Uteri (C53) 67 Childhood Cancer (C00-C97 in 0-14 year olds) 38 21 17 Colon (C18) 598 298 300 Colorectal (C18-C21) 954 447 507 Corpus Uteri (C54) 156 Hodgkin's Lymphoma (C81) 40 17 23 Kidney (C64-C66, C68) 187 79 108 Leukaemia (C91-C95) 145 58 87 Lip, Oral Cavity & Pharynx (C00-C14) 154 48 106 Liver & Intrahepatic Bile Ducts (C22) 46 16 30 Malignant Melanoma (C43) 258 146 112 Non-Hodgkin's Lymphoma (C82-C85) 282 147 135 Non-Melanoma Skin Cancer (C44) 2285 1069 1216 Oesophagus (C15) 155 49 106 Ovary (C56) 205 Pancreas (C25) 153 82 71 Prostate (C61) 757 Rectum, Rectosigmoid Junction & Anus (C19-C21) 356 149 207 Stomach (C16) 203 80 123 Testis (C62) 69 Trachea, Bronchus & Lung (C33-C34) 932 361 571 84 http://www.inispho.org/phis/indicators/results.php?rvoption=rvtable&quickselectwholetable=yes Page 68 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 10.3.3 Table 11.7 shows the likelihood in terms of odds of getting cancer for 2004 in Northern Ireland. There is a 1 in 3 lifetime chance of adults up to the age of 74 year getting some form of cancer. Of the most important cancers mentioned above; the chances of getting skin cancer are 1 in 13, for breast cancer (women) 1 in 30, for colorectal 1 in 24, and for trachea/bronchus/lung 1 in 27. Table 11.7 Lifetime chances/odds of getting cancer in Northern Ireland in 2004 [Source: Ireland and Northern Ireland Public Health Observatory (INIsPHO) eData Northern Ireland Cancer Registry – cancer incidence rates (1993-2004)] All persons Odds 1 in Female Male All Cancers (C00-C97) 3 3 3 All Cancers Excluding Non-Melanoma Skin (C00-C97 ex C44) 4 4 4 Bladder (C67) 127 215 86 Brain (C71) 234 244 222 Breast (C50) 21 11 9310 Cervix Uteri (C53) 179 Childhood Cancer (C00-C97 in 0-14 year olds) 617 541 713 Colon (C18) 40 45 36 Colorectal (C18-C21) 24 30 20 Corpus Uteri (C54) 71 Hodgkin's Lymphoma (C81) 520 620 436 Kidney (C64-C66, C68) 117 159 90 Leukaemia (C91-C95) 171 253 125 Lip, Oral Cavity & Pharynx (C00-C14) 133 236 90 Liver & Intrahepatic Bile Ducts (C22) 457 756 316 Malignant Melanoma (C43) 89 79 103 Non-Hodgkin's Lymphoma (C82-C85) 87 96 78 Non-Melanoma Skin Cancer (C44) 13 16 11 Oesophagus (C15) 176 454 105 Ovary (C56) 58 Pancreas (C25) 166 187 149 Prostate (C61) 16 Rectum, Rectosigmoid Junction & Anus (C19-C21) 60 86 44 Stomach (C16) 127 210 88 Testis (C62) 175 Trachea, Bronchus & Lung (C33-C34) 27 37 20 Page 69 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 11 Health Risk Assessment of Emissions from the Proposed Power Plant 11.1 Introduction 11.1.1 This chapter analyses the potential health effects from the likely emissions generated by the proposed Biomass Fuelled Power Plant into the air, water and soil. 11.1.2 The estimations have been produced from Lakes Environmental’s Industrial Risk Assessment Program Human Health (IRAP-h View version 3.2) computer modelling package. This package implements the US EPA’s Human Health Risk Assessment Protocol (HHRAP). 11.1.3 Methods used in assessing risk generally acknowledge the uncertainties in health effects data and in the estimation of the exposure experienced by members of the public. The slope factors developed to estimate the level of risk associated with unit exposure are all upper bound estimates of the risk determined from the available data, taking account of data uncertainties. Furthermore the assessment of exposure has in general been based on cautious assumptions (i.e. ones that are likely to generate the highest realistic estimates of potential risk). This approach is expected to lead to considerable overestimation of the risks. 11.2 Facility characterisation 11.2.1 The intended operating life of the proposed Rose Energy Biomass Fuelled Power Plant is 25 years. However, as a cautious approach we have used the USEPA default of the facility running for 30 years to calculate the potential risk and hazard. 11.2.2 The emission rates for the power plant described in Table 12.1 are derived from the chemical analysis of the poultry bedding and the emissions from other similar facilities. The European Union Waste Incineration Directive (WID, Directive on the Incineration of Waste 2000/76/EC) limits are also provided for information and they are the maximum emission limits of the proposed facility. Page 70 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Table 11.1: Compounds of Potential Concern (COPC) included in the risk assessment (WID = EU Waste Incineration Directive) COPC WID env. limit values (milligram/m3) Likely emission rate (milligram/m3) Likely emission rate in grams per second Treated as carcinogen COPC Treated as noncarcinogen COPC Arsenic 0.5 0.125 0.00853 Yes Yes combined 0.255 0.01739 Yes Yes 0.05 0.05 0.00341 Yes Yes Dioxins 0.0000001 0.0000001 0.0000000728 Yes Yes Mercury 0.05 0.002 0.00014 No Yes Lead Cadmium 11.2.3 The above compounds were selected because a) dioxins represent the potentially most harmful emissions that could be emitted from the power plant during the combustion process, b) these are the likely levels of heavy metals to be found in poultry bedding and meat and bonemeal (MBM) following fuel analysis and c) they can be assessed using the US EPA HHRAP. 11.2.4 The likely emission rates have been developed from a mass balance analysis of the poultry bedding and meat and bone meal and the Waste Incineration Directive (WID) environmental emission limits. Abatement control will ensure that emissions are at or below WID limits. The assumption is that emissions below this level will all pass through the chimney stack. This is a worst case scenario in relation to the metals emissions as a significant proportion of the metals will remain in the bottom ash which is the residue remaining in the boiler system after the combustion of the poultry bedding and MBM. 11.3 Air dispersion and deposition 11.3.1 Dry deposition occurs when matter deposits from the plume to the ground, or other surface, with a certain deposition velocity. This deposition changes the airborne concentration of pollutant. 11.3.2 The rate of dry deposition is assumed to be proportional to the near-ground/surface concentration and is represented by the formula F = V x C. Where V is the deposition velocity, C the airborne concentration and F is the rate of deposition per unit area per unit time. Page 71 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Figure 11.1: Map of the receptors included in the risk assessment Site of the proposed biomass fuelled power plant Page 72 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Table 11.2: Distance of the receptors included in the risk assessment from the proposed chimney stack of the power plant (stack centred on OS 313037, 372529) Receptor Name x y Delta x (m) Delta y (m) Distance from stack (metres) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 Ashvale 2a Ingrams Rd 2B Ingrams Rd 21 Ballyvannon 25 Ballyvannon 28 Ballyvannon 32 Ballyvannon 102 Lurgan Rd 96 Lurgan Rd 96a Lurgan Rd 92 Lurgan Rd Pigeontown Lakeview Glenville Non specific 22 Ballyvannon 18 Ballyvannon 16 Ballyvannon 106 Lurgan Rd 110 Lurgan Rd 116 Lurgan Rd 118 Lurgan Rd Glenview 8 Edenturcher Elm Hill Mount Pleasant Devlins Hill Janevale 23 Pigeontown Glen Road Bally School 6 Ingrams Rd 28 Ingrams Rd Bellbrook Hse Bellgrove Springfield Pigeontown Rd Pigeontown Rd Bellslane Ends Crumlin Rd Mater Dei PS Crumlin HS Ederowen Glenavy Derrachrin Bessfield The Bleary Greenhills Strandgrove Thistleborough 313071 313163 313218 313285 313354 313524 313544 313847 313829 313849 313861 314098 313487 313260 313012 313215 313197 313155 313799 313783 313703 313680 314102 314163 313468 313800 313628 314722 315013 315026 314976 312335 312383 312565 313488 313796 314081 314042 314076 315042 314700 315038 314095 315490 312076 313799 314798 315632 314704 313272 372262 372246 372222 372277 372343 372365 372359 372325 372403 372440 372472 372913 372728 372732 372144 372149 372111 372017 372236 372093 372063 372014 372360 372491 371974 371971 371765 373040 373039 372414 371577 372678 372910 373632 373569 373462 373276 373424 373823 373750 375618 375900 374976 373117 371575 370930 370843 372314 375114 374611 -34 -126 -181 -248 -317 -487 -507 -810 -792 -812 -824 -1061 -450 -223 25 -178 -160 -118 -762 -746 -666 -643 -1065 -1126 -431 -763 -591 -1685 -1976 -1989 -1939 702 655 472 -451 -759 -1044 -1005 -1039 -2005 -1663 -2001 -1058 -2453 961 -762 -1761 -2595 -1667 -235 267 283 307 252 186 164 170 204 126 89 57 -384 -199 -203 385 380 418 513 293 437 466 516 169 38 555 558 764 -511 -510 115 952 -149 -381 -1103 -1040 -933 -747 -895 -1294 -1221 -3089 -3371 -2447 -588 954 1599 1686 215 -2585 -2082 269 310 356 353 367 514 535 835 802 817 826 1128 492 301 386 420 447 526 816 865 813 824 1078 1127 702 945 966 1761 2040 1992 2160 718 757 1200 1134 1203 1284 1346 1659 2348 3508 3920 2666 2522 1354 1771 2438 2603 3076 2095 11.3.3 In dry weather deposition only happens at the surface. This ‘dry deposition’ changes the airborne concentration by reducing the strength of the emissions plume from the stack with distance and the vertical profile of the concentration. Page 73 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 11.3.4 In wet weather (rain, sleet or snow) deposition is actively washed out of the plume from the stack. This ‘wet deposition’ is dependent on the nature of the pollutant, the rainfall/snowfall rate and the size of the raindrops/snowflakes. 11.4 Exposure Scenarios and assumptions 11.4.1 This section presents information regarding the adjacent off-site land use. This was used to develop the detailed exposure scenarios, including the identification of potential receptors and exposure routes and the assumptions used in the risk assessment. Land uses in the area 11.4.2 The area is generally dominated by agricultural land. The adjacent land use is part industrial with the adjacent rendering plant and part agricultural. 11.4.3 Fifty individual receptors were identified in all (see Figure HHRA 12.1 and Table 12.2). The key receptors included residents adjacent to the site i.e. in Ashvale, Ingrams Road, Ballyvannon Road and Lurgan Road; residents of Glenavy village; and residents of Crumlin village. Key receptors and exposure routes 11.4.4 Based on the land use and surface and groundwaters the following key receptors were identified. • Adult and child residents • Farmers and their families • Fishermen/women (adults and children) fishing in the Rivers Glenavy and Crumlin and in Lough Neagh 11.4.5 The likely exposures therefore are: • Direct inhalation for all adult and child receptors • Consumption of locally reared chicken and eggs for all residential receptors Page 74 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment • Consumption of locally reared beef and pork for all residential receptors85 • Consumption of locally reared beef and pork for farming families • Consumption of locally grown vegetables for all residential receptors • Dermal contact86 (absorption through the skin) for all adult and child receptors • Soil ingestion for all adult and child receptors 11.5 Estimation of Media Concentrations 11.5.1 Calculation of COPC concentration in air for direct inhalation 11.5.2 COPC concentrations in air are calculated by adding the vapour phase and particle phase air concentrations of COPCs using unitised yearly air parameters. Air concentration was used in the analysis of long-term and acute exposure via direct inhalation for the identified receptors. Calculation of COPC Concentration in Meat 11.5.3 COPC concentrations in beef and pork are estimated on the basis of the amount of COPCs that animals are assumed to consume through their diet. The animal’s diet is assumed to consist of: • Forage (primarily pasture grass and hay); • Silage (forage that has been stored and fermented), and • Grain or other imported feed • Additional contamination may occur through the animal’s ingestion of soil. The total COPC concentration in the feed items is calculated as a sum of contamination occurring through the following mechanisms: • Direct deposition of particles – wet and dry deposition of particle phase COPCs onto forage and silage; 85 US EPA HHRAP does not include data or assessment of lamb intake. Whilst dermal contact and soil ingestion have been included for all receptors the real-life levels of exposure for most individuals, including children, via these pathways is so small as to be negligible. 86 Page 75 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment • Vapour transfer – uptake of vapour phase COPCs by forage and silage through foliage and • Root uptake – root uptake of COPCs available from the soil and their transfer to the aboveground portions of forage and silage 11.5.4 Contamination of exposed feed items, including forage and silage, is assumed to occur through all three mechanisms. 11.5.5 Estimation of the COPC concentrations in chicken and eggs are based on the amount of COPCs that chickens consume through ingestion of grain and soil. The uptake of COPCs via inhalation and via ingestion of water is assumed to be insignificant. Calculation of COPC Concentration in Vegetables 11.5.6 Indirect exposure to COPCs as a result of eating vegetables depends on the total concentration of COPCs in the leaf, fruit, and tuber portions of the plant. Because of general differences in contamination mechanisms, the consideration of indirect exposure separates vegetables into two broad categories – above ground and below ground vegetables. 11.5.7 Above ground exposed vegetables are assumed to be potentially contaminated by three possible mechanisms: • Direct deposition of particles – wet and dry deposition of particle phase COPCs on the leaves and fruits of plants; • Vapour transfer – uptake of vapour phase COPCs by plants through their foliage; and • Root uptakes – root uptake of COPCs available from the soil and their transfer to the above ground portions of the plant. 11.5.8 The total COPC concentration in above-ground exposed vegetables is calculated as a sum of the contamination occurring through all three of these mechanisms. However, the edible portions of certain above ground produce, such as peas, are covered by a protective covering; hence they are to some extent protected from contamination through deposition and vapour transfer. Therefore root uptake of COPCs is the primary mechanism through which aboveground protected produce and root vegetables are exposed. Page 76 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Calculation of COPC Concentration in Surface Water, Sediment and Fish 11.5.9 The COPC concentration in surface water and sediment was calculated to evaluate the impact on human health through eating fish or drinking potentially exposed water. 11.5.10 Mechanisms considered for the determination of COPC loading of the water column include: • Direct deposition; • Runoff from impervious surfaces within the catchment; • Runoff from pervious surfaces within the catchment; • Soil erosion over the total catchment; and • Direct diffusion of vapour COPCs into the surface water. Calculation of COPC concentration in soil 11.5.11 COPC concentrations in soil are calculated by adding the vapour phase and particle phase deposition of COPCs in the soil. Wet and dry deposition of particles and vapours are considered, with dry deposition of vapours calculated from the vapour air concentration and the dry deposition velocity. 11.5.12 The values of vapour and particle phase concentrations and dry and wet deposition rates at each receptor are used in the calculation of the deposition term for farms, residential areas, and the Rivers and Lough catchment. 11.5.13 The calculation of soil concentration incorporates a term that accounts for loss of COPCs by several mechanisms, including leaching, erosion, runoff, and volatilisation. These loss mechanisms lower the soil concentration associated with the deposition rate. Page 77 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Table 11.3 Exposure parameters and consumption rates used in the risk calculation (All are USEPA default values which are conservative/cautious assessments) Description Resident Adult Resident Child Farmer Adult Farmer Child Fisher Adult Fisher Child Units Averaging time for carcinogens Averaging time for noncarcinogens Consumption rate of BEEF 70 70 70 70 70 70 yr 30 6 40 6 30 6 yr 0.0 0.0 0.00122 0.00075 0.0 0.0 kg/kg-day FW* Body weight Consumption rate of POULTRY 70 15 70 15 70 15 kg 0.0 0.0 0.00066 0.00045 0.0 0.0 kg/kg-day FW Consumption rate of ABOVEGROUND PRODUCE Consumption rate of BELOWGROUND PRODUCE Consumption rate of DRINKING WATER Consumption rate of PROTECTED ABOVEGROUND PRODUCE Consumption rate of SOIL Exposure duration Exposure frequency Consumption rate of EGGS 0.00032 0.00077 0.00047 0.00113 0.00032 0.00077 kg/kg-day DW 0.00014 0.00023 0.00017 0.00028 0.00014 0.00023 kg/kg-day DW 1.4 0.67 1.4 0.67 1.4 0.67 L/day 0.0015 0.00064 0.00157 0.00061 0.00150 kg/kg-day DW 0.0001 0.0002 0.0001 0.0002 0.0001 0.0002 kg/d 30 6 40 6 30 6 yr 350 350 350 350 350 350 day/yr 0.0 0.0 0.00075 0.00054 0.0 0.0 kg/kg-day FW Fraction of contaminated ABOVEGROUND PRODUCE Fraction of contaminated DRINKING WATER Fraction contaminated SOIL Consumption rate of FISH 1.0 1.0 1.0 1.0 1.0 1.0 -- 1.0 1.0 1.0 1.0 1.0 1.0 -- Fraction of contaminated FISH Inhalation exposure duration Inhalation exposure frequency Inhalation exposure time Fraction of contaminated BEEF Fraction of contaminated POULTRY Fraction of contaminated EGGS Fraction of contaminated MILK Fraction of contaminated PORK Inhalation rate Consumption rate of MILK 1.0 1.0 1.0 1.0 1.0 1.0 -- 30 6 40 6 30 6 yr 350 350 350 350 350 350 day/yr 24 24 24 24 24 24 hr/day 1 1 1 1 1 1 -- 1 1 1 1 1 1 -- 1 1 1 1 1 1 -- 1 1 1 1 1 1 -- 1 1 1 1 1 1 -- 0.83 0.30 0.83 0.30 0.83 0.30 m3/hr 0.0 0.0 0.01367 0.02268 0.0 0.0 kg/kg-day FW Consumption rate of PORK 0.0 0.0 0.00055 0.00042 0.0 0.0 kg/kg-day FW Time period at the beginning of combustion Length of exposure duration 0 0 0 0 0 0 yr 30 6 40 6 30 6 yr 1.0 1.0 1.0 1.0 1.0 1.0 -- 0.0 0.0 0.0 0.0 0.00125 0.00088 kg/kg-day FW * kg/kg-day FW/DW = typical daily intake by kilogram of produce per kilogram of body weight per day, FRESH WEIGHT or DRY WEIGHT of plant or animal foodstuff Page 78 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 11.5.14 For carcinogenic COPCs, health risks are associated with total exposure as a function of both time and concentration. The average soil concentration over the period of deposition was calculated by integrating the instantaneous soil concentration equation over the period of deposition (25 years). For non-carcinogenic COPCs, health hazards are evaluated in relation to maximum potential levels of exposure over a period of months to years. 11.6 Quantifying Exposure 11.6.1 The calculation of COPC-specific exposure rates for each exposure pathway involves the estimated: • media concentrations • inhalation/consumption rate • receptor body weight • frequency and duration of exposure. 11.6.2 This calculation is repeated for each exposure pathway included in an exposure scenario. 11.7 Risk and Hazard Characterisation 11.7.1 As described previously the final step of the risk assessment is the calculation of lifetime cancer risks and non-carcinogenic hazards for each of the pathways and receptors identified. Risks and hazards are then summed for specific receptors, across all applicable exposure pathways, to obtain an estimate of total individual risk and hazard quotients for specific receptors. These can then be compared against accepted guidelines, target levels or thresholds. 11.7.2 The carcinogenic risks and non-carcinogenic hazards are calculated using the predicted media (air, soil, vegetables, meat or surface water) concentrations and toxicity factors of the potential emissions. Page 79 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 11.7.3 Actual or estimated (modelled) media concentrations are used to calculate pollutant intake (mg/kg/day) for each pollutant and exposure route. The calculated intake is then compared to applicable health risk standards. 11.7.4 The carcinogenic risks and non-carcinogenic hazards are calculated using the predicted media (air, soil, vegetables, meat or surface water) concentrations and toxicity factors, the most important of which are described below: 11.7.5 Reference Doses (RfDs) for non-carcinogenic effects. The RfD is expressed in “mg of substance” per “kg of body weight” per “day” (mg/kg/day). The RfD is defined as an estimate of a daily exposure level for the human population, that is likely to be without an appreciable level of deleterious effects during the considered exposure period. 11.7.6 Cancer Slope Factors (CSFs) for carcinogenic effects. The CSF is expressed in (mg/kg/day)-1. Cancer slope factor is a plausible upper-bound estimate of the probability of an individual developing cancer as a result of a lifetime (or shorter defined period) of exposure to a particular level of a potential carcinogen (USEPA, 1989). 11.7.7 Actual or estimated (modelled) media concentrations are used to calculate contaminant intake (mg/kg/day) for each contaminant and exposure route. The calculated intake is then compared to applicable health risk standards (i.e. UK RCEP guidance, US EPA RfDs and CSFs). 11.7.8 Risk characterisation for non-carcinogenic effects is completed by comparing an exposure level (chronic daily intake) over a specified period (e.g., time on site) with a Reference Dose (RfD). This ratio of exposure to toxicity is referred to as a Hazard Quotient. 11.7.9 In the case of simultaneous exposures to multiple substances, the chronic risk is generally assumed to be additive by the US EPA in the absence of specific supporting information to assume otherwise. This is a precautionary approach and assumes that the “same” individual or population receives exposure to multiple contaminants with similar toxicological effects. The Hazard Index or Total Hazard Quotient is the sum of more than one Hazard Quotient for multiple substances and/or multiple exposure pathways. Hazard Index = Hazard Quotient A + Hazard Quotient B + etc. Page 80 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 11.7.10 If the Hazard Quotient or ratio of exposure/RfD exceeds 1.0 or the hazard index exceeds 0.25, there may be concern for potential non-cancer toxicological effects (US EPA, 1998). 11.7.11 Cancer risks were estimated as the incremental probability of an individual developing cancer over a lifetime as the result of exposure to the potential carcinogen. 11.7.12 In the case of simultaneous exposures to multiple substances, the cancer risk is assumed to be additive by the US EPA. 11.7.13 There has been no official UK acceptable lifetime cancer risk level. However, the target lifetime cancer risk of 7x10-5 (equivalent to an annual risk of 1x10-6) was recommended by the Royal Commission on Environmental Pollution and is used for comparison in this study. This level also falls within the target cancer risk range of between 10-4 and 10-6 generally considered acceptable by the US EPA for the assessment of human health risks. 11.8 Assumptions and justification for the approach used 11.8.1 The approach adopted in the air quality assessment for this proposed installation has been to predict air quality concentrations and deposition and compare these to relevant criteria. The criteria used within the air quality impact assessment for the proposed installation rely on statutory air quality limit values and objectives, World Health Organisation criteria. At present, there are statutory criteria for a limited number of substances. The UK Environment Agencies have developed provisional benchmarks for substances released to each environmental medium from a variety of published UK and international sources. These are known as “Environmental Assessment Levels” (EALs) as published in Environment Agency Guidance H1. These EALs provide an indication of the upper range for a concentration of substance in the environment that is considered tolerable. 11.8.2 For some substances with persistent, bio-accumulative or highly toxic effects, it is difficult to establish thresholds below which it could be considered “no harm” takes place. The risk to human health from the proposed installation will depend on adjacent land uses and needs to consider the combined exposure to relevant Page 81 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment substances and their cumulative burden over the design life of the plant.87 In its review of environmental and health effects of these types of installations DEFRA concluded that a direct measurement of exposure attributable to facilities cannot be made due to the complexity of the pollutant mixture, the possibility of exposure through multiple pathways and, wider environmental and lifestyle influences.88 11.8.3 For certain persistent pollutants, such as trace metals, dioxins and furans, the main exposure pathway is through ingestion of contaminated foods. The impact assessment therefore needs to take account of these exposure pathways, as well as the standard air quality impact assessment. 11.8.4 Throughout this assessment, where there is some uncertainty in respect of the data, a conservative/cautious approach has been used to estimate the possible risks from exposure to emissions from the proposed facility. The rationale is to ensure that full allowance is made for any uncertainties in the interpretation of the data provided in order to protect human health. 11.8.5 For the purpose of assessing potential health impact associated with the effect of emissions from the proposed installation only mercury and cadmium are likely to be significant, based on H1 assessment levels. However lead and arsenic have been included as a precautionary measure. The risk assessment therefore considers these metals, along with the impacts from dioxins and furans, which do not have appropriate EALs. 11.8.6 The annual rates of air concentrations and depositions of the metals and dioxins/furans were estimated through air dispersion modelling using the most conservative data for the prediction model. Generally the predictions from AERMOD are the most optimistic, with ADMS in the middle and ISCT3 being the most pessimistic. The isomers used to estimate exposure are presented in Table 11.4. These are based on typical emission rates from a poultry bedding power plant. The emissions for mercury arsenic, lead and cadmium are based on mass balance calculated values, based on tests conducted on poultry bedding and MBM with abatement control of emissions above Waste Incineration Directive (WID) emission limits. 87 Guidelines for Environmental Risk Assessment and Management (July 2001). DETR, Environment Agency, Institute of Environmental Health, The Stationery Office. 88 DEFRA (2004) Review of Environmental and Health Effects of Waste Management: Municipal Solid Waste and Similar Wastes. Page 82 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Table 11.4 Estimated emissions of the various isomers of the Compounds of Potential Concern (COPC) where E=10 i.e. 1.47E-09 = 1.47 x 10-9 = 0.00000000147 Chemical Abstract Service (CAS) NO. COPC Name Emission rate (grams per second) 7440-38-2 Arsenic 0.00853 7440-43-9 Cadmium 0.00341 35822-46-9 HeptaCDD, 1,2,3,4,6,7,8- 1.47E-08 67562-39-4 HeptaCDF, 1,2,3,4,6,7,8- 6.05E-09 55673-89-7 HeptaCDF, 1,2,3,4,7,8,9- 9.23E-10 39227-28-6 HexaCDD, 1,2,3,4,7,8- 1.56E-09 57653-85-7 HexaCDD, 1,2,3,6,7,8- 4.07E-09 19408-74-3 HexaCDD, 1,2,3,7,8,9- 1.77E-09 70648-26-9 HexaCDF, 1,2,3,4,7,8- 2.58E-09 57117-44-9 HexaCDF, 1,2,3,6,7,8- 4.18E-09 72918-21-9 HexaCDF, 1,2,3,7,8,9- 1.02E-09 60851-34-5 HexaCDF, 2,3,4,6,7,8- 4.83E-09 7439-92-1 Lead 0.01739 7487-94-7 Mercuric chloride 6.72E-05 7439-97-6 Mercury 2.80E-07 3268-87-9 OctaCDD, 1,2,3,4,6,7,8,9- 1.17E-08 39001-02-0 OctaCDF, 1,2,3,4,6,7,8,9- 3.51E-09 40321-76-4 PentaCDD, 1,2,3,7,8- 1.59E-09 57117-41-6 PentaCDF, 1,2,3,7,8- 3.62E-09 57117-31-4 PentaCDF, 2,3,4,7,8- 6.41E-09 1746-01-6 TetraCDD, 2,3,7,8- 5.00E-10 11.8.7 Emissions have been modelled using five years of hourly sequential meteorological data (Aldergrove 1997- 2001). The results are based on the most conservative dispersion model - ISCT3. Scope of Risk Assessment 11.8.8 The level of exposure to trace metals, dioxins and furans emitted from the proposed facility has been quantified at selected sensitive receptors. These are intended to Page 83 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment represent worst case exposure. These worst case receptors have been selected using the information within the air quality impact assessment. 11.8.9 Risk assessment is a time consuming process, and it is important to concentrate resources so that the most critical issues are examined at an appropriate level of detail. The risk assessment methodology includes estimates of risk and hazard associated with ingestion surface water and fish. This study examines the impacts for the Glenavy and Lough Beg catchments, on the basis that these are likely to be most affected and that if impacts for this these catchments are acceptable, then the impacts on Lough Neagh, are also likely to be acceptable. 11.8.10 All categories of exposure Scenarios are included for each location. All Scenarios consider adult and child exposure levels to take account of different body mass and food intake. Exposure Scenarios 11.8.11 In most cases for people living around the proposed installation, the actual exposure pathways are likely to be limited to residential exposure, the Residential Category Exposure Scenario, which includes inhalation, the ingestion of soils, drinking surface water from the catchment, and eating homegrown produce. The agricultural and fisher exposure categories are based on subsistence type diets, where all food consumed is produced on the farm or caught locally. 11.8.12 The Agricultural Exposure Scenario includes ingestion of food grown on the premises including home grown produce, ingestion of beef, milk, pork, poultry, eggs, in addition to those exposure categories considered in the Residential Exposure Scenario above. 11.8.13 The Fisher Exposure Category Scenario includes inhalation, the ingestion of soils, drinking water from the catchment, home-grown produce and fish caught in the Glenavy River. This includes for the consumption of fish based on a subsistence lifestyle where all fish products consumed are taken from the Glenavy catchment. In practice this is likely to be an unrealistic exposure scenario. The site specific site parameters used in the assessment are set out in Table 11.5. Page 84 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Table 11.5 Key site parameters used in the risk assessment Site parameter Value Units Evapotranspiration89 50 Centimetres per year (cm/yr) Irrigation 0 Centimetres per year (cm/yr) Precipitation (rain/sleet/snow) 86 Centimetres per year (cm/yr) Water runoff 31 Centimetres per year (cm/yr) Ambient temperature 283 Kelvin (K) [9.85 ˚C] Annual wind speed 4.5 Metres per second (m/s) 11.8.14 The meteorological data used is based on the same data used to model atmospheric dispersion, Aldergrove 1997 – 2001. The hydraulic conditions in the Glenavy River are based on the data from the Leap Bridge gauging station and assume an average daily flow of 0.465m3/s with a average velocity of 0.1m/s, 0.5m deep. The flow into Lough Begg is based on the Glenavy, factored by 1.6 to take account of the larger catchment, where the current is 0.0001m/s through the Lough. Risk and Hazard Model Outputs 11.8.15 The results from the exercise estimate the total risk and hazard arising from multiple exposure to emissions from the proposed installation. 11.8.16 Risk from exposure to these emissions is the probability that a human receptor will develop cancer based on a unique set of exposure, model, and toxicity assumptions as a result of exposure to a particular level of a COPC. For example, a risk of 1 x 105 is interpreted to mean that an individual has up to a 1 in 100,000 chance of developing cancer during their lifetime from the exposure being evaluated. 11.8.17 In contrast, hazard is the potential for developing non cancer health effects as a result of exposure to COPCs. A hazard is not a probability but, rather, a comparison (calculated as a ratio) of a receptor’s potential exposure relative to a standard exposure level i.e. the level of exposure which poses no appreciable likelihood of adverse health effects. 89 Evaporation of water from the ground and transpiration of water from plants into the atmosphere. Page 85 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 11.9 Safe or acceptable/tolerable levels of additional risk and hazard 11.9.1 As discussed in the previous chapter the Royal Commission on Environmental Pollution suggested that when estimating additional risks of cancer that a 1 in 1 million chance per year was a reasonable level at which there were likely to be no negative health risks. In lifetime terms this 1 in 1 million yearly chance equates to a lifetime risk threshold (up to 70 years of age) of 70 in 1 million chance which is equal to 0.000074 (7.4 x 10-5) or 1 in 13,500 lifetime chance. Comparing this to the above tables the most unlikely cancer to occur is breast cancer in men which has a lifetime cancer risk (up to 74 years of age) of 1 in 9,310. 11.9.2 In relation to hazard, a total hazard index of 1, a ratio comparing exposure to known safe levels of a substance, is deemed safe or tolerable/acceptable. In general, a level of 0.25 - a quarter of the safe level - is used as a general good practice guidance level to ensure that a particular development does not expose residents to a cumulative hazard, taking into account other existing levels of exposure from other sources, that is greater than 1. 11.10 Maximally exposed receptor 11.10.1 Receptor 16, 22 Ballyvannon Road, was identified as potentially having the greatest exposure of all the fifty receptors assessed. 11.10.2 It was cautiously assumed that all three classes of individuals were present at the sites – resident adult and child; farmer adult and child; and fisher adult and child. 11.10.3 The potential risks were assessed for this receptor for inhalation, soil ingestion, dermal contact and ingestion of food. 11.10.4 In assessing these risks, the following key assumptions have been made: 11.10.4.1 For the inhalation pathway: exposure time for adults is 24 hours per day, 350 days per year for a total of exposure period of 30 years. The exposure time for children is 24 hours per day, 350 days per year for a total exposure period of 6 years. The USEPA default values for inhalation rates are 0.63 and 0.3 m3/hour for adults and children respectively. 11.10.4.2 For dermal contact and soil ingestion: it is assumed that adults and children have contact with soils at home for 50 events per year for 30 Page 86 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment years for adults and 6 years for children (40 years for farmers). Soil ingestion rates are the USEPA default values of 0.0001 and 0.0002 kg/day for adults and children respectively. 11.10.4.3 Exposure periods for carcinogen risks is for 70 years for all adults and children and non-carcinogen hazard are 30 years for adults (40 years for farmers) and 6 years for children. 11.10.4.4 Consumption rates for locally produced vegetable, beef, pork, chicken and eggs US EPA default values (See Table 11.4). 11.10.4.5 Where local foodstuffs are consumed it is cautiously assumed to be 100% contaminated. 11.10.5 The detailed risk estimates from the risk assessment are provided in Appendix A and summarised below (all figures have been rounded up to the nearest whole number). Maximally exposed receptor Total cancer risk RCEP target risk level Resident Adult total carcinogen risk Resident Adult total non-carcinogen risk 0.000002 0.00007 Resident child total carcinogen risk Resident child total non-carcinogen risk 0.0000005 Farmer Adult total carcinogen risk Farmer Adult total non-carcinogen risk 0.000004 Farmer child total carcinogen risk Farmer child total non-carcinogen risk 0.0000008 Fisher Adult total carcinogen risk Fisher Adult total non-carcinogen risk 0.000002 Fisher child total carcinogen risk Fisher child total non-carcinogen risk 0.0000005 Total hazard quotient US EPA guidance hazard level 0.03 0.25 0.04 0.25 0.04 0.25 0.07 0.25 0.18 0.25 0.15 0.25 0.00007 0.00007 0.00007 0.00007 0.00007 11.10.6 The highest lifetime odds of getting cancer for adults (resident only, farmer residents, fisher residents) at Receptor 16 is 4 in 1 million (1 in 250,000) and the lifetime odds for children is 8 in 10 million (1 in 1,250,000). This compares to lifetime odds of 1 in 3 for all types of cancers. The hazard or toxicity level is a maximum of Page 87 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 0.18 for adults and 0.15 for children and is below the 0.25 (25% of the safe dose level) which the US EPA considers to be the threshold above which further investigation would be worthwhile. 11.11 Closest receptor 11.11.1 Receptor 1, 1 Ashvale, was the closest residence to the stack with a distance from the proposed stack (not the facility) of 269 metres. 11.11.2 Here also, it was cautiously assumed that all three classes of individuals were present at the sites – resident adult and child; farmer adult and child; and fisher adult and child. 11.11.3 The potential risks were assessed for this receptor for inhalation, soil ingestion, dermal contact and ingestion of food. 11.11.4 In assessing these risks, the following assumptions – similar to the maximally exposed receptor - have been made: 11.11.4.1 For the inhalation pathway: exposure time for adults is 24 hours per day, 350 days per year for a total of exposure period of 30 years. The exposure time for children is 24 hours per day, 350 days per year for a total exposure period of 6 years. The USEPA default values for inhalation rates are 0.63 and 0.3 m3/hour for adults and children respectively. 11.11.4.2 For dermal contact and soil ingestion: it is assumed that adults and children have contact with soils at home for 50 events per year for 30 years for adults and 6 years for children (40 years for farmers). Soil ingestion rates are the USEPA default values of 0.0001 and 0.0002 kg/day for adults and children respectively. 11.11.4.3 Exposure periods for carcinogen risks is for 70 years for all adults and children and non-carcinogen hazard are 30 years for adults (40 years for farmers) and 6 years for children. 11.11.4.4 Consumption rates for locally produced vegetable, beef, pork, chicken and eggs US EPA default values (See Table 11.4). Page 88 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 11.11.4.5 Where local foodstuffs are consumed it is cautiously assumed to be 100% contaminated. 11.11.5 The risk estimates are summarised below. Closest receptor Total cancer risk RCEP target risk level Resident Adult total carcinogen risk Resident Adult total non-carcinogen risk 0.0000004 0.00007 Resident child total carcinogen risk Resident child total non-carcinogen risk 0.0000002 Farmer Adult total carcinogen risk Farmer Adult total non-carcinogen risk 0.000001 Farmer child total carcinogen risk Farmer child total non-carcinogen risk 0.0000003 Fisher Adult total carcinogen risk Fisher Adult total non-carcinogen risk 0.0000007 Fisher child total carcinogen risk Fisher child total non-carcinogen risk 0.0000002 Total hazard quotient US EPA guidance hazard level 0.007 0.25 0.01 0.25 0.01 0.25 0.02 0.25 0.16 0.25 0.12 0.25 0.00007 0.00007 0.00007 0.00007 0.00007 11.11.6 The highest lifetime odds of getting cancer for residents (resident only, farmer residents, fisher residents) at Receptor 1 is 1 in 1 million and the lifetime odds for children is 3 in 10 million (1 in 3,333,333). The hazard or toxicity level is a maximum of 0.16 for adults and 0.12 for children and is below the 0.25 (25% of the safe dose level) which the US EPA considers to be the threshold above which further investigation is worthwhile. 11.12 Glenavy village receptor 11.12.1 Receptor 44 was located in Glenavy village. A range of other receptors were also considered around Glenavy village. 11.12.2 Here also, it was cautiously assumed that all three classes of individuals were present at the sites – resident adult and child; farmer adult and child; and fisher adult and child. Page 89 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 11.12.3 The potential risks were assessed for this receptor for inhalation, soil ingestion, dermal contact and ingestion of food. 11.12.4 In assessing these risks, the following assumptions – similar to the maximally exposed receptor - have been made: 11.12.4.1 For the inhalation pathway: exposure time for adults is 24 hours per day, 350 days per year for a total of exposure period of 30 years. The exposure time for children is 24 hours per day, 350 days per year for a total exposure period of 6 years. The USEPA default values for inhalation rates are 0.63 and 0.3 m3/hour for adults and children respectively. 11.12.4.2 For dermal contact and soil ingestion: it is assumed that adults and children have contact with soils at home for 50 events per year for 30 years for adults and 6 years for children (40 years for farmers). Soil ingestion rates are the USEPA default values of 0.0001 and 0.0002 kg/day for adults and children respectively. 11.12.4.3 Exposure periods for carcinogen risks is for 70 years for all adults and children and non-carcinogen hazard are 30 years for adults (40 years for farmers) and 6 years for children. 11.12.4.4 Consumption rates for locally produced vegetable, beef, pork, chicken and eggs US EPA default values (See Table 11.4). 11.12.4.5 Where local foodstuffs are consumed it is cautiously assumed to be 100% contaminated. 11.12.5 The detailed estimates are summarised below. Glenavy village receptor Total cancer risk RCEP target risk level Resident Adult total carcinogen risk Resident Adult total non-carcinogen risk 0.0000005 0.00007 Resident child total carcinogen risk Resident child total non-carcinogen risk 0.0000001 Farmer Adult total carcinogen risk Farmer Adult total non-carcinogen risk 0.000001 Farmer child total carcinogen risk 0.0000002 Page 90 Total hazard quotient US EPA guidance hazard level 0.007 0.25 0.01 0.25 0.01 0.25 0.00007 0.00007 0.00007 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Glenavy village receptor Total cancer risk RCEP target risk level Farmer child total non-carcinogen risk Fisher Adult total carcinogen risk Fisher Adult total non-carcinogen risk 0.0000007 Fisher child total carcinogen risk Fisher child total non-carcinogen risk 0.0000002 Total hazard quotient US EPA guidance hazard level 0.02 0.25 0.16 0.25 0.12 0.25 0.00007 0.00007 11.12.6 The highest lifetime odds of getting cancer for residents (resident only, farmer residents, fisher residents) depending on how much local produce they eat is 1 in 1 million and the lifetime odds for children is 2 in 10 million (1 in 5 million). The hazard or toxicity level is a maximum of 0.216 for adults and 0.12 for children and is below the 0.25 (25% of the safe dose level) which the US EPA considers to be the threshold above which further investigation is worthwhile. 11.13 Crumlin village receptor 11.13.1 Receptor 42 was located in Crumlin village. A number of other receptors were also considered around Crumlin village. 11.13.2 Here also, it was cautiously assumed that all three classes of individuals were present at the sites – resident adult and child; farmer adult and child; and fisher adult and child. 11.13.3 The potential risks were assessed for this receptor for inhalation, soil ingestion, dermal contact and ingestion of food. 11.13.4 In assessing these risks, the following assumptions – similar to the maximally exposed receptor - have been made: 11.13.4.1 For the inhalation pathway: exposure time for adults is 24 hours per day, 350 days per year for a total of exposure period of 30 years. The exposure time for children is 24 hours per day, 350 days per year for a total exposure period of 6 years. The USEPA default values for inhalation rates are 0.63 and 0.3 m3/hour for adults and children respectively. Page 91 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 11.13.4.2 For dermal contact and soil ingestion: it is assumed that adults and children have contact with soils at home for 50 events per year for 30 years for adults and 6 years for children (40 years for farmers). Soil ingestion rates are the USEPA default values of 0.0001 and 0.0002 kg/day for adults and children respectively. 11.13.4.3 Exposure periods for carcinogen risks is for 70 years for all adults and children and non-carcinogen hazard are 30 years for adults (40 years for farmers) and 6 years for children. 11.13.4.4 Consumption rates for locally produced vegetable, beef, pork, chicken and eggs US EPA default values (See Table 11.4). 11.13.4.5 Where local foodstuffs are consumed it is cautiously assumed to be 100% contaminated. 11.13.5 The risk estimates are summarised below. Crumlin village receptor Total cancer risk RCEP target risk level Total hazard quotient Resident Adult total carcinogen risk Resident Adult total non-carcinogen risk 0.0000008 0.00007 0.01 Resident child total carcinogen risk Resident child total non-carcinogen risk 0.0000002 Farmer Adult total carcinogen risk Farmer Adult total non-carcinogen risk 0.000002 Farmer child total carcinogen risk Farmer child total non-carcinogen risk 0.0000003 Fisher Adult total carcinogen risk Fisher Adult total non-carcinogen risk 0.000001 Fisher child total carcinogen risk Fisher child total non-carcinogen risk 0.0000002 US EPA guidance hazard level 0.25 0.00007 0.02 0.25 0.02 0.25 0.03 0.25 0.17 0.25 0.13 0.25 0.00007 0.00007 0.00007 0.00007 11.13.6 The highest lifetime odds of getting cancer for residents (resident only, farmer residents, fisher residents) is 2 in 1 million (1 in 500,000) and the lifetime odds for children is 3 in 10 million (1 in 3,333,333). The hazard or toxicity level is a maximum of 0.17 for adults and 0.13 for children and is below the 0.25 (25% of the safe dose Page 92 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment level) which the US EPA considers to be the threshold above which further investigation is worthwhile. 11.14 Overall findings from the risk assessment 11.14.1 The worst case lifetime cancer risks (up to age 74 years) to local residents associated with the emissions from the power plant stack are estimated to be very small – 1 in 250,000 for an adult and 1 in 1,250,000 for a child. These risks are extremely low in the context of Northern Ireland’s general rates of cancer where the current lifetime odds of getting cancer is 1 in 3 for adults (up to the age of 74 years) and that for children is 1 in 38 for leukaemia (up to the age of 14). It is also well below the Royal Commission on Environmental Pollution target risk level of 1 in 13,500 (7.4x10-5 or 0.000074) and. 11.14.2 The worst case non-carcinogen hazard ratio from inhalation, ingestion of food, soil ingestion and dermal contact pathways are also very small with the worst case hazard of 0.18 for an adult and 0.15 for a child which is below the 0.25 (25% of the safe dose level) which the US EPA considers to be the threshold above which further investigation would be worthwhile. 11.14.3 Given the very cautious/conservative assumptions made in relation to emissions from the stack and inhalation, ingestion and skin exposure the actual levels of risk and hazard for local residents are likely to be lower. Page 93 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 12 Health Impacts of the Proposed Power Plant 12.1 Introduction 12.1.1 All change involves uncertainty and uncertainty generates worries and fears about the future in existing residents. This is the context within which the health impacts of the proposed development need to be understood. 12.1.2 For a detailed assessment of the health impacts compared to no development see Appendix B – the health impact matrix. 12.1.3 The analysis in the following sections analyses health and wellbeing. 12.2 Impact analysis – construction phase 12.2.1 The construction phase will be approximately three years long. Positive health impacts – construction phase 12.2.2 There are likely to be two main potential positive health and wellbeing impacts of the construction phase of the proposed power plant: 12.2.3 There are likely to be employment and economy effects. These are likely to be through the creation of direct construction-related and indirect jobs for people at a local and regional level through the stimulation of the wider economy from increased passing trade for local shops and other retail amenities and the potential for increased rents from providing accommodation to the construction workers who come from outside the local area. It is also dependant on how many local people are able to access the newly created jobs and business opportunities. Given the specialist nature of the construction this is likely to be a minor positive health impact at local and regional levels. 12.2.4 There are likely to be education and learning effects. These are likely to be through the on-the-job construction training opportunities and construction experience as well Page 94 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment as the potential for linking into construction courses and apprenticeship schemes. This is likely to be a minor positive health impact at local and regional levels. Negative health impacts – construction phase 12.2.5 There are likely to be six main potential negative health and wellbeing impacts during the construction phase of the proposed power plant. 12.2.6 There are likely to be physical injury effects. These are likely to be through the potential effects on the health and safety of construction workers and, to a much lesser extent, nearby residents due to construction activities e.g. fall, injuries from equipment failure or failure to follow health and safety guidelines. This is likely to be a minor negative health impact at local level. 12.2.7 There are likely to be mental health and wellbeing effects. These are likely to be during the planning as some/many residents see it as an unwanted and dangerous development. This will be in relation the worry, concern and anxiety generated by the proposed power plant. This is likely to be a minor to moderate negative health impact at local level and largely dependent on how close local residents are to the proposed site. 12.2.8 There are likely to be transport and connectivity effects. These are likely to be through the movement of the construction lorries which may generate more congestion of key routes and increase the risks of road traffic injuries to local residents. This is likely to be a moderate to major negative health impact at local level and largely dependent on how close local residents are to the proposed power plant and key routes for traffic to and from the proposed site. 12.2.9 There are likely to be housing and accommodation effects. These are likely to be through construction workers moving into the area and renting local accommodation which may make accommodation in the area harder to come by for local people. This is likely to be a minor negative health impact at local level. 12.2.10 There are likely to be lifestyle and daily routine effects. These are likely to be through nuisance effects associated with the construction activities on the site e.g. traffic, noise and dust. This is likely to be a minor to moderate negative health impact at local level and largely dependent on how close local residents are to the proposed power plant and key routes for traffic to and from the power plant. Page 95 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 12.2.11 There are likely to be land and spatial effects. These are likely to be through making the development site visually unattractive and compacting and degrading the land in and around the proposed site. This is likely to be a minor to moderate negative health impact at local level and largely dependent on how close local residents are to the proposed power plant. Uncertain health impacts – construction phase 12.2.12 There may be two main uncertain potential health impacts that could be either positive, no effect or negative during the construction phase of the proposed power plant. 12.2.13 There may be social capital and community cohesion effects. These are likely to be through the concern, worry and anxiety generated by the planning process. This can have negative effects on social capital and community cohesion depending on how the planning and siting process is managed and how early communities are consulted and involved in the decision-making process. Well managed planning and siting processes can have positive effects and poorly managed ones can have negative effects. In the short term local people coming together to protest can have positive effects on social capital and community cohesion however over the long term such processes can have negative effects. This could range from a neutral to moderate negative health impact at local level. 12.2.14 There may be energy and waste effects. These are likely to be through the way energy and waste are managed on the development site i.e. whether sustainable energy sources are used, whether materials are reused, recycled and whether contaminated soil and hazardous materials are disposed of appropriately. This could range from a minor negative to a minor positive health impact at local and regional levels. 12.3 Impact analysis – operation phase Positive health impacts – operation phase 12.3.1 The operational life of the facility will be 25 years. 12.3.2 There are likely to be two main potential positive health impacts during the operation phase of the proposed power plant: Page 96 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 12.3.3 There are likely to be employment and economy effects. These are likely to be through the creation of direct power plant-related jobs and indirect jobs for people at a local and regional level through the stimulation of the wider economy from increased passing trade for local shops and other retail amenities and the safeguarding of jobs in the poultry industry as the cost of disposal will be met from the income from electricity generation. It is also dependant on how many local people are able to access the newly created jobs and business opportunities. This is likely to be a minor positive health impact at local level and moderate positive impact at regional level. 12.3.4 There are likely to be energy and waste effects. These are likely to be through the further energy recovery from the poultry bedding and meat and bone meal (MBM) that the power plant will enable. This will also have a small positive mitigating influence on climate change. This is likely to be a moderate to major positive health impact at regional level. Negative health impacts – operation phase 12.3.5 There are likely to be five main potential negative health impacts during the operation phase of the proposed power plant: 12.3.6 There are likely to be physical injury effects. These are likely to be through the potential effects on the health and safety of power plant workers and, to a much lesser extent, nearby residents due to operation activities e.g. fall, injuries from equipment failure or failure to follow health and safety guidelines. This is likely to be no effect or a minor negative health impact at local level. 12.3.7 There are likely to be mental health and wellbeing effects. These are likely to continue from planning process as some/many residents continue to see it as an unwanted and dangerous development. This is likely to be a minor to moderate negative health impact at local level and largely dependent on how close local residents are to the proposed site. 12.3.8 There are likely to be transport and connectivity effects. These are likely to be through the movement of the waste lorries they generate more congestion of key routes and increase the risks of road traffic injuries. Given the estimates of vehicular traffic as there is some substitution of existing traffic to the rendering plant this is likely to be a minor negative health impact at local level and largely dependent on how close local residents are to the proposed power plant and key routes for traffic to and from the power plant. Page 97 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 12.3.9 There are likely to be lifestyle and daily routine effects. These are likely to be through nuisance effects associated with the power plant and related traffic e.g. traffic, noise and dust. This is likely to be a minor to moderate negative health impact at local level and largely dependent on how close local residents are to the proposed power plant. 12.3.10 There are likely to be land and spatial effects. These are likely to be through the size and design of the power plant and its surroundings. This is likely to be a moderate to major negative health impact at local level and largely dependent on how close local residents are to the proposed power plant. Uncertain health impacts – operation phase 12.3.11 There are likely to be three main uncertain potential health impacts that could be either positive or negative during the operation phase of the –proposed power plant. 12.3.12 There may be social capital and community cohesion effects. These are likely to be through continuing concern, worry and anxiety about the power plant and its related traffic. This is likely to continue for at least the first five years of operation after which any potential negative effects are likely to lessen. This depends on how the power plant liaises and builds a relationship with the local community and listens to acts promptly on complaints. This could range from neutral to a moderate negative health impact at local level. 12.3.13 There may be housing and accommodation effects. There be some impact on local house and land prices however there is an existing the rendering plant and quarry in the area. This is likely to be a neutral to a minor negative health impact at local level. 12.3.14 There may be education and learning effects. These are likely to be through the education, training and learning opportunities available to power plant workers and school and group visits to the power plant. This is likely to be neutral or a minor positive health impact at local level depending on whether such activities are put in place. 12.4 Impact analysis – refurbishment/decommissioning phase 12.4.1 Depending on what happens over the lifespan of the power plant it may either be refurbished or decommissioned at some time. Page 98 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 12.4.2 Any decommissioning will be influenced by what the site will be used for after and whether it is returned to a similar state to what it originally was before the development. 12.4.3 The level of impact in the case of refurbishment is likely to be similar to that of the construction phase if old machinery and equipment is dismantled and new machinery is put in place in and around the site. 12.4.4 The level of impact in the case of decommissioning is largely dependant on what the subsequent use of the land is though the act of cleaning up the site and generally improving the land is, in itself, likely to be a positive health and wellbeing impact. If there is another industrial facility planned for the site then there are likely to continue to be a similar set of negative health impacts as described previously. 12.5 Cumulative effect 12.5.1 Taking account of all the impacts discussed to date and the current background level of industrial activities, before any mitigation and enhancement measures are considered there is likely to be a minor cumulative positive health impact at local level and a moderate cumulative positive health impact at a regional level from the benefits to employment, the economy and the sustainable management of waste and a moderate cumulative negative health impact at local level from the worry and anxiety about the power plant and nuisance impacts from affects on visual amenity, noise, odour and some emissions from the facility and traffic most prominent during the construction than the operation phase of the power plant. 12.6 Mitigation and enhancement measures 12.6.1 Design of the site and facility 12.6.1.1 The site should be sensitively, imaginatively and aesthetically designed so that it reduces the negative effects on visual amenity and noise and odour levels. 12.6.1.2 The site should be surrounded by a green buffer zone that softens and enhances the industrial aesthetic of the power plant, for example there could be landscaped areas with scented flowers, shrubs and trees. Page 99 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 12.6.2 Consultation and engagement 12.6.2.1 Continuing engagement with local people is likely to develop greater trust and reducing the long term mental health and wellbeing and social capital and community cohesion impacts even though in the short term it may generate greater concern, protest and anxiety. 12.6.3 Health and safety in and around the construction site 12.6.3.1 Develop and agree on a site specific Code of Construction Practice (CoCP) to deal with potential nuisance issues resulting from the construction site and its operation. This should include a clear line of communication, for example a dedicated helpline phone number provided by the power plant operator to enable local people to report issues, and clear responsibilities for how power plant operators will respond to these issues. The setting up of a group that meets on a regular basis can also help to reassure communities. 12.6.3.2 Ensure adherence to Buildsafe Northern Ireland guidance and the Construction (Design & Management) Regulations Northern Ireland 1995. 12.6.3.3 Secure the perimeter of the construction site and consider regular patrols after dark either by local police/community wardens or a private security company. 12.6.3.4 Have a good community liaison ideally with a named person responsible to deal with any community issues as they arise. 12.6.3.5 Ensure that best practice is used in dealing with construction related noise, dust and materials. 12.6.3.6 Ensure appropriate remediation of any agriculture or industry-related contaminated land on the site. 12.6.4 Recruitment of construction workers: 12.6.4.1 Ensure recruitment for the construction jobs starts locally through job centres and recruitment agencies in the local area and the surrounding villages before being advertised more widely. This will also reduce the Page 100 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment potential pressures on local housing and be more sustainable in transport terms. 12.6.4.2 Develop a plan for dealing with the accommodation and healthcare needs of construction workers moving into the area from elsewhere. This will need to be developed once construction recruitment has started and there is a clearer idea of the number of workers likely to move into the area. Housing construction workers in existing permanent dwellings is always preferable to temporary ‘portacabin’ type accommodation even for a short while. 12.6.5 Construction skills training and apprentice programme: 12.6.5.1 Before and during the construction phase, a training and skills programme should be set in place to enable local people, both those already involved in construction and those who are unemployed, to access the construction job opportunities. Alongside this there could be employment or work experience-linked apprenticeship building and construction programmes for young people. 12.6.6 Construction traffic: 12.6.6.1 Develop a construction traffic route and timing plan, in consultation with local people, so that construction traffic avoids peak times on the key routes in and around the facility and the local area. Ensure that local people are aware of the plan so that they can be proactive in avoiding those routes and those times when possible. The routes taken by construction vehicles are likely to change over the course of the development so the plan will need to be reviewed and updated regularly. It will be important to ensure that local people are made aware of all updates. 12.6.6.2 The construction programme should also aim to encourage construction workers to walk, cycle and use public transport, where available, to get to work through a construction worker active travel plan. Page 101 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 12.6.7 Improving roads: 12.6.7.1 Local roads should be regularly reviewed in light of construction traffic to ensure that the roads are not damaged by the construction and where necessary elements of the road are enhanced in consultation with the Northern Ireland Roads Service e.g. changes to junctions, putting in place of safe crossing points, etc. 12.6.8 Residents committees and representatives 12.6.8.1 A residents committee or a community representative could be actively involved in the operational issues of the power plant. This would start during the planning process so that the committee/representatives are already involved in the design and operational details of the proposed facility e.g. the working hours, the proposed route through residential areas, etc. 12.6.9 Pollution monitoring 12.6.9.1 Regular public air, water and soil pollution monitoring where the results of the monitoring are actively fed back to local residents should be considered as it is likely to do much to reassure local people. 12.6.10 Operation Traffic 12.6.10.1 Just as construction traffic should be planned, so an operation traffic route and timing plan should be developed, in consultation with local people, so that operation traffic avoids peak times on the key routes in and around the facility and the local area. Ensure that local people are aware of the plan so that they can be proactive in avoiding those routes and those times when possible. The routes taken by operation vehicles are unlikely to change over the course of the development but should they do so then the plan will need to be reviewed and updated. It will be important to ensure that local people are made aware of all updates. 12.6.10.2 Any Safe Routes to School should be protected. 12.6.10.3 Power plant workers should be encouraged to, where appropriate, carpool, walk and cycle and or a company bus service could set up. A wider active/sustainable travel plan should also be considered. Page 102 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 12.6.10.4 Low emission vehicles and the use of liquid petroleum gas should be considered. 12.6.11 Education and learning 12.6.11.1 Developing an active environmental education and awareness programme in partnership with local school and local environmental groups will also help to show the power plant in a more positive way to local communities. 12.6.12 Health and safety of power plant workers 12.6.12.1 The health and safety of power workers through good facility design, good training, access to high quality washing facilities, availability of enough protective clothing and the active nurturing of an organisational culture where worker and community health and safety are paramount will ensure that worker injury and health problems will be at a minimum. 12.7 Residual effects 12.7.1 The above mitigation measures if properly applied and reviewed will ensure that the majority of the negative health impacts of the development are much reduced. The above mitigation measures will also ensure that health and social inequalities are not widened in the area. 12.8 Overall Conclusion The proposed development has some positive and some negative health impacts. The positive impacts are largely at the regional level though there are some potential employment benefits locally. The negative impacts are almost wholly at the local level. Both the overall positive and the negative health impacts are of a minor to moderate nature. It is likely that the proper implementation of the mitigation measures described above, and in the EIA, is likely to make reduce the effects of the potential negative impacts towards the minor end of the range. Page 103 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment 13 Conclusion 13.1.1 Power plants and incinerators are in a class of developments that are almost universally unwanted by local residents. 13.1.2 The major settlements of Glenavy and Crumlin villages are 1km from the site of the proposed power plant though there are a small number of residents within 250m and a slightly larger number between 250m-1km of the site. 13.1.3 The cumulative lifetime cancer risks from the emissions of the power plant, through direct and indirect exposures, are so extremely small as to be effectively zero when considered alongside the other more important personal, lifestyle and social factors that influence health and wellbeing. Similarly the cumulative hazard levels from the emissions of the power plant, through direct and indirect exposures, are less than 25% of the safe or tolerable/acceptable exposure level. 13.1.4 The plant is likely to have a moderate positive impact at regional level and a minor to moderate negative impact at the local level. The intensity of the negative impacts will be dependent on both the proximity of residents to the proposed site and how well the mitigation measures identified in this report, and in the EIA, are implemented. 13.1.5 Overall, the major negative health impacts on local people are likely to be nuisance level and quality of life impacts. These are important considerations but they are not effects that are likely to cause disease or ill health in local residents. Page 104 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Page 105 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Appendix A: Health Risk Assessment Details for Maximally Exposed Receptor A P P E N D I X A Page 106 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Emission Inventory - Poultry bedding & MBM - Scenario - Project Description - February 2008 - High Flow - Emissions for HHRA item description volume of release at 273K, dry. 11%O2 (1) pg in sample (2) pollutant proportion WHO TEQ proportion of WHO TEQ m3/s 1 flue 68.2 2,3,7,8-TCDD factor to convert to 0.1ng/m3 WHO TEQ Pollutant Concentration (dry gas) WHO TEQ pollutant emissionrate WHO TEQ pollutant emission rate actual ng/m3 ng/m3 g/s g/s 32.661 0.007 1.0000 6.86E-03 7.33E-03 6.86E-03 5.001E-10 5.001E-10 1,2,3,7,8-PeCDD 103.838 0.022 1.0000 2.18E-02 2.33E-02 2.18E-02 1.590E-09 1.590E-09 1,2,3,4,7,8-HxCDD 101.999 0.021 0.1000 2.14E-03 2.29E-03 2.14E-04 1.562E-10 1.562E-09 1,2,3,7,8,9-HxCDD 115.719 0.024 0.1000 2.43E-03 2.60E-03 2.43E-04 1.772E-10 1.772E-09 1,2,3,6,7,8-HxCDD 266.107 0.056 0.1000 5.59E-03 5.97E-03 5.59E-04 4.075E-10 4.075E-09 1,2,3,4,6,7,8-HpCDD 960.055 0.202 0.0100 2.02E-03 2.16E-03 2.02E-05 1.470E-10 1.470E-08 1.173E-08 OCDD 766.002 0.161 0.0001 1.61E-05 1.72E-05 1.61E-09 1.173E-12 2,3,7,8-TCDF 248.946 0.052 0.1000 5.23E-03 5.59E-03 5.23E-04 3.812E-10 3.812E-09 2,3,4,7,8-PeCDF 418.556 0.088 0.0500 4.40E-03 4.70E-03 2.20E-04 3.204E-10 6.409E-09 1,2,3,7,8-PeCDF 236.230 0.050 0.5000 2.48E-02 2.65E-02 1.24E-02 1.809E-09 3.617E-09 1,2,3,4,7,8-HxCDF 168.568 0.035 0.1000 3.54E-03 3.78E-03 3.54E-04 2.581E-10 2.581E-09 1,2,3,7,8,9-HxCDF 66.329 0.014 0.1000 1.39E-03 1.49E-03 1.39E-04 1.016E-10 1.016E-09 1,2,3,6,7,8-HxCDF 272.874 0.057 0.1000 5.74E-03 6.13E-03 5.74E-04 4.178E-10 4.178E-09 2,3,4,6,7,8-HxCDF 315.551 0.066 0.1000 6.63E-03 7.08E-03 6.63E-04 4.832E-10 4.832E-09 1,2,3,4,6,7,8-HpCDF 395.000 0.083 0.0100 8.30E-04 8.87E-04 8.30E-06 6.048E-11 6.048E-09 1,2,3,4,7,8,9-HpCDF 60.280 0.013 0.0100 1.27E-04 1.35E-04 1.27E-06 9.230E-12 9.230E-10 229.156 0.048 0.0001 4.82E-06 5.14E-06 4.82E-10 3.509E-13 3.509E-09 4757.871 1.000 - 0.100000 4.462E-02 6.820E-09 7.285E-08 OCDF Total 0.093614 Metals (3) mg/m3 g/s Cd 0.050 0.00341 Group 1 Hg 0.002 0.00014 Group 2 As Pb 0.125 0.255 0.00853 0.01739 Notes 1 2 3 Based on flow conditions in Table 7.1 High Flow 220,000 Nm3/hr @273K ( 5.56% O2 wet) Dioxins and furans as per typical poultry litter emissions (Westfield Fife) and Waste Incineration Directive Limits Emission rates based on Mass Balance calculations Engreen 2008 Page 107 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Air Parameters for Receptor 16 – 22 Ballyvannon UTM X: 313215.00 UTM Y: 372149.00 Air parameter description Value Symbol Units Hourly air concentration - particle phase 4.53087 chp ug-s/g-m^3 Hourly air concentration - particle bound 4.53087 chp_pb ug-s/g-m^3 Hourly air concentration - vapor phase 3.91288 chv ug-s/g-m^3 ug-s/g-m^3 Hourly air concentration - vapor phase hg 2.84672 chv_hg Air concentration - particle phase 0.05801 cyp ug-s/g-m^3 Air concentration - particle bound 0.05801 cyp_pb ug-s/g-m^3 Air concentration - vapor phase 0.06094 cyv ug-s/g-m^3 Air concentration - vapor phase hg 0.05087 cyv_hg ug-s/g-m^3 Dry deposition - particle phase 0.02707 dydp s/m^2 year Dry deposition - particle bound 0.02707 dydp_pb s/m^2 year Dry deposition - vapor phase 0.00938 dydv s/m^2 year 0.04541 dydv_hg 0.04119 dywp 0.04311 dywp_pb Wet deposition - vapor phase 0 dywv s/m^2 year Wet deposition - vapor phase hg 0 dywv_hg s/m^2 year Dry deposition - vapor phase hg s/m^2 year Wet deposition - particle phase s/m^2 year Wet deposition - particle bound s/m^2 year Page 108 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Risk and hazard estimates by pathway of exposure and compound of potential concern (COPC) from the chimney stack (STCK 1) for Receptor 16 Receptor Individual Scenario Source Pathway COPC Total cancer risk Total hazard quotient No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork 1.1662E-006 1.0558E-006 5.8623E-007 0.0000E+000 1.4328E-008 0.0000E+000 0.0000E+000 2.9772E-007 0.0000E+000 1.4992E-013 3.1203E-006 1.9519E-007 1.0671E-007 3.5519E-009 1.6425E-012 1.4776E-009 4.3917E-014 0.0000E+000 3.2570E-009 1.1053E-010 9.7268E-013 3.1030E-007 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.5821E-002 4.1060E-003 2.2798E-003 0.0000E+000 5.5734E-005 0.0000E+000 0.0000E+000 1.1578E-003 0.0000E+000 7.7735E-010 2.3420E-002 9.4885E-004 1.2289E-003 4.0896E-005 2.5214E-008 1.7111E-005 6.7416E-010 0.0000E+000 3.7499E-005 1.2728E-006 1.4932E-008 2.2746E-003 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, 1,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,8- HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, 1,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,8- HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, 1,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,9- HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,8- Page 109 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC Total cancer risk Total hazard quotient No 16 farmer_adult STCK1 HexaCDD, 1,2,3,4,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil 0.0000E+000 0.0000E+000 1.6855E-010 4.6808E-015 2.2170E-014 7.8630E-017 1.4877E-017 5.1058E-017 0.0000E+000 7.1810E-014 2.2728E-015 5.7275E-016 1.6865E-010 7.3241E-011 2.0513E-015 9.2976E-015 3.4584E-017 6.5494E-018 2.2457E-017 0.0000E+000 2.9961E-014 9.8225E-016 2.5192E-016 7.3283E-011 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,8- HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,9- HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,8- HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,8- HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,9- HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 2,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,8- Page 110 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No 16 farmer_adult STCK1 No No No No No No No No No 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 Pathway COPC Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale Total intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Lead Lead Lead Lead Lead Lead Lead Lead Lead Lead Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric chloride chloride chloride chloride chloride chloride chloride chloride chloride chloride Mercury Methyl Methyl Methyl Methyl Methyl Methyl Methyl Methyl Methyl mercury mercury mercury mercury mercury mercury mercury mercury mercury OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, 1,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,9- OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, 1,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,9- PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, Page 111 1,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,8- Total cancer risk Total hazard quotient 0.0000E+000 6.6355E-009 1.2204E-008 1.0153E-009 0.0000E+000 1.6947E-010 0.0000E+000 0.0000E+000 1.4321E-008 0.0000E+000 1.6539E-012 3.4348E-008 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 6.4512E-004 5.8601E-003 4.8731E-004 0.0000E+000 8.1921E-005 0.0000E+000 0.0000E+000 6.8738E-003 0.0000E+000 1.0583E-006 1.3949E-002 3.0427E-006 2.3983E-004 4.2080E-005 3.8840E-006 6.7731E-007 4.4136E-006 0.0000E+000 2.0221E-004 7.8274E-008 1.4727E-005 5.1094E-004 4.5527E-008 4.5527E-008 3.9588E-005 1.4319E-006 3.7457E-008 3.5857E-007 4.2565E-008 0.0000E+000 9.6198E-006 8.9287E-010 8.7902E-007 5.1958E-005 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult farmer_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 Pathway COPC Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, 1,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,8- PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, 2,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,8- TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, 2,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,8- TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, 2,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,8- Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Page 112 Total cancer risk Total hazard quotient 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 6.9101E-009 6.0488E-008 1.4325E-010 5.5911E-011 9.3016E-011 0.0000E+000 2.0330E-007 4.9915E-009 7.0314E-010 2.7668E-007 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.7494E-007 3.8077E-007 5.4058E-008 0.0000E+000 4.8011E-009 0.0000E+000 0.0000E+000 7.4093E-008 0.0000E+000 2.7984E-013 6.8866E-007 2.9279E-008 3.8494E-008 3.2755E-010 2.2397E-013 4.9789E-010 6.3239E-015 0.0000E+000 8.1058E-010 1.2663E-011 1.8156E-012 6.9424E-008 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.0160E-004 7.6011E-004 2.5690E-006 8.8151E-007 1.6682E-006 0.0000E+000 2.4860E-003 7.9232E-005 1.2610E-005 3.4447E-003 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.5821E-002 9.8718E-003 1.4015E-003 0.0000E+000 1.2447E-004 0.0000E+000 0.0000E+000 1.9209E-003 0.0000E+000 7.2552E-009 2.9140E-002 9.4885E-004 2.9546E-003 2.5141E-005 1.7191E-008 3.8215E-005 4.8539E-010 0.0000E+000 6.2216E-005 9.7197E-007 1.3936E-007 4.0301E-003 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, 1,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, 1,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, 1,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,9- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,9- No 16 farmer_child STCK1 air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale HexaCDF, 1,2,3,4,7,8- Page 113 Total cancer risk Total hazard quotient 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 2.5283E-011 1.5747E-015 1.9971E-015 7.1521E-018 4.7170E-018 4.9043E-018 0.0000E+000 1.7616E-014 2.3721E-016 7.1314E-016 2.5305E-011 1.0986E-011 6.8988E-016 8.3658E-016 3.1458E-018 2.0767E-018 2.1571E-018 0.0000E+000 7.3439E-015 1.0234E-016 3.1367E-016 1.0995E-011 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC No No No No No No No No No 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,9- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 2,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No 16 farmer_child STCK1 intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale Total Lead Lead Lead Lead Lead Lead Lead Lead Lead Lead Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercury Page 114 chloride chloride chloride chloride chloride chloride chloride chloride chloride chloride Total cancer risk Total hazard quotient 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 9.9533E-010 4.4035E-009 9.3635E-011 0.0000E+000 5.7184E-011 0.0000E+000 0.0000E+000 3.5645E-009 0.0000E+000 3.0863E-012 9.1172E-009 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 6.4512E-004 1.4089E-002 2.9958E-004 0.0000E+000 1.8296E-004 0.0000E+000 0.0000E+000 1.1404E-002 0.0000E+000 9.8773E-006 2.6630E-002 3.0427E-006 5.3351E-004 2.5869E-005 2.6482E-006 1.5127E-006 3.1778E-006 0.0000E+000 3.3548E-004 5.9773E-008 1.3745E-004 1.0428E-003 4.5527E-008 4.5527E-008 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC No No No No No No No No No 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 Methyl Methyl Methyl Methyl Methyl Methyl Methyl Methyl Methyl No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No 16 No 16 farmer_child farmer_child STCK1 STCK1 intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag mercury mercury mercury mercury mercury mercury mercury mercury mercury OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, 1,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,9- OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, 1,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,9- PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, 1,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,8- PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, 1,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,8- PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, 2,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,8- TetraCDD, 2,3,7,8TetraCDD, 2,3,7,8- Page 115 Total cancer risk Total hazard quotient 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 2.2942E-009 8.7903E-005 8.8025E-007 2.5539E-008 8.0082E-007 3.0647E-008 0.0000E+000 1.5960E-005 6.8183E-010 8.2042E-006 1.1381E-004 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 2.3382E-004 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC No No No No No No No No 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, 2,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child farmer_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, 2,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No 16 No 16 No 16 fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, 1,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,8- HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, 1,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,8- HeptaCDF, 1,2,3,4,7,8,9HeptaCDF, 1,2,3,4,7,8,9HeptaCDF, 1,2,3,4,7,8,9- Page 116 Total cancer risk Total hazard quotient 5.4988E-009 1.3205E-011 1.7522E-011 9.0547E-012 0.0000E+000 5.0147E-008 5.3390E-010 8.8729E-010 5.9400E-008 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 8.7468E-007 5.3914E-007 0.0000E+000 0.0000E+000 1.0749E-008 0.0000E+000 7.6585E-008 0.0000E+000 0.0000E+000 1.4992E-013 1.5012E-006 1.4639E-007 5.4521E-008 0.0000E+000 0.0000E+000 1.1147E-009 0.0000E+000 6.3188E-008 0.0000E+000 0.0000E+000 9.7266E-013 2.6522E-007 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 4.6728E-004 1.7516E-006 1.9687E-006 1.2011E-006 0.0000E+000 4.1245E-003 6.0505E-005 1.1770E-004 5.0087E-003 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.5821E-002 2.7955E-003 0.0000E+000 0.0000E+000 5.5734E-005 0.0000E+000 3.9711E-004 0.0000E+000 0.0000E+000 7.7735E-010 1.9070E-002 9.4885E-004 8.3695E-004 0.0000E+000 0.0000E+000 1.7111E-005 0.0000E+000 9.6999E-004 0.0000E+000 0.0000E+000 1.4932E-008 2.7729E-003 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC No No No No No No No 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, 1,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,9- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,9- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,8- No No No No 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,9- Page 117 Total cancer risk Total hazard quotient 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.2641E-010 2.4612E-015 0.0000E+000 0.0000E+000 1.0561E-017 0.0000E+000 2.2737E-014 0.0000E+000 0.0000E+000 3.8204E-016 1.2644E-010 5.4931E-011 1.0787E-015 0.0000E+000 0.0000E+000 4.6493E-018 0.0000E+000 1.0010E-014 0.0000E+000 0.0000E+000 1.6804E-016 5.4942E-011 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC No No No No No No 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,9- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 2,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No 16 fisher_adult STCK1 No No No No No No No No No 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale Total intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick Lead Lead Lead Lead Lead Lead Lead Lead Lead Lead Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric chloride chloride chloride chloride chloride chloride chloride chloride chloride chloride Mercury Methyl Methyl Methyl Methyl Methyl Methyl Methyl Methyl Methyl mercury mercury mercury mercury mercury mercury mercury mercury mercury OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, 1,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,9- OctaCDF, OctaCDF, OctaCDF, OctaCDF, 1,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,9- Page 118 Total cancer risk Total hazard quotient 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 4.9766E-009 6.2383E-009 0.0000E+000 0.0000E+000 1.2802E-010 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.6534E-012 1.1345E-008 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 6.4512E-004 3.9918E-003 0.0000E+000 0.0000E+000 8.1921E-005 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.0583E-006 4.7199E-003 3.0427E-006 1.9833E-004 0.0000E+000 0.0000E+000 6.7731E-007 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.4727E-005 2.1678E-004 4.5527E-008 4.5527E-008 3.1583E-005 0.0000E+000 0.0000E+000 3.5857E-007 0.0000E+000 1.5239E-001 0.0000E+000 0.0000E+000 8.7902E-007 1.5243E-001 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC No No No No No No 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult fisher_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw 1,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,9- PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, 1,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,8- PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, 1,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,8- PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, 2,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,8- TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, 2,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,8- TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, 2,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,8- Arsenic Arsenic Arsenic Arsenic Arsenic Page 119 Total cancer risk Total hazard quotient 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 3.7068E-009 0.0000E+000 0.0000E+000 3.9227E-011 0.0000E+000 6.0091E-008 0.0000E+000 0.0000E+000 4.7533E-010 6.4312E-008 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.7494E-007 2.5946E-007 0.0000E+000 0.0000E+000 4.8011E-009 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 7.8378E-005 0.0000E+000 0.0000E+000 8.8151E-007 0.0000E+000 1.3504E-003 0.0000E+000 0.0000E+000 1.2610E-005 1.4422E-003 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.5821E-002 6.7268E-003 0.0000E+000 0.0000E+000 1.2447E-004 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC Total cancer risk Total hazard quotient No No No No No 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 Arsenic Arsenic Arsenic Arsenic Arsenic No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs 0.0000E+000 1.0783E-008 0.0000E+000 0.0000E+000 2.7984E-013 4.4998E-007 2.9279E-008 2.6238E-008 0.0000E+000 0.0000E+000 4.9789E-010 0.0000E+000 8.8968E-009 0.0000E+000 0.0000E+000 1.8156E-012 6.4914E-008 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 2.5283E-011 1.1434E-015 0.0000E+000 0.0000E+000 4.7170E-018 0.0000E+000 0.0000E+000 2.7956E-004 0.0000E+000 0.0000E+000 7.2552E-009 2.2952E-002 9.4885E-004 2.0139E-003 0.0000E+000 0.0000E+000 3.8215E-005 0.0000E+000 6.8287E-004 0.0000E+000 0.0000E+000 1.3936E-007 3.6840E-003 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, 1,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,8- HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, 1,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,8- HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, 1,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,9- HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,8- HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,8- Page 120 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC No No No No 16 16 16 16 fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,9- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,9- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 2,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,8- No No No No No No No 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish Lead Lead Lead Lead Lead Lead Lead Page 121 Total cancer risk Total hazard quotient 3.2013E-015 0.0000E+000 0.0000E+000 7.1314E-016 2.5288E-011 1.0986E-011 5.0106E-016 0.0000E+000 0.0000E+000 2.0767E-018 0.0000E+000 1.4094E-015 0.0000E+000 0.0000E+000 3.1367E-016 1.0988E-011 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 9.9533E-010 3.0021E-009 0.0000E+000 0.0000E+000 5.7184E-011 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 6.4512E-004 9.6048E-003 0.0000E+000 0.0000E+000 1.8296E-004 0.0000E+000 0.0000E+000 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC Total cancer risk Total hazard quotient No 16 No 16 No 16 fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 Lead Lead Lead No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No 16 fisher_child STCK1 No No No No No No No No No 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale Total intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish 0.0000E+000 0.0000E+000 3.0863E-012 4.0577E-009 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 9.8773E-006 1.0443E-002 3.0427E-006 4.4239E-004 0.0000E+000 0.0000E+000 1.5127E-006 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.3745E-004 5.8440E-004 4.5527E-008 4.5527E-008 7.0069E-005 0.0000E+000 0.0000E+000 8.0082E-007 0.0000E+000 1.0729E-001 0.0000E+000 0.0000E+000 8.2042E-006 1.0736E-001 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric chloride chloride chloride chloride chloride chloride chloride chloride chloride chloride Mercury Methyl Methyl Methyl Methyl Methyl Methyl Methyl Methyl Methyl mercury mercury mercury mercury mercury mercury mercury mercury mercury OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, 1,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,9- OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, 1,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,9- PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, 1,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,8- PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, 1,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,8- Page 122 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC Total cancer risk Total hazard quotient No 16 No 16 No 16 fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 PentaCDF, 1,2,3,7,8PentaCDF, 1,2,3,7,8PentaCDF, 1,2,3,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child fisher_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.7204E-009 0.0000E+000 0.0000E+000 1.7522E-011 0.0000E+000 8.4608E-009 0.0000E+000 0.0000E+000 8.8729E-010 1.1086E-008 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 8.7468E-007 5.3914E-007 0.0000E+000 0.0000E+000 1.0749E-008 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.4992E-013 1.4246E-006 1.4639E-007 5.4521E-008 0.0000E+000 0.0000E+000 1.1147E-009 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 9.7266E-013 2.0203E-007 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.8017E-004 0.0000E+000 0.0000E+000 1.9687E-006 0.0000E+000 9.5065E-004 0.0000E+000 0.0000E+000 1.1770E-004 1.2505E-003 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.5821E-002 2.7955E-003 0.0000E+000 0.0000E+000 5.5734E-005 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 7.7735E-010 1.8672E-002 9.4885E-004 8.3695E-004 0.0000E+000 0.0000E+000 1.7111E-005 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.4932E-008 1.8029E-003 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, 2,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,8- TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, 2,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,8- TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, 2,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,8- Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, Page 123 1,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,8- Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC Total cancer risk Total hazard quotient No 16 No 16 resident_adult resident_adult STCK1 STCK1 HeptaCDD, 1,2,3,4,6,7,8HeptaCDD, 1,2,3,4,6,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.2641E-010 2.4612E-015 0.0000E+000 0.0000E+000 1.0561E-017 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 3.8204E-016 1.2642E-010 5.4931E-011 1.0787E-015 0.0000E+000 0.0000E+000 4.6493E-018 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.6804E-016 5.4932E-011 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, 1,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,8- HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, 1,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,9- HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,8- HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,8- HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,9- HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,8- Page 124 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC Total cancer risk Total hazard quotient No 16 resident_adult STCK1 HexaCDF, 1,2,3,4,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No 16 resident_adult STCK1 No No No No No No No No resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale Total intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 4.9766E-009 6.2383E-009 0.0000E+000 0.0000E+000 1.2802E-010 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.6534E-012 1.1345E-008 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 6.4512E-004 3.9918E-003 0.0000E+000 0.0000E+000 8.1921E-005 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.0583E-006 4.7199E-003 3.0427E-006 1.9833E-004 0.0000E+000 0.0000E+000 6.7731E-007 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.4727E-005 2.1678E-004 4.5527E-008 4.5527E-008 3.1583E-005 0.0000E+000 0.0000E+000 3.5857E-007 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 16 16 16 16 16 16 16 16 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,8- HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,9- HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 2,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,8- Lead Lead Lead Lead Lead Lead Lead Lead Lead Lead Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric chloride chloride chloride chloride chloride chloride chloride chloride chloride chloride Mercury Methyl Methyl Methyl Methyl Methyl Methyl Methyl Methyl Page 125 mercury mercury mercury mercury mercury mercury mercury mercury Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC Total cancer risk Total hazard quotient No 16 resident_adult STCK1 Methyl mercury No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 3.7068E-009 0.0000E+000 0.0000E+000 3.9227E-011 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 4.7533E-010 8.7902E-007 3.2821E-005 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 7.8378E-005 0.0000E+000 0.0000E+000 8.8151E-007 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.2610E-005 OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, 1,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,9- OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, 1,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,9- PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, 1,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,8- PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, 1,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,8- PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, 2,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,8- TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, 2,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,8- Page 126 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult resident_adult STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 Pathway COPC Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, 2,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,8- Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Arsenic Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium Cadmium HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, HeptaCDD, 1,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,8- HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, 1,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,81,2,3,4,6,7,8- HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, HeptaCDF, 1,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,91,2,3,4,7,8,9- Page 127 Total cancer risk Total hazard quotient 4.2214E-009 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.7494E-007 2.5946E-007 0.0000E+000 0.0000E+000 4.8011E-009 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 2.7984E-013 4.3920E-007 2.9279E-008 2.6238E-008 0.0000E+000 0.0000E+000 4.9789E-010 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.8156E-012 5.6017E-008 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 9.1870E-005 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.5821E-002 6.7268E-003 0.0000E+000 0.0000E+000 1.2447E-004 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 7.2552E-009 2.2672E-002 9.4885E-004 2.0139E-003 0.0000E+000 0.0000E+000 3.8215E-005 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.3936E-007 3.0011E-003 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, HexaCDD, 1,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,9- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,81,2,3,4,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,81,2,3,6,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, 1,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,91,2,3,7,8,9- No 16 resident_child STCK1 air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale HexaCDF, 2,3,4,6,7,8- Page 128 Total cancer risk Total hazard quotient 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 2.5283E-011 1.1434E-015 0.0000E+000 0.0000E+000 4.7170E-018 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 7.1314E-016 2.5285E-011 1.0986E-011 5.0106E-016 0.0000E+000 0.0000E+000 2.0767E-018 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 3.1367E-016 1.0987E-011 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC No No No No No No No No No 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, HexaCDF, No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No 16 resident_child STCK1 No No No No No No No No No 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 No 16 resident_child STCK1 intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale Total intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale 2,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,82,3,4,6,7,8- Lead Lead Lead Lead Lead Lead Lead Lead Lead Lead Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric Mercuric chloride chloride chloride chloride chloride chloride chloride chloride chloride chloride Mercury Methyl Methyl Methyl Methyl Methyl Methyl Methyl Methyl Methyl mercury mercury mercury mercury mercury mercury mercury mercury mercury OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, OctaCDD, 1,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,9- OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, OctaCDF, 1,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,91,2,3,4,6,7,8,9- PentaCDD, 1,2,3,7,8- Page 129 Total cancer risk Total hazard quotient 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 9.9533E-010 3.0021E-009 0.0000E+000 0.0000E+000 5.7184E-011 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 3.0863E-012 4.0577E-009 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 6.4512E-004 9.6048E-003 0.0000E+000 0.0000E+000 1.8296E-004 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 9.8773E-006 1.0443E-002 3.0427E-006 4.4239E-004 0.0000E+000 0.0000E+000 1.5127E-006 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.3745E-004 5.8440E-004 4.5527E-008 4.5527E-008 7.0069E-005 0.0000E+000 0.0000E+000 8.0082E-007 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 8.2042E-006 7.9074E-005 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Receptor Individual Scenario Source Pathway COPC No No No No No No No No No 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, PentaCDD, 1,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, 1,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,81,2,3,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, PentaCDF, 2,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,82,3,4,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, TetraCDD, 2,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,8- No No No No No No No No No No 16 16 16 16 16 16 16 16 16 16 resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child resident_child STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 STCK1 intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total air_crisk_inhale intake_crisk_ag intake_crisk_beef intake_crisk_chick intake_crisk_dw intake_crisk_eggs intake_crisk_fish intake_crisk_milk intake_crisk_pork intake_crisk_soil Total TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, TetraCDF, 2,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,82,3,7,8- Page 130 Total cancer risk Total hazard quotient 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.7204E-009 0.0000E+000 0.0000E+000 1.7522E-011 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 8.8729E-010 2.6252E-009 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.8017E-004 0.0000E+000 0.0000E+000 1.9687E-006 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 1.1770E-004 2.9984E-004 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 0.0000E+000 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Page 131 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Appendix B: Health Impact Matrices A P P E N D I X B Page 132 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Page 133 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Health impact matrix for the construction and operation phases of the development compared to no development taking place Legend + positive health impact - negative health impact ~ no identified health impact +++ ++ + major moderate minor ---- Definition of the levels of potential impact Significance Level Criteria Major +++/--- Health effects are categorised as major if the effects may lead directly to mortality/death or acute or chronic disease/illness. The exposures tend to be of high intensity and/or long duration and/or over a wide geographical area and/or likely to affect a large number of people e.g. over 500 or so and/or sensitive groups e.g. children/older people. They can affect either or both physical and mental health and either directly or through the wider determinants of health and wellbeing. They can be temporary or permanent in nature. These effects can be important local, district, regional and national considerations. Mitigation measures and detailed design work can reduce the level of negative effect though residual effects are likely to remain. (positive or negative) Moderate ++/-(positive or negative) Minor/Mild +/(positive or negative) Neutral/No Effect ~ Health effects are categorised as moderate if the effects are long term nuisance impacts from odour and noise, etc or may lead to exacerbations of existing illness. The exposures tend to be of moderate intensity and/or over a relatively localised area and/or of intermittent duration and/or likely to affect a moderate-large number of people e.g. between 100-500 or so and/or sensitive groups. The negative impacts may be nuisance/quality of life impacts which may affect physical and mental health either directly or through the wider determinants of health. The cumulative effect of a set of moderate effects can lead to a major effect. These effects can be important local, district and regional considerations. Mitigation measures and detailed design work can reduce and in some cases remove the negative and enhance the positive effects though residual effects are likely to remain. Health effects are categorised as minor/mild if they are generally nuisance level/quality of life impacts e.g. noise, odour, visual amenity, etc. The exposures tend to be of low intensity and/or short/intermittent duration and/or over a small area and/or affect a small number of people e.g. less than 100 or so. They can be permanent or temporary in nature. These effects can be important local considerations. Mitigation measures and detailed design work can reduce the negative and enhance the positive effects such that there are only some residual effects remaining. No effect or effects within the bounds of normal/accepted variation. Page 134 Strategic Consulting Report: 644-00200 Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Construction Phase (3 years) Only construction and associated activity impacts are assessed in this table. Construction Phase Overall No development No change from existing trends in health and wellbeing. Impact ~ These are positive and better than the district and Northern Ireland average. Power plant development Given the rural nature of the area, construction impacts are likely to be more pronounced than for a similar urban area. Impact without mitigation --/--- This is linked to the road infrastructure and the likelihood of construction traffic coming to and from the development site by road.. It is likely that there will be no change from existing trends. The positive trends will continue but the construction phase, without mitigation measures, will have nuisance impacts - noise from the development site, new people in the area and an increase in noise and movement of construction lorry traffic - on local residents particularly those living within 250m of the development site. Mitigation measures are likely to significantly reduce the potential negative impacts to Infectious diseases Levels of infectious disease are low and likely to remain so though there sexual health is a priority area for the local health and social services boards. ~ The construction is unlikely to cause or spread infectious diseases to local residents or construction workers. Workers coming into contact with sewage and contaminated water can be affected by micro-organisms. The extent of the hazard to workers will depend on the management of the construction; adherence to health and safety protocols; and availability and use of safety equipment and protective clothing. Construction workers moving into the area, particular those who are single, can lead to a rise in sexually transmitted diseases. Page 135 Strategic Consulting Report: 644-00200 ~ Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Construction Phase Non-infectious/chronic diseases No development Levels of chronic disease are in line with the Northern Ireland rates, and in some cases better with lower rates of long term limiting illness among residents.. Impact ~ Power plant development The construction is unlikely to cause non-infectious/chronic diseases to local residents or construction workers. Impact without mitigation ~ There is likely to be some dust generated by the construction but the levels of these are unlikely to lead to respiratory or other health problems. The extent of the hazard to construction workers will depend on the management of the construction; adherence to health and safety protocols; and availability and use of safety equipment and protective clothing. Physical injury and poisoning Levels of physical injury and accidental poisonings are low. Levels of traffic collisions and traffic injuries is low. See traffic assessment for more details. At the junction of Ballyvannon Road, Lurgan Road and Edenturcher Road there has been 1 slight collision involving a slight injury during the 3 year period between April 2004 and March 2007.Between Ingrams Road and Lurgan Road junctions there have been no collisions over the same 3 year period. ~ The construction of the power plant is unlikely to cause physical injury or poisoning to local residents. There is a potential for the additional heavy construction lorry traffic to result in an increase in road traffic collisions which may lead to injury. However, this will depend on the route, the driver and whether a route strategy and timetable for major traffic movements is developed. Local children could potentially gain access to the power plant construction site and get injured. Some workers may be injured on the construction site from falls, falling objects, collisions, etc. Construction sites can and do have hazardous substances onsite. This again is likely to be a greater hazard for construction workers than for residents in the surrounding area. The extent of the hazard to construction workers will depend on the management of the construction of the power plant; the adherence to health and safety protocols; safe storage and usage of chemical; and availability and use of safety equipment and protective clothing. The hazard to residents, especially children ingesting or coming into contact with hazardous chemicals, will depend on the secure storage and security measures to ensure no unauthorised access to the site. Page 136 Strategic Consulting Report: 644-00200 ~/- Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Construction Phase No development Mental health and wellbeing There is an existing rendering plant which has caused some nuisance impacts particularly in relation to odour and noise among residents living immediately adjacent to the plant. Impact ~/- Levels of mental health and wellbeing are good, perceived good health is high and deprivation is low. Power plant development The construction period is likely to last 3 years and this is likely to give rise to some nuisance effects for people living close to the site e.g. noise, dust, traffic and visual impacts. See EIA - air quality; traffic; noise and vibration; and landscape & visual impact assessments. Impact without mitigation -/-- Additionally, there is worry, anxiety, anger in some residents these and, in the longer term, stigma can lead to psycho-social stress and mental health and wellbeing effects which in turn leads to significant psycho-social stress at a level to generate physical symptoms. This would be in the context of already having an industrial facility in the area the existing rendering plant which has been operating for many years. The design of the site does include creating flora and fauna barriers to reduce the visual impact of the plant and to increase the biodiversity of the site after the construction phase. Though there will be an 80m stack. Workers on the site can have psycho-social stress related to their work depending on the quality of the contractors used and the terms and conditions under which they are employed. Population profile The population of Northern Ireland is predicted to grow by 4% between 2006 ad 2011 however the Greater Belfast area is likely to grow by only 0.4% with the West and South of Northern Ireland growing fastest at a rate of 8%. ~ The construction of the power plant may lead to some increase in population in the local area if construction workers are recruited from outside the local area and outside commuting distance (within 1 hours travel or so). As this is a rural area any influx of new people is likely to be more disruptive. It is likely that the population around the proposed development site will grow at the rate of the Greater Belfast area. Page 137 Strategic Consulting Report: 644-00200 ~/- Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Construction Phase Employment & economy No development Employment in Northern Ireland has been on a slightly rising trend over the last fivesix years with unemployment also on a declining trend. However over the last year unemployment has started to increase and employment rates have plateaued. Impact ~/- It is likely that only some of the construction related employment will go to people in the locality of the power plant because of the specialist nature of the facility. + The major beneficial impact is likely to be on those in the local area with construction skills and experience and those who are currently unemployed or under-employed. Employment in the area is high though there is some persistent unemployment in some age groups. How much the local area benefits is also dependent on whether there is a local recruitment policy in place that gives priority to local people. It is likely that there will be no change from existing trends. ~ Given the specialist nature of some of the construction it is likely that some construction workers will come from outside the local area. There are no major housing developments planned in the area but small scale new housing is likely to continue in the area. This could be a potential economic opportunity for private landlords but also put pressure on accommodation for local people. It is likely that there will be no change from existing trends. It is unlikely that the construction of the power plant will disrupt utility services – water, gas, electricity, waste and sewage disposal for local housing. Traffic lorries may cause some vibration but the traffic assessment estimates indicate that this is unlikely to be significant. See EIA - noise and vibration assessment. Page 138 Impact without mitigation There is likely to be some increase in passing trade for existing shops and retail amenities from construction workers going to and from the development site. It is likely that trends in Glenavy and Crumlin wards will follow national trends. Housing and accommodation Housing and accommodation are of good quality and there is a high proportion of home owners in the area. Power plant development Strategic Consulting Report: 644-00200 - Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Construction Phase Transport and connectivity No development The road network is relatively poor and the public transport network is also poor. Impact ~ Power plant development There is unlikely to be any direct effects on people’s access to private and public transport. Access to services is particular issue though most people in the area have, or have access to, a car or van. There will be construction traffic and this will have some negative impact on the movement of private and public transport vehicles. No major transport infrastructure is planned in the area. This may cause some physical severance and a reduction in physical activity and time spent outdoors for older people and children as local roads are, or are seen to be, dangerous and difficult to cross. It is likely that there will be no change from existing trends. Impact without mitigation --/--- There maybe some negative nuisance impacts from the noise and vibration. Continuous noise and vibration effects can also give rise to psycho-social stress among these residents. Peaks in concentration can exacerbate the symptoms of those with existing respiratory and cardiovascular difficulties especially in older people and children. Though the increase in construction traffic will increase the amount of vehicle emissions these are unlikely to cause physical health effects on existing residents. See EIA – air quality and traffic assessments. Education and learning There are a number of schools in the area. There are high numbers of young people but the projections for population growth are low. It is likely that there will be no change from existing trends. Page 139 There is unlikely to be any disruption to existing local schools. ~ Construction workers employed on the site, particularly local ones, are likely to gain experience and on-the-job training. Linking into local colleges and construction training schemes is likely to increases the chances of local people being recruited for construction jobs as well as young people gaining work experience on employment-linked apprenticeship-type training schemes. Strategic Consulting Report: 644-00200 ~/+ Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Construction Phase Crime and safety No development Impact Crime in the area is relatively low. It is likely that there will be no change from existing trends. ~ Power plant development There is unlikely to be any significant increases in crime because of the construction as access to the construction site will be limited. Impact without mitigation ~/- However, construction sites with their store of materials and the influx of new construction-related people can make an area more vulnerable to crime or, at least, to be perceived as more vulnerable to crime and less safe. This may mean that police and community guardian/warden patrols may need to be undertaken in and around the site to reassure the local community. Health & social care services Health and social care services are good. Access to services is an issue for some local people. There is unlikely to be any effects on access to health and social care services. ~ It is likely that there will be no change from existing trends. Shops and other retail amenities There are some shops and retail amenities in Glenavy and Crumlin villages. These are likely to continue to operate. Page 140 ~ ~ There may be some minor effects on local health and social care services as injured or unwell construction workers on site will use local hospitals and primary care centres. There is likely to be some positive impact on local shops and amenities from passing trade from construction workers. Some shops or retail amenities may be set up or be expanded specifically to serve the construction workers. Strategic Consulting Report: 644-00200 ~/+ Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Construction Phase No development Social capital and community Social capital and community cohesion are relatively good in the area. cohesion Impact ~ There are a diverse range of community activities and social clubs in the area for younger and older people. Power plant development The construction of power plant could have a positive or negative impact on the social capital and community cohesion of local residents in the area. Impact without mitigation ~/-/-- Over the short term social capital and community cohesion can rise in concerned communities as they come together to protest however over the long term the concern and protests tends to have a negative effect on social capital for a number of years until people begin to accept or tolerate a development or move away. It is likely that there will be no change from existing trends. The two important negative effects on social capital tend to be: A sense of unfairness, inequity and helplessness in having to live with the costs/negatives of the facility while the wider society/community benefits. The sense of stigma that they and their communities are ‘rubbish’ because they have a facility using waste near them. This can create a sense of ‘us’ who live with the negatives of facility and ‘them’ who do not and cuts people off both from other residents, especially those who may support or don’t mind the facility, and the wider society/community. This will depend on the nature and level of consultation and involvement of local communities in the siting and planning process for the power plant. Culture and leisure There are some cultural and leisure amenities in the area. The main focus for these however is in the major urban centres of Lisburn, Antrim and Belfast. It is likely that there will be no change from existing trends. Page 141 ~ Existing culture and leisure facilities are unlikely to be affected by the construction activity and associated traffic. Construction traffic may lead to a reduction in children’s outdoor play as parents/guardians see local roads as more dangerous. Though there is existing and long standing lorry traffic moving into and out of the area around the proposed development site. Strategic Consulting Report: 644-00200 ~/- Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Construction Phase Lifestyle and daily routines No development It is likely that there will be no change from existing trends. Impact ~ No other major developments are being proposed in the area at the moment. Power plant development There is likely to be some disruption of movement due to the construction traffic. Impact without mitigation -/-- This will be dependent on the amount of construction traffic and the days and hours of construction. It will also be dependent on how the construction site and associated traffic are managed and the adherence to the constructor’s code of conduct by the contractors and subcontractors working on the site. Children and older people are likely to be the most affected. Energy and waste Current energy generation and distribution and waste disposal methods will continue to be in place. There is likely to be a greater move towards energy efficiency and more recycling in the future. It is likely that there will be no change from existing trends.. Page 142 This will depend on: ~ Whether waste from the site is reused and recycled and the amount of demolition and construction waste sent elsewhere. It is envisaged that much of the material excavated on the site will be used on the site as banking and other works. The types of construction vehicles used. The energy and waste strategy developed for the construction phase of the power plant. Strategic Consulting Report: 644-00200 -/+/++ Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Construction Phase Land and spatial No development No other developments are projecte3d at this time. It is likely that there will be no change from existing trends. Impact ~ Power plant development The construction activity is likely to make the site visually unattractive. See EIA – landscape and visual impact assessment. Construction can compact soils and affect local flora and fauna. Demolition and removal of solid waste will need to be managed carefully especially if it is contaminated with heavy metals, asbestos or other chemicals. The flow of materials entering and exiting the site during the construction phase can be significant and will depend on how much can be re-used and recycled on the site. The key effects are likely to be the increase in construction traffic flows on the road and the potential for spillage and throwing up of materials outside the site and thereby creating new hazards for other vehicles and adult and child pedestrians. The local utility companies will need to be involved to ensure that there is no accidental disruption to the site because cables and pipes are dug through. The design of the site does include creating flora and fauna barriers to reduce the visual impact of the plant and to increase the biodiversity of the site after the construction phase. . Page 143 Strategic Consulting Report: 644-00200 Impact without mitigation -/-- Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Operation Phase (0-25 years after the construction phase) Operation Phase Overall No development No change from existing trends in health and wellbeing. Impact ~ These are positive and better than the district and Northern Ireland average. Power plant development Once the power plant is operational there are likely to be direct nuisance impacts on residents in the local area. The major ones are likely to be noise, traffic and smell. Impact without mitigation ++/-- The major positive impacts will be the new jobs created in the power plant, the recovery of energy, the safe disposal of poultry bedding and meat and bone meal and the diversion of waste from landfill and from land spreading. It is likely that there will be no change from existing trends. In relation to the activities associated with the operation of the power plant proposed there will be a small number of additional heavy vehicle traffic compared to current levels. See EIA – air quality; traffic; noise and vibration; and landscape and visual impact assessment. If there is sustained community concern and protests this is likely that this will remain for up to 5 years gradually ebbing away over that time as people accept/tolerate the site or move away. This will be dependent on the how well run the power plant is and how well community complaints are handled. Infectious diseases Non-infectious/chronic diseases Levels of infectious disease are low and likely to remain so though there sexual health is a priority area for the local health and social services boards. Levels of chronic disease are in line with the Northern Ireland rates, and in some cases better with lower rates of long term limiting illness among residents.. Page 144 ~ The operation of the power plant is unlikely to cause or spread infectious diseases to local residents. ~/- The extent of the hazard to power plant workers will depend on the management of the operation of the power plant; the adherence to health and safety protocols; and availability and use of safety equipment and protective clothing. ~ The operation of power plant is unlikely to cause noninfectious/chronic diseases to local residents. The extent of the hazard to power plant workers will depend on the management of the operation of the power plant; the adherence to health and safety protocols; and availability and use of safety equipment and protective clothing. Strategic Consulting Report: 644-00200 ~/- Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Operation Phase No development Physical injury and poisoning Levels of physical injury and accidental poisonings are low. Levels of traffic collisions and traffic injuries is low. See traffic assessment for more details. At the junction of Ballyvannon Road, Lurgan Road and Edenturcher Road there has been 1 slight collision involving a slight injury during the 3 year period between April 2004 and March 2007.Between Ingrams Road and Lurgan Road junctions there have been no collisions over the same 3 year period. Impact ~ Power plant development The operation of power plant is unlikely to cause physical injury or poisoning to local residents. There is a potential for the additional lorry traffic to result in an increase in road traffic collisions. This will depend on whether a route strategy and timetable for major traffic movements is developed for each proposed new residual treatment power plant. Children are likely to be the most vulnerable group. Some workers may be injured during the operation of the power plant from falls, falling objects, collisions, etc. There are also likely to be some hazardous substances on-site. This again is likely to be a greater hazard for power plant workers than for residents in the surrounding area. The extent of the hazard to power plant workers will depend on the management of the operation of the power plant; the adherence to health and safety protocols; safe storage and usage of chemical; and availability and use of safety equipment and protective clothing. There is a potential for an operational failure leading to an increase in emissions. The facility is designed to fail-safe so that plant failure leads to the whole process being stopped and there will also be continual internal monitoring and regular inspections by the Environment and Heritage Service. A serious incident plan for an operational failure event would be important in dealing with any such eventualities. This should involve the emergency services and the Environmental and Heritage Service. Page 145 Strategic Consulting Report: 644-00200 Impact without mitigation ~/- Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Operation Phase No development Mental health and wellbeing There is an existing rendering plant which has caused some nuisance impacts particularly in relation to odour and noise among residents living immediately adjacent to the plant. Impact ~/- Power plant development The operation of the power plant is likely to give rise to some nuisance effects for people living close to the site e.g. noise, dust, traffic and visual impacts. Impact without mitigation -/-- Additionally, there is worry, anxiety, anger in some residents these and, in the longer term, stigma can lead to psycho-social stress and mental health and wellbeing effects which in turn leads to significant psycho-social stress at a level to generate physical symptoms. This would be in the context of already having an industrial facility in the area the existing rendering plant which has been operating for many years. Levels of mental health and wellbeing are good, perceived good health is high and deprivation is low. The design of the site does include creating flora and fauna barriers to reduce the visual impact of the plant and to increase the biodiversity of the site after the construction phase. Though there will be an 80m stack. This is likely to be exacerbated if the power plant is poorly managed and complaints are not handled well. Power plant workers can have psycho-social stress related to their work depending on the quality of the contractors used and the terms and conditions under which they are employed. Population profile The population of Northern Ireland is predicted to grow by 4% between 2006 ad 2011 however the Greater Belfast area is likely to grow by only 0.4% with the West and South of Northern Ireland growing fastest at a rate of 8%. It is likely that the population around the proposed development site will grow at the rate of the Greater Belfast area. Page 146 ~ The operation of the power plant may lead to a small increase in population in the local area if power plant workers are recruited from outside the local area and outside commuting distance (within 1 hours travel). However, the overall number of likely new jobs is small and therefore any population increase will be negligible. Increases in population can be seen as either a positive or a negative depending on the local community and the characteristics and behaviour of the incoming residents. Strategic Consulting Report: 644-00200 ~ Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Operation Phase Employment & economy No development Employment in Northern Ireland has been on a slightly rising trend over the last fivesix years with unemployment also on a declining trend. However over the last year unemployment has started to increase and employment rates have plateaued. Impact ~/- In relation to the wider economy the plant will become a new source of renewable energy, provide safe disposal at no cost to local and regional poultry farmers of poultry bedding and avoid potential fines from the European Commission. It is likely that there will be no change from existing trends. It is likely that there will be no change from existing trends. ~ It is unlikely that there will be pressure on local housing and accommodation because of the operation of the power plant from workers being recruited from outside the local area and moving nearer to the facility. There may be some downward pressure on local house prices for houses immediately adjacent to the proposed power plant however given the existing rendering plant this is likely to be small. The predominant influence on house prices is likely to be regional and national trends. Given the overall rise in house prices across Northern Ireland any reduction is unlikely to impact on the economic wellbeing of local residents. It is more likely that prices will not rise at the same rate as previously. Page 147 +/++ There will also be additional passing trade for existing shops and retail amenities from power plant workers. This is likely to be small. Employment in the area is high though there is some persistent unemployment in some age groups. There are no major housing developments planned in the area but small scale new housing is likely to continue in the area. It is likely that only some of the operation related employment will go to people in the locality of the power plant. Impact without mitigation The above will depend on the availability of local people with the relevant skills and whether the recruitment drive proactively focuses on recruiting locally. It is likely that trends in Glenavy and Crumlin wards will follow national trends. Housing and accommodation Housing and accommodation are of good quality and there is a high proportion of home owners in the area. Power plant development Strategic Consulting Report: 644-00200 ~/- Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Operation Phase Transport and connectivity No development The road network is relatively poor and the public transport network is also poor. Impact ~ Access to services is particular issue though most people in the area have, or have access to, a car or van. Power plant development There is unlikely to be any direct effects on people’s access to private and public transport. Impact without mitigation - There will be lorry traffic and this will have some impact on the movement of private and public transport vehicles. The estimated increase in lorry traffic is small though the lorries are likely to be larger. See EIA – traffic assessment No major transport infrastructure is planned in the area. There may be some physical severance and a reduction in physical activity and time spent outdoors for older people and children as local roads are seen to be dangerous and difficult to cross. It is likely that there will be no change from existing trends. The lorry traffic will increase the amount of vehicle emissions however to a small extent but these are unlikely to cause physical health effects on local residents or power plant workers. This will also be dependent on whether the lorries are using engines that use alternative fuels such as liquid petroleum gas. Education and learning There are a number of schools in the area. There are high numbers of young people but the projections for population growth are low. There is unlikely to be any disruption to existing local schools. ~ Crime in the area is relatively low. It is likely that there will be no change from existing trends. Page 148 ~/+ There is an opportunity for wider education of the local community on waste issues if environmental awareness and education programmes are developed for local residents and school children. It is likely that there will be no change from existing trends. Crime and safety Power plant workers employed on the site are likely to gain experience and on-the-job training. ~ There is unlikely to be any increase in crime because of the operation of the power plant. Strategic Consulting Report: 644-00200 ~ Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Operation Phase No development Impact There is unlikely to be any disruption to access to health and social care services. Health & social care services Health and social care services are good. Access to services is an issue for some local people. Power plant development ~ It is likely that there will be no change from existing trends. Impact without mitigation ~/- There may be some minor effects on local health and social care services as injured or unwell construction workers on site will use local hospitals and primary care centres. Women who are pregnant and women/couples trying to become pregnant may become concerned about the possible health effects of the power plant and its emissions on their unborn child. They may raise these issues with their GP/obstetrician/midwife. Shops and other retail amenities There are some shops and retail amenities in Glenavy and Crumlin villages. These are likely to continue to operate. Page 149 ~ There is likely to be a no or a very small positive impact on local shops and amenities from passing trade from power plant workers. Strategic Consulting Report: 644-00200 ~ Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Operation Phase No development Social capital and community Social capital and community cohesion are relatively good in the area. cohesion There are a diverse range of community activities and social clubs in the area for younger and older people. It is likely that there will be no change from existing trends. Impact ~ Power plant development The operation of power plant given that there is local protest and concern about the facility could have a positive or negative impact on the social capital and cohesion of local residents in the area. Over the short term, community protest can bring people together and increase social capital and cohesion however over the longer term the negative context, the different views of residents and the sense of helplessness tends to breakdown social capital and cohesion. Around 5 years into the operational phase it is likely that local people will have come to a) accept the facility because the impacts are not as great as they feared; b) tolerate the facility in the sense that they still dislike it and don’t want it in their neighbourhood but having no choice except to move out have learnt to live with the facility; and c) have moved out of the area. The two important negative effects on social capital tend to be: A sense of unfairness, inequity and helplessness in having to live with the costs/negatives of the facility while the wider society/community benefits. The sense of stigma that they and their communities are ‘rubbish’ because they have a facility using waste near them. This can create a sense of ‘us’ who live with the negatives of facility and ‘them’ who do not and cuts people off both from other residents, especially those who may support or don’t mind the facility, and the wider society/community. This will depend on: how well complaints are handled and dealt with and how much influence local residents have over the operation of the facility. Page 150 Strategic Consulting Report: 644-00200 Impact without mitigation -/-- Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Operation Phase Culture and leisure No development There are some cultural and leisure amenities in the area. The main focus for these however is in the major urban centres of Lisburn, Antrim and Belfast. Impact ~ It is likely that there will be no change from existing trends. ~ No other major developments are being proposed in the area at the moment. Energy and waste Current energy generation and distribution and waste disposal methods will continue to be in place. There is likely to be a greater move towards energy efficiency and more recycling in the future. Existing culture and leisure facilities are unlikely to be affected by the operation of the power plant and associated traffic. There is unlikely to be any disruption of movement due to the traffic. See EIA – traffic assessment. ~ -/-- This will be dependent on a how the traffic is managed and the development of a route strategy for power plant traffic. ~ Poultry bedding and meat and bone meal will be disposed of in a safe way. Energy will be recovered from a renewal energy source. There will be a reduced need for landfills and land spreading. It is likely that there will be no change from existing trends.. Page 151 Impact without mitigation Operation traffic may lead to a reduction in children’s outdoor play as parents/guardians see local roads as more dangerous. Though there is existing and long standing lorry traffic moving into and out of the area around the proposed development site. It is likely that there will be no change from existing trends. Lifestyle and daily routines Power plant development Strategic Consulting Report: 644-00200 ++/+++ Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Operation Phase No development Land and spatial No other developments are forecast at this time. It is likely that there will be no change from existing trends. Impact ~ Power plant development The power plant will reduce the visual amenity and aesthetic of the neighbourhood immediately adjacent to the power plant. See EIA – landscape and visual impact assessment. Prices for local farmland could be reduced. Though this is difficult to assess it is likely to be in line with the patterns for local house prices and the national and international prices for agricultural produce. It is unlikely that reductions would be significant given the longstanding existence of the rendering plant. Some greenfield land will be used. Water from the local river is likely to be used as coolant. Proximity to areas designated as Sites of Local Nature Conservation Importance and Areas of High Scenic Value. Potential to affect flora and fauna in local rivers and the Lough due to the intake and discharge of water coolant in the plant. See EIA – ecology assessment. The disposal of bottom and fly ash will need to be appropriately disposed of e.g. to landfill. The design of the site does include creating flora and fauna barriers to reduce the visual impact of the plant and to increase the biodiversity of the site after the construction phase. Page 152 Strategic Consulting Report: 644-00200 Impact without mitigation --/--- Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Decommissioning Phase (25 years after the construction phase) Decommissioning Phase Overall No development Difficult to predict changes in health and wellbeing 25 years into the future. Likely to be similar to current trends. With advances in health living, health and social care, etc life expectancy and health and wellbeing are likely to remain high. Climate change would be an important factor. Impact ~/+ Power plant development This is dependent on whether another facility is built of a similar nature. If the plant is decommissioned and the land returned back to pasture with the appropriate remediation of the land then this will be a positive. If the plant is refurbished or re-built then the impacts will be similar to the operational phase. It is likely that technology will have moved on as will have agricultural practice. Having a clear plan of what will be done in either scenario would be important to ensure health and wellbeing are safeguarded. Page 153 Strategic Consulting Report: 644-00200 Impact without mitigation ~ Rose Energy Project: Health Impact Assessment with Human Health Risk Assessment Page 154 Strategic Consulting Report: 644-00200
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